Cote D'Ivoire: Our Impact

 {Cloteni Coulibaly/MSH}Dr. Fougnique Tuho, Head Doctor, Kaniasso Health CenterCloteni Coulibaly/MSH

"In 2010, I was shocked to meet a child whose whole future was at risk, just for lack of a birth certificate," said Dr. Fougnique Tuho, head doctor of Kaniasso Health Center in northern Côte d'Ivoire. "Without this piece of paper, a child could not even take the entrance examination for sixth grade."

 {Graphic: African Strategies for Health}Officials from nine African countries convened in Ghana to find solutions to common challenges of attaining universal health coverage (UHC) with sustainability and improved quality of care.Graphic: African Strategies for Health

by African Strategies for Health The goals of universal health coverage (UHC) can only be delivered when access to health services and financial risk protection are equitably addressed.

 {Photo credit: Beata Imans/PFSCM}Patients continue to receive their medicines at the counter of the temporary pharmacy.Photo credit: Beata Imans/PFSCM

On the night of December 17, 2014, a fire caused by a short circuit engulfed the pharmacy of the Divo regional hospital, one of the hospitals that provides medical services to more than one million inhabitants of the Loh-Djiboua region of Côte d'Ivoire. Despite the quick response and joint efforts of the neighboring community, $43,000 worth of general medicines and $54,000 worth of antiretrovirals (ARVs) were destroyed. Though the laboratory equipment was recovered, the laboratory was no longer functional as a result of fire damage.

 {Photo credit: MSH}Charlotte Abroman, midwife, Kongoti Center for Rural Health, Daoukro.Photo credit: MSH

Leadership Development Program Plus (LDP+) leads to dramatic rise in antenatal care visits “I was both aware of the challenges that existed and frustrated at not being able to meet them,” said Charlotte Abroman, midwife at the Kongoti Center for Rural Health, discussing low antenatal clinic visit rates. In Côte d’Ivoire as a whole, 70 percent of pregnant women attend all four ANC visits, but in Abroman’s area of Kongoti, only 11 percent made all the visits. In the health district of Daoukro, which includes Kongoti and other towns, the rate was 24 percent.

 {Photo credit: SCMS/Côte d’Ivoire}Côte d’Ivoire’s central medical store unloading supplies at the docking station.Photo credit: SCMS/Côte d’Ivoire

The Supply Chain Management System (SCMS) has been providing technical assistance since 2005 to Côte d’Ivoire’s central medical store, the Pharmacie de la Sante Publique (PSP)—later re-named the Nouvelle PSP (NPSP)—to strengthen the management of products in the health system. SCMS is a project under the US President’s Emergency Plan for AIDS Relief (PEPFAR) administered by the US Agency for International Development (USAID).

{Photo credit: MSH}Photo credit: MSH

Throughout Côte d'Ivoire, more than 110,000 HIV & AIDS patients receive anti-retroviral drugs. These patients rely on a smoothly functioning supply chain that allows medicines to reach local health centers in a timely manner. When recent assessments identified that many sites within the country were not receiving drugs as scheduled, the Supply Chain Management System (SCMS), managed by Management Sciences for Health in Côte d'Ivoire, began identifying challenges and mobilizing solutions.

There is growing recognition that health plays a key role in stabilizing and rebuilding the world’s most troubled nations—those that have been ravaged by years of conflict, disease, poverty, and natural disasters.In times of crisis, health systems are battered by violence, poor governance, lack of funding, and loss of infrastructure. Where people no longer have access to adequate health services, mortality and morbidity rates increase dramatically.At MSH we believe that, despite the challenges, societies can move forward and health can be made a top priority.

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