Based in Abidjan, the clinic PROCRÉA offers a range of medical services dedicated to reproductive health. Founded in 2008, it stands as the leader in Côte d’Ivoire for medically assisted reproduction, a technique that allows people who have difficulty having a child to successfully give birth. Popularizing this practice and making it accessible to the greatest number of people is at the heart of the vision of the clinic’s founder and current director, Dr. Myriam Kadio-Morokro BROU. A brief review of her career path, the obstacles she encountered and her motivations.

A career dedicated to medicine… and entrepreneurship

At the head of the clinic PROCRÉA, Myriam Kadio-Morokro Brou serves two functions: that of a doctor and that of a company manager. “Basically, I did not see myself working as a civil servant, which is the usual career path for healthcare practitioners in Côte d’Ivoire. Today I combine the two aspects of my activity, both of which fascinate me: practicing my profession as a doctor and managing the clinic as an entrepreneur.”

“I have always believed that entrepreneurship is essential to improve people’s living conditions. It is obvious in the sector of reproduction: it is a research profession, which requires us to move forward with our time and take certain risks”

Myriam Brou pursued her medical studies in Abidjan, where she completed a thesis on the biology of reproduction. She then moved to France to specialize in this area. At the Pierre and Marie Curie Faculty of Medicine, she specialized in reproductive biology, sterility therapy, molecular cytogenetics, and worked in several hospitals and laboratories. But her return to Côte d’Ivoire has always been an evidence:

“There is no reason that such fundamental practices should not be available in Africa! When I returned to Côte d’Ivoire in 2005, I decided to create a fertility center based on the European model but adapted to African realities.”

A private initiative with high impact

PROCRÉA’s offer is unique in Côte d’Ivoire, where there are very few local private initiatives in the health sector. This is explained by the fact that the vast majority of Ivorian doctors are civil servants. “Few doctors here have what we could call the “entrepreneurial spirit”, compared for example to Anglophone African countries. It is often difficult for us to find the right profiles, and recruitment is one of our main problems. The training component is essential within our team, which now has about fifty people”.

Specialized in reproductive health, PROCRÉA is working on a controversial subject, linked to many taboos in Côte d’Ivoire and the sub-region. “We are talking of delicate, sometimes intimate issues… which can also challenge certain beliefs. For example, it is still not very well understood that infertility can come from men, especially in rural areas. Mentalities are changing, but it takes time. One thing is sure: the needs are real!”

PROCREA expands access to medically assisted reproduction while guaranteeing the same standards as in North Africa or Europe. The patients are mainly from the middle class, and most of them would not have been able to afford to be treated abroad. The clinic is also looking to make this care accessible to the “lower” classes. The current reflection focuses in particular on microfinance, which could be a way to finance, at least partially, the treatment and follow-up provided by PROCREA.

The Clinic PROCRÉA is an interesting example of a private initiative seeking to improve local living conditions and healthcare access. Overcoming certain obstacles linked to the context (taboos, recruitment, financing, etc.), the clinic has become a leader in reproductive, maternal and child health in the past ten years. This success is due to the will of its founder, but also to the relevance of its care offer.