Strengthening health systems – Health coverage for all

Children under five and women living in remote regions benefit from better access to medical treatment thanks to Switzerland's efforts in the realm of family medicine. © SDC

Good governance and the efficient management of resources are key factors in a well-functioning health sector. The SDC promotes the strengthening of health care systems in developing and transition countries. Switzerland strives to promote universal health coverage through its activities both to establish social protection mechanisms and to advocate for access to quality health care for the most vulnerable. 

SDC focus

Financing health

The SDC's support for health sector reforms in its partner countries is based on a thorough analysis of the prevailing political, economic and social contexts. Its aim: to guarantee access to quality health services for the poorest.

A combination of research and action enables the SDC to encourage the development of innovative financing and payment mechanisms for health services. Its interventions are always aligned with national policies and priorities, and implemented in direct cooperation with its governmental, non-governmental and private partners in the health sector. This approach seeks to develop a form of social protection capable of preventing the most vulnerable members of society from plunging into poverty as a result of their expenditure on health-related problems. SDC projects focus on the public sector and providing support to public-private partnerships. 

Governance and participation

The SDC promotes efforts to establish better governance in the health sector and supports both governmental and non-governmental actors in this objective as they strive to develop a culture of accountability, wage war on corruption and achieve transparency in the allocation and utilisation of resources.

At the community level, the SDC supports health promotion initiatives which involve marginalised and disadvantaged population groups. All users are encouraged to participate in the management and follow-up of health services as this helps reduce access barriers to care and leads to better health outcomes. This process of social empowerment enables users to know and assert their rights, and allows health care professionals to better respond to the needs of the population by offering quality care.

Determinants of health

The health of individuals and communities depends on a multitude of economic, social, cultural and environmental factors. SDC projects give priority to cooperation and coordination between different sectors (water, agriculture, education, etc.) in order to influence the various factors that constitute "determinants of health". Its activities also aim to encourage behavioural change and ensure that the poorest of the poor can exercise their right to health.

The SDC cooperates with other federal departments and offices such as the Human Security Division (HSD) and the FDFA's Sectoral Foreign Policies Division, the Federal Office of Public Health (FOPH) and the State Secretariat for Economic Affairs (SECO).

Context

Faced with growing populations in the low-income countries and the ageing of the global population, establishing efficient and equitable health systems is a priority. However, health care systems in a large number of countries suffer from a lack of investment and poor management of the available resources, with services relying too heavily on external funding. As a result, infrastructure, technologies and equipment are lacking, and there is an acute shortage of qualified health workers. Furthermore, the absence of social protection mechanisms forces patients to cover a large part of the costs themselves, thereby exacerbating the inequalities in access to care. At the end of the day, the economic consequences of a poor health care system are hindering development in the countries concerned.

In its position on health for the post-2015 agenda, Switzerland aspires to maximise health for all in all life stages. The long-term objective is to achieve universal health coverage and take coordinated action on the social, economic, cultural and environmental determinants of health. After all, the conditions in which people are born, raised and work have an impact on their state of health. Adopting an approach to health that involves other sectors such as water, sanitation, education and food security is therefore absolutely essential to overcoming inequalities.

Documents

Swiss Contributions to Human Resources for Health Development in Low- and Middle-Income Countries
Complete Study
[en] (PDF, Number of pages 102, 934.0 kB, English)

Swiss Contributions to Human Resources for Health Development in Low- and Middle-Income Countries
Summary
[en] (PDF, Number of pages 6, 3.3 MB, English)

Fiche de synthese sur les études
[fr] (PDF, 111.2 kB, French)

Recherche qualitative sur le personnel de santé étranger en Suisse et sur son recrutement
[de] (PDF, 635.5 kB, German)

[fr] (PDF, 652.5 kB, French)

Ausländisches Gesundheitspersonal in der Schweiz
[de] (PDF, 685.5 kB, German)

Building Bridges across Time and Space – Experience and Success of a Telemedicine Pilot Project
Asia Brief - May 2013
[en] (PDF, Number of pages 4, 413.9 kB, English)

WHO Global Strategy and Plan of Action on Public Health, Innovation and Intellectual Property:
the Contribution of Switzerland
[en] (PDF, 1.1 MB)

Un seul monde 1/2013
Disponible seulement en Suisse
No. 1/2013: Afrique du Nord / Honduras / Éthiopie / Somalie / Télémédecine en Mongolie / Programmes culturels Asie centrale / Eau / Partenariat public-privé
[fr] (PDF, Number of pages 36, 6.0 MB, French)

Human Resources for Health Development in Low- and Middle- Income Countries
Health Brief
[en] (PDF, Number of pages 4, 274.3 kB, English)

Health despite poverty: a SDC-Sponsored project changes people's perspective
Central Asia Project Briefing
[en] (PDF, Number of pages 4, 898.0 kB)

Healthcare for remote regions: an SDC project in Kyrgyzstan sets the standard
Central Asia Project Briefing
[en] (PDF, Number of pages 4, 809.4 kB)

Article on family doctors in Bosnia and Herzegovina, published in issue no. 3/2009 of Un seul monde
[de] (PDF, Page 1, 54.7 kB, German)

Lessons learned from evaluations on community participation and civil society involvement in health
EvalBrief – October 2012
[en] (PDF, 291.8 kB, English)

Current projects

Object 1 – 12 of 1100

Improving farm productivity in Georgia through dual vocational education and training

Three people in a greenhouse.

