Partners’ HPSR report – 2021
While there are moves towards decentralization, 32 of the institutions in Niger that were identified as working on HPSR remain concentrated in the capital, Niamey. They are comprised mainly of universities, but local and international NGOs and independent research centres also play a significant role in the country’s HPSR landscape.
Health research in Niger aims to provide evidence on the country’s health priorities, but there is a lack of domestic funding for research at national and subnational levels and a continued dependence on external donors for resources. This, coupled with other challenges, such as weak communication between policy-makers and researchers, continues to undermine the potential for research to have a lasting influence on health policy. This situation has been exacerbated by the COVID-19 pandemic, which has hampered research and removed opportunities to disseminate research findings to policy-makers in person at feedback workshops.
Institutions by type
List of HPSR institutions
|Action Damien (Action Damien)||Niamey, Niger||International agency/NGO|
|Association for the Fight against Drepanocytosis in Niger (ALDN) | Association de Lutte contre la Drepanocytose au Niger||Niamey, Niger||Local NGO|
|Cure, Children’s Hospital Niger (Cure) | Cure, Hôpital des Enfants au Niger||Niamey, Niger||Hospital/health service provider|
|Dimol Reproductive Health NGO for Maternity without Risk (Dimol) | Dimol – ONG santé de la reproduction pour une maternité sans risque||Niamey, Niger||Local NGO|
|Environmental Health for Development (SEDEV) | Santé environnementale pour le développement||Maradi, Niger||Local NGO|
|EPICENTRE (EPICENTRE)||Niamey, Niger||International agency/NGO|
|Faculty of Science and Technology, Abdou Moumouni University (UAM) | Faculté des Sciences et Technologie de l’Université Abdou Moumouni||Niamey, Niger||University|
|First Aid International (PUI) | Première Urgence International||Niamey, Niger||International agency/NGO|
|GRADE Africa (GRADE)||Niamey, Niger||Local NGO|
|Health Plus (Health+) | Cabinet d’expertise santé plus||Niamey, Niger||Independent research centre/think thank|
|Health Sciences Training Institute (IFSS) | Institut de formation en sciences de la santé||Niamey, Niger||University|
|Higher Institute of Health (ISS) | Institut supérieur de santé||Niamey, Niger||University|
|Higher Institute of Health Sciences Studies (ISSESS) | Institut supérieur d’études en sciences de la santé||Niamey, Niger||University|
|Higher Institute of Health Training (ISFS) | Institut supérieur de formation en santé (ISFS)||Niamey, Niger||University|
|Horizon Niger Study Office (Horizon Niger) | Bureau d’étude Niger Horizon SARL||Niamey, Niger||Independent research centre/think thank|
|Institute of Radio Isotopes (IRI) | Institut des Radio Isotopes||Niamey, Niger||University|
|Médecins du Monde Belgium (MDM) | Médecins du Monde Belgique||Niamey, Niger||International agency/NGO|
|National Association of Traditional Healers of Niger (ANTN) | Association nationale des tradipraticiens du Niger||Niamey, Niger||Local NGO|
|National Social Sciences Expertise Firm (CNEESS) | Cabinet National d’Expertise en Sciences Sociales||Niamey, Niger||Independent research centre/think thank|
|National Statistical Institute (INS-Niger) | Institut National de la Statistique||Niamey, Niger||Government|
|Network for Health Sector NGOs and Associations (ROASSN) | Regroupement des ONG et Associations du Secteur de la Santé du Niger||Niamey, Niger||Local NGO|
|Niamey Practical Institute of Public Health (IPSP) | Institut pratique de santé publique de Niamey||Niamey, Niger||University|
|Practical School of Health and Medical Sciences (EPSM/Niger) | École pratique de sciences médicales et santé||Niamey, Niger||University|
|Private Institute for Health and Social Action ((IPSAS)/BOYI) | Institut privé de santé et de l’action sociale||Niamey, Niger||University|
|PSI Niger (PSI Niger)||Niamey, Niger||International agency/NGO|
|Public Health Institute (ISP) | Institut de Santé Publique||Niamey, Niger||University|
|Public Health Ministry (MSP) | Ministers sante publique||Niamey, Niger||Government|
|School of Public Health and Social Action (ESPAS) | École de Santé Publique et de l’Action Sociale||Niamey, Niger||University|
|Socio-anthropological Expertise Firm (CRAMS-EXA) | Cabinet d’expertise socio-anthropoligique||Niamey, Niger||Independent research centre/think thank|
|Study and Research Laboratory on Social Dynamics and Local Development (LASDEL) | Laboratoire d’études et recherches sur les dynamiques sociales et le développement local||Niamey, Niger||Independent research centre/think thank|
|Tansa Private Higher Institute of Health Sciences (ISSSPT) | Institut supérieur des sciences de la santé privé tansa||Niamey, Niger||University|
|The Phenotype Institute of Health (ISP) | Institut de Santé, le phénotype||Niamey, Niger||University|
|Tunisian Private Institute of Health (ITPS) | Institut tunisien privé de santé||Niamey, Niger||University|
The knowledge generated in the health sector aims to respond to the priority health problems identified by central government, but the research that is conducted is often carried out in a disparate and poorly coordinated way and tends to respond to the priorities of international funders. In addition, little knowledge is produced on neglected health problems.
There has been a decline in the number of HPSR reports and published journal articles reported by HPSR institutions since 2018, falling from 86 in 2018 to 65 in 2020.
Average number of reports produced per institution each year in Niger and overall
Engaging policy-makers and the public
The total number of meetings that institutions reported having with policy-makers has fallen, from 116 in 2018 to 102 in 2020.
Conversely, the number of newspaper articles identified as being about HPSR issues has almost doubled since 2018 (from 23 to 45), which suggests a stronger emphasis on raising public awareness.
For an example of HPSR success in informing policy-making processes, the Laboratoire d’Etudes et de Recherche sur les Dynamiques Sociales et le Développement Local (LASDEL) has ensured that the reception patients receive at public health facilities is on the agenda in the Health Development Plan. This success is linked to a good knowledge of the health policy and systems arena, and the gradual acceptance of the knowledge generated on the part of medical staff.
Average number of meetings held with policy-makers per institution each year in Niger and overall
Average number of media articles published per institution each year in Niger and overall
Academic and institutional capacity
The number of HPSR faculty, which has been comparatively high, has fallen slightly, from 1300 in 2018 to 1000 in 2020. In contrast, participants in HPSR courses surged between 2018 and 2019, from 207 to 355, with their numbers holding steady in 2020. The National Association of Traditional Healers of Niger accounted for the majority of students in 2020.
The decentralization of the university system has improved student access to higher health studies at the regional level, with the promotion of research through the creation of Master’s degrees in research and in health anthropology. In addition, LASDEL provides summer schools for university trainees, as well as training workshops for health professionals in the sub-region.
While many health schools have been created in the capital and in the regions to provide training in research, they remain hampered by poor governance and the poor functioning of research units.
The adoption of the so-called Licence, Master, Doctorate (LMD) system has changed the functioning of health schools. However, most health schools lack the resources to implement the LMD reform in full, which receives no central funding from the state.
Total number of HPSR faculty and staff
Total number of participants in HPSR-related short courses
The Nigerien state does not provide significant financial support for research and there is no dedicated and specific national budget for this area. The Ministry of Public Health (MoPH) devotes less than 2% of its resources to research, a percentage that does not meet the minimum suggested by the Algiers Declaration of Health Research. Research at the MoPH depends on bilateral partnerships and international NGOs for both the selection of research topics and for research funding.
Despite this lack of government funding, overall, institutions engaging in HPSR reported that their total HPSR budget per year has more than doubled, from US$ 0.9 million to US$ 2.4 million. In terms of funding per institution, a jump in funding between 2019 and 2020 is, in large part, the result of large hikes for a very small number of institutions.
Most funding comes from external development assistance through vertical programmes, which reduces the room for manoeuvre available to research institutions because they cannot be used for core funding. The main research funders are international NGOs (Médecins du Monde, Concern Worldwide, Helen Keller International, Médecins sans Frontières, etc.), bilateral donors (Agence française de développement, KFW [Kreditanstalt für Wiederaufbau] and USAID), and multilateral sources (Gavi, the Vaccine Alliance, European Union and the United Nations agencies).
Total institutional expenditure
Credits and disclaimers
Partners’ health policy and systems research report, 2021
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