Cote d'Ivoire

Cote d'Ivoire, a country of 18 million people, is one of the world's largest producers and exporters of coffee, cocoa beans, and palm oil. Per capita income averages $870 US. Beginning in 1999, the former French colony experienced years of political turmoil that resulted in violence, internal displacement, and economic downturn. In 2007, the civil war ended with the signing of a peace agreement.

Health Care System
Over the last decade, as a result of the the civil war, the health care system has deteriorated and been unable to meet the basic health needs of the majority of its population due to chronic shortages of equipment, medicine, and health care personnel. Life expectancy averages 44 years of age, with HIV/AIDS and malaria as the leading causes of death.

HIV/AIDS in Cote d'Ivoire
Cote d'Ivoire has an adult HIV seroprevalence rate of 4.7 percent, one of the highest in West Africa. An estimated 750,000 people are living with HIV in the country. Despite a national coordinated response to HIV/AIDS beginning in 2001, political unrest has prevented the scale up of HIV services. Only an estimated 50,000 people are currently receiving antiretroviral therapy (ART). In addition, in 2005, services for the prevention of mother-to-child transmission (PMTCT) of HIV reached only an estimated 4.3 percent of HIV-infected pregnant women.

ICAP in Cote d'Ivoiree
Since 2002, ICAP has been supporting family-focused, multidisciplinary HIV/AIDS prevention, care, and treatment services at two health facilities in Cote d'Ivoire's capital Abidjan. In partnership with ACONDA, a local non-governmental organization, ICAP-supported programs at these facilities focus on identifying HIV-infected pregnant women through PMTCT programs and enrolling them and infected family members into care and treatment. In 2007, with new support from the U.S. Centers for Disease Control and Prevention under the President's Emergency Plan for AIDS Relief, ICAP began to expand its activities in Cote d'Ivoire to an additional 25 health facilites in five regions in the central/west part of the country.

Support for Programmatic Activities
In partnership with the Ministry of Health, ICAP plans to support the capacity of districts to provide the full range of comprehensive HIV services, including:

  • Pediatric and adult HIV/AIDS care and treatment, including provision of ART
  • Integrated tuberculosis/HIV care and treatment
  • Rapid HIV testing for adults and children
  • Diagnostic testing/analysis, including Dried Blood Spot DNA PCR testing for infants
  • Training programs for all cadres of healthcare providers in HIV/AIDS prevention, care, and treatment
  • Community outreach
  • HIV support groups, including medication and treatment adherence
  • Peer education programs
  • Social services/social support
  • Nutrition support
  • Referral services
  • Home-based/community-based visits
  • Development and implementation of patient-information systems
  • Pharmacy services
  • Laboratory support
  • Targeted evaluations

Map of ICAP-supported Sites in Cote d'Ivoire