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Reinforcement Project for the national stratégies to scale up interventions to fight Malaria in Niger
The project is aimed at helping to improve the populations’
health status: efficiently controlling the socio-economic
factors linked to malaria in 25 Nigerian health care
districts, by using both individual and group methods of
malaria prevention (insecticide-treated bed nets in
particular). The mid-term objective is to attain, by the end
of 2006, a 30% reduction in malaria-related
morbidity/mortality, and a 60% reduction in malaria-related
hospital lethality, in children younger than five and in
pregnant women.
Niger, in collaboration with its regular technical and
financial partners, has been solely responsible for setting
the guidelines for this project, which is entirely funded by
the Global Fund to Fight HIV/AIDS TB and Malaria (GFATM).
Initiating the project is the Country Coordinating Mechanism
(CCM), a unit composed of seven (7) government ministries
(including Public Health and the Fight against Endemics),
and representatives of community organizations (2 NGOs), of
the private sector, of people suffering from HIV/TB/Malaria,
and of four (4) multilateral and two (2) bilateral
institutions, one (1) university and two (2) religious
groups. This project is therefore part of the shift in
budgetary assistance trends, where the requesting country
assumes the responsibility of implementing the project.
The CCISD has been brought on by the CCM as Principal
Recipient (PR) to provide technical support for project
implementation. Liable for the project’s expected results,
the CCISD’s major role is to assist the CCM (of which it is
member) in the support provided to the implementation of
activities planned by the
Programme National de Lutte contre le Paludisme
(PNLP). The sustainability of interventions will be ensured
by strengthening the PNLP’s capacity to manage, monitor and
evaluate these activities. The support provided by the CCISD
to build PNLP capacities will be primarily focused on
management/accounting, epidemiological surveillance,
healthcare personnel training, and on providing support for
community mobilization in the prevention and treatment of
malaria cases.
Implemental support for the project’s activities is assumed
in close collaboration with the Swiss Centre for
International Health / Swiss Tropical Institute acting as
the Local Fund Agent (LFA).
Expected results:
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At least 75% of pregnant women and children under five,
living in the 25 Nigerian health districts covered and
affected by light to severe malaria, will have access,
within 24 hours, to a fast and adequate treatment of the
disease;
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At least 75% of the people at risk , living in the 25
Nigerian health districts—most particularly pregnant women
and children under five—will have been provided with
protective measures such as insecticide-treated bed nets
and other intervention methods;
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At least 75% of pregnant women (in particular women who
are at their first pregnancy), living in these 25 Nigerian
health districts will have access to chemoprophylaxis or
to intermittent presumptive treatment.
The main
activities involve:
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Early and efficient handling of malaria cases at the
community level and throughout the public and private
healthcare system, in coordination with Integrated
Management of Childhood Illness (IMCI);
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Malaria prevention, particularly in the target groups:
pregnant women and children under five—through health and
awareness-raising activities, vector-focused control,
chloroquine chemoprophylaxis treatment, and intermittent
presumptive treatment with sulfadoxyne-pyrimethamine (in
pregnant women only);
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Accelerated promotion of treated bed nets, in collaboration
with the private sector and with civil society, through
extensive promotional sale, as well as treatment and
retreatment campaigns.
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Prevention, early detection, and control of malaria
epidemics;
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Operational research focused on the leading malaria themes
(treatment efficacy; vector sensitivity to insecticides; and
popular knowledge, skill, and general practices regarding
malaria);
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Reinforcement of the monitoring and evaluation of the Roll
Back Malaria (RBM) initiative.
Set up of factual malaria databases at the central and
peripheral levels;
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Partnership development with all actors in the RBM
initiative (Public Health Ministry, public and private
sector, NGOs, associations, and donors);
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Reinforcement of the PNLP’s managerial capacities.
The project is taking place over a two -year period
(September 1, 2004 – August 31, 2006), with the possibility
of prolonging for an additional year depending on the
results obtained.
Project team names and address
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