The Sustainable Financing Initiative In Côte d’Ivoire

Speeches Shim

Funded by the United States President’s Emergency Plan for AIDS Relief (PEPFAR), the Sustainable Financing Initiative for HIV/AIDS (SFI) aims to increase sustainability of the HIV response by promoting shared financial responsibility with host country governments. Since 2014, the U.S. Agency for International Development (USAID) has implemented SFI in 16 countries and two regional programs, with a budget of nearly $48 million.


Côte d’Ivoire has the highest HIV prevalence in West Africa. In 2019, there were about 458,434 people living with HIV (PLHIV), and the prevalence of HIV among persons ages 15 to 49 was 2.9 percent. In 2019, 12,000 people were newly infected with HIV, and 13,000 died from an AIDS-related illness.1 The Government of Côte d’Ivoire is committed to reducing barriers to HIV services by increasing domestic resource mobilization and increasing public-private partnerships. Côte d’Ivoire’s rapid economic growth in recent years (averaging about 8 percent annually since 2011),2 presents a unique opportunity to increase domestic funding for health, including the HIV/AIDS response.

In collaboration with the Government of Côte d’Ivoire and relevant stakeholders, SFI, with Country Operational Plan (COP) co-funding, focused on facilitating stakeholder analysis of sustainable financing challenges, strengthening government capacity for oversight and leadership of HIV programs, and generating evidence on user fees for HIV services to reduce barriers to care. To mobilize additional resources for HIV, SFI established relationships with the private sector. By supporting local and national partners, the Government of Côte d’Ivoire will be well placed to increase program quality, outreach, and the sustainability of its HIV response.

Thursday, May 6, 2021 - 10:30am

Last updated: May 12, 2021