Côte d’Ivoire

Health Alliance International worked in partnership with Côte d’Ivoire’s Ministry of Health and Public Hygiene (MSHP) from 1992 to 2021.

A french-speaking, West African nation with a population of nearly 25 million people, Côte d’Ivoire boasted the 12th largest economy in Africa in 2019, but the 7th lowest life expectancy in the world.

Despite recent economic growth and stability, Côte d’Ivoire’s not-too-distant history of civil and ethnic conflicts (1999, 2002-2007, 2010-2011) severely undermined the capacity and reach of the Ivorian health system, with enduring consequences. In Northern Côte d’Ivoire, in particular, this led to the destruction of health facilities and schools, disruption of services, and displacement of health workers.

#c2cLinkages

Under Project LINKS, HAI supported more than 330 community counselors and 90+ viral load champions who help link people living with HIV to and between health services.

”>2.75

Ivoirians have been screened for HIV at clinics and in communities supported by HAI programs.

 

9 out of 10

people living with HIV who initiated treatment at a Project LINKS supported facility were active in care one year later.

Starting in 2007, HAI began working to strengthen and integrate HIV/AIDS services into Côte d’Ivoire’s public sector health system. 

Thanks to the effectiveness of HAI’s public sector partnership model, what started as supportive supervision at 10 public clinics in the Northern town of Bouaké grew into a comprehensive, clinical systems-strengthening approach at over 300 health facilities across 6 regions under Project LINKS.  

Along with working to expand and integrate HIV/AIDS services within the public sector, HAI also partnered with the MSHP to test the efficacy of health services and identify ways to improve Côte d’Ivoire’s health delivery system. Projects included national health service assessments; service delivery intervention studies; and operations research workshops conducted in collaboration with the Ivorian National Public Health Institute.

As of October 2021, clinical HIV/AIDS services across the 6 regions formerly supported under Project LINKS continue to receive quality improvement and system strengthening support through a combination of MSHP and local, Ivorian NGO activities with ongoing USG/PEPFAR support. 

Explore HAI’s Portfolio of recent
Côte d’Ivoire-based programs below.

What makes HAI different is they help [us at] Bouaké Eveil integrate our work into health centers, highlighting the important role of community counselors in the continuum of care.

Brahima Sidibé, Bouaké Eveil

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Project History

[1998-1998] Gagnoa Hospital Support Project (Côte d’Ivoire)
[2007-2009] Acceleration and Integration of Pediatric Treatment and PMTCT Project (Côte d’Ivoire – UNICEF)
[2008-2009] Rapid Expansion of Integrated HIV Care and Treatment in the Vallée du Bandama (Côte d’Ivoire – EGPAF/CDC)
[2009-2015] Rapid Scale up for HIV Care and Treatment Services in Northeastern Côte d’Ivoire (Côte d’Ivoire – CDC/PEPFAR)
[2012-2014] National Level PMTCT Cascade Analysis in Côte d’Ivoire – Phase One of an Operations Research and Intervention Project (Côte d’Ivoire – Population Council/USAID)
[2012-2015] Systems Analysis and Improvement to Optimize pMTCT: A Cluster Randomized Trial (Mozambique, Côte d’Ivoire, Kenya – UW/NIH)
[2014-2016] Assessment of the national level PMTCT Option B rollout in Côte d’Ivoire: Phase II of an operations research and intervention project for PMTCT activities (Côte d’Ivoire – Population Council/USAID)
[2015-2021] Project LINKS: Implementation of Programs for the Prevention Care and Treatment of HIV/AIDS in Côte d’Ivoire under PEPFAR (Côte d’Ivoire – CDC/PEPFAR)

Publications

Adolescent access to and utilisation of health services in two regions of Côte d’Ivoire: A qualitative study Glob Public Health, 2019
Donor data vacuuming: Audit culture and the use of data in global health partnerships Med Anthropol Theory, 2018
Workforce patterns in the prevention of mother to child transmission of HIV in Côte d’Ivoire: a qualitative model Hum Resour Health, 2018
National-level Analysis of the PMTCT Option B Program and Intervention to Improve Retention in Côte d’Ivoire Final Report, 2016
Health facility factors and quality of services to prevent mother-to-child HIV transmission in Côte d’Ivoire, Kenya, and Mozambique Int J STD AIDS, 2016
Evaluation of a Systems Analysis and Improvement Approach to Optimize Prevention of Mother-To-Child Transmission of HIV Using the Consolidated Framework for Implementation Research J Acquir Immune Defic Syndr, 2016
Results from a rapid national assessment of services for the prevention of mother-to-child transmission of HIV in Côte d’Ivoire J Int AIDS Soc, 2016
Opportunities and challenges in conducting secondary analysis of HIV programmes using data from routine health information systems and personal health information J Int AIDS Soc, 2016
Impact of a systems engineering intervention on PMTCT service delivery in Côte d’Ivoire, Kenya, Mozambique: a cluster randomized trial J Acquir Immune Defic Syndr, 2016
PMTCT cascade analysis in Côte d’Ivoire: Results from a national representative sample Final Report, 2014
Exploring loss to follow-up among women living with HIV in Prevention of Mother to Child Transmission programmes in Côte d’Ivoire Glob Public Health, 2014
Systems Analysis and Improvement (SAIA) Study Tools (Standard Operating Procedures) Implement Sci, 2014
Systems analysis and improvement to optimize pMTCT (SAIA): a cluster randomized trial Implement Sci, 2014
Breastfeeding: the hidden barrier in Côte d’Ivoire’s quest to eliminate mother-to-child transmission of HIV J Int AIDS Soc, 2014

