Since 2013, we have been working with the Government of Côte d’Ivoire to implement projects targeted at strengthening the health system through the use of leadership, management, and governance skills and pharmaceutical management, which has improved the supply chain of commodities for HIV and AIDS programs.
Strengthening the Health System in Côte d’Ivoire through Leadership, Management, and Governance
Initially, our leadership, management, and governance (LMG) work started as a PEPFAR-funded pilot in two regions for 18 months. The improvements in HIV retention rates were so impressive that the Director General for Health asked USAID to provide additional funding and extend the work to an additional three regions in Côte d’Ivoire. Concurrently, the Ministry of Health worked with the Global Fund to include funding for LMG in its new grant, leading to a $5.3 million grant to incorporate building LMG capacity in nine regions. A total of 35 districts were trained in LMG skills, and 18 districts focused on improving antenatal care by increasing the number of women attending four or more antenatal care visits from 30% to 42%.
We have worked at the regional, district, and health facility levels in Côte d’Ivoire to coordinate prevention and response efforts to epidemic diseases and improve services for HIV/AIDS and TB care. Our work to strengthen local leadership, management, and governance structures assists decision makers at the regional level to improve performance and build greater ownership of health services. We also supported the introduction of Côte d’Ivoire’s first performance-based financing program to better deliver health services in health facilities. To address the complex issue of antimicrobial resistance, we support country efforts to strengthen systems and practices for infection prevention and control and appropriate use of medicines.