CCISD’s team has a unique range of experience, knowledge, and competencies. With many years of work on the ground, it has developed areas of expertise and drawn on its know-how with meaningful actions.

These combined areas of expertise and activities have made CCISD a key cooperative stakeholder that can adapt to the many challenges encountered in international development.


Primary healthcare

Equality, accessibility, equity and sustainability of healthcare services are values on which CCISD was founded and its specialization in primary healthcare is a direct reflection of this. Taking into consideration the realities and priorities of each country it works with, CCISD contributes to:

  • Improved financial and geographic accessibility to care;
  • Increased use of curative and preventive care in the covered health zones;
  • Reinforced capacities among healthcare workers in clinical fields and in financial and administrative management;
  • Improved management at different levels of the health pyramid, in the context of decentralization;
  • The supply of improved medical and non-medical equipment in health structures;
  • Community involvement in the planning and implementation of maternal and child health programs, in particular through micro-projects.
  • With 18 primary healthcare projects completed

  • Trained individuals: 3 300
  • Support for health facilities (including renovations): 190 health centers and 13 hospitals
  • Training programs offered: 14

These actions have had positive repercussions on maternal, neonatal and infant health, on the promotion of family planning, and on the fight against malaria, HIV/AIDS and STIs.

Integrated epidemiological surveillance

Helping populations to detect and control potentially epidemic and pandemic diseases saves thousands of lives.

After more than 25 years, CCISD continues to believe that epidemiological surveillance (ES) contributes significantly to the well-being of populations and the implementation of modern health information systems that are adapted to local conditions. For this reason, its projects are based on the implementation of effective ES systems that lay the ground for:

  • The support of decentralised national surveillance systems;
  • Training for staff involved in ES at every level of the health system, in the public and para public systems as well as community organizations;
  • Support for the institutionalisation of training in public national health schools, with an eye to ensuring sustainability;
  • Specific research run with at-risk groups;
  • Direct technical and financial support during epidemics;
  • Pilot tests of community based epidemiological surveillance.
  • With 4 epidemiological surveillance completed, including several cross-country projects:

  • Training: 2400 individuals trained in intervention epidemiology at every level of the health system in five countries;
  • Epidemiological Surveillance Centres (ESCs): creation of 309 ESCs in a network of 435 in five West African countries.

Today, due to the preventive nature of CCISD’s projects, it is impossible to calculate the number of people who have benefited from its support directly or indirectly.

Response to aids

The response to AIDS is one of CCISD’s recognized fields of expertise. Over the years, by applying a global, multidisciplinary approach CCISD has produced sustainable results in the zones where its team has worked. CCISD’s main focus has been on capacity building for public health systems and STIs/HIV/AIDS prevention.

To adapt health services to the needs of communities, CCISD’s team work in close collaboration with national stakeholders involved in the response to AIDS, healthcare workers, and at-risk groups and their immediate networks in order to, among other things:

  • Support the management of public health systems by taking into account transmission mechanisms, the overall state of basic health services systems, and the distribution networks for essential medicines;
  • Facilitate STI and HIV prevention and healthcare provided by healthcare workers for at-risk groups;
  • Raise awareness among targeted groups and provide them with opportunities to take an active part in promoting lower-risk behaviours;
  • Integrate a gender equity aspect to the response to STIs and HIV, and raise awareness about the stigmatisation of people living with HIV, in particular through a reconsideration of masculinity and inequity-based vulnerabilities.
  • With 10 multinational projects completed

  • Training: 15 300 people in 10 countries in Africa and Haiti
  • Health structures supported: 400
  • STI cases managed: 633 740
  • Condoms distributed or sold : over 5 millions
  • People affected by awareness raising activities: 4 104 330


CCISD recognizes that gender inequity is holding back development and can wreck tragic consequences on the health of populations. That is why its team is committed to promoting and integrating gender equity with all projects. This transversal axis has made great contributions to the success of CCISD’s projects and to the sustainability of their outcomes. This approach supports:

  • Access to reproductive health services and primary healthcare for women and children;
  • The non-sexist, undiscriminating reception of users at health services and increased confidentiality;
  • The reduction of gender-related sexual violence;
  • Access to both feminine and masculine condoms;
  • Better security in refugee camps and protocols for services and care in response to sexual violence.

Besides focusing on women’s individual and collective abilities, promoting their personal independence and their role in taking action and decision making, CCISD works with men to help them see that there is nothing to be gained from refusing women their rights.

Because a population’s health cannot progress in the face of social inequalities!


Health training

Modern health services require efficient staff members who are qualified for their assigned tasks. To this end, with each of its projects, CCISD shares knowledge and build competencies.

Its teams is committed to reinforcing on-the-job capacity development for health workers in numerous fields, among them family planning and medication management. Healthcare system professionals must be adequately selected, trained, managed and evaluated. For this reason, CCISD also supports program reviews that promote the rigorous and sustainable reinforcement of training measures.

Support to health institutions governance and strengthening

CCISD’s commitment to decentralising and reinforcing health system structures and resources has lead its team to develop an integrated approach based on a mentorship and appropriation process that actively involves local partners.

This approach bolsters the effective definition and management of health systems while developing services that respond to specific problematics. CCISD support also assists civil society organizations in playing an active role in successful health systems and making positive contributions to their own health conditions.

Support for increased community participation

In response to the developmental inequalities that exist within communities, CCISD has developed a transversal strategy that supports community participation. This approach aims to strengthen community organizations’ and associations’ prevention capacities and improve health service offers for specific populations.

By taking direct action and responding appropriately to issues affecting local populations, these organizations can contribute to implementing services that are adapted to meet local needs. They also contribute to community development and mobilisation that support public health, addressing individual and social issues that affect the health and lives of population.

Monitoring and evaluation and result based management

Effective project management is one of CCISD’s greatest strengths. To ensure maximum impact, all its projects are required to produce concrete and measurable results defined by a performance measure framework or other form of benchmark.

For every project, CCISD’s team set up thorough means of measuring and assessing progress as results are achieved.