Halima Abdou, 22 years old with daughter Saratou, 18 months old at the centre for Treatment of Acute Malnutrition with Complications (CRENI) of the Poudriere Hospital, Niamey, Niger on February 16, 2016. Saratou and Halima are in the intensive care ward waiting for Saratou to stabilise. The Saguia Health Centre serves a population of 9353 people thanks to a team of 20 people including 3 nurses and 4 midwives who receive pregnant women for prenatal consultations from Monday to Friday. During the first prenatal consultation the pregnant women receive a first dose of vaccinations and a booster on their second consultation. The third, fourth and fifth doses are administered later. This vaccination reinforces the immunity of the mothers and their children. The vaccination for against tetanus is free for pregnant women children under 5 years of age. To reach the population whom do not frequent health centres the district health department organise consultations in villages once per month that are more than 15km from the health centre.
‘Saratou came down with a fever and I went for a consultation the health centre. They sent me here. We arrived today, my husband accompanied me, he was worried. Saratou has already received medicine so we will see how her condition goes. I am a teacher and my husband is a guard. When we go to work, I leave Saratov with my neighbour who has 5 of her own children. It’s not ideal but it’s difficult to do otherwise.’
- © Sam Phelps/Unicef
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