On the economic front: the State does not have the financial resources needed to effectively meet basic needs, notably:  the recruitment of personnel ;  the provision of health centres with equipment and medication;  the creation of new healthcare centres;  the poverty of households makes it difficult for them to pay for the cost of consultation, hospitalisation and pharmarceutical products. In urban and rural areas, the population opts for traditional medicine which is less costly and prefer to buy products sold on the market without any doctor‟s prescription. At the institutional level :  the transformation of State public services into administrative public establishments (APE);  the centralized management of health services;  the poor management of these services ;  the inadequate coordination of private aid. On the cultural front: some practices impede the protection of infant health. There are taboos that deprive the child of certain foods essential for his growth. In some societies, it is forbidden to give eggs to children. The mother must not give the first milk to her newborn baby or eat food rich in proteins during her pregnancy or while breast feeding. Some mothers also refuse to have their children aged 0 to 5 vaccinated due to their ignorance of its usefulness. The multiple-indicator Population and Health Survey of 2006 revealed that 54% of educated women had their children vaccinated against 26% of illiterate women. 89% of women educated up to the secondary level gave birth with assistance in a health centre against 29% of uneducated women. c3. Achievements A technical service was set up in the Ministry of Public Health, namely: the Child Survival Division in the Department of Maternal and Infant Health. A health sector policy was adopted in 1995. It is important to note that development partners like UNICEF, UNFPA and WHO lent substantial support as part of bilateral and multilateral cooperation. Thanks to this support, the following results were obtained:  drop in infant/juvenile mortality from 318‰ in 1997 to 198‰ in 2006 ;  rise in ATV vaccination coverage from 34% in 1998 to 41% in 2006 ;  poliomyelitis vaccination coverage increased from 40.6% in 2000 to 48.7% in 2006. The multiplication of NIDs (4 per annum) helped to reduce the number of polio cases by 44 in 2000 to 11 in 2006 ;  the resort to ante natal healthcare centres contributed to the improvement of maternal and infant health. From 30% in 1992, it rose to 40% in 1998 and 46% in 2006. 28

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