01.09.2018 - 31.08.2022

Agriculture is Georgia's most important sector. However, farming remains uncompetitive as farmers' skills are out of step with the job market and technological developments. Switzerland is continuing to support vocational education and training to improve productivity, farm income and the employment situation for students of agriculture.

Country/region Topic Period Budget
Georgia
Vocational training
Agriculture & food security
Employment & economic development
Vocational training
Agricultural services & market
Rural development
EDUCATION
AGRICULTURE
OTHER MULTISECTOR
Vocational training
Agricultural services
Rural development

01.09.2018 - 31.08.2022


CHF 6'352'000



Mozambique: Less illness thanks to better water supplies and sanitation

A villager in Niassa Province in northern Mozambique works a new handpump. She is surrounded by a group of people.

01.01.2018 - 31.12.2021

Many cases of illness in the poor region of northern Mozambique are caused by the poor condition of water supplies and sanitation.  The SDC is assisting the efforts of the local people and responsible authorities to improve the situation. Aim of the project: Better living conditions for half a million people – and less poverty.

Country/region Topic Period Budget
Mozambique
Health
Health systems strengthening
HEALTH
Health policy and administrative management

01.01.2018 - 31.12.2021


CHF 7'445'000



Capacity building for Serbian municipalities

Around 50 parliamentarians in session at the Serbian parliament.

01.01.2018 - 31.12.2021

Switzerland is supporting the Serbian government’s public administration reform, which aims to make it more effective and accessible to both citizens and the private sector. SwissPRO project is being run in 99 municipalities (two-thirds of Serbia) to improve good governance, social inclusion and gender equality.

Country/region Topic Period Budget
Serbia
Governance
Human rights
Gender
Decentralisation
Human rights (incl. Women's rights)
Women’s equality organisations and institutions
GOVERNMENT AND CIVIL SOCIETY
GOVERNMENT AND CIVIL SOCIETY
GOVERNMENT AND CIVIL SOCIETY
Decentralisation and support to subnational government (incl. accountability)
Human rights
Women's equality organisations and institutions

01.01.2018 - 31.12.2021


CHF 7'000'000



Decentralization and Municipal Support in Kosovo (DEMOS)

Two young people rollerblading on a cycle path..

01.01.2018 - 31.12.2021

Since the declaration of independence in 2008, Kosovo has been engaged in the reform and decentralisation of its public authorities with the aim of strengthening autonomy and local democracy in its 38 municipalities. The SDC's “Decentralisation and Municipal Support” project (DEMOS) aims to help municipalities enhance democratic governance and municipal management and provide better public services, thereby supporting Kosovo in its transition to a democratic and decentralised state.

Country/region Topic Period Budget
Kosovo
Governance
Decentralisation
Democratic participation and civil society
GOVERNMENT AND CIVIL SOCIETY
GOVERNMENT AND CIVIL SOCIETY
Decentralisation and support to subnational government (incl. accountability)
Democratic participation and civil society

01.01.2018 - 31.12.2021


CHF 12'800'000



Bosnia and Herzegovina: Improving nursing care for better health services

A nurse sitting in a treatment room.

01.12.2017 - 30.11.2021

In Bosnia and Herzegovina nurses make up the largest group of healthcare professionals. However, the potential offered by their proximity to local communities is underexploited. They are often responsible for administrative tasks rather than patient care and, with limited career prospects, many nurses are attracted by better working conditions in Western Europe. This is regrettable because nurses and the care they provide can be a gateway to better health services for people living in rural areas and marginalised communities.

Country/region Topic Period Budget
Bosnia and Herzegovina
Health
Education
Health systems strengthening
Primary health care
Education facilities and training
HEALTH
HEALTH
EDUCATION
Health policy and administrative management
Basic health care
Education facilities and training

01.12.2017 - 30.11.2021


CHF 5'125'000



Improved Access to Markets for Female and Male Fresh Fruits and Vegetable (FFV) Small Scale Producers

Improved access to markets for fresh fruits and vegetable (FFV) small scale producers (men and women), occupied Palestinian territory

01.12.2017 - 30.11.2021

With focus on private sector-led agriculture and agribusiness, this program pursues systemic change in the agriculture sector and supports business modalities that favor small scale producers in the occupied Palestinian territory. The overall goal is to contribute to build a resilient economy with equitable agricultural growth, whilst contributing to protect small scale producers’ entitlements to natural resources and access to markets.

