Start of program: 2009


  • 22.4 million inhabitants*
  • 2.3 million people in need of humanitarian aid*
  • Global acute malnutrition rate above the emergency threshold (15%)
* Data from 2018


  • 32,466 children treated for severe acute malnutrition
  • 10,546 prenatal consultations
  • 129,961 mothers trained to screen their children for malnutrition using the  MUAC
* Data from 2019

Areas of intervention

  Nutrition  Pediatrics
Maternal health

Country context

Like other Sahelian countries, Niger is facing various humanitarian crises exacerbated by the Lake Chad crisis and the security instability in northern Mali. These situations aggravate the chronic poverty problems of the populations and further deepen the lack of basic services.

The humanitarian situation in Niger is marked by the persistence of five major crises: food insecurity, malnutrition, population displacements, floods and disease outbreaks. In addition to this, limited access to safe drinking water, poor hygiene and sanitation and a weak health care system, mean that millions of people are in need of humanitarian assistance each year. 

Niger ranks lowest on the Human Development Index, according to the United Nations Development Program (UNDP). Approximately 600,000 people were affected by food insecurity in 2018 and 2.3 million people needed humanitarian assistance, according to the United Nations Office for the Coordination of Humanitarian Affairs (OCHA).

In addition, the global rate of acute malnutrition in Niger stands at 15%, with children under the age of five representing almost a fifth of the total population.

© Jennifer Lazuta / ALIMA

ALIMA’s Impact – Our fieldwork

Free care for children under five

ALIMA works in Niger with its local partner BEFEN (Well-being of Women and Children in Niger) on several issues, including acute malnutrition and malaria. Thanks to this partnership, free care is provided to children suffering from acute malnutrition in Mirriah, in the Zinder region, and in Dakoro, in the Maradi region. In these districts, field teams work in intensive therapeutic feeding centers and pediatric services, but also in 31 integrated health centers.

MUAC for Mothers and 1,000 Days projects

The ALIMA / BEFEN partnership has also made it possible to implement the “MUAC for Mothers” project, the objective of which is to allow parents to detect the first signs of malnutrition in their children, by measuring their Mid Upper Arm Circumference, using a simple, tri-colored bracelet.

The “1,000 days” project was set up in Niger to reduce acute malnutrition, mortality and stunting in infants. The mother/child couple receive preventive and curative care, from gestation until the child is two years old, over a period of 1,000 days. Pregnant women are therefore included in this program and receive a free package of prenatal care before giving birth.

© Jennifer Lazuta / ALIMA

Rollout of the “nomadic health” project

ALIMA led the pilot phase of the “nomadic health” project in northeastern Niger from 2015 to 2018, in the Tahoua region. Through mobile clinics and a network of community relays equipped with mobile phones, this project has enabled access to geographically isolated nomadic populations.

The initiative covered 12 health centers and 24 community health centers, as well as the Tchintabaraden district hospital, where ALIMA/BEFEN opened an operating theater. In August 2018, ALIMA/BEFEN launched a medical and nutritional care project, in ambulatory and hospital care, for displaced or isolated people. 

Rapid Response Mechanism for medical emergencies

Since May 2018, ALIMA teams have been operating in the Tillabéri and Tahoua regions, as part of a cross-border rapid response project to intervene in case of emergency, by deploying mobile clinics within 72 hours to provide care to the most vulnerable.

Focus on 2019

In 2019 ALIMA carried out 10,546 prenatal consultations in Niger. Our teams in the field treated 32,466 children with severe acute malnutrition and trained 129,961 mothers to  use the MUAC bracelet to detect malnutrition in their children at the earliest stages.

* Cover picture © Mamadou Diop / ALIMA

Mobile health clinics in the Tchintabaraden district, northeastern Niger

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