Cote d'Ivoire public health news

Cote d’Ivoire’s 2010-2011 post-election crisis dealt a severe blow to the public health system, undermining and reversing important gains of the previous decade and causing catastrophic damage to the infrastructure and delivery of public health services. New leadership in the Ministry of Health is reshaping and reviving the public health system by linking its national public health  agencies in a collaborative platform. Through joint efforts and close coordination, the agencies will work together to improve the population’s health.

At a high-level meeting on October 28-30, 2013, the directors of all seven of the government institutes and structures responsible for public health functions in Cote d’Ivoire[1] agreed to establish a pioneering ‘platform’ for national coordination, integration, and action.  The meeting was led by the dynamic Director General for Health (DGS), Professor Yapo Boa, representing the Minster of Health, Dr. Raymonde Goudou-Coffie. With the help of the Minister’s legal officer, Mrs. Patricia Kie-Bi Koffi, the directors drafted an official decree for creation of the Comité National de Coordination des Interventions en Santé Publique (CNCISP). They also  developed a memorandum to the Minister providing a rationale for and description of the proposed coordinating body.  

The meeting was supported by IANPHI and held in Songon Park, Cote d’Ivoire.  At the invitation of the DGS, an IANPHI team participated as partners in the deliberations -- offering background in NPHI development and lessons learned from other countries, and suggesting approaches to planning and integration.

As described in the memorandum to the Minister, CNCISP will be “a place for strategic thinking, discussion, and exchange in order to strengthen the complementary actions, synergies, and coordination of public health functions in Cote d’Ivoire. “  Its five main tasks are to:

  • Coordinate the public health institutions and report to the Ministry of Health
  • Identify challenges and barriers, and provide solutions to improve the health status of the population
  • Prioritize interventions for efficacy and efficiency in public health response
  • Enable exchange on major public health issues
  • Identify sources of technical and financial support

The group defined two roles that will ensure a successful launch of the platform: 1) the Presidency, to be held by the DGS, and 2) the Technical Secretariat, to be provided by IANPHI’s member institute, Institut National de Santé Publique (INSP).

At the conclusion of the workshop, all participants committed to "working together … to ensure the success of CNCISP … and to cover all eleven core functions of public health to significantly improve the health of people living in Cote d’Ivoire.” 

Next steps are to submit the memorandum for signature to the Minister of Health, finalize and submit the decree for establishment of CNCISP, and develop an action plan for moving forward.  IANPHI will provide financial and technical assistance to support the successful launch of the platform.

[1] L’Institut National d’Hygiène Publique (INHP); l’Institut National de Santé Publique (INSP); le Laboratoire National de Santé Publique (LNSP); la Direction de la Formation et de la Recherche (DFR); la Direction de l’Information, de la Planification et de l’Evaluation (DIPE); la Direction de la Santé Communautaire et de la Médecine de Proximité (DSCMP); l’Institut Pasteur de Cote d’Ivoire (IPCI)