The Kouroussa project is new (started in July 2017) and aims at finding a sustainable approach, including through community care, to allow the fragile health system to cope with the high burden of disease due to malaria peak. During the 2014-2016 Ebola epidemic, the Guinean health system dramatically revealed its deep fragility and inefficiencies. Despite international promises to help it recover after Ebola, it remains very fragile and does not reach the needs of its people.

In this project MSF supports the health pyramid from the village level, where community workers have been trained to prevent, diagnose, provide first treatment and refer to better equiped structures the main ailments of children under 5 : diarrhea, malaria and malnutrition. The organization also supports health centers, financially and with human ressources; organizes free referral system from health centers to the hospital; and supports the pediatric ward of the general hospital. Since the beginning of the project, the introduction of free care resulted in a drastic increase of consultations at health center level (three times higher within a month), which indirectly show how much cost recovery affects health seeking behavior.