TAILIEUCHUNG - Documentation of Child Survival Interventions, Niger 2000 - 2010

Easier implementation could expand services. Reported difficulties with implementing PMTCT programmes, including the challenge of providing ARV treatment in MCH settings and at the primary care level, highlight the importance of simplifying drug regimens and operational delivery, as exemplified by Options B and B+. Easier implementation should facilitate expansion of services and more effective programmes. This will, however, require strengthened antenatal services, task-shifting, more effective ARV service delivery in MCH settings and direct linkages with ART programmes. •• Unknowns need research. Concerns and unknowns with Options B and B+ include possible increased ARV multi-drug resistance in women due to poor adherence and in infants infected despite maternal ART, and the acceptability and feasibility for women. | PROGRAMS Countdown to 2015 Maternal Newborn Child Survival Documentation of Child Survival Interventions Niger 2000 - 2010 Niger Countdown Case Study Report from the Documentation Team August 2012 Dr Khaled Bensaid UNICEF-Niger Team Leader Dr Helenlouise Taylor Consultant Dr Maazou Abani Ministry of Health The documentation results are available in a separate excel workbook titled Child Survival at a Glance 2000-2011 1 This work was conducted as a part of an in-depth case study supported by Countdown to 2015 for Maternal Newborn and Child Survival. Other components of the case study focused on reductions in under-five and neonatal mortality changes in nutritional status and coverage for high-impact interventions and contextual factors that may have affected child survival. The results of the case study are reported in Amouzou A Habi O Bensaid K and the Niger Countdown Case Study Working Group Reduction in child mortality in Niger a Countdown to 2015 country case study Lancet 2012 380 In Press. The case study was supported through the Countdown to 2015 for Maternal and Child Survival by the Bill Melinda Gates Foundation the World Bank and the Governments of Australia Canada Norway Sweden and the UK. We thank the Government of Niger and especially the Ministry of Health for their assistance in compiling reviewing and interpreting the data presented here. The work could not have been done without the full support of UNICEF-Niger its Country Representative Guido Cornale and Deputy Representative Isselmou Boukhari . 2 Table of Contents 1. Background and objectives. 4 2. Methods. 4 3. Results. 6 4. Limitations and constraints. 6 5. Conclusions and Annexes 1. Work Plan for the Documentation Team 2. Original list of priority information for documentation 3. Guide for interviews with key informants 4. List of key informants interviewed

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