Country Spotlight: Côte d’Ivoire

Country Overview

HIV is the second leading cause of death in Côte d’Ivoire and the country has the highest prevalence rate in West Africa. In 2015, 440,000 people were living with HIV in Côte d’Ivoire, including 29,000 children. Currently, nearly 230,000 children (0-17 years old) have been left orphaned by the disease.

Our Work in Côte d’Ivoire

The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) began supporting HIV and AIDS care and treatment programs in 2004 and prevention of mother-to-child transmission of HIV (PMTCT) services in 2005 in Côte d’Ivoire. EGPAF-Côte d’Ivoire is working to end the country’s epidemic by increasing access to comprehensive, high-quality, well-integrated HIV prevention, care, and treatment services among women, children and families. As of May 2017, EGPAF was supporting activities within nine regions and 23 districts with U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) funding through the U.S. Centers for Disease Control and Prevention (CDC).

EGPAF-Côte d’Ivoire advocates at the national level with the Ministry of Health and Public Hygiene to: promote EGPAF’s global best practices to inform national implementation, such as differentiated service delivery initiatives; improve integration of regional work plans to ensure better coordination of the in-country response to HIV and AIDS; prioritize data quality management and systems at health care facilities; and strengthen access to functional laboratory equipment. EGPAF has advocated for the transition to the 2015 World Health Organization (WHO) guidelines promoting universal access to ART. EGPAF has advocated with the Ministry of Health and Public Hygiene to determine standard operating procedures needed to effectively roll out “Treatment for All” across Côte d’Ivoire.

 

 

Key Projects in Côte d’Ivoire

Project Djasso 

(2017-2022) Launched in 2017, the goal of the CDC-funded Project Djasso is to support the Government of Côte d’Ivoire to reach the 90-90-90 goals by 2020 and achieve epidemic control. Under Project Djasso, EGPAF improves the identification of people living with HIV (PLHIV), initiation on ART, and retention of PLHIV in care and treatment services to achieve viral suppression in four health regions and 16 health districts. Working hand-in-hand with the Ministry of Health and Public Hygiene, civil society organizations, and EGPAF’s local affiliate Fondation Ariel, Project Djasso works to promote the sustainability of this project.

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Project Keneya Dougou 

(2017-2022) Funded by CDC, Project Keneya Dougou aims to strengthen the technical and organizational capacity of CBOs to effectively manage community-based HIV prevention, care, and treatment in five regions and seven districts across northern, eastern, and southern Côte d’Ivoire. Keneya Dougou’s primary goal is to create a sustainable local response to HIV by ensuring those of most vulnerable to HIV—including adolescent girls and young women, orphans and vulnerable children and their families, and mobile populations—are empowered to and receive strengthened HIV prevention, testing, and care and support services. This project was designed to increase HIV case detection, to ultimately lead to HIV epidemic control. 

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Introduction of Point-of-Care Early Infant Diagnosis (POC EID) in Decentralized Setting

(2015-2019) The Unitaid-funded EGPAF POC EID Project aims to increase access to EID and ART among eligible children. The project’s two main objectives are to optimize EID networks through the introduction of POC machines to increase the number of infants tested and initiated on ART, and create a market for affordable, effective, and equitable HIV testing of HIV-exposed infants. Through placement of POC EID platforms in select sites supported by Project Djasso, Fondation Ariel, and the Global Fund to Fight AIDS, Tuberculosis and Malaria throughout central and southern Côte d’Ivoire, EGPAF-Côte d’Ivoire aims to increase testing of HIV-exposed infants, decrease the time between testing to ART initiation for HIV-positive infants, and increase the number of children on life-saving treatment by July 2019.

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Project Extension for Community Healthcare and Outcomes (ECHO)

During Project Delivering Technical Assistance Project (Project DELTA) third project year, EGPAF began rolling out Project ECHO in Côte d’Ivoire and Cameroon. The model of implementation has been developed by the University of New Mexico and aims to treat complex and chronic health conditions in underserved communities by linking less-experienced providers with subject matter experts.  Providers are engaged in weekly meetings via video and teleconference (Tele ECHO sessions) during which they listen to a short didactic session, share challenging cases, and ask questions about best practices. The final expected outcome is to improve the knowledge and skills of health care providers to provide high quality care.

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Publications

Country Fact Sheet: Côte d’Ivoire

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Haba Na Haba: Spotlight on Pediatric Care and Treatment (2015)

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Haba Na Haba: Technical Assistance Provision at the Elizabeth Glaser Pediatric AIDS Foundation (2014)

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Journal article: Temporal Trends in Mortality and Loss to Follow-up Among Children Enrolled in Côte d’Ivoire’s National Antiretroviral Therapy Program (2014)

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Journal article: Temporal trends in treatment outcomes for HIV-1 and HIV-2-infected adults enrolled in Côte d'Ivoire's national antiretroviral therapy program (2014)

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Journal article: Tuberculosis in human immunodeficiency virus-infected children starting antiretroviral therapy in Cote d’Ivoire (2014)

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Haba Na Haba: Maximizing the Impact of Programs to Prevent and Treat HIV and AIDS Through Quality Improvement

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Improving the Quality of HIV Services to Increase Retention in Care and Treatment

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Ameliorer La Qualite Des Services De Traitment Du Vih Afin D'Accroitre La Retention Dans Les Soins Et Traitement 

 

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HIV Status Disclosure and Testing Among Sexual Partners of People Living with HIV: Lessons Learned from Project Keneya

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DIVULGATION DU STATUT SEROLOGIQUE ET DEPISTAGE DES PARTENAIRES SEXUELS DES PERSONNES VIVANT AVEC LE VIH : LECONS APPRISES DU PROJET KENEYA

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