The GFF supports Côte d’Ivoire’s priorities to increase public spending on primary health care and ensure the most vulnerable communities can access quality and affordable services when they need them.

The scale-up of Côte d’Ivoire’s performance-based financing program to districts with lagging outcomes has been key to channeling more resources to community-level primary health facilities (public and private), increasing service quality, and improving equity. With GFF support, Côte d’Ivoire has reached a national scale-up of performance-based program in 2021 covering 102 of 108 districts compared to only 21 districts in 2020.The GFF also supports the rollout of the universal health coverage program—the Couverture Maladie Universelle to provide equitable health coverage for women and children, including family planning.

Between 2019 and 2021, over 3,500,000 individuals enrolled in the insurance program, representing an 89 percent increase in three years. Given the strong equity focus of the insurance program, more efforts were made to cover the most vulnerable, impoverished populations. For the country’s national health insurance plan, between 2019 and 2021, the total number of indigents covered by the program increased by 65 percent, with more efforts underway to further target this population. By strengthening the frontlines while at the same time making services more accessible for women and children, Côte d’Ivoire has increased the number of pregnancy care visits by 38 percent, facility-based deliveries by 15 percent, and postnatal care visits by 59 percent. 

VIDEO — Cote d’Ivoire: Country Experience — Better Health Services for Women and Children