Country/region Topic Period Budget
Palestinian Authority
Agriculture & food security
Agricultural development
Agricultural services & market
Agricultural policy
AGRICULTURE
AGRICULTURE
AGRICULTURE
Agricultural development
Agricultural services
Agricultural policy and administrative management

01.12.2017 - 30.11.2021


CHF 3'900'000



Revitalising labour market in Moldova

Two young women checking cables.

01.12.2017 - 31.12.2021

With Moldova facing high unemployment and a slowdown in growth, the SDC is funding a project designed to offer young job seekers alternatives to emigration and to improve the country's economic situation. Switzerland is supporting reforms aimed at training a qualified workforce and improving the investment climate. This will not only promote demand-driven training but also help create new jobs in the private sector.

Country/region Topic Period Budget
Moldova
Vocational training
Vocational training
EDUCATION
Vocational training

01.12.2017 - 31.12.2021


CHF 5'350'000



Reducing youth unemployment in Kosovo with the help of the private sector

Two people on an adventure park ropes course.

16.11.2017 - 15.11.2021

The Promoting Private Sector Employment (PPSE) project is strengthening companies in the food and tourism sectors and spurring job creation in Kosovo.

Country/region Topic Period Budget
Kosovo
Employment & economic development
SME development
INDUSTRY, MINING, CONSTRUCTION
Small and medium-sized enterprises (SME) development

16.11.2017 - 15.11.2021


CHF 7'320'000



A more inclusive job market for women in the South Caucasus

A women reads information

01.11.2017 - 31.07.2021

In the three countries of the South Caucasus (Armenia, Azerbaijan and Georgia), many women face job market discrimination. In the absence of policy to create equal opportunities and jobs for women in the formal economy, women work unprotected in the informal sector. The Women’s Economic Empowerment in the South Caucasus project seeks to promote women's economic empowerment to facilitate their equal access to employment and entrepreneurial opportunities.

Country/region Topic Period Budget
South Caucasus
Gender
Vocational training
Women’s equality organisations and institutions
Vocational training
GOVERNMENT AND CIVIL SOCIETY
EDUCATION
Women's equality organisations and institutions
Vocational training

01.11.2017 - 31.07.2021


CHF 3'400'000



A toolbox for sustainable sefl-reliance

Workers learn how to build stable houses in cyclone-affected Southwestern Haiti.

06.09.2017 - 30.06.2021

Haiti has been repeatedly devastated by earthquakes and hurricanes in recent years. SDC engineers are now working with those affected to build more stable houses from local materials. Five hundred new homes are to be built by 2021.

Country/region Topic Period Budget
Haiti
Climate change and environment
Vocational training
Governance
Disaster risk reduction DRR
Vocational training
Public sector policy
DISASTER PREVENTION AND PREPAREDNESS
EDUCATION
GOVERNMENT AND CIVIL SOCIETY
Disaster prevention and preparedness
Vocational training
Public sector policy and administrative management

06.09.2017 - 30.06.2021


CHF 3'423'500



Support to Municipal Development Project (MDP-3)

Support to municipal development project (MDP-3), occupied Palestinian territory

01.09.2017 - 31.12.2021

Since 2009, the Municipal Development Project (MDP) has been the main vehicle for policy reform in the Local Governance sector in the oPt. It has channelled funding to Municipalities to support infrastructure projects and capacity-building activities in a transparent and equitable manner, despite huge challenges linked to 50 years of Israeli Occupation and to 10 years of intra-Palestinian divide. MDP-3 (2017-2021) is supported by 7 donors and the Palestinian Authority: SDC’s contribution is in line with Swiss Cooperation Strategy for the oPt (2015-2018).

Country/region Topic Period Budget
Palestinian Authority
Governance
Decentralisation
Democratic participation and civil society
GOVERNMENT AND CIVIL SOCIETY
GOVERNMENT AND CIVIL SOCIETY
Decentralisation and support to subnational government (incl. accountability)
Democratic participation and civil society

01.09.2017 - 31.12.2021


CHF 5'300'000



Water and Sanitation for Syrian Refugees and Their Lebanese Hosts

a 1000 litre water tank

15.07.2017 - 15.06.2020

The crisis in Syria has a significant impact in Lebanon. The country is home to over one million Syrian refugees. Basic needs are unmet due to this unprecedented population growth and lack of public facilities. The SDC supports a project of the Lebanese Red Cross on water and sanitation for Syrian refugees and host communities in the Akkar Governorate bordering Syria.

Country/region Period Budget
Lebanon

15.07.2017 - 15.06.2020


CHF 1'100'000


Object 1 – 12 of 1100