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 Wednesday 16 June 2010
 
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Country Profile: Cote d'Ivoire
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AIDS Programmes

National Strategic Framework: 2006-2010
The report is yet to be completed.

Overview:

Assessment of overall response and capacity

After the first case of AIDS was reported in 1987, the government established a National Committee for the Fight against AIDS presided by the head of state. Successive five-year plans were developed and implemented to guide the national response to HIV/AIDS, primarily focusing on prevention programmes for the general population and effective targeted interventions to be put in place. In 1998, the government launched the HIV/AIDS Treatment Access Initiative to provide antiretroviral therapy to people living with HIV/AIDS, in collaboration with UNAIDS, the project RETRO-CI/CDC, the ANRS (Agence Nationale de Recherche sur le SIDA) and the Infectious Disease Clinic.

In 2001, the Ministry of HIV/AIDS was created for multi-sectoral coordination of HIV/AIDS activities, supported by the HIV Care and Treatment Unit in the Ministry of Health. A law adopted in 2001 provided a tax exemption for treatment as well as for salaries and expenses paid by an employer for health care provided to employees with HIV/AIDS. Care is free for preventing mother-to-child transmission and for children younger than 15 years.

A National HIV/AIDS Health Sector Plan was developed in January 2002, which focuses on various aspects of the fight against the disease including prevention, care, treatment and monitoring and evaluation. A national plan for scaling up access to antiretroviral therapy in the country is being developed as well as training materials to build human resource capacity. The provision of antiretroviral therapy services, which was hospital-centred until recently, is being decentralized to the district level. Efforts are underway to build capacity to provide a minimum essential package of services at the district level, including training health workers at the district level and reinforcing procurement and supply management systems for medical supplies.

Critical issues and major challenges

Côte d’Ivoire has been undergoing a political and military crisis since September 2002, which has severely affected the health sector infrastructure and human resources. The ongoing conflict situation, a large displaced population and a breakdown of health facilities in rebel-controlled zones have significantly increased the risk of HIV incidence. Trained health personnel are lacking, and the situation has been aggravated by the displacement of existing human resources towards the non-occupied regions. Existing HIV/AIDS interventions are largely concentrated in Abidjan and some other large cities. Drug prices are prohibitive for most people attending accredited centres. Facilities for laboratory monitoring are inadequate.

Source: UNAIDS

HIV/AIDS Organisations

  Ministry to Fight AIDS
Contact person: Able Ekissi Ambroise Tel: +225 21 24 43 06
Location: Fax:  
  Email:
  Web:
What we do:

  Ministry of Health
Contact person: Dr Albert Toikeusse Mabri, minister Tel: +225 20 21 08 71
Location: Abidjan Immeuble Tour C 16e Etage BP V4
Abidjian, Cote d’Ivoire
Fax:
  Email:
  Web:
What we do:

  Association Amepouh
Contact person: Christine Gohni, president Tel: +225 23 51 98 74
Location: 14 BP 2101
Abidjan 14, Cote d’Ivoire
Fax:
  Email:
  Web:
What we do: Established in 1998 to bring together women's groups to combat AIDS and help care for HIV/AIDS orphans.

 Association Lumiere Action
Contact person: Catherine Sie Akoua, president Tel: +225 24 39 73 12
Location: 14 BP 2101
Abidjan 14, Cote d’Ivoire
Fax: +225 24 39 73 12
  Email:
  Web: isuisse.ifrance.com
What we do: Established in 1994 to support those living with HIV/AIDS.

 Association Renaissance Sante Bouake (RSB)
Contact person: Ouohi Diomande, president Tel: +225 30 64 75 99
Location: BP 1233 Yamoussoukro Fax: +225 05 64 42 36
  Email:
  Web:
What we do:

 CARE International, Cote d'Ivoire
Contact person: Zakari Madougou Tel: +225 22 41 25 16
Location: Fax: +225 22 41 25 16
  Email:
  Web:
What we do: Involved in various development initiatives.

 Caritas
Contact person: Jean Djoman Tel: +225 21 58 19 19
Location: Fax: +225 21 58 16 62
  Email:
  Web:  
What we do: International NGO involved in various development initiatives including combating HIV/AIDS.

 Cine Village
Contact person: Tel: +33 01 42 52 80 38
Location: France Ivoire Culture
BP 784
Grand-Bassam, Cote d'Ivoire
+33 06 60 11 62 41
  Email:
  Web: www.vihinternet.org
What we do: Cine Village works in rural Cote d'Ivoire, showing educational films in villages to teach people about AIDS.

 Club des Amis
Contact person:  Sidje Leontine Gaty Tel: +225 21 24 12 14
Location: 06 B.P 1021 Cedex
Abidjan 06, Cote d’Ivoire
Fax:
  Email:
  Web:
What we do: A club created in 1994 for those living with HIV and AIDS, the aim of the club is to support members and fight stigma.

 GAP+PS
Contact person: Koffi Jeannot / Jean-Paul Tel: +225 23 50 74 01
Location: +225 23 45 19 96
  Email:
  Web:
What we do: Created in 1996, GAP+PS works to support those living with HIV/AIDS and help them integrate into wider society.

 MSF France
Contact person: Rossen Jekov, administrator Tel: +225 21 25 62 44
Location: 16 BP 698
Abidjan 16, Cote d’Ivoire
Fax: +225 21 35 02 01
  Email:
  Web:
What we do:

 RIP+
Contact person: Tel: +225 20 33 71 35
Location: Regional office, West Africa
03 BP 1916
Abidjan 03, Cote d’Ivoire
Fax: +225 20 33 71 53
  Email:
 
What we do: Established in Kenya, but spread to West Africa in the mid-1990s, RAP+ works on micro-level projects to raise AIDS awareness.

