Between the time of its independence and 1979, Cote d'Ivoire had the best economic performance in West Africa. However, rising prices of cacao and coffee between 1977-79 created a euphoria that led to expansionist politics, inducing major problems in the country. Falling prices forced the government to borrow more and more, triggering a long period of economic and financial crisis, where adjustment loans from the World Bank did not improve the situation. Between 1979-93, per capita income was reduced by half, people became poorer, and the social services worsened. Cote d'Ivoire devaluated its currency in 1994. A new and large loan from the World Bank contributed much to the restructuring of the country's economic situation; however, improvements in the social sector lag behind. This review focuses on evaluating the relevance, effectiveness and efficiency of the World Bank's program in Cote d'Ivoire. It evaluates how appropriate the projects' objectives are, studies the means used to reach these objectives, and compares cost with results. By being selective on the issues examined, this review aims is to facilitate and influence decision making.