PMI Impact Malaria
PMI Impact Malaria in Niger
PMI Impact Malaria (IM) is the flagship global service delivery project of the U.S. President’s Malaria Initiative (PMI). To fight malaria and save lives, IM is supporting Niger’s national malaria control program (NMCP) in its efforts to strengthen malaria service delivery.
In 2018, IM began working with Niger’s NMCP to improve malaria case management at the community and public facility levels, with an emphasis on protecting those who are most at risk—particularly young children and pregnant women.
To advance malaria service delivery in Niger, IM focuses mainly on strengthening health provider competence, scaling up drug-based prevention, and rolling out integrated case management in communities.
Malaria Country Context
In Niger, the risk of malaria transmission varies by geographic region, with the entire population of 21.5 million people at risk of malaria. Six percent of the population lives in the hypo-endemic zone in the North, which covers the Sahara Desert and has episodic malaria transmission; 41% of the population lives in the meso-endemic zone in the Sahelian region where transmission is two to four months; and 53% of the population lives in the hyper-endemic zone in the South, with malaria transmission longer than six months. The malaria parasite species Plasmodium falciparum causes the majority of infections.
Malaria continues to be a leading cause of illness and death in Niger, particularly among children under the age of five. In 2018, the national health information system reported about 2.8 million confirmed cases of malaria, compared to a World Health Organization (WHO) estimate of 7.7 million cases. During this same time, Niger reported 2,300 deaths due to malaria while the WHO estimate was 17,200 malaria deaths.
In 2015, Niger instituted a national health policy aimed at improving the equity and quality of care by increasing access to health services for vulnerable people such as women, children, disabled people, and rural populations, while also exempting mothers and children under five years of age from health user fees.
This is PMI Impact Malaria’s geographic coverage in Niger:
PMI Impact Malaria has supported Niger’s NMCP in achieving these key accomplishments:
Ran a 2019 seasonal malaria chemoprevention (SMC) campaign in 17 districts in the Dosso and Tahoua regions, reaching about 1.4 million children with medicine to prevent malaria during the rainy season. This included training, supervising, and paying thousands of SMC staff to reach 96% of the children targeted in these two regions.
Supported the integration of malnutrition screening during the 2019 SMC campaign, making it possible to detect and refer over 500,000 moderately to severely malnourished children in the 17 target districts.
Trained 424 health providers in 223 health facilities in malaria case management, malaria in pregnancy (MIP), and the use of malaria rapid diagnostic tests (mRDTs) in the Dosso and Tahoua regions.
Implemented a new approach of supportive supervision at the facility level with standard automated checklists, called OTSS+, that focuses on continuous improvement of the competencies of health providers in case management, MIP, and diagnostics. So far, 172 health providers from 145 facilities have benefited from OTSS+ in IM’s two focus regions. Going forward, training will expand to 89 additional health providers to bring quality improvement in malaria service delivery through supportive supervision to a total of 242 health facilities.
Rolled out integrated community case management (iCCM) of malaria, pneumonia, and diarrhea through training, supervising, and supporting about 354 community health workers (CHWs) in three districts within the Dosso and Tahoua regions. These CHWs serve about 429,774 people and have provided community-based care and treatment to 7,300 cases of fever, pneumonia, and diarrhea—mostly among children in the Dosso region. Going forward, Niger’s NMCP will expand the iCCM program to 331 additional CHWs in two new districts, bringing the number of Nigeriens covered by iCCM activities to 722,633 by the end of 2020.
Photo Credit: PMI Impact Malaria, Niger
Sources: PMI’s Niger Country Brief, PMI’s Niger Malaria Operational Plan FY 2020, 2019 World Malaria Report Niger Country Profile, PMI Impact Malaria Niger, and Niger’s NMCP
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