 So, thank you very much, so yes thanks also to Emmanuel who did this presentation and I'm here on his behalf because he could not come for visa problems. So, today in the next minutes I will present the decentralized health model with comprehensive, preventive, and curative pediatric package that MSF Spain is implementing in Niger. I will follow the following structure, a little bit of background, objective, methodology, preliminary results, and conclusion. So, as a background, the project is implemented in Busa district in the region of Tawa in Niger and we know in that area that most causes of death are very well known and avoidable, they are the main killers. So, malaria, acute respiratory infection, and diarrhea, but we know also that almost half of the deaths are also due to malnutrition. In this particular area, the project is in a health area that is called Tama that has 60,000 population and we know in that area 75% of the infants and women in rural community do not have geographical access to the health services. In addition, only 52% of children aged 12, 23 months are fully vaccinated in Niger. So, all this rationale behind is what it has been considered in the design of the project. So, the main objective of the project is to quantify the effect of this decentralized model with these different components in infant morbidity and mortality. And more in a specific way what we will present today is the result of the specific objective to assess the program's effect in terms of vaccination coverage and nutritional status. So, looking at the methodology, what is the package? What it consists on? So, the target group is children that we are enrolled from birth to 23 months and they are enrolled in a three-year running program with different components. The preventive component, the curative and the health promotion component. The preventive component has several activities. One is the seasonal malaria chemo prevention during the malaria peak season that in fact is being implemented by the Ministry of Health. Then there is the vaccination following the full national policy including polio, BCG, pentavalent, rotavirus, pneumococ, measles and yellow fever up to one year but also with a catch-up up to two years. And these vaccines are also provided by the Ministry of Health in this package. Then there is the growth monitoring component where there is the anthropometric measurements follow-up of all these group of children. And finally there is a nutritional component based on a lipid-based nutritional supplement of a small quantity, this is called the nutribatter that is providing to every child one sachet per day and this represents 120 kilocalories per day. So, models are sensitized to give one sachet per day to the children. Then the curative component is targeting the main killers following the case management of the national policy in Nigeria and also with the warming component with Alvin D'Arol. And finally the last comment is one of the most important also is the health promotion component where through 160 health community health workers they are ensuring that all the models are bringing the children to the facilities. And also there is an important engagement of the community leaders supervising themselves the community health workers. Then there are two main characteristics of this package, at least the decentralization and the integration. If we look at the pyramid where there are the different levels of health system, we can see that all the activities are run in the lowest level. So at the community health center health post, let's say. And then only one health worker from the Ministry of Health is providing all the package. And then we follow also for case management the national policy. Then only some seven MSF staff are supporting this in terms of supervision and also in the terms of supporting the operational research part component of the project. We have done an estimation of child cost in the first 11 months of the project and has been 27 euros per child during all this period. Being clear that this cost does not include the vaccines because are provided by the Ministry of Health and does not include the seasonal malaria prevention also provided by MOH. So this is following the methodology, a three-year open court where data collection is monthly. So all the court of children are coming every month to the monthly visits in addition to the curative visits. Data collection is following Epidata database. This has been approved by MSF Ethics Review Board and National Ethics Committee. And as a monitoring system, we are implementing annual periodic cross-sectional surveys of different indicators like vaccination coverage, malnutrition prevalences, anemia, and mortality of course. And including target, so our TAMMA health area and also control population. So these are really the preliminary results. These are the first analysis. It's a very young, let's say, project as it started in March 2015. So these are the preliminary results. So here in this graph we show the average vaccination coverage by antigen of the cohort. We don't have yet the data from the cross-sectional surveys. So we can see the overall vaccination coverage increased for all antigens by at least 25 percent. If we look for example at the left side, sorry, the pneumococcal 3, there is a 44 percent of increase as an example. And I forgot to mention that the whole court today is 3,548 children. And then another preliminary result is looking at the malnutrition prevalence. So looking at enrollment, which was the severed equipment nutrition and in program, let's say after these 11 months. So we have seen also a reduction of the 32 percent in severed equipment nutrition by weight, age, at the score, and edema in this indicator, and a reduction of 21 percent in the moderate acute malnutrition. So as a conclusion, the most important for us is that this model is a different approach. We have to pay for MSF as our standard way to do the things usually, because with very less financial support, less resources, and no including any additional human resources in the health post, we have achieved let's say quite positive results. So in fact, the final goal as a long term of this project was to be able to empower the Minister of Health to replicate and even to scale up this package in other health areas. So thank you very much, especially to the field teams who has worked with very enthusiastic and professionalism with this project. And of course the communities and the mothers and children that are coming monthly to our project, let's say. So sincerely thanks to all of them. Thank you for your attention.