NICe-RAcE: Niger Integrated Child Health Services/Rapid Access Expansion Program

Reporting Organization:World Vision Canada
Total Budget ($CAD):$ 5,000,000
Timeframe: July 1, 2013 - March 31, 2018
Status: Completion
Contact Information: Ryan Friesen
[email protected]

Partner & Funder Profiles

Reporting Organization

World Vision Canada

Participating Organizations

Funders (Total Budget Contribution)

Return to top


Country - Total Budget Allocation

Niger (the) - $ 5,000,000.00 (100.00%)

Return to top

Areas of Focus

Health - Total Budget Allocation

Newborn & Child Health (100 %)

Return to top


In 2012, the Government of Canada, through the World Health Organization’s (WHO) Global Malaria Programme, awarded a grant to support the RAcE program in five countries in Sub-Saharan Africa—Democratic Republic of the Congo, Malawi, Mozambique, Niger and Nigeria. NICe-RAcE supported the implementation of the integrated community case management (iCCM) strategy in Niger, which is an equity-focused strategy that complements and extends the reach of public health services. The iCCM strategy provides timely and effective treatment of pneumonia (with antibiotics), malaria (with antimalarials) and diarrhea (with Oral Rehydration Salts and Zinc) among children under 5 years of age.

Return to top

Target Population

Gender and age: Adult women Under-5 children
Descriptors: Rural
Total Direct Population: 230,833
Total Indirect Population: 1,214,910
Return to top



Return to top

Results & Indicators

Expected Results


Achieved Results

The RAcE Programme in numbers :
Catchment population: 1 214 910 people in hard-to-reach areas
Catchment under-five population: 230 833 children aged 2-59 months
Community Health Workers trained: 1426
Community Health Workers active: 1227
Total cumulative cases treated:
 399,025 Rapid Diagnostic Tests done
 253,012 malaria cases
 133,149 diarrhea cases
 204,226 pneumonia cases

Increased awareness and acceptance of iCCM: 98% of caregivers who sort care from a
CHW reported that their children received quality care and that CHW were trusted care givers.

Improved Care seeking behavior: Over-all care seeking increased to 85% from a national average of 53.3%

Effect on iCCM National Policy: Ministry of Health of Niger has used RAcE to introduce iCCM services delivered by volunteers. National policy now allows CHW to diagnose and treat children for malaria, pneumonia and diarrhea. The Ministry of Health has adopted the RAcE approach as a model to guide the national scale-up of iCCM services. In 2015, the Ministry established a technical working group to oversee programme activities and to ensure that learning is fed back into the national health system.


MNCH-related indicators
  • %/total of health workers (male/female) trained and using their learned skills
  • %/total of sick children under 5 receiving treatment for malaria, pneumonia, or diarrhea
SDG Goal 3. Ensure healthy lives and promote well-being for all at all ages
  • SDG 3.2.1 Under‑5 mortality rate
  • SDG 3.3.5 Number of people requiring interventions against neglected tropical diseases
Return to top
Return to top

Associated Projects (If applicable)

Return to top