Health
Health action with informed and engaged societies
Health
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Essential Medicines Programme - Côte d’Ivoire

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A wide-ranging partnership programme was established to optimise the use of human resources, based on the solving of problems through close cooperation between partners and the community involved. Community action in support of health continued based on four successive programmes, targeting budget aid to health, enabling the main programme to be strengthened and extended throughout the Côte d'Ivoire.
Communication Strategies

Discussions to determine the best means of bringing about reforms and support programmes. A structural adjustment programme implemented a sets of projects to support reform of the medicines policy through advocacy. More traditionally, health policies were also revised in combination with re-training of ministry staff. Maintaining dialogue was a priority of the programme.
Development Issues

Partnerships, health provision, HIV/AIDS, health and nutrition.
Key Points

In 1990 it was very difficult to obtain medical treatment in Côte d'Ivoire due in part to the degenerating infrastructure and poorly maintained equipment, in combination with low staff morale, near bankruptcy of the central pharmacy and economic difficulties. Initial results for this project were positive, with the re-establishment of the central pharmacy and the diversion of budget funds to priority areas, but problems of rural access and quality care were still areas of concern cited as future directions for efforts.
Partners



European Commission, World Bank, Ministry of Health, community groups

Sources

"Development" European Commission, (Luxembourg: Office for Official Publications of the European Communities, 1998) December 1998, p. 23-24.