47045-NGR-506-G05-T-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria Niger is classified as a low-income country with a population of nearly 11 million over an area of 1,267,000 km2 (80 percent of which is covered by the Sahara desert). It has the highest fertility rate in the world with 7.5 children per woman and the mortality rate for children under 5 is approximately 50 percent high than any other African country. For the past five decades, tuberculosis (TB) has been deemed a public health priority in Niger. The TB control program was maintained and coordinated by the National Anti-Tuberculosis Centre and its representative offices. This vertical and centralized approach has since been replaced and Niger has instead opted for a decentralized strategy, calling for the integration of anti-TB activities into health care services. Tuberculosis infection has registered a sharp increase in 2005, with the number of cases detected in one region per day increasing sevenfold (from 2 to 15). In 2004, 4,981 new smear-positive cases were registered. The total number of all forms of TB rose to 7,350, with an estimated incidence rate of 150 cases per 100,000 inhabitants, and a screening rate of 42.7 percent. This program will address gaps in financing the National Tuberculosis Control Program and will considerably expand and strengthen the comprehensive response to TB, by increasing the screening rate of new smear-positive cases and its coverage, improving the quality of DOTS, managing TB/HIV patients, and raising community awareness. With the global target set at 70 percent, the progress today already shows an increase in detection rate at 53 percent. The treatment success rate following DOTS has improved to a level of 77 percent (the global target being 85 percent). The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria The Global Fund to Fight AIDS, Tuberculosis and Malaria Communications +41 58 791 1700 website@theglobalfund.org https://www.theglobalfund.org The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland The Global Fund to Fight AIDS, Tuberculosis and Malaria Grant Management Division Albert Beteck Bakor Fund Portfolio Manager +41 58 791 1700 albertbeteck.bakor@theglobalfund.org https://www.theglobalfund.org The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland Niger Tuberculosis Ensure healthy lives and promote well-being for all at all ages End the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases 2358883.14 Global Fund disbursement to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1376800.00 Global Fund disbursement to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1376800.00 Global Fund disbursement to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 487658.43 Global Fund disbursement to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 957168.47 Global Fund disbursement to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1192754.21 Global Fund disbursement to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 1423296.46 Global Fund disbursement to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 452022.16 Global Fund disbursement to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 870755.76 Global Fund disbursement to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 419370.53 Global Fund disbursement to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 11300050.20 Global Fund commitment to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme -384541.04 Global Fund commitment to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 19072.95 Funds returned to the Global Fund from NGR-506-G05-TP01. United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -19072.95 Global Fund commitment to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 540904.05 Funds returned to the Global Fund from NGR-506-G05-TP01. United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -540904.05 Global Fund commitment to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 143530.30 Funds returned to the Global Fund from NGR-506-G05-TP01. United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -143530.30 Global Fund commitment to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 137963.26 Funds returned to the Global Fund from NGR-506-G05-TP01. United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -137963.26 Global Fund commitment to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 146100.32 Funds returned to the Global Fund from NGR-506-G05-TP01. United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -146100.32 Global Fund commitment to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 149771.84 Funds returned to the Global Fund from NGR-506-G05-TP01. United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -149771.84 Global Fund commitment to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme 304871.45 Funds returned to the Global Fund from NGR-506-G05-TP01. United Nations Development Programme The Global Fund to Fight AIDS, Tuberculosis and Malaria -304871.45 Global Fund commitment to NGR-506-G05-TP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations Development Programme An overview of a grant over its lifetime. General terms and conditions which apply to Global Fund grants.