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 61 – 72 of 1056

Supporting Civil Society Organizations in Nicaragua

01.01.2024 - 31.12.2024

SDC and other like-minded donors are engaged in enhancing the democratic and public policy processes in Nicaragua. A strong civil society is essential to the quality and sustainability of this effort. The proposed program will promote citizen participation, strengthen capacities of Civil Society Organizations and foster informed policy dialogue. 


Intégration de la santé mentale dans les soins de santé primaire au Burundi

01.01.2024 - 31.12.2031

L’intégration de la santé mentale dans les services de santé primaire du Burundi vise à renforcer le système de prise en charge des personnes atteintes de maladies mentales post traumatiques. La Suisse est un partenaire important du Burundi qui a un intérêt à contribuer à mettre fin au cycle de violences qui trouvent leur origine en partie dans des traumatismes vécus mais non traités. Le programme appuie les institutions nationales concernées, le système de formation spécialisée et vise l’amélioration du cadre législatif en santé mentale.


Participation des femmes dans le processus de paix, de sécurité et de relèvement au Mali

31.12.2023 - 31.03.2031

La Suisse s’engage au Mali pour une participation plus significative des femmes dans le processus de paix. Par l’intermédiaire de ONU-Femmes, les soutiens directs à des initiatives de la société civile malienne seront complétés par la réalisation du Plan d’Action National pour la mise en œuvre de la Résolution 1325 de l’ONU, concernant la participation de femmes dans les processus de paix et les garanties de sécurité. Le programme contribue ainsi à la stabilisation de la sous-région


Strengthening regional cooperation on migration in the Western Balkans

01.11.2023 - 31.12.2027

In light of diversifying migration patterns and challenges with increasing regional dimensions, the migration policy priorities of Western Balkan governments are changing and the relevance of regional dialogue, coordination and cooperation is growing. This proposal seeks to promote coherent and effective regional governance of migration in all its multifaceted dimensions contributing to greater social cohesion and regional integration in the Western Balkans.


Financement des fonds agricoles nationaux du Bénin (FinAgri)

01.12.2022 - 30.11.2030

Au Bénin, il n’existe pas de dispositif national pour le financement du secteur agricole (agriculteurs, éleveurs, artisans et entreprises agricoles). Par la présente initiative, la DDC veut soutenir l’Etat béninois et le secteur privé dans la mise en place des dispositifs communs et pérennes de financement du secteur. Le but est de renforcer la productivité, la compétitivité des productions agricoles et la résilience des systèmes de productions aux effets des variations climatiques.


Ashshash: for men and women who have escaped trafficking

01.10.2022 - 28.02.2029

20,000 people (of whom 70% women) who have experienced trafficking will be economically and socially rehabilitated. Public and private institutions will provide employment or in-kind support for entrepreneurship to men and women who have escaped trafficking. The Government will better address the prevention of trafficking, protection of victims, prosecution of traffickers in the revision and enacting of policies, and create partnerships, for bringing about systemic changes.


Soutien au Dispositif National de Sécurité Alimentaire -PRESA-

01.07.2022 - 31.12.2025

Malgré l’excédent céréalier enregistré durant ces deux dernières décennies, l’insécurité alimentaire touche près du ¼ de la population du Mali. La DDC veut renforcer les capacités institutionnelles et organisationnelles du dispositif national de sécurité alimentaire en vue d’améliorer la prévention et la gestion des crises conjoncturelles et accroître la résilience des populations vulnérables à l’insécurité alimentaire et nutritionnelle.


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.


Programme d’appui à la commercialisation du bétail en Afrique de l’Ouest

01.01.2022 - 31.12.2024

Dans la région ouest africaine, le secteur de l’élevage est une grande opportunité d’intégration économique et de création de richesses pour les populations et les pays. En complément au soutien au secteur dans les pays prioritaires, ce programme vise le renforcement de la chaine de valeur régionale des produits animaux au profit des éleveurs. L’accent est mis sur le renforcement du secteur privé et l’amélioration des politiques et pratiques régionales d’échanges en  produits animaux.


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.


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.


Object 61 – 72 of 1056