Many of Niger’s social indicators have improved in recent years yet its health system remains under severe strain due to a high fertility rate, lack of funding, and management issues.
Nevertheless, there are grounds for optimism. For example, more than half of the population have access to health facilities within a 5-kilometre radius, and the economy is growing at around 5%, albeit from a low base.
However, around 46% of health expenditure in the country is ‘out of pocket’. More critically, Niger’s 2006 National Strategy to progress UHC, which focused on revamping free healthcare for pregnant women and children under 5 years, has failed to be properly implemented due lack of funding and weak management, despite having high-level support. To overcome these challenges, a high-level, multi-stakeholder approach is required – a solution the country hopes to facilitate with the support of L4UHC.
UHC service coverage index: 36.6%
Physicians per 1,000 population: 0.05
Catastrophic expenditure: 6.6%
Ongoing Collective Action Initiatives
Completed Collective Action Initiatives
Create a national structure for managing free healthcare in Niger, specifically a National Institute of Medical Assistance (INAM).
- Advocated for and raised awareness of the need for INAM;
- Prepared a draft decree for INAM and promoted it;
- Appointed the Director General of INAM;
- Produced a draft UHC Development Strategy.