Côte d'Ivoire is a West African country with beach resorts, rainforests and a French-colonial legacy. Abidjan, on the Atlantic coast, is the country’s major urban centre. It has a population of 20 million people (2013).
Côte d’Ivoire has a more developed public health system than many of its neighbours, but the overall health system is weak and health and economic gains have been reversed by the 2010-2011 political crisis. The country has the highest HIV prevalence in West Africa at 3.7 percent. The epidemic is generalized, with women more affected. Mother-to-child transmission contributes significantly to the HIV epidemic with 11 percent of infants born with HIV. TB/HIV co-infection burden is also high. Detection of suspected cases need to improve as wells as early diagnosis of patients. Malaria is endemic in the country and is the leading cause of mortality and morbidity of children under five years of age. However, good progress has been made; the country achieved universal coverage with its second national campaign of mass distribution of bed nets in 2015 where 13 million nets were distributed nationwide.
AHO PRIORITIES FOR HEALTH DELIVERY PLAN IN COTE D’IVOIRE
- Adolescent health/Health and family life education.
- Integration of HIV/AIDS and STI programmes
- Noncommunicable diseases.
- Oral health.
- Mental health/Substance abuse, including tobacco and alcohol.
- Essential public health functions.
- Disaster management.
- Organization and management of health services.
- Public/private partnerships.
- Health care financing and medical benefits scheme.
- Evaluation of pharmacy training program.
- Quality improvement.
- Health information/Disease surveillance/Information, education, and communication.
- Human resource development.
- Health sector reform, including legislation.
PROGRAMMES & PROJECTS
1. HEALTH SYSTEMS DEVELOPMENT
To improve the performance of AHO
- Support provided for the development of policies and plans to improve the productivity of health providers.
- Support provided for the development of models and mechanisms to improve the health information system.
- Support provided for the development of policies, plans, and projects to improve the capacity of AHO to regulate and monitor the delivery of health services.
- Program implementation, monitoring, and evaluation mechanisms in place.
2. HEALTH PROMOTION AND HEALTHY LIFESTYLES
To make operational policies and programs for selected NCDs and HIV/AIDS/STI prevention and control
- Support provided for the introduction of methods, models, and technologies for the early detection and adequate clinical management of selected conditions (NCDs and HIV/AIDS/STI and their complications).
- Support provided for the design and implementation of plans, projects, and policies to support the adoption of healthy lifestyles.
- Surveillance and information systems enhanced.
- Plans, projects, and policies introduced to mobilise additional human, material, and financial resources.
3. ENVIRONMENTAL HEALTH
To enhance the capacity of AHO to respond to environmental health needs adequately.
- Support provided for the implementation of programs, policies, and norms to strengthen environmental health services.
- Support provided for the expansion of cooperation networks and alliances to strengthen interagency coordination of environmental health issues.
- Human resource capacity strengthened to deliver the environmental health program.
- Capacity to mobilize resources enhanced to improve the environmental health programme
AHO COTE D’VOIRE BUDGET 2020 (USD million)* based on 2017 pop 24.29 million World Bank
|1||Combating communicable diseases||
|2||Tackling non communicable diseases||
|3||Addressing determinants of health & risk factors||
|4||Modernising health system and health service||
|5||Improving preparedness, surveillance and response||
|6||Developing good governance & corporate services||
AHO estimates that it needs to spend at least USD100 per capita on health to meet the basic health needs of the people in Africa. This is too far below developed countries e.g. in England it is US$1,300 per capita (2017)