prescription was adopted and implemented, and the budget appropriation for the purchase of ARVs
was increased.
210. In addition to being distributed in the eight regions of the country, the number of prescriber sites
for the care of persons living with HIV which was 11 in 2011 increased to 68 in 2015. In 2018, the
proportion of persons under ARV treatment reached 54.78% of infected persons.
211. Current health expenditure allocated to the fight against HIV/AIDS was estimated at FCFA 3.158
billion in 2017, i.e. 0.86% of current health expenditure against FCFA 1.036 billion, i.e. 0.37% in
2016.
x) Measures taken to ensure sexual and reproductive health, in conformity with the obligation of
the Government stated in Paragraphs 67 (64) to (70) of Principles and Guidelines 4. Special
emphasis is placed on the statistics illustrating efforts made to reduce the maternal mortality
rate, stillbirth rate as well as the infant and child mortality rates.
212. According the data of the latest ENISED survey, the mortality rates are presented as follows:
-
infant mortality - 51.3 ‰
child mortality - 78.7‰
infant and child mortality - 126‰
maternal mortality - 520 for every 100,000 births;
213. With regard to the levels of coverage of interventions which impact heavily on maternal mortality,
note is taken of the following:
- increase in the rate of assisted births from 37% to 39% in 2018;
- increase in the rate of the use of modern contraceptives from 27% to 32.31% in 2018, and
- reduction in the mother-to-child HIV transmission rate from 23.74% to 10.6% (2016 – 2017).
214. The following activities are among the actions which contributed to this position:
-
continuation of the implementation of the free health care policy and certain national
initiatives (solidarity fund, evacuation fund, school for husbands, etc.);
implementation of the roadmap to fast-track the reduction in maternal and neo-natal mortality:
acquisition of new health and reproduction infrastructure;
increase in human resources, particularly the number of midwives;
repositioning of FP in Niger;
intensification of the fight against the various forms of malnutrition;
implementation of the routine Extended Programme on Immunization (EPI) and the
vaccination campaigns (reduction of measles-related morbidity by 99% and measles-related
mortality by 97 %);
promotion of health huts;
vitamin A and insecticide-treated mosquito net distribution campaigns;
adoption and implementation of the national community participation strategy, and
strengthening of community level interventions.
D. Right to Education: Article 17
215. It should be recalled that the right to education is established by the Constitution of 25 November
2010. Article 12 of same states that “Everyone shall have the right to life, health, physical and moral
integrity, health and adequate food, potable water, education and learning under the conditions
defined by law…”.
216. Article 23 also states that “Parents shall have the right and duty to bring up, educate and protect
their children. Descendants shall have the right and duty to assist and help ascendants. Both lines
shall be binding on the State and other public authorities in the discharge of this duty. The State and
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