Country government

Côte d'Ivoire

Nutrition for Growth (N4G) commitment

Reported progress

Assessment

Financial commitments
London 2013

Increase government budget allocations to support the building plan.

Reported progress

Within the framework of the national multisectoral nutrition plan for 2016-2020, the State of Côte d'Ivoire has committed to financing 15% of the overall cost (i.e. 49 billion CFA francs). The state has committed to an investment project on nutrition and early childhood development with the World Bank for an amount of 32 billion CFA francs.

Assessment
On course
Basis of assessment

Reported progress suggests commitment is on course.

Milan 2017

Contribute 15% of the overall cost to implement the National Multisectoral Nutrition Plan, which will represent 70 million USD over 5 years.

Reported progress

Within the framework of the national multisectoral nutrition plan for 2016-2020, the State of Côte d'Ivoire has committed to financing 15% of the overall cost (i.e. 49 billion CFA francs). The State has committed to an investment project on nutrition and early childhood development with the World Bank for an amount of 32 billion CFA francs.

Assessment
On course
Basis of assessment

Reported progress suggests commitment is on course.

Impact commitments
Milan 2017

Increase rates of exclusive breastfeeding in the first 6 months from 23% to 72% by 2025.

Reported progress

The breastfeeding rate has improved from 12% in 2012 to 21.5% in 2016. We do not have recent data since 2016. For greater impact, a national multisectoral breastfeeding plan of 5 billion CFA francs has been drawn up, fully financed, and is due to start in May 2020.

Assessment
Not assessable
Basis of assessment

Insufficient data to assess the commitment.

London 2013

1. Reduce the prevalence of chronic malnutrition, from 29.8% to 20% in 2018.

2. Reduce the rate of acute malnutrition at the national level of 7.1% to less than 5% by 2018, focusing on areas of high prevalence.

3. Eliminate by 2018 all the problems related to iodine deficiency, strengthening legislation, by controlling the quality of the salt in the border areas and in sentinel community sites and in promoting consumption of iodized salt.

Reported progress

The latest assessment to date (MICS 2016) shows an improvement in:

Chronic malnutrition from 29.8% in 2012 to 21.6% in 2016; and

Acute malnutrition from 7.1% in 2012 to 6% in 2016.

A difficulty worth noting: to date (i.e. four years later) we do not have recent data. The Multiple Indicator Cluster Survey/Demographic and Health Survey (MICS/EDS) surveys are carried out in countries almost every 5 years (5-year periodicity). A survey should be due for Côte d'Ivoire in 2021.

For the elimination of iodine deficiency: legislation has been strengthened with the adoption of decree no. 2018-512 rendering the enrichment of salt with iodine compulsory. A 2019-2021 plan for the elimination of TDCI has been drafted. Another difficulty worth highlighting is that for more than 20 years we have not had recent data on micronutrient deficiencies, in particular data on iodine deficiency and goitre. In addition, there is a real problem with resource mobilisation in this area.

Assessment
On course
Basis of assessment

At least half of the individual commitment components are assessed to be on course

New commitment - added in 2013

Ce sont faire passer le taux de l'allaitement exclusif de 12% à 50%, de maintenir le taux du surpoids chez les enfants en dessous de 5%.de réduire l'anemie chez les enfants de 75% à 56% et chez la femme de 54% à 40,5%.

Increase exclusive breastfeeding from 12% to 50%, maintain overweight rate in children under 5%, reduce anemia in children from 75% to 56% and in women from 54% to 40.5%

Reported progress

The breastfeeding rate has improved from 12% in 2012 to 21.5% in 2016. We do not have recent data since 2016. Moreover, we do not have data on anaemia since 2012.

Assessment
Not assessable
Basis of assessment

Insufficient data to assess the commitment.

Policy commitments
New commitment - added in 2013

Dans le cadre de la dernière Conference Internationale sur la Nutriton ( CIN2), des engagements ont été pris et traduits dans le Plan National Multisectoriel de Nutrition 2016-2020.

Following the last International conference on nutrition (ICN2), commitments were made and translated into the multisectoral national nutrition plan 2016-2020.

Reported progress

No response

Assessment
No response
Milan 2017

1. Create a favorable environment for nutrition by strengthening national laws and regulations.

2. Developing a multisectoral breastfeeding policy to provide mothers with a supportive breastfeeding environment so that children can benefit from the practice.

3. Setting up regional nutrition committees.

Reported progress

Strengthening the nutrition coordination framework through the adoption of a decree taking into account nutrition and early childhood development:

- Decree No. 2019-569 of 26 June 2019 on the creation, organisation and operation of the National Council for Nutrition, Food and Early Childhood Development (CONNAPE) amending the 2014 decree that created the National Nutrition Council (CNN);

- Adoption of a decree in 2013 regulating the marketing of breast milk substitutes and carrying out of a study in 2019 on violations of the code of marketing of breast milk substitutes;

- Adoption of a decree making it compulsory to fortify flour with iron and folic acid, oil with vitamin A and salt with iodine;

- Drafting and launch of the National Early Childhood Development Policy (November 2019); and

- Tracking of expenditure on interventions specific and sensitive to nutrition in Côte d'Ivoire in 2017 and 2018 (December 2020).

Adoption of the breastfeeding policy in 2019 and drafting of a multisectoral breastfeeding plan for 2019-2021.

Development of an operational guide for setting up regional platforms and regional committees for nutrition, food and early childhood development (CORNAPE).

Assessment
On course
Basis of assessment

At least half of the individual commitment components are assessed to be on course

Program commitments
London 2013

Finalise a plan for the 2014–2018 period to strengthen nutrition interventions with high impact, based on the National Health Plan and the National Development Plan.

Reported progress

Côte d'Ivoire has developed a multisectoral nutrition plan for 2016-2020, which was adopted on 11 May 2016 by the Council of Ministers. This plan, which is part of the National Development Plan for 2016-2020, includes interventions that are sensitive and specific to nutrition.

Assessment
Reached commitment
Basis of assessment

Reported progress shows that the plan has been finalised and adopted