• United States, Côte d’Ivoire sign $487 million five-year health partnership

• Deal targets HIV, malaria, maternal health and system resilience

• Abidjan must fund 60% of package by 2030

The United States and Côte d'Ivoire have signed a $487 million five-year bilateral agreement to strengthen Côte d'Ivoire’s health system, the Ivorian government said on Tuesday.

The partnership aims to build on efforts to transform the healthcare system, focusing on combating HIV/AIDS and malaria, improving maternal and child health, and strengthening global health security, according to a Dec. 30 government statement.

The agreement adds to a series of recent health deals the United States has signed with several African countries, including Liberia, Rwanda and Uganda. The moves are part of a new U.S. Global Health Strategy that encourages recipient countries to mobilize domestic resources to address health priorities.

Under the agreement, Côte d'Ivoire must raise 163 billion CFA francs (about $292 million) by 2030, representing 60% of the total funding package.

In recent years, Côte d'Ivoire has made progress in strengthening its health system, according to the World Health Organization. These gains include reductions in HIV- and malaria-related mortality, fewer new infections, and the expansion of universal health coverage, with 21 million people enrolled and 15 million health cards issued by the end of October 2025.

Challenges remain, however, including the integration of HIV treatment into standard care packages, the rollout of digital prescription support systems, and improving interoperability across health information systems.

Côte d'Ivoire’s National Health Development Plan for 2026-2030 aims to improve equity, quality of care, governance and the resilience of the health system.

Lydie Mobio