Côte d’Ivoire Portfolio

Want to dig a little deeper?

PROJECT HISTORY

[1998-1998] Gagnoa Hospital Support Project (Côte d’Ivoire)
[2007-2009] Acceleration and Integration of Pediatric Treatment and PMTCT Project (Côte d’Ivoire – UNICEF)
[2008-2009] Rapid Expansion of Integrated HIV Care and Treatment in the Vallée du Bandama (Côte d’Ivoire – EGPAF/CDC)
[2009-2015] Rapid Scale up for HIV Care and Treatment Services in Northeastern Côte d’Ivoire (Côte d’Ivoire – CDC/PEPFAR)
[2012-2014] National Level PMTCT Cascade Analysis in Côte d’Ivoire – Phase One of an Operations Research and Intervention Project (Côte d’Ivoire – Population Council/USAID)
[2012-2015] Systems Analysis and Improvement to Optimize pMTCT: A Cluster Randomized Trial (Mozambique, Côte d’Ivoire, Kenya – UW/NIH)
[2014-2016] Assessment of the national level PMTCT Option B rollout in Côte d’Ivoire: Phase II of an operations research and intervention project for PMTCT activities (Côte d’Ivoire – Population Council/USAID)
[2015-2021] Project LINKS: Implementation of Programs for the Prevention Care and Treatment of HIV/AIDS in Côte d’Ivoire under PEPFAR (Côte d’Ivoire – CDC/PEPFAR)

Publications

Adolescent access to and utilisation of health services in two regions of Côte d’Ivoire: A qualitative study Glob Public Health, 2019
Donor data vacuuming: Audit culture and the use of data in global health partnerships Med Anthropol Theory, 2018
Workforce patterns in the prevention of mother to child transmission of HIV in Côte d’Ivoire: a qualitative model Hum Resour Health, 2018
National-level Analysis of the PMTCT Option B Program and Intervention to Improve Retention in Côte d’Ivoire Final Report, 2016
Health facility factors and quality of services to prevent mother-to-child HIV transmission in Côte d’Ivoire, Kenya, and Mozambique Int J STD AIDS, 2016
Evaluation of a Systems Analysis and Improvement Approach to Optimize Prevention of Mother-To-Child Transmission of HIV Using the Consolidated Framework for Implementation Research J Acquir Immune Defic Syndr, 2016
Results from a rapid national assessment of services for the prevention of mother-to-child transmission of HIV in Côte d’Ivoire J Int AIDS Soc, 2016
Opportunities and challenges in conducting secondary analysis of HIV programmes using data from routine health information systems and personal health information J Int AIDS Soc, 2016
Impact of a systems engineering intervention on PMTCT service delivery in Côte d’Ivoire, Kenya, Mozambique: a cluster randomized trial J Acquir Immune Defic Syndr, 2016
PMTCT cascade analysis in Côte d’Ivoire: Results from a national representative sample Final Report, 2014
Exploring loss to follow-up among women living with HIV in Prevention of Mother to Child Transmission programmes in Côte d’Ivoire Glob Public Health, 2014
Systems Analysis and Improvement (SAIA) Study Tools (Standard Operating Procedures) Implement Sci, 2014
Systems analysis and improvement to optimize pMTCT (SAIA): a cluster randomized trial Implement Sci, 2014
Breastfeeding: the hidden barrier in Côte d’Ivoire’s quest to eliminate mother-to-child transmission of HIV J Int AIDS Soc, 2014

Stand with HAI

Stand with HAI

Our Mission

Our mission is to promote policies and support programs that strengthen government primary health care and foster social, economic, and health equity for all. Our vision is a just world that promotes health and well-being, including universal access to quality health care.

Our History

Health Alliance International began in 1987 as a US-based international solidarity organization committed to supporting the public sector provision of health care for all.  Over 35 years, HAI conducted programs in 17 countries, with flagship programs in Mozambique, Côte d'Ivoire, and Timor-Leste.

Our Evolution

In line with HAI’s commitment to support and strengthen local public health leadership, as of October 2021, HAI fully transitioned global operations and active programs to locally-based, locally-led NGOs. Learn more about this shift toward local autonomy and equity in global health.

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