• The implementation of the community strategy for the dispensation of contraceptive products has been initiated. Approximately 260 community health workers from six hospital districts have undergone training. This is a new strategy which has been integrated in the new National Budget Action Plan for family planning for the years 2015-2020. In order to raise awareness for the use of family planning) services, 18 Ecoles des Maris (EdM) [Schools for Husbands] were opened, with an average number of 10 model husbands per school.

• The following family planning methods are offered in Cote d'Ivoire:
  • Oral contraception
  • Emergency oral contraception
  • Intrauterine device
  • Implant
  • Injectable contraception
  • Condom (male and female)
  • Sterilization*

• At least three methods of family planning are offered at 81.4 percent of the healthcare institutions (ENSEA, 2014. p.34) versus 36 percent in 2010 (INS, SONU survey, 2010. p.76)

*There is no precise legislation on sterilization. However, a few sterilization cases were notified by the 2012 Demographic and Health Survey and during the development of the first follow-up report of the FP2020 undertaking.

• The offer of family planning services has been extended to specialized healthcare centers for teenage students through the Programme National de la Santé de la Scolaire et Universitaire [National Health Program in Schools and Universities], Direction de la Mutualité et des OEuvres Sociales (DMOS) [Division of Reciprocity and Social Work] of the Ministry of National Education. In each of the 20 hospital areas, the Ministry of Youth opened a listening center for young people, focused on sexual and reproductive health.

• Integration of family planning in HIV services has proved effective. Emergency contraception and ARV prophylaxis in cases of rape are in their pilot stage in one hospital area. In HIV services, contraception is proposed to women and men in order to avoid pregnancies but also for positive prevention purposes. In family planning services, the proposal of HIV screening tests is systematic. The level of integration of the PF and HIV activities will be evaluated by way of a national survey.

Source:

1. Government of Côte d'Ivoire
2. Ecole Nationale Supérieure de statistiques et d’Economie Appliquée (ENSEA) [National School of Statistics and Applied Economics] / Abidjan/RCI (2014) National survey on reproductive health services and products. Provisional final report. Abidjan. ENSEA. p.23
3. INS, SONU survey, 2010. p.76

In August 2015, the Government of Côte d'Ivoire shared an update on progress in achieving its policy and political, financial and program and service delivery commitments to FP2020.

• At a community level, 147 Community Health Workers have been trained to distribute short-acting contraceptives in the community, 10 new Ecoles Des Maris [Schools for Husbands] have been set up to educate families about using maternity services and the involvement of men in reproductive health, 25 national trainers have been trained in the strategy of community dialogue and 20 religious leaders have participated in a community awareness campaign through use of local radio stations. In schools, 779 peer educators have been trained in life skills.
• In 2014, 217 mobile consultation sessions for people living the furthest away from health facilities enabled 203,180 women to be provided with short- and long-term hormonal contraceptive products.
• The following family planning methods are available in Ivory Coast: oral contraception, emergency oral contraception, intrauterine device, implant, injectable contraception, condom (male and female), and sterilization.
• The 2014 survey revealed that 71% of healthcare establishments offer three different types of modern contraceptives versus 69.9% in 2013. On average, 50.2% of these establishments offer at least five (5) modern methods of contraception, versus 44.7% in 2013. Source: ENSEA/Abidjan/RCI. 2015
• Through the National School and University Health Program, contraceptives are freely available to students. The service provision is carried out at dedicated delivery points for students or via a mobile strategy.
• Awareness campaigns known as "healthy youth" campaigns are conducted by the Ministry of Youth across the country. Contraceptives, especially condoms, are distributed during these campaigns.
• The government reports that the integration of FP into HIV services is effective.  Indicators on the offer of contraceptives as part of HIV services have been integrated into the national dictionary of routine indicators.

• En 2015, la proportion d’établissements de santé qui offre le service de planification familiale était de 82% .
  • Au plan communautaire, 779 Agents de Santé Communautaire (ASC) ont été formés à l’offre de service PF dans la communauté. Cependant, l’activité de l’ASC reste limitée aux conseils et à la référence des clients vers les points fixes de prestations. Pour susciter l’engagement constructif des hommes (sexe masculin) à la promotion de l’utilisation des services de SRPF, 47 nouvelles Ecoles de Maris ont été installées.
  • En 2015, 256 localités ont bénéficié de séances de consultations foraines (stratégie mobile) en direction des populations les plus éloignées des établissements de soins. Ces séances ont permis de sensibiliser 90 249 personnes et de fournir la contraception moderne à 24 381 femmes.
• L’étude de 2015 a révélé que 92% des établissements qui offrent le service de PF, proposent trois méthodes et 68% proposent au moins cinq (5) méthodes modernes de contraception.
• A travers le Programme National de la Santé Scolaire et Universitaire, les produits contraceptifs sont gratuitement offerts aux élèves dans des points de prestation dédiés aux élèves ou en stratégie mobile. En milieu scolaire, le ministère de l’éducation nationale a mis en place un projet « zéro grossesse». Des cours de « compétence de vie » sont dispensés à partir de la classe de CE2. Des campagnes d’information à travers les pairs éducateurs et les clubs santé sont réalisées au sein des écoles. Les élèves désireux d’utiliser la contraception moderne (hormonal ou condom) sont orientés vers les points de prestations.
• Des campagnes de sensibilisation baptisées « jeunesse saine » sont menées par le Ministère de la Jeunesse à travers le pays. Des produits contraceptifs, surtout les condoms, sont distribués au cours de ces campagnes.
• Intégration PF et VIH : L’intégration de l’offre de service de PF et le VIH est effective. En effet, 75% des points de prestation de PF proposent également le dépistage VIH.

Evolution of the budget allotted to the SR [Reproductive Health]/Family Planning program for the acquisition of pharmaceutical, medical and veterinary products:

• 2012: CFA francs 6,952,329 (USD $13,905), which means a 17 percent increase with respect to 2011. This amount represents less than 1 percent of the national needs in contraceptive products.

• 2013: CFA francs 23,047,671 (USD 46,095), which means a 232 percent increase with respect to 2012. This amount corresponds to 2.2 percent of the national needs in contraceptive products.

• 2014: CFA francs 49,547,671 (USD 99,095), which means a 115 percent increase with respect to 2013, but this amount represents less than 4.5 percent of the national needs in contraceptive products.

This amount is not exclusively meant for the acquisition of contraceptive products. It also covers the purchase of other SR and FP products and inputs.

In August 2015, the Government of Côte d'Ivoire shared an update on progress in achieving its policy and political, financial and program and service delivery commitments to FP2020. 

• In 2015, the 6218 budget line (purchase of medical, pharmaceutical and veterinary products) for the department coordinating the national program in charge of family planning, has been credited with CFA francs 31,547,671, i.e. a decrease of 36.3% from 2014. However, as part of the Debt Reduction and Development Contract, an intensification project of CFA francs 5 billion over the 2013-2015 period was allocated to family planning. Advocacy is also underway to create a budget line for the purchase of contraceptive products from 2016.

• En 2016, le Ministère de la Santé et de l’Hygiène Publique a alloué une enveloppe de 400 millions de francs CFA. Ce montant est destiné exclusivement à l’achat de produits contraceptifs. La consultation pour l’acquisition des produits contraceptifs est en cours de réalisation.

• Family planning availability in healthcare institutions in 2013 was 75 percent.

Source: Ecole Nationale Supérieure de statistiques et d’Economie Appliquée (ENSEA) [National School of Statistics and Applied Economics] / Abidjan/RCI (2014) National survey on reproductive health services and products. Provisional final report. Abidjan. ENSEA. p.23