h4. Constraints Constraints are linked to ignorance of the instruments. Sometimes, parents hesitate to take legal action because of judicial red-tape in the processing of files. Others prefer an out-of-court settlement between the parties, provided a certain sum of money is paid. It is important to note that no structure for the psychological care of victims is envisaged at the level of the State. Only the Support Programme for the reintegration of children in difficulty (PARED) and the Judicial Educative and Preventive Service (SEJUP) have listening centres and ensure the psychological care of children. Otherwise, this care is provided by parents. VI. BASIC HEALTH AND WELFARE a) Survival and development of the child (article 5) Article 11 of the Constitution protects “the right to life, health, liberty and security”. The CRC recognizes this right under article 6. The Penal Code stipulates and punishes all attempts on life. Thus, abortion and infanticide are punished under sections 295 to 297 and 240 to 243. This punishment also concerns those who abandon a child or an incapable person, inasmuch as such acts may cost the child his life (section 253). a1. Limitations Despite the diversity of instruments in force and bodies providing care, the situation of children in Niger remains preoccupying as far as health, nutrition and access to drinking water are concerned. 1. Health: The situation is characterized by a strong prevalence of infectious diseases, inadequate preventive and curative healthcare services and high infant mortality. According to the results of the multiple indicator Population and Health Survey of 2006:  the mortality rate of children below 5 was 1980‰ in 2006 ;  the infant mortality rate was 81 ‰ in 2001 ;  the maternal mortality rate was 648 for 100,000 live births in 2006; Concerning vaccination coverage, the results of the same survey show that only 29% of children received vaccines of the Extended Programme on Immunization and 16% did not receive any dose of vaccine. There are disparities between urban and rural areas. In fact, the proportion of children in rural areas having received all the EPI vaccines is 25% against 48 % in urban areas. Those having received no vaccine represent 6% in urban areas against 18% in rural areas. HIV/AIDS is also a cause of infant and maternal mortality. The results of the multiple indicator population and health survey of 2006 revealed that the prevalence rate was 0.7%. The rate remains the same for men and women (0.7%). On the other hand, there is 24

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