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Cote d~^!!^Ivoire - Health Systems Strengthening and Ebola Preparedness Project : Cote d'Ivoire - Health Systems Strengthening and Ebola Preparedness Project (English)

The overall outcome of the Health Systems Strengthening and Ebola Preparedness Project (PRSSE) for Cote d'Ivoire is satisfactory, with satisfactory Bank performance and substantial monitoring and evaluation quality. Several lessons have been learned from the implementation of the PRSSE and they can be capitalized on, to strengthen the implementation of future projects. The project’s implementation relied on government/state institutions, which drew a lesson through planning. The planning of project interventions was based on national strategic plans, themselves inspired by the guiding orientations of the Plan de National de Development Sanitaire (PNDS). This contributed to carrying out activities that were aligned with the national health objectives, while capturing in a specific way, the needs to be fulfilled in each area of the health system. This approach allowed regulatory/execution structures to strengthen their human resources and equipment capacities. This capacity building consolidated their institutional status and enabled them to fulfill their stewardship mission. The second lesson learned refers to the strategic collaborations crafted with other technical and financial partners during the project implementation. A strategic collaboration was established with United Nations Children’s Fund (UNICEF) to acquire, equip and rehabilitate health facilities to implement the Ebola sub-component and the nutrition activities. These strategic partnerships contributed to achieve tangible and efficient results, during the implementation of the project. This is a result to build on and should be an inspiration for another project’s implementation. Regarding the sustainability of the PBF strategy, while one may praise the possibilities offered by the Performance-Based Financing (PBF) approach, it is important to acknowledge the challenges and constraints that weight over its implementation, which are not obvious to overcome. The PBF is built on a variety of instruments that, while they appear to be technical, are extremely sensitive and political. Thus, its institutionalization will pass by several profound mutations, such as the transformation of administrations, the adjustment of budgetary frameworks in public finances, new laws and decrees establishing the public prerogatives and the need to integrate the PBF with other ongoing health sector reforms such as the hospital reform and the Universal Health Insurance (UHI), which are a significant challenge for sustainability.


  • Document Date


  • Document Type

    Implementation Completion and Results Report

  • Report Number


  • Volume No


  • Total Volume(s)


  • Country

    Cote d'Ivoire,

  • Region

    Africa West,

  • Disclosure Date


  • Disclosure Status


  • Doc Name

    Cote d'Ivoire - Health Systems Strengthening and Ebola Preparedness Project

  • Keywords

    STEP Systematic Tracking of Exchanges in Procurement; health facility; Environmental and Social Management Framework; Financial Management and Information System; population living in extreme poverty; Reproductive and Maternal Health; Health Service; national health management; health and nutrition; quality of health services; primary health care facilities; Public Finance Management; maternal and child health; Demographic and Health Survey; Human Development and Gender; human resource in health; deliveries in health facilities; Nutrition and Food Security; pace of population growth; results-based financing; Information, Education and Communication; millennium development goal; national health information system; severely malnourished children; access to water; reallocation of fund; theory of change; vitamin a supplementation; equipment and supply; health care facility; community health worker; improvements in health; quality and quantity; construction and rehabilitation; national health insurance



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Cote d~^!!^Ivoire - Health Systems Strengthening and Ebola Preparedness Project : Cote d'Ivoire - Health Systems Strengthening and Ebola Preparedness Project (English). Washington, D.C. : World Bank Group.