Côte d’Ivoire Builds on Scaled CHW Supervision to Shape 2026–2030 Strategy

This quarter, Côte d’Ivoire made important progress toward strengthening its national community health system by advancing planning for the 2026–2030 National Strategic Plan for Community Health. The process builds directly on tangible gains achieved under the current strategy – most notably the nationwide scale‑up of enhanced supervision for CHWs.

Illustrative image of a proCHW with their Supervisor in Côte d’Ivoire.

One of the most significant outcomes of the current national community health plan has been the integration of enhanced supervision into the national community health model, a core element of Muso’s Rapid Care approach. 

Following formal adoption of the enhanced supervision model by the Ministry of Health in 2023, implementation moved quickly from pilot to scale – expanding from six districts in 2024 to 53 of the country’s 113 districts by 2025, with further expansion underway. This progress reflects several years of close partnership between government leaders and Muso to strengthen frontline health systems and ensure CHWs are supported to perform effectively at scale.

Today, approximately 8,200 CHWs are supported through this model, reaching an estimated 6.3 million people. 

This scale-up marks a major step forward in improving the quality, consistency and responsiveness of care delivered at the community level across the country. At the same time, important work remains to fully realize the model’s potential. 

In the first quarter of 2026, Muso continued to support the Directorate of Community Health and Health Promotion in advancing dedicated supervision at scale and strengthening the systems that enable CHWs to deliver high‑quality care. This included supporting the validation of the national performance framework, analyzing data generated through CHW digital tools, and improving the integration of community‑level data into national health information systems. 

These efforts were complemented by a review of evidence from the current strategy to inform priorities for the next five‑year plan, with a focus on what has demonstrably improved care delivery, where gaps persist, and what is needed to build a stronger, more sustainable system moving forward. Planning began with a national workshop in February, opened by Dr. Christian Rusangwa, Muso’s Director of Technical Assistance, who emphasized the importance of grounding the next strategy in implementation evidence. Drawing on Muso’s experience supporting scale‑up, he highlighted the need for clear goals, strong coordination, and efficient use of resources. With technical support to from Muso, stakeholders identified priority interventions, clarified strategic pillars, and developed a results framework with defined targets and costed activities to ensure feasibility. A second workshop in March focused on implementation, translating national priorities into a practical execution framework and aligning ambition with available resources.

The 2026–2030 National Strategic Plan for Community Health is expected to be finalized and shared publicly in Q2. Together, these efforts position Côte d’Ivoire to build on recent gains and deliver more dependable, high‑quality care for millions of people nationwide.