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 (PDF, 102 Pages, 934.0 kB, English)

Swiss Contributions to Human Resources for Health Development in Low- and Middle-Income Countries, summary (PDF, 6 Pages, 3.3 MB, English)

Qualitative research on foreign health personnel in Switzerland and their recruitment (PDF, 635.5 kB, German)

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

Human Resources for Health Development in Low- and Middle- Income Countries Health Brief (PDF, 4 Pages, 274.3 kB, English)

Health despite poverty: a SDC-Sponsored project changes people's perspective Central Asia Project Briefing (PDF, 4 Pages, 898.0 kB)


Healthcare for remote regions: an SDC project in Kyrgyzstan sets the standard Central Asia Project Briefing (PDF, 4 Pages, 809.4 kB)

Article on family doctors in Bosnia and Herzegovina (PDF, 1 Page, 54.7 kB, German)


Lessons learned from evaluations on community participation and civil society involvement in health (PDF, 291.8 kB, English)

Current projects

Object 37 – 48 of 1025

FfD Financing for Development 2022-2024

01.02.2022 - 31.12.2024

The United Nations (UN) estimate the financing gap for the Sustainable Development Goals (SDGs) at $2.5 trillion per year with an additional shortfall for 2020 of $1.7 trillion due to Covid-19. Financing for Development (FfD) is therefore a core issue for the UN. This credit proposal contributes to make the intergovernmental process of FfD more evidence-based, inclusive and participatory, with a focus on Switzerland’s priority themes: private sector engagement and multi-stakeholder partnerships.


Building Regional and National capacities for improved Migration Governance in the IGAD Region

01.01.2022 - 31.08.2027

The Horn of Africa is of high interest for Switzerland in terms of migration policy. Swiss support to the Intergovernmental Authority on Development (IGAD) and its Member States will contribute to improve their migration governance capacities so as to enable the organisation to effectively implement regional, continental and global regulatory standards for the protection of refugees and vulnerable migrants in the region.


Sustainable Natural Resources Management (NRM) for Enhanced Pastoralist Food Security in the Borana Zone, Ethiopia.

01.01.2022 - 31.12.2027

Natural resources, particularly water and pasture, are among the key determinants of pastoralist livelihoods’ sustainability. The proposed Project contributes to the outcomes of the SDC’s Food Security Domain as stipulated in the Swiss Cooperation Strategy Horn of Africa. It aims at improving pastoralist food security and adaptive capacities in the lowlands of Borana Zone, Southern Ethiopia, through enhancing the sustainable management of natural resources.


Festival del Film Locarno 2022-2024

01.01.2022 - 31.12.2024

As part of sustainable development, the promotion of cultural diversity is rooted in the Swiss Constitution. Switzerland’s support for artists from Africa, Latin America, Asia, and Eastern Europe is promoting the diversity of analysis of social issues, thereby ensuring the fundamental values ​​of the democratic system. The partnership between SDC and the Locarno Film Festival supports independent film production through the special section Open Doors. Participants from Latin America gain visibility, network, knowledge and opportunities for filmmaking.


Promoting physical activity and healthy diet through regulatory measures (ProPDR)

01.01.2022 - 31.12.2023

Non-communicable diseases constitute one of the major global health challenges today. Unhealthy diet and physical inactivity are the main causes of obesity and related morbidities. The adaptation of national regulatory and legislative frameworks is critical for the prevention and control of Non-communicable diseases. This initiative strives to strengthen capacity and expertise of low- and middle income countries to implement legal and regulatory measures.


International Fund for Agricultural Development (IFAD) 12 Core contribution 2022 - 2024

01.01.2022 - 31.12.2024

IFAD aims at transforming rural economies and food systems by making them more inclusive, productive, resilient and sustainable. During 2022-2024, IFAD plans lifting 68 million poor rural women and men out of hunger and poverty, en route to doubling its impact by 2030. IFAD is one of the 15 priority multilateral organizations of the Swiss international cooperation and shares its priorities of leaving no one behind; addressing issues of climate change, nutrition, gender and youth; and engaging more with the private sector and promoting innovation.


Rural Markets

01.01.2022 - 30.09.2023

The political and health crisis in recent years has affected the economic activity of the Family Production Units (UPFs, in Spanish), which is why their resilience needs to be strengthened. The market development approach, applied in phases I and II of the project, has proven its potential to solve major bottlenecks.  In the last phase, the proposal is to consolidate and scale up the achievements in the market systems, as well as of the public and private services supporting them, focusing on knowledge management and sustainability mechanisms.


Support to Safe Spaces for Women, Youth and Children in Gaza Strip

01.01.2022 - 31.12.2024

Switzerland promotes social cohesion and civic peace through creating safe spaces for women, youth, and persons with disabilities in the Gaza Strip. By fostering local capacities and promoting community-led initiatives Safe Spaces strengthens the resilience of vulnerable groups. This second phase puts a stronger accent on skills and economic empowerment for youth in line with the Cooperation Programme 2021-24. By advocating for inclusive societies it contributes to mitigate the spread of extremism and radicalization.


OHCHR - Promotion and Protection of Human Rights in the oPt

01.01.2022 - 31.12.2024

This support to the UN High Commissioner for Human Rights (OHCHR) in the oPt aims to contribute to promoting and protecting human rights in the oPt and enhancing prospects for Palestinians to live in dignity, prosperity and peace with the State of Israel. 


Gulf of Mottama Project

01.01.2022 - 31.12.2024

The unique mudflat ecosystem of the Gulf of Mottama is one of the most important mudflat ecosystems in the world. Communities relying on it as a source of livelihood and the impact of climate change threaten its biological integrity. Building on Switzerland’s specific expertise in Southeast Myanmar, the project aims to conserve the wetland’s unique biodiversity, strengthen climate change adaptation and provide vulnerable communities with sustainable livelihoods and markets.


GVCD - Gaza Vulnerable Communities Development Programme

01.01.2022 - 31.12.2024

Through the Gaza Vulnerable Communities Development Programme, Switzerland contributes to covering basic needs and fostering social cohesion in the Gaza Strip. The successful intervention model applied in the 1st Phase is extended and scaled up under this 2nd Phase. Small infrastructure projects addressing basic needs of vulnerable communities serve as an entry point for a local dialogue on development priorities, enabled through building the capacities of both duty bearers and right holders, including youth and women.


Soutien aux acteurs suisses de la coopération internationale en éducation (NORRAG et RECI)

01.01.2022 - 31.12.2025

L’éducation joue un rôle clé pour les objectifs de l’Agenda 2030. La contribution aux deux institutions Suisses, le Réseau sur les politiques et la coopération internationale en éducation et en formation (NORRAG), institut spécialisé en recherche appliquée en éducation, et le Réseau suisse éducation et coopération internationale (RECI), réseau de la société civile engagé en éducation dans la coopération internationale, vise à renforcer leurs interventions dans les pays en développement et le positionnement suisse en éducation à l’international.  

Object 37 – 48 of 1025