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Global Health

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Man stocks medecine in a warehouse
Man stocks medecine in a warehouse built as part of the Global Health Supply Chain program.
Jenny Debrimou/ USAID

Côte d’Ivoire faces serious health challenges after decades of economic and political instability. HIV prevalence is 2.7 percent among the general population, and higher among priority populations. Average fertility rate is five children per woman, and 27 percent of women have needs for quality family planning support. In 2012, more than 2 million cases of malaria were reported, and over 23,000 cases of tuberculosis. Further, Ebola highlighted the country’s inability to respond adequately to health crises, as well as the lack of health infrastructure.

Côte d’Ivoire has the highest HIV/AIDS prevalent rate of any West African country. It is the leading cause of death for men, and the second leading cause of death for women (first being problems with pregnancy and childbirth). About 540,000 Ivorian children are orphaned and vulnerable due to HIV/AIDS and 40,000 are living with HIV. Sixteen thousand children become infected every year, but only 4,000 are under follow-up treatment for HIV/AIDS and only 2,000 receive Antiretroviral (ARV) therapy. The infection rate for women is twice as high as men, and among pregnant women aged 15-24 in Abidjan, HIV prevalence is estimated at 5.2 percent. [1]

Maternal, reproductive health and family planning are also areas of focus for the health sector in Côte d’Ivoire. Fertility rates have fallen over time but are still high for those living in rural areas, at 5.5 births per woman compared to 2.6 in urban areas. Uneducated women have similar fertility rates to those in rural areas, while women with secondary education or above have rates comparable to those in urban areas. Adolescent fertility is 130 births per 1,000 women for ages 15-19, which is also the age range with the highest risk of infant and child morality. Forty-two percent of women ages 15-49 have begun having children by the age of 18. Twenty percent of women with secondary education use modern contraception, compared to just five percent for women with no education (also 5 percent for women in rural areas). Fifty-five percent of all pregnant women are anemic, and 57 percent deliver with help from a skilled medical personnel. This number varies greatly depending on wealth; 96 percent of women in the wealthiest quintile delivered with a skilled professional, while only 29 percent of the poorest women delivered with a skilled professional.

Health Program  

The USAID/Côte d’Ivoire bilateral Implementing Partners (IP) builds on previous and current USAID-supported activities in Côte d’Ivoire.  IPs’ focus areas vary, but generally entail one or more of the following:


Via peer-to-peer educators, USAID works towards distribution and promotion of condoms for protection); behavior change and communication, HIV prevention; Through our implementing partner we provide institutional capacity building technical assistance and sub-grants to small nongovernmental organizations that carry out community or home-based HIV prevention and care activities; voluntary HIV counseling and testing (VCT) and psychosocial support for persons living with or affected by HIV/AIDS (PLWHAs).  Orphans and vulnerable children (OVCs) also benefits from our HIV/AIDS intervention; strengthening strategic information (SI) systems and use, and/or health systems strengthening (HSS) in general (e.g., policy development, curriculum design, etc.).  IPs do not provide facility-based medical care, drug procurement, blood and injection-safety, laboratory, or waste-management services.  

Reproductive health and family planning

Social and behavior change communication (SBCC); technical assistance and institutional capacity building with the Ministry of Health (MOH) in reproductive health and family planning (training in contraceptive technology; policy development, guidelines for service provision)

Neglected Tropical Diseases (NTD)

Technical assistance and institutional capacity building to the Ministry of Health (MOH) in management of NTD eradication programs, monitoring and evaluation, supply chain management and guidelines for service delivery

Emerging Disease Threat Preparedness

Technical capacity buildings to prevent, detect, and respond to emerging disease threats, including Ebola Virus Disease. Our response works with a focus on ensuring health at border crossings.

Sanitation for Health

Technical assistance in assessing and strengthening sanitation systems in Abidjan (removal and treatment of fecal waste)


[1] HIV/AIDS, Côte d’Ivoire, UNICEF; accessed via the internet on 19 November 2015 at: http://www.unicef.org/cotedivoire/hiv_aids.html


Last updated: May 10, 2018

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