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Browse Health Policy Project (2010-2016) Materials

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Côte d'Ivoire

  • Updated analyses on the costs of meeting the Millennium Development Goals (MDGs) indicate that countries would save money by investing in family planning programs. For example, in the nine francophone countries in West Africa, if governments provide family planning services to women who want to space or limit future births, countries would realize considerable savings in programs designed to address MDGs for maternal and child health, environmental sustainability, communicable diseases, and primary education. The savings in reduced costs outweigh the additional costs of providing family planning by a factor of 3 to 1 for the nine francophone countries as a whole. Summaries of the findings for the region in each country are available in English and French.

  • Updated analyses on the costs of meeting the Millennium Development Goals (MDGs) indicate that countries would save money by investing in family planning programs. For example, in the nine francophone countries in West Africa, if governments provide family planning services to women who want to space or limit future births, countries would realize considerable savings in programs designed to address MDGs for maternal and child health, environmental sustainability, communicable diseases, and primary education. The savings in reduced costs outweigh the additional costs of providing family planning by a factor of 3 to 1 for the nine francophone countries as a whole. Summaries of the findings for the region in each country are available in English and French.

  • Updated analyses on the costs of meeting the Millennium Development Goals (MDGs) indicate that countries would save money by investing in family planning programs. For example, in the nine francophone countries in West Africa, if governments provide family planning services to women who want to space or limit future births, countries would realize considerable savings in programs designed to address MDGs for maternal and child health, environmental sustainability, communicable diseases, and primary education. The savings in reduced costs outweigh the additional costs of providing family planning by a factor of 3 to 1 for the nine francophone countries as a whole. Summaries of the findings for the region in each country are available in English and French.

  • This USAID and PEPFAR-funded Health Policy Project report analyzes the integration of HIV and sexual and reproductive health services in the Cote d’Ivoire. 

  • The USAID- and PEPFAR-funded Health Policy Project partnered with the government of Côte d’Ivoire and PEPFAR on a study to estimate the cost and impact of HIV treatment scale-up by calculating the cost of antiretroviral treatment (ART) for one person per year for adults, children, and pregnant women. This annual ART cost was analyzed as a function of regimen, stage of illness at treatment initiation, retention, and response to treatment. The average cost was used to project the total investment necessary to scale up ART between 2015 and 2020 and achieve the country’s 90-90-90 goal, in which 90 percent of people living with HIV know their status, 90 percent of those diagnosed with HIV are on treatment, and 90 percent of those on treatment are virally suppressed. Using the Spectrum suite of policy models, the study estimated the number of lives saved and pediatric infections averted if this treatment scaleup is achieved. This study fills the critical information gap on cost as it relates to outcome. The government of Côte d’Ivoire and its development partners will be able to understand the resource needs for treatment scale-up and have the necessary data to inform decision making to effectively target available resources for HIV treatment.

  • The Health Policy Project's final costing study entitled Estimating the Unit Cost of Providing a Minimum Package of HIV Services to Female Sex Workers and Men Who Have Sex with Men, provides useful information for national program planners, donors, and other stakeholders.It does now, however, include operational details on how these different stakeholders can use the study results for their individual planning, budgeting, and resource mobilization and/or allocation purposes. This companion guide provides details on how study results may be used to inform decision making at multiple levels.

  • The USAID-funded Health Policy Project (HPP) formed a study team to estimate the unit costs associated with a minimum package of HIV services for female sex workers (FSWs) and men who have sex with men (MSM).

    To support the use of the analysis and cost data presented in the final study, the HPP study team also identified the need to develop a companion user guide to provide policymakers and program planners with a practical, stepwise approach to using data for decision making and evidence-based HIV programs, services, and policies, that address the needs of people living with HIV (PLHIV), MSM, and FSWs in Côte d’Ivoire.

    Using a stepwise approach with accompanying tables and worksheets, the guide first explains the importance of calculating average costs using data analysis presented in the larger study. Next, it explains how to determine and use program reach to estimate annual unit costs for HIV programs. Finally, the reader is shown how to project programmatic and national annual costs for FSWs and MSM. 

    The guide is available in English and French.

  • The Health Policy Project (HPP) helped countries achieve their health goals by building capacity for policy, advocacy, governance, and finance at multiple levels. The project developed global tools and best practices for policy work, promoted South-South sharing and collaboration, and carried out regional and country-specific policy initiatives. The files included in this zip document provide brief program overviews for each country highlighting key accomplishments. Individual briefs are available from the country pages.

  • The government of Cote d'Ivoire is committed to the fight to gain control and turn the tide of the HIV epidemic. Striving to offer the best standard of HIV treatment, the country aims to adopt the new 90-90-90 target. The country also plans to roll out “test and offer” for the general population in the near future and begin piloting Option B+ for pregnant women in 2015. Such an intense scale-up of HIV treatment services will require intensified coordination to mobilize resources and effectively target those funds for treatment scale-up and sustainability.

    The aim of this cost-outcome analysis study was to estimate the cost of HIV treatment scale-up and the impact of such an expansion by estimating the cost of treatment for one person per year for adults, children, and pregnant women. Currently, limited data exist around the unit cost of HIV treatment in Cote d’Ivoire. To inform policy decisions on how best to finance scale-up of treatment with the limited resources available, understanding the outcome of HIV treatment—and the levers for improving the chances of successful treatment—is critical.

