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2015 saw the first large scale Meningitis C outbreak in Africa since 1979. A number of challenges and problems had been noted in the way MSF operational sections in Niger, not least in terms of intersectional collaboration. Some lessons from the 2015 response had been captured. When, at the beginning of 2016, all OCs were getting ready again to respond, it was decided to evaluate the 2016 intervention in real-time.

This publication was produced at the request of programme managers for Niger in OCB, OCBA, OCG and OCP, under the management of the Stockholm Evaluation Unit. It was prepared independently by Alyson Froud.