2. Administrative measures
Figure 2: Leading causes of infant and neonatal mortality
- As shown in the graph above, Ivory Coast epidemiological profil remains dominated by common
ailments such as acute respiratory infections (ARI), malaria, diarrhea, measles and chronic
malnutrition.
- In order to improve their care and thus ensure the survival of children, different strategies and
programmes have been developed by the Ivorian Government these include:
- The "Strategy for Integrated Management of Diseases of the Newborn and Child" (PCIMNE) developed
for 0-5 years old by the National Programme for Child Health and Child Survival of the Ministry of
Health and the Fight against AIDS (MSLS);
- The "Road Map for accelerating the reduction of maternal, newborn and child morbidity and mortality
(2008-2015)" provides a framework for creating strategic partnerships in order to increase investment
in maternal, newborn and child health. It is the guidelines that should inspire the actions for improving
the health of mother and child;
- The "Strategic Plan for Child Survival" 2009-2013 that made up the National Strategic Plan for Child
Survival 2012-2015.
In order to take into account the specific needs of Orphans and Children who became Vulnerable
(OVCs) due to HIV-AIDS, a national policy for their management has been developed since 2003. The
implementation of this policy is ensured by the Ministry in charge of the child through the PN-OVC who
receives among others, the support of the Global Fund, World Bank, UNICEF and PEPFAR and
operates in the following areas: psychosocial support, education and apprenticeship, food security and
nutrition, health, economic empowerment of parents, shelter and care.
R 25. The Committee recommends that the State party take all necessary measures to ensure
that children born in prison and their mothers are provided with access to health services.
Article 161 of Decree No. 69-189 of 14 May 1969 regulating prisons and setting the rules for the
implementation of custodial sentences provides that due to their pregnancy, pregnant female prisoners
are transferred to the hospital or maternity. The mother is reinstated to the prison with her child as soon
as the condition of both of them permits it.
Article 162 of the Decree adds that children may stay with their mother in prison until the age of two (2)
years.
To better address the specific needs of these two vulnerable categories and allow full implementation of
legislation, the Government of Côte d'Ivoire, through the joint initiative of the Ministry for Justice and the
Health Ministry has developed and validated in May 2010, a Framework Policy Document on health in
Prison which states that special attention should be paid to the free health care (preventive, curative) of
pregnant women and children living with their mother.
The framework document provides for this purpose the establishment of a national committee called
"Joint Committee" composed of representatives of technical structures of the two ministries concerned
with the issue of health in prison as well as development partners in the prison sector in Côte d'Ivoire.
This Committee will be responsible for developing and implementing special measures to ensure access
to appropriate health care for these vulnerable groups.
RAPPORT INITIAL SUR LA MISE EN OEUVRE DE LA CHARTE AFRICAINE DES DROITS ET DU BIEN ÊTRE DE L'ENFANT
31