Health Systems Assessment for Cote d’Ivoire
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World Bank, Washington, DC
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Following years of political
instability, Cote d’Ivoire has recorded a rapid growth rate
over the past seven years and entrenched its status as a
lower-middle-income country. However, the country’s
epidemiological profile remains comparable to that of
low-income countries, and health outcomes are among the
poorest in the region and globally. Furthermore, given its
lower-middle-income status, domestic resource mobilization
and improving fiscal space are becoming increasingly
important considerations as several donors start to scale
down their assistance. To address this situation, the
government has committed to undertaking various reforms in
the health sector. The aim of this health financing system
assessment (HFSA) is to guide policy discussions through
assessment of the current context for implementation of the
national health sector reform agenda, transitioning from
donor assistance and resource mobilization, and to identify
opportunities and options on the path toward universal
health coverage (UHC). This HFSA discusses the macro-fiscal
context in Cote d’Ivoire, reviews the health outcomes based
on most recently available data, analyzes the government and
health financing landscape, and assesses the issues related
to transitioning from external assistance for immunization.
Based on the analysis, the HFSA concludes with specific
policy recommendations for Cote d’Ivoire to reach universal
health coverage.
Palabras clave
HEALTH FINANCING, HEALTH FINANCE, UNIVERSAL HEALTH COVERAGE, HEALTH SERVICES, SERVICE DELIVERY, GOVERNANCE, REVENUE, POOLING, PURCHASING, HEALTH SECTOR REFORM, HEALTH SYSTEM REFORM, IMMUNIZATION