Niger is a vast, land-locked Sahelian country with the majority of its population living along the border with Nigeria and along the Niger River. It was ranked 167/169 on the Human Development Index (UNDP, 2010) and has one of the world’s highest under-five mortality rates. Niger also has the world’s highest population growth rate and total fertility rate. Four of the five neglected tropical diseases targeted by the USAID NTD Control Program are highly prevalent in the country; onchocerciasis has been eliminated as a public health problem in the five health districts where it was endemic. Niger has adopted a National Health Plan (2011-2015) with the objective of meeting the health-related Millennium Development Goals by 2015.

Helen Keller International (HKI) is the designated subgrantee in Niger for END in Africa activities. HKI has had a strong presence in Niger since 1986, and its large portfolio of programs covers a diverse range of health and nutrition programs that target vulnerable communities, households, and family members.

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