Health for All (HAP)

The health sector in Albania is undergoing structural reforms. New models of service that integrate health and social care are approved and being implemented currently in small scale. Under the lead of the Ministry of Health and Social Protection, the project will facilitate the upscale of the new home care service at primary health care. The aim is to transform primary care to the specific needs of the poor and vulnerable population like the elderly, people with disabilities and mental health disorders. 

Land/Region Thema Periode Budget
Stärkung der Gesundheitssysteme
Primäre Gesundheitsversorgung
01.04.2023 - 31.03.2027
CHF  4’050’000
  • The National Primary Health Care (PHC) strategy 2020-2025 calls for the transformation of primary care based on the prevailing burden of diseases, aging of the population, internal/external migration and domestic financial resources available.
  • The health system is highly centralised with a top down approach by the Ministry of Health and Social protection (MoHSP). Key health sector actors operate most of the time ineffectively. The Health Services Operator has not yet been able to strengthen substantially its capacities after 4 years from its establishment. The Agency of Quality Assurance was established in 2021. It’s resources are limited and the challenges ahead for achieving its mission are important.
  • The sector faces an important shortage of doctors, and at a minor degree of nurses. Albania is one of the countries with the lowest ratio of physicians/population in the European region. Given prevailing demographic and migration patterns of health workers, nurses take a higher importance in respect to PHC services delivery.
Ziele The Albanian population benefits from better health thanks to improved and inclusive primary health care. 

Chronic patients in general including the elderly (420’ 000) 

People with disabilities (30’000 homebound with severe disability and mental health disorders in 7 regions) and victims of domestic violence (approximately 26’000 in 7 regions)

General population (over 2 million) and PHC doctors and nurses (3000 health workers) 

MoHSP, health service operator the agency of quality assurance and local CSOs 

Mittelfristige Wirkungen

Outcome 1: MoHSP and its affiliated entities steer and manage more effectively and efficiently primary health care and home care services

Outcome 2: Citizens have access and use effectively primary health care and home care services of better quality  


Erwartete Resultate:  

  • Under the lead of MoHSP, the home care service, clinical protocols and peer groups are up scaled at national level. 
  • Planning and monitoring capacities of health service operator/local health units and the agency of quality assurance are strengthened. 
  • Digital health solutions for PHC on NCDs protocols, and e -learning are developed and implemented 
  • Role and capacities of CSOs is fostered to improve health system governance 

Resultate von früheren Phasen:  

  • Development and piloting in 9 health centers in two regions, of the new model of home care services targeting homebound patients and elderly. 300 patients with disability and about 2400 home consultations were provided since May 2021. MoHSP approved the home care model and decided for its upscaling first to selected regions and later at the national scale. 
  • Elaboration of 10 new profiles of nurses and other professionals operating in PHC, including the new positions of social worker and physiotherapist, that allow MoHSP to elaborate and implement integrated models of health and social care in PHC.
  • Elaboration and implementation of protocols for treatment of 5 most common Non Communicable Diseases (NCDs) at PHC. The protocols are formally approved by MoHSP and have started to be implemented by MoHSP in 7 out of 12 regions of Albania. 40’000 patients already benefitting. 
  • Under the lead of the health services operator and facilitated by the project, peer groups in PHC, as a continuing education and knowledge management tool are implemented in 10 regions out of 12. 
  •  Jointly with the Agency of Quality Assurance, a comprehensive set of documents for accreditation of PHC centers has been developed and used.

Verantwortliche Direktion/Bundesamt DEZA
Projektpartner Vertragspartner
Ausländische staatliche Institution
Schweizerische Hochschul- und Forschungsinstitution
  • Central State of South East
  • Ausländischer Privatsektor Süden/Osten
  • Swiss Tropical and Public Health Institute
  • Swiss Tropical and Public Health Institute (mandate)

Koordination mit anderen Projekten und Akteuren Synergies with WHO will be ensured on implementation of PHC service reform. Coordination with the new SDC project on health emergency will be ensured. 
Budget Laufende Phase Schweizer Beitrag CHF    4’050’000 Bereits ausgegebenes Schweizer Budget CHF    1’000’000
Projektphasen Phase 3 01.04.2023 - 31.03.2027   (Laufende Phase) Phase 2 01.04.2019 - 31.03.2024   (Completed) Phase 1 15.10.2013 - 31.03.2024   (Completed)