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Côte D’Ivoire remains a vital case in the fight against AIDS proliferation due to its status as one of the most centralized and influential state in West Africa. This paper analyzes the unique case that Côte D’Ivoire presents socially, economically and politically and how an effective and comprehensive prevention program must incorporate these three dimensions. Particular attention is given to the impact of recent cultural shifts in understanding HIV/AIDS, the Migrant Labor Thesis, the costs of the disease, and the role of war. Finally, through integrating these unique dimensions with the problems reported by existing AIDS prevention programs, several solutions are proposed for further prevention and treatment efforts in the country and region.