Niger, Burkina Faso and Mali share a border region in the Central Sahel where state and non-state groups operate in a context of poverty, climatic change, a fast-growing population and increasing competition over dwindling resources.
The southeast of Niger forms part of the Lake Chad Basin, where violence that began in Nigeria in 2009 has spread. This area was already extremely vulnerable due to social inequality, poverty, poor infrastructure and recurring drought. We run health programmes throughout Niger.
Niger has made remarkable progress in reducing mortality for children under five over the past decade. However, malnutrition and malaria – the main causes of childhood death – remain rife. We run targeted paediatric programmes, support community health workers and boost the capacity of public facilities, particularly during the 'hunger gap' between harvests, which coincides with the rainy season and malaria peak.
MSF supports community health workers in hundreds of villages throughout Niger. The community health workers are especially active during the peak malaria season and ensure early detection and treatment of simple malaria and screening for malnutrition.
Since 2015, people living in Diffa region, in the Lake Chad Basin, suffer the consequences of violent clashes between armed opposition groups in neighbouring Nigeria and the military forces in the region. We provide medical and mental health care for displaced communities at numerous health facilities in the region and run mobile clinics in hard-to-reach areas. In Agadez, in the north of Niger, we support local communities and migrants along the main migratory routes.
Together with the Ministry of Health we provide reproductive health services in Diffa region, where our teams have set up ‘listening spaces’ to offer advice and medical assistance to women.
Listening spaces by and for the community
We are also at the frontlines of the responses to outbreaks in Niger. We hold annual vaccination campaigns against measles and meningitis if needed, and we respond to cholera outbreaks.
In Niger, we are supporting various healthcare centres and providing basic and specialised care to host and refugee communities, mainly in Tillabéri region. We are also running mobile clinics to provide medical and mental health consultations and distribute essential household items to refugees.
Every year from July to October, the combination of the hunger gap and rainy season triggers a spike in the number of children suffering from acute malnutrition and malaria in southern Niger.
This year, several factors could lead to an exceptionally severe seasonal peak amid dwindling donor funding dedicated to nutritional and paediatric programmes in the area.
Data and information from the International Activity Report 2022.
IN 2022
