Côte d'Ivoire

Cote d'Ivoire - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Cote d'Ivoire - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

Cote d'Ivoire's strong interagency PEPFAR program has made impressive progress in the transfer of responsibility of program development, coordination and ownership to the Government of Cote d'Ivoire across many program areas. This progress has been made despite setbacks from political instability and elections after a five-year crisis. Excellent coordination with other donors to maximize support to Cote d'Ivoire, minimize overlap and redundancy and foster good use of wrap-arounds has also been achieved during this time. Important gains in HIV testing and care for OVC are being secured through emphasis on quality assurance and building national capacity. HIV prevention is reaching both farther and deeper, with expansion of life-skills training for in- and out-of-school youth, better targeting of the highly vulnerable populations, better definition of peer education standards, a focus on gender-based vulnerabilities and stigma, and integration of prevention into every aspect of care and treatment.

In FY 2009, the program will improve the quality, targeting, and coordination of BCC and will ramp up CT. Peer education with better-defined content and standards will be complemented by mass media. Evidence-based interventions will seek to improve parent-child communication on HIV-related risks (including alcohol) and social norms. Protective life skills will reach youth in and out of school through stronger collaboration with ministries. A prevention-with-positives (PwP) initiative will be rolled out, with an emphasis on sero-discordant couples. Research on highly vulnerable populations will inform interventions targeting MSM and women engaging in transactional sex. Other interventions target the uniformed services, truckers, displaced and mobile populations, and sex workers and their clients. Scaled-up early infant diagnosis (EID), nutritional assessment and support, and involvement and testing of male partners will be priorities within a comprehensive PMTCT package.

USG partners will work with the Ministry of Health (MOH) to incorporate a TB screening tool into the national HIV patient-encounter form to intensify TB case-finding: a pilot will introduce static and mobile digital chest X-ray imaging capacity. Counselors at all sites will provide a comprehensive package of HIV prevention interventions and effective support, follow-up (including provision of medications where feasible), and referrals to community- and home-based palliative and OVC care services.

As of September 2008, 40,700 patients (including more than 2,100 children under age 15) were on ART with direct PEPFAR support. PEPFAR has consolidated most of its procurements under the Supply Chain Management System (SCMS). First-line antiretroviral (ARV) drugs are procured and stored at the SCMS regional warehouse, with three-month buffer stocks to avoid stock-outs.

Additionally, PEPFAR funds will support the development and negotiation of the Partnership Framework and the Partnership Framework Implementation Plan, drafts of which are expected in early 2010. Cote d'Ivoire's next National Strategic Plan is being constructed simultaneously, and the two planning processes will complement each other. Activities conducted with PEPFAR funds to contribute to this process include: financial situation analysis; a demographic and health survey; policy analysis; technical assistance for task shifting; and the development of a human resources for health plan.

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