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Côte d’Ivoire is a country with an approximate area of 322 thousand sq. km. (UNO, 2001). Its population is 16.897 million, and the sex ratio (men per hundred women) is 104 (UNO, 2004). The proportion of population under the age of 15 years is 41% (UNO, 2004), and the proportion of population above the age of 60 years is 5% (WHO, 2004). The literacy rate is 59.5% for men and 37.2% for women (UNESCO/MoH, 2004).

The country is a low income group country (based on World Bank 2004 criteria). The proportion of health budget to GDP is 6.2%. The per capita total expenditure on health is 127 international $, and the per capita government expenditure on health is 20 international $ (WHO, 2004). The main language(s) used in the country is (are) French, Akan and Mandés. The largest ethnic group(s) is (are) Akan, and the other ethnic group(s) are (is) Voltaiques, Northern Mandes, Krous and Southern Mandes. The largest religious group(s) is (are) indigenous groups and Muslim, and the other religious group(s) are (is) Christian. The life expectancy at birth is 43.1 years for males and 48 years for females (WHO, 2004). The healthy life expectancy at birth is 38 years for males and 41 years for females (WHO, 2004).

EPIDEMIOLOGY

There is a paucity of epidemiological data on mental illnesses in Côte d’Ivore in internationally accessible literature.

MENTAL HEALTH RESOURCES

Mental Health Policy A mental health policy is present. The policy was initially formulated in 1962. The components of the policy are treatment and rehabilitation.

Substance Abuse Policy A substance abuse policy is present. The policy was initially formulated in 1984.

National Mental Health Programme A national mental health programme is present. The programme was formulated in 1999.

National Therapeutic Drug Policy/Essential List of Drugs A national therapeutic drug policy/essential list of drugs is present. It was formulated in 1995.

Mental Health Legislation Details about the mental health legislation are not available.

Mental Health Financing There are budget allocations for mental health. The country spends 0.1% of the total health budget on mental health. The primary source of mental health financing is out of pocket expenditure by the patient or family.

The country has disability benefits for persons with mental disorders.

Mental Health Facilities Mental health is a part of primary health care system. Actual treatment of severe mental disorders is available at the primary level. Regular training of primary care professionals is carried out in the field of mental health. There are community care facilities for patients with mental disorders.

Psychiatric Beds and Professionals

  • Total psychiatric beds per 10 000 population
  • Psychiatric beds in mental hospitals per 10 000 population
  • Psychiatric beds in general hospitals per 10 000 population
  • Psychiatric beds in other settings per 10 000 population
  • Number of psychiatrists per 100 000 population
  • Number of neurosurgeons per 100 000 population
  • Number of psychiatric nurses per 100 000 population
  • Number of neurologists per 100 000 population
  • Number of psychologists per 100 000 population
  • Number of social workers per 100 000 population

  • 0.15
  • 0.13
  • 0.02
  • 0
  • 0.2
  • 0.02
  • 0.2
  • 0.07
  • 0.07
  • 0.03

There are 3 occupational therapists.

Non-Governmental Organizations NGOs are involved with mental health in the country. They are mainly involved in prevention and rehabilitation.

Information Gathering System There is mental health reporting system in the country. It exists as the Annual Report of Mental Health Activities. The country has no data collection system or epidemiological study on mental health.

Programmes for Special Population There are no special services available.

Therapeutic Drugs The following therapeutic drugs are generally available at the primary health care level of the country: carbamazepine, phenobarbital, phenytoin sodium, sodium valproate, amitriptyline, chlorpromazine, diazepam, haloperidol, lithium.


Source: World Health Organization Mental Health Atlas