Côte d'Ivoire experienced military-political crisis for nearly a decade (2002-2011), an experience that shaped the erosion of the state's capacity to manage its health system. Côte d'Ivoire faces a double burden of disease of both communicable and noncommunicable diseases. As indicated by the Ministry of Health, several factors have limited epidemic preparedness, including low coverage of infrastructure; poor condition and under-equipment of facilities; inadequacy and uneven spatial distribution of health personnel; patchwork and insufficient health care access for people in rural areas; low vaccination coverage; and limited access to medicines. Despite these challenges in the health sector, the nation has seen positive economic growth for several years post-crisis and there is opportunity to expand support to health systems.