 Reseau Ivoirien sur l'Ethique le Droit et le VIH (RIEDS)
Contact person: Monsieur Kodéhi Gnaore, coordinator Celestin Yassi, lawyer and secretary general Tel: +225 22 44 44 53
+225 21 24 30 13
Location: +225 20 32 32 74
  Email:
  Web: www.vihinternet.org
What we do: An inter-African network set up in Dakar, Senegal in 1994 but now with operations across the region with the headquarters in Abidjan. Objective: to create an environment that is conducive to effective and appropriate response to tackling the AIDS pandemic.

 Reseau Ivoirien des Personnes Vivant avec le VIH/ SIDA
Contact person: Madame Houssou Onhi Christine, president Tel: +225 20 33 71 35
Location: Avenue Lamblin, Villa No 10/ Plateau,
BP 1916
Abidjan 03, Cote d'Ivoire
Fax: +225 20 33 71 53
  Email:
 
What we do: Financed by UNAIDS and the Ministry to Fight AIDS. Established in 1997 to debate and develop a national strategic campaign against AIDS. Coordinate NGO activities and work to promote means of preventing the spread of HIV/ AIDS.

 Ruban Rouge Cote d'Ivoire
Contact person: Marius Radul Boka, President Tel: +225 23 45 35 10
Location: BP 1291
Abidjan 22, Cote d'Ivoire
Fax: +225 23 45 35 08
  Email:
  Web:
What we do: Founded in 1994, providing medical and counselling advice to HIV/AIDS patients including support groups, nutrition advice and prevention in both urban and rural areas.

 Programme Communal de lutte contre le Sida et les IST de Yopougon
Contact person: Dali Camara Tel: +225 23 52 37 93
Location: 21 BP 12
Abidjan 21, Cote d’Ivoire
Fax:
  Email:
  Web:
What we do:

 Lumière Action
Contact person: Lilliane M'Boa, president Tel: +225 24 39 73 12
Location: 14 - BP 2101
Abidjan 14, Cote d’Ivoire
Fax: +225 24 39 73 12
  Email:
  Web:
What we do:

 Ruban Rouge CI
Contact person: Tel: +225 23 50 49 27
Location: Boka Raoul Marius, president
22 BP 1291
Abidjan 22, Cote d’Ivoire
Fax: +225 21 35 85 66
  Email:
  Web:
What we do:

 Amepouh
Contact person: Christine Gonhi, president Tel: +225 23 51 98 74
Location: S/C Lumière Action
14 BP 2101
Abidjan 14, Cote d’Ivoire
Fax:
  Email:
  Web:
What we do:

 UNAIDS Country Co-ordinator
Contact person: Aoua Diallo-Diawara Tel: +225 20 33 71 54
Location: Fax: +225 20 33 71 53
  Email:
  Web:
What we do:

 UN Theme Group on HIV/AIDS, Chair
Contact person: Youssouf Oomar Tel: +225 20 20 81 19
Location: Fax: +225 20 21 64 00
  Email:
  Web:
What we do:

 UNAIDS Regional Support Team for West and Central Africa
Contact person: Dr Meskerem Grunitzky Bekele, director Tel: +221 869 06 64
Location: P.O. Box 5748
Dakar, Senegal
Fax: +221 869 06 80
  Email:
  Web:
What we do:
Sources: - The Presidents Emergency Plan for AIDS Relief (PEPFAR)
- The World Bank
- World Health Organization
- United Nations Educational, Scientific and Cultural Organization (UNESCO) Country Profiles
- United Nations Population Division, Department of Economic and Social Affairs. 2005. “World Population Prospects: The 2004 Revision.” New York.
- The Joint United Nations Programme on HIV/AIDS (UNAIDS)

Treatment Map

Adult HIV Prevalence Rate (%): 7.1%
No. Of People living with HIV/AIDS: 750,000
No. Of HIV Testing & Counseling Sites: n/a
No. Of People in need of ART: 111,000
No. Of People on ART: 24,000
No. Of Sites Reportedly Distributing ART: 89
No. Of People on ART Public Sector: n/a
No. Of People on ART Private Sector: n/a
No. Of People on ART in Non-Governmental Programmes: n/a
No. Of People Expected to be on ART (2006 End): n/a
Front Line Drug Regimen: zidovudine + lamivudine + efavirenz; zidovudine + lamivudine + nevirapine; stavudine + lamivudine + nevirapine; or stavudine + lamivudine + efavirenz
*PMTCT Regimen: n/a

HIV/AIDS Fund Disbursements:
Total Funds Disbursed By The Global Fund as of Sept. 2006: US$22,803,865
Total Funds Disbursed By The World Bank Multi-Country HIV/AIDS Programme (MAP) as of Sept. 2006: nil
Total Funds Disbursed By PEPFAR During 2005 Fiscal Year: US$44,375,766

Indicators

Demographics (United Nations Population Fund):
Population: 18,154,000
Population aged 15-59: 9,602,000
Urban population: 8,313,000

Under 5 mortality per 1000 births: 189
Male life expectancy: 41 years
Female life expectancy: 47 years
Combined average life expectancy: 44 years
Combined average life expectancy 1975-1980: 52.4 years

Education (UNESCO, 2004):
Males with secondary education as percentage of secondary school-age youths:
32% (2002 UNESCO Institute for Statistics estimate)
Females with secondary education as percentage of secondary school-age youths:
18% (2002 UNESCO Institute for Statistics estimate)

Literacy rates (UNESCO, 2004):
Percentage of literate males aged 15 or older: n/a
Percentage of literate females aged 15 or older: n/a
Combined literacy rate for aged 15 or older: n/a
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