Côte d’Ivoire is one of the fastest growing economies in the world. Yet despite the country’s current economic success, decades of economic and political instability have left its health system lacking infrastructure and struggling to face healthcare challenges.
Today, the government has identified eight priority public health threats: acute respiratory distress syndrome, cholera, Ebola, flooding, food poisoning, highly pathogenic avian influenza (HPAI), meningitis, and viral hemorrhagic fevers (VHFs) including dengue, yellow fever, and chikungunya virus. Additional health priorities include HIV/AIDS and malaria, as well as five zoonotic diseases – mycobacterium tuberculosis, brucellosis, rabies, VHFs, and respiratory viruses.
HRH2030 in Côte d’Ivoire
HRH2030 has three activities in Côte d’Ivoire:
HRH2030 One Health
HRH2030 One Health backs existing efforts to implement the Global Health Security Agenda (GHSA), a partnership of over 64 nations working on effective prevention, early detection, and rapid response to infectious disease threats, with a focus on zoonotic diseases.
In Côte d’Ivoire, HRH2030 provides technical assistance to facilitate coordination of the National One Health Platform activities to strengthen the leadership and governance of the health system. By improving transparency, strengthening policies and practices, and improving multisectoral collaboration, One Health is geared to minimizing the transmission of zoonotic diseases from animal to human populations.
Capacity Building for Malaria (CBM)
HRH2030’s Capacity Building for Malaria activity supports the President’s Malaria Initiative (PMI) by strengthening the institutional and managerial capacities of the National Malaria Control Program (NMCP). HRH2030 operates under the PMI principle to “work within national malaria control strategies and plans and strengthen the capacity of national institutions, host-country systems, and professionals to address the challenges of malaria control, building country ownership and sustainability.”
This activity works with national advisors to identify obstacles to malaria prevention, and design and implement solutions using evidence-based approaches through a basis of learning and sharing of best practices across the country’s 83 health districts.
Optimizing Human Resources for Health for Differentiated HIV Care
With PEPFAR support, HRH2030 developed a standardized, Excel-based HRH Optimization Tool for ART Service Delivery (HOT4ART) to help health program and facility managers maximize the use of their health workforce for the roll-out of “Test and Start,” using differentiated service delivery (DSD). In 2018, health teams in Côte d’Ivoire – as well as teams in South Africa and Zambia – learned how to use the tool and to model and consider various DSD and task-sharing options, in order to make evidence-based HRH decisions, and support the adoption of the “Test and Start” strategy to reach the 90-90-90 goals for epidemic control.