Published: 14 September 2020Download the report (en français également)
The Global Fund to Fight AIDS, Tuberculosis and Malaria is the second largest donor in the health sector in Côte d’Ivoire. Its policy is to involve the country in mobilising domestic resource to increase public spending on health. This report analyses the tax measures, and in particular health-related measures, that will allow Côte d’Ivoire to mobilise more revenues.
In Côte d’Ivoire, health financing is low, and in particular public health financing. Health expenditure accounted for 4.5% of GDP in 2017, or USD 70 per capita, below the average for lower-middle-income countries.
The report welcomes the governement’s engagement to increase the health budget until 2030, and the implementation of the National platform for health financing co-ordination. Increasing the health budget will not be possible without an extensive tax reform, to be implemented gradually, that should be tailored to the new economic and social challenges caused by the COVID-19 crisis. At the same time, the Platform will have a key role to play in the interministerial dialogue on health financing. However, the report stresses the need to improve public health spending efficiency prior to any increase in funding.
The report presents recommendations on how Côte d’Ivoire could improve the design of its tax system, and its health taxes in particular. It includes a discussion on the financing of the health compulsory insurance system, introduced in 2019, on ways to increase tax revenues from products that are harmful for health, and points to the need to give more prominence to environmentally-related taxes given their positive indirect impact on populations’ health.