Côte d’Ivoire is a small nation in West Africa, yet it has one of the highest HIV prevalence rates in the region – estimated at more than 7 percent in adults 15-49 years old. Political instability due to a civil war and a recent post-election upheaval has hampered government-led programs aimed at helping its people. However, potential for success is great as Côte d’Ivoire has an outstanding infrastructure including a network of more than 8,000 miles of paved roads, cell phone reception and Internet access.
Founded in 1991, PSI/Côte d’Ivoire concentrates on HIV/AIDS prevention and child survival (reducing diarrheal diseases). In 2008, it added a malaria prevention program – one of the first malaria programs in the country.
PSI/Côte d’Ivoire estimates that in 2015, its products and services helped avert 6,464 DALYs, including, by health area:
- 2,317 HIV DALYs
- 1,765 FP DALYs
- 2,327 MNCH DALYs
- 55 WASH DALYs
PSI/Côte d’Ivoire’s family planning programs also provided 6,674 couple-years of protection.
PSI/Côte d’Ivoire’s strong partnerships with government ministries, international and local organizations help reach a broad range of target groups across the country through the following projects:
Operation Haute-Protection (OHP)
PSI/Côte d’Ivoire partners with government and local organizations to create OHP. The program includes counseling and testing, behavior change communication, peer education, condom distribution, and STI kits for uniformed service members, as well as for their families and the local community. PSI/Côte d’Ivoire also dispenses palliative care kits that contain an informational pamphlet, condoms, oral rehydration salts, a long-lasting insecticide net (LLIN), safe water treatment and a jerry can.
Prevention du SIDA sur les Axes Migratoires de l’Afrique de L’Ouest (PSAMAO)
PSI/Côte d’Ivoire reaches out to truckers and commercial sex workers through the PSAMAO (in English called the AIDS Prevention on West Africa Migratory Axes project). The program uses comprehensive behavior change communication activities that includes peer education, STI care and mobile counseling and testing centers.
PSI partners with ANADER, an Ivorian agricultural organization funded by PEPFAR, to provide HIV/STI prevention services in rural areas. Since 2006, PSI has developed a vast program delivering CT mobile services to more than 140 rural villages across Cote d’Ivoire. Through ANADER, PSI also provides palliative care kits to people living with HIV/AIDS.
Building Local Capacity
PSI/Côte d’Ivoire routinely works with local organizations to build sustainability of program interventions by providing technical assistance. For instance, PSI created a liaison office that is empowered to directly plan and supervise HIV prevention activities and peer educators. An officer from each uniformed service branch (Military, Gendarmes, Water and Forest, Customs, Police, Forces Nouvelles) serves as the link between PSI/Côte d’Ivoire and each branch. PSI/Côte d’Ivoire also provides programmatic, financial and strategic support for local NGOs such as the Military Wives Association and the local Red Cross.
PSI/Côte d’Ivoire’s malaria prevention program was one of the first in the country. Since its inception in Spring 2008, PSI/Côte d’Ivoire has quickly delivered more than 1.2 million free mosquito nets to pregnant women and children under 5 with funding from the Global Fund and UN Foundation. In November 2008, PSI distributed 800,000 free LLIN in five days to more than 3,000 sites as part of a countrywide national campaign. In collaboration with CARE, the Global Fund and partners, PSI aims to deliver 8.9 million free mosquito nets to Ivoirians across the country in 2011, providing universal coverage aimed to reduce the incidence of malaria in pregnant women and children under the age of five.
PSI/Côte d’Ivoire has marketed the oral rehydration salt product Orasel since 1998. The product is part of a campaign that aims to reduce the incidence of diarrheal diseases in children under age 5. A new orange flavor, Orasel Orange is an improved WHO-approved formula that debuted in the Spring of 2010. A future project includes introducing a household water treatment product and promoting safe hygiene practices to Cote d’Ivoire.
- The Global Fund To Fight AIDS, Tuberculosis and Malaria
- PEPFAR via the U.S. Centers for Disease Control and Prevention and ANADER
- United Nations Foundation
- Côte d’Ivoire Ministry of Health
- Ministry of the Fight Against HIV
- Ministry of Defense
- Ministry of Interior
- Ministry of Water and Forests
- General Direction of Customs
- Etat Major des Forces Armees des Forces Nouvelles
- CARE International
- United Methodist Church
- Local and international NGOs
- Shaping the Family Planning Market by Strengthening the Public Sector
PSI considers total market approaches to be critical for achieving universal health coverage, especially when it comes to contraception. This program brief presents cases, supported by several different donors, which take into consideration the total family planning market.
- Constructing Septic Tanks On-Site Using Ferrocement
This technical brief from PSI’s Sanitation Service Delivery (SSD) project describes the procedure for constructing septic tanks using ferrocement.
- Conducting Soils Evaluation for On-Site Wastewater System Design
This technical brief from PSI’s Sanitation Service Delivery (SSD) project describes the procedure for conducting soil evaluations accurately and without a laboratory or expensive soil sieve.
- Developing Family Planning Markets in Francophone West Africa
In Francophone West Africa, PSI partners with Ministries of Health to achieve the goals set out by the Ouagadougou Partnership to reach at least 2.2 million additional family planning users by 2020. The pillars of our response are access, choice, quality, and equity.
- Efficiently Identifying and Addressing Market Failures in Urban Sanitation in West Africa
Coverage of improved sanitation in West Africa is among the lowest in the world. The Sanitation Service Delivery Program (SSD) is a USAID/West Africa urban sanitation project implemented in Benin, Cote d'Ivoire and Ghana by PSI in collaboration with PATH and WSUP. The goal is to improve urban sanitation outcomes through building and testing scalable, market-based models with an initial focus on Cotonou (Benin), Abidjan (Cote d'Ivoire), and Accra and Kumasi (Ghana). Improved sanitation coverage in these countries’ urban areas is currently low.
- 2012 Mid Year Region and Country Dashboards, West and Central Africa
Mid-year West and Central Africa region and country impact dashboards for 2012
- 2011 Region and Country Dashboards, West and Central Africa
West and Central Africa region and country impact dashboards for 2011
- Exposure to the “SIDA Dans La Cite” AIDS Prevention Television Series in Cote d’Ivoire, Sexual Risk Behavior, and Condom Use
This study assesses factors associated with viewing of ‘SIDA dans la Cite´’, a weekly television soap opera on AIDS in Coˆte d’Ivoire, and the relationship between ‘SIDA dans la Cite´’ viewing, sexual risk behaviour and condom use.
- Target Audience Reach of the “SIDA Dans La Cite” AIDS Prevention Television Series in Cote d’Ivoire
This paper uses sample survey data to examine the reach of SIDA dans la Cite (SDLC), a popular television series on Acquired Immunodeficiency Syndrome (AIDS) in Cote d'Ivoire, West Africa.
- Exposure to the “Sida Dans La Cite” AIDS Prevention Television Series in Cote D’Ivoire, Sexual Risk Behavior, and Condom Use
To inform and educate people in Côte d’Ivoire about HIV/AIDS, the PSI/ECODEV social marketing program produced a weekly television soap opera called SIDA dans la Cité. This study assesses the factors associated with viewing SDLC , examines the relationship between sexual risk behavior and SDLC viewing, and estimates the effect of SDLC viewing on condom use.