Hospitals and medical care The health facilities in Dogondoutchi (2015) comprise a district hospital, a mother and child centre, three integrated health centres and seven health units relating to the neighbouring villages. There are 3 doctors, 14 nurses (male and female), 6 qualified midwives, 4 "matrons", 4 pharmacies and 2 pharmacy depots. Most of the births take place in a health centre and this has had a beneficial impact on the mother and child survival rate. The existence of the lakes leads to the proliferation of mosquitoes related with malaria.
Sanitation To improve hygiene, the inhabitants have set up a Central Health Committee which has stimulated progress concerning the construction of latrines together with education in hygiene, and the organisation of refuse collection.
Installation of latrines The programme for the construction of latrines and of waste water catch basins for individual houses was financed through loans obtained from a micro loan agency which was set up by a local woman group for this purpose. Since the end of the 1990s, more than 600 individual latrines have been built. In addition, latrines have been installed in schools and in public places with some also comprising showers. The success of this enterprise of family financing is unique in Africa (FARM report page 20). In the villages lying away from the town where the standard of living is lower, family latrines corresponding to the available individual funding have been constructed by the inhabitants themselves. Prior to this, a programme initiated by USAID was set up to raise awareness concerning hygiene following the CLTS method(Community-Led Total Sanitation). Meetings were held in each of the villages and were supported by the local radio station (Radio Dallol).
Refuse collection Confronted with the problems linked with the irregular collection of waste and with their dispersion by domestic animals, the Central Sanitation Committee and the Neighborhood Councils with the help of the international agencies (Department of Essonne, AESN, SIOM) installed 20 waste containers in each neighbourhood and organised the collection of waste. A carter empties the containers two or three times a week using an ox and cart provided by the town council. The ox is initially supplied to the carter who ensures its upkeep and is able to purchase it after about 18 months activity. In the zones of economic activity, markets etc., each participating tradesman has (in 2015) the use of two garbage cans, one for
biodegradable waste and one for plastics etc. The waste is either emptied in a garbage dump or bought and recycled by the inhabitants. A joint committee has been set up to monitor this programme and to address the severe problem posed by
plastic waste which at present is burnt. ==Education and cultural activities==