    The study found that the cost of the full year of treatment expected by following the national treatment guideline would be CFA142,431 (US$288) for adults, CFA217,603 (US$440) for children, CFA85,063 (US$172) for PMTCT Option B, and CFA 151,827 (US$207) for PMTCT Option B+. A total investment of approximately CFA147 billion (US$297 million) is required over the next five years, leading up to the year 2020, to achieve the 90-90-90 target and a 100 percent roll-out of the Option B+ approach for the prevention of mother-to-child transmission (PMTCT). This investment will save more than 35,000 lives and prevent more than 6,000 children from becoming infected via PMTCT compared to the status quo, in which treatment coverage increases at the historical pace.

  • As part of the USAID-led PEPFAR Sustainable Financing Initiative to increase domestic resources for HIV, the USAID- and PEPFAR-funded Health Policy Project created 31 macro-fiscal and health financing profiles for 18 countries that are transitioning to a higher income status, have high HIV burdens, and/or rely heavily on donor funding. These country profiles assess past trends and future projections in key indicators related to a country's ability to grow economically and dedicate more financial resources to health, including HIV.

    The macro-fiscal profiles provide overviews of each country's economic growth, political economy, and government revenue and expenditure. The health financing profiles analyze government, external, and out-of-pocket spending on health; health financing functions, including revenue contribution and collection, pooling, and purchasing; and HIV financing trends.

    You may download individual briefs on this page.

  • Countries in West Africa (WA) have made significant progress in addressing the HIV epidemic. However, HIV prevalence among sex workers (SWs) and men who have sex with men (MSM) remains high, and data are unavailable for transgender (TG) populations. Services that meet the needs of SWs, MSM, and TG are often unavailable outside of major cities. Stigma and discrimination (S&D) against key populations impact service uptake and increase migration, making it harder to reach these populations. Policies—such as laws, national strategies, and operational procedures—impact service availability and uptake. To inform decisionmakers and improve access to HIV-related services for mobile SWs, MSM, and TG populations in West Africa, the USAID- and PEPFAR-funded Health Policy Project (HPP) conducted an analysis of key policies in countries along the Abidjan-Lagos corridor and Burkina Faso.

  • Investing for impact is an explicit goal of the Global Fund to Fight AIDS, Tuberculosis and Malaria. The institution’s strategy for 2012 to 2016 focuses on countries and populations where interventions promise maximum rewards for public health. As part of this “New Funding Model,” the Global Fund is asking applicant countries seeking financing to more accurately  demonstrate where and how their HIV programs will yield significant, measurable improvements in limiting the spread of the virus. Accomplishing this will depend to a great extent on each country’s ability to use geospatial analysis of epidemiological data to target resources to areas with the greatest need.

    Not all countries seeking Global Fund support have extensive experience with geospatial analysis. To address this gap, the Health Policy Project (HPP)—funded by the United States Agency for International Development (USAID) and the President’s Emergency Plan for AIDS Relief (PEPFAR)—is working with 9 countries eligible for Global Fund support to strengthen their use of geospatial analysis in HIV policymaking and in strategic, financial, and program planning.

  • In sub-Saharan Africa (SSA), expected national fertility levels and country-level observations demonstrate repeated mismatches in magnitude and/or direction.Thus there is an unfulfilled demand for better explaining, understanding, and communicating how fertility changes. Accurately predicting fertility is critical for understanding how populations may be expected to change, and for managing expectations about the possible impacts of TFR-affecting policy levers. The USAID-funded Health Policy Project produced this poster for the 2015 Population Association of America conference to determine to what extent can the accuracy of predicting fertility in SSA using the proximate determinants framework be improved by implementing revisions, with emphasis on the contraception index.

  • In Côte d'Ivoire (CdI), the Health Policy Project (HPP) supported national institutions to estimate the unit cost of HIV programs targeting key populations such as males who have sex with males and sex workers. This final report provides estimates for the cost of delivering HIV services to key populations in CdI as well as projections of how costs could change over time in varying scenarios of program scale-up and service packages. These results can be used by stakeholders at all levels of the country to better plan and budget for HIV service delivery.

  • In order to assess the pricing policies of family planning (FP) products and understand the impact of these policies on the accessibility of family planning services, the USAID-funded Health Policy Project (HPP), collaborated with the USAID | DELIVER Burkina Faso, Mauritania, Niger and Togo to formulate regional and national recommendations for improving contraceptive pricing policies to ensure the availability and sustainability of FP programs in West Africa.

  • The response to HIV and AIDS is an integral component of efforts to improve social and economic conditions in Ghana and Côte d’Ivoire. Available data suggest that HIV prevalence rates among key populations, particularly female sex workers (FSWs) and men who have sex with men (MSM), are several times higher than the national averages for both countries. These groups also face additional barriers to social acceptance and access to services, compared with the general population. Accordingly, Ghana and Côte d’Ivoire each completed a Strategic Framework to guide interventions and service delivery specifically for key populations. The frameworks propose a package of services that includes HIV prevention; HIV treatment, care, and support; and psychosocial support and legal services. This brief describes the costing analysis conducted by HPP and in-country stakeholders to provide country-specific costing data on key populations to provide an evidence base for policy-making processes.