USAID awarded the 10-year global IMPACT Project to FHI and its partners in 1997 as a leadership program to improve HIV/AIDS prevention and care. In Côte d'Ivoire, IMPACT operated between 2003 and 2007 with a mandate to contribute to policy reform and facilitate the development and implementation of training curricula for an improved national response to HIV/AIDS in the areas of orphans and other vulnerable children (OVC), palliative care, and home-based care. Over the course of the four-year PEPFAR-funded project, additional components were added relating to workplace-based prevention and referral networks for the continuum of care. Monitoring and evaluation (M&E) were also integral components, not only in terms of project activities and results, but also in terms of national-level strengthening of M&E tools, systems, and skills.

In addition to the institutional capacity building and national systems strengthening that dominated the IMPACT Project in Côte d'Ivoire, IMPACT also supported four implementing agencies between March and August 2005 with financial and technical assistance for the implementation of OVC care and support interventions.

This final report describes IMPACT/Côte d'Ivoire Project results achieved and recommendations developed. Results include the development, production, and dissemination of high-quality tools and information on evidence-based approaches for palliative and home-based care, OVC, and public-private partnerships for HIV/AIDS workplace prevention programming. In addition, IMPACT/Côte d'Ivoire enabled the scaling up of innovative workplace programs and approaches for improving referral networks along the continuum of care.

Also described in this report are challenges that IMPACT faced during implementation and actions taken to find solutions. Furthermore, it contains recommendations for building on IMPACT's work and lessons learned, including discussions on the importance of conducting a situation analysis at the start of a project and establishing a technical taskforce to implement activities in line with national bodies.