As part of the GFF CSO Hub-supported project on citizen commitment and accountability, and in collaboration with the Ministry of Health and Public Hygiene, the National Federation of Health Organizations of Ivory Cost (FENOS-CI), a member of the National Platform on Health Financing, conducted an evaluation of the effects of Covid-19 on the functionality of reproductive, maternal, newborn, child and adolescent health services (RMNCAH) in six health districts in Abidjan. Three of the targeted Health Districts are also priority regions of the GFF (Abobo West, Anyama, Cocody-Bingerville) and three others with high cases of Covid-19 (Treichville-Marcory, Port-Bouët, Yopougon East).

The results of this assessment, which is currently being validated, will make it possible to identify evidence-based barriers to access and use and to advocate for a concerted response by authorities and partners to improve access to and quality of RMNCAH services in the targeted districts. The project, which allows for the strengthening of community capacities to monitor access to and quality of services, aims at the appropriation of social and community accountability for better maternal, child and adolescent health.

A challenge is the lack of financial resources for the implementation of the action plan, which goes beyond citizen engagement and would allow for the project to go beyond the districts targeted in the investment file.

The perspectives of FENOS-CI within the framework of the GFF are as follows

– Carry out pilot approaches, centered on the community, that can be scaled up.

– Organize awareness campaigns and community mobilization in the health districts targeted by the GFF for a better consideration of the RMNCAH.

– Capitalize on the experiences and good practices of CSOs in the framework of the GFF in Ivory Cost