Solthis Therapeutic Solidarity and Initiatives for Health

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AZANTCHI : Support for a national tutoring system in sexual and reproductive health and HIV



In Niger, where nearly 70% of the population is under the age of 25, young people represent a strategic challenge when it comes to improving sexual and reproductive health (SRH).

Indicators on the sexual and reproductive health and rights of adolescents and young women reveal a worrying situation:

  • 76% of girls are married before the age of 18, and 28% before the age of 15 (UNICEF);
  • 5% of women aged 15 to 19 use modern methods of contraception (EDSN-MICS, 2017);
  • 50% of girls under 19 have already had a child (EDSN-MICS, 2017).

In addition, multiple barriers remain concerning access to SRH services: gender inequalities, low socioeconomic status, low levels of education and literacy, value conflicts experienced by some caregivers, low quality of services, failure to take into account the specific needs of adolescents and young people (AJ) and unfavorable socio-cultural representations about sexuality.

Key information 

Project Duration  Octobre 2023 – Juin 2027
Partners Ministère de la Santé Publique, de la Population et des Affaires Sociales, Ministère de l'Education Nationale, PNLSH, ENSP/DZ, Lafia Matassa, RENIP+.
  • 8 healthcare facilities,
  • 62 healthcare professionals,
  • 20 school and after-school structures,
  • 40 school and extracurricular contact persons,
  • 34 tutors,
  • 2 CSO partners (LM and RENIP+),
  • 95 CSO members,
  • 6 institutional partners,
  • 10,000 young people aged 10 to 24,
  • 40 community leaders.
Source of funding AFD
Country of intervention

General objective 

Support the institutionalization of a Sexual and Reproductive Health (SRH) and HIV tutoring system in Niger.

Expected results

  • R1: An appropriate tutoring/coaching system is developed.
  • R2: The quality of initial training for healthcare workers is improved.
  • R3: The community is mobilized for quality care.
  • R4: Monitoring and evaluation of the SRH and HIV DAQ.
  • R5: Interventions are capitalized on and national advocacy is carried out with a view to institutionalizing tutoring in SRH and HIV..

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