Costing and Integration of Health Services in Support of Côte d’Ivoire’s Universal Health Coverage

The Challenge

In 2014, Côte d’Ivoire introduced the Couverture Maladie Universelle (CMU) program (law 2014-131) to provide all citizens and residents of Côte d’Ivoire access to affordable care. The program is managed through the social welfare institution, the Caisse Nationale d’Assurance Maladie (National Health Insurance Fund, CNAM). The program’s main objective is to offer sustainably financed, quality health care to anyone residing in Côte d’Ivoire through a low monthly contribution and a non-contributory medical assistance system for the financially vulnerable. After years of implementation, the program is working through structural constraints and operational difficulties, which have limited coverage to only 13 percent of the population.

Results for Development, with financial support from the World Bank, recently finalized an evaluation of the program and provided recommendations for improvement. However, implementing the guidance and costing key interventions still needed to be completed.

The Opportunity

The Accelerator is supporting Cote d’Ivoire’s efforts to achieve universal health coverage (UHC) by costing the integration of key interventions into the UHC strategy based on recommendations from work previous work by the World Bank. The Accelerator will undertake activities to strengthen the CMU program’s effectiveness and other strategies to achieve UHC in Côte d’Ivoire.

This activity will have four pillars:

- Costing and integration of priority services into the CMU benefit package
- Costing and integration of community health interventions into the CMU benefit package and the health system
- Investment case for community-based Primary Health Care (PHC) services
- Support the integration of other health financing programs into the UHC process

Our Work

The Accelerator will produce costing scenarios for priority health and community health services supporting UHC, an advocacy brief for investment in community-based primary health care, and an implementation plan for the health financing integration recommendations.