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Ivory Coast

© Côte d'Ivoire

Ivory Coast

9.5%

of people who use drugs in Abidjan are HIV positive.

20.2%

of girls and 13.8% of boys between 15 and 24 years old had sexual intercourse for the first time before the age of 15.

3/10

teenagers between 15 and 19 years old have already been pregnant. 

Background

Young people and teenager's sexuality

There continue to be many obstacles in the way of access to good quality healthcare in Côte d’Ivoire, in particular the absence of a legislative framework for SRH (the current law dates back to1920), the lack of funding for contraceptive products and stock outs.  

Therefore, only 14% of young people and teenagers use any method of contraception. Consequently many pregnancies are recorded every year in primary and secondary school pupils. However the law on abortion in Côte d’Ivoire remains very restrictive and the medical staff are not trained in the treatment of unwanted pregnancies. This encourages unsafe abortions.

 

Aids, hepatitis and tuberculosis

Moreover, in 2014 Doctors of the World conducted a study in Abidjan with 450 regular users of cocaine, heroin and crack cocaine. The rate of people with HIV is particularly high amongst this population, especially amongst sex workers. In addition to HIV/Aids, these people very often have symptoms of tuberculosis and more than 10 % of them are hepatitis B carriers. This is due to high-risk behaviour linked to unsafe sexual practices, to drug consumption but also to their extremely precarious living conditions. They are stigmatised, and often live in run-down areas without access to water or sanitation.

 

Pregnant women in the waiting room of a health centre run by Doctors of the World. © Sébastien Duijndam
Pregnant women in the waiting room of a health centre run by Doctors of the World. © Sébastien Duijndam

Activities

Women & children

Sexual and reproductive health in young people and teenagers

 

The study carried out by Doctors of the World in 2016, on the question of socio-cultural determinants of unwanted pregnancies, brought to light that the sexual and reproductive health services offered to teenagers are not in tune with their needs. Owing to a lack of knowledge of their rights, because they do not have the means and because the values and beliefs of their social environment are against them, they do not use these services

PEOPLE AT RISK

CARING FOR people who use drugs

 

Since January 2015, Doctors of the World and their local partner associations have been conducting prevention and harm reduction activities with drug users in Abidjan in order to improve the support they receive from the health system.

Doctors of the World works to strengthen the capacity of these people to take action, to develop a suitable response and to combat stigmatisation, exclusion and criminalisation, which constitute obstacles to access to care.

 

 

 

 

Abidjan
Abidjan

In 2016

We have:

  • raised awareness in 1,936 drug users of HIV, tuberculosis and hepatitis
  • provided medical consultations to 921 drug users
  • distributed 44,398 condoms and carried out 907 HIV tests
  • trained 160 medical and community players
MdM works for the sexual and reproductive health of young people and teenagers in Ivory Coast ©Sebastien Duijndam
MdM works for the sexual and reproductive health of young people and teenagers in Ivory Coast ©Sebastien Duijndam
History
2011
4 months emergency intervention in Abidjan following the post-electoral crisis.
2011
Project to support obstetric emergencies in the south-west of the country.
2012
Transition partnership – support for targeted free care in the south-west of the country.
2014
Study among drug users in Abidjan.
2014
Project to strengthen the Ivorian health system.
2014
Preparation of a response to the Ebola epidemic in the south-west of the country.
2015
Harm reduction programme with drug users in Abidjan.
2016
Study on the socio-cultural determinants of unwanted pregnancies in young people.

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