The public medical services of Ivory Coast are more important than the small number of private physicians and clinics. As of 2004, there were an estimated 9 physicians, 31 nurses, and 15 midwives per 100,000 people. About 77 percent of the population had access to safe water in 2000. Total health care expenditures were estimated at 3.7 percent of GDP.
The government of Ivory Coast takes place in a framework of a presidential representative democratic republic, whereby the President of Ivory Coast is both head of state and head of government, and of a multi-party system. Executive power is exercised by the government. Legislative power is vested in both the government and parliament.