Phase 1

Services

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PSPH – Private Sector Partnerships for Health

This project aims to contribute to overall health systems strengthening in Somalia. It supports sustainable private sector healthcare financing and service delivery through networks and associations of private providers. Thereby, the project improves access to quality and affordable service delivery, increasing the stability of the country, which is in the interest of Switzerland.

Pays/région	Thème	Période	Budget
Somalie	Santé Développement économique inclusif Renforcement des systèmes de santé Soutien commerciale & inclusion économique	01.01.2019 - 31.10.2025	CHF 4’750’435

Le projet en bref

Contexte	Somalia has a population of approximately 16 million people and a Gross Domestic Product per capita of US $315, making it one of the poorest countries in the world. Very low levels of human development, coupled with long-term political, economic and security challenges, have contributed to an extremely fragile health sector that is characterized by parallel, under-resourced, and fragmented systems and structures. The country has some of the world’s poorest health indicators despite some improvement in recent years. As a result of 25 years of vacuum left by a collapsed State, the private sector is the main provider of essential healthcare services for Somalis. Despite a vibrant private health sector that continues to grow rapidly, there are significant gaps in the areas of regulation, quality control, staffing and human capacity, medicines, equipment, and geographical distribution of services along with widespread concerns from patients and health workers about quality of care. Given the absence of social health insurance and low private insurance coverage, the Somali health sector has primarily been financed through out-of-pocket expenditures by the population and through funding from donors and development partners. There is no budget for a social insurance fund nor for nationwide service delivery. Health insurance is available in Somalia, but it is very new and too expensive for the majority of people.
Objectifs	Providing Somali citizens, including the most disadvantaged groups, with better access to quality and affordable health services.
Groupes cibles	Private sector businesses engaged in the Somali health sector 150,000 Somalis through health financing interventions 500,000 patients visited per month through service delivery network interventions Ministry of Health of Somalia
Effets à moyen terme	Private providers develop, test, and assess pro-poor healthcare financing mechanisms for sustainability and scalability; and Organized private service providers deliver quality and inclusive health services across the country, including areas of difficult access.
Résultats	Principaux résultats attendus: Innovative formal and informal healthcare financing mechanisms that benefit the poor are operating in the market and demonstrate commercial viability, effectiveness, and scalability. Organized private sector healthcare service provider associations and networks are operating in the market and demonstrate commercial viability, effectiveness, and scalability. Principaux résultats antérieurs: PSPH builds on experience of the Swiss funded Piloting Private Healthcare Networks in Somalia programme in 2017. The objective of the pilot was to test the market viability of a private for-profit health provider network (Caafinet) as a means to expand access to quality and affordable healthcare for Somalis. Caafinet’s success demonstrated that the commercial private sector can contribute beneficially to health systems strengthening and reaching universal health coverage. During the opening phase a gender and market health assessment have been elaborated which informed the tender documents. During the planning phase additional studies and the Prodoc was finalised.
Direction/office fédéral responsable	DDC
Crédit	Coopération au développement
Partenaire de projet	Partenaire contractuel Secteur privé Sectreur privé étranger Sud/Est Autres partenaires Main Contract Partner: CARDNO Sub-contractors: STPH and SORDI
Coordination avec d'autres projets et acteurs	World Bank “Damal Caafimad” project, financed through IDA funds (75 Mio USD) and GFF funds (25 Mio USD) PSPH complements other SDC engagements in the health sector, in particular UNFPA, CHASP and in the region Swiss Capacity Building Facility.
Budget	Phase en cours Budget de la Suisse CHF 4’750’435 Budget suisse