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by Tammy Warren | Presbyterian News Service For students in Niger, bed disinfection is one of many practical skills nursing students practice before continuing their training in hospitals and clinics. (Photo by Jodi McGill) LOUISVILLE â In the Republic of Niger, there is roughly one nurse or nurse midwife for every 10,000 people, and the country is not alone in its need. By 2030, the World Health Organization estimates there will be a projected shortfall of 18 million health workers worldwide, mostly in low- and lower-middle income countries. Niger has the highest fertility and population growth rates in the world. It is one of Africaâs most economically impoverished countries and ranks at the bottom (189th) of the United Nations Human Development Index, which measures a nationâs health, education and standards of living, as well as two other elements: a countryâs carbon dioxide emissions and its material footprint. ....