Kouamé was educated at home, at a school run by nuns, and at Sainte-Marie High School before studying medicine at the University of Abidjan.[1] On 10 January 1981 – in her fifth year of medical school – she joined the Ivorian army and from July to September undertook basic training at the Armed Forces School in Bouaké.[2] Kouamé was one of the first five female officers to join the army.[1]
Kouamé achieved her doctorate in medicine on 23 June 1983 and thereafter attended the officer training academy until July, when she was appointed a lieutenant. In August she qualified as a paratrooper at the army camp in Akouédo, becoming the first woman in the army to achieve this. From 1983 to 1985 Kouamé served as deputy commander of one of the army's medical centres. Whilst holding this position she was promoted to the rank of captain on 1 September 1984.[2]
In 1985, Kouamé was appointed head of the military's gynaecology and obstetrics department and studied for five years to achieve a certificate of competency in gynaecological ultrasound techniques at the University of Abidjan and in Brest, France. She attended a series of training courses in reproductive health and care in HIV/AIDS patients at the National Office for Family and Population in Tunisia in 1991, 1995 and 1998. On 1 July 1992, Kouamé was promoted to the rank of commandant (equivalent to major). She received training in health resources management for developing countries from the Université libre de Bruxelles in 1995. In 1996, she was trained in providing healthcare education and in social communication by the University of Liège and on 1 October was promoted to lieutenant-colonel and appointed coordinator of reproductive health in the armed forces. In this role, Kouamé initiated the appointment of midwives to the army health service.[2] From 1997 to 1998, she was at the Center for Diagnosis and Research on AIDS at Abidjan.[2]
From 1998 to 2000, Kouamé served as head of preventative medicine at the army's health service. From 2004 to 2012, she was head of the army's voluntary HIV screening centre and during this time was, on 1 April 2006, promoted to the rank of colonel, and on 2 August 2010 to senior colonel. On 18 January 2012, she was appointed director of health and social action in the armed forces, the first woman to hold this position. On 6 August 2012, Kouamé was promoted to the rank of brigadier-general by Ivorian President Alassane Ouattara, becoming the first female general officer in the history of the Ivorian army.[2] In late 2012, she served as chair of the Pan-African Congress on Military Medicine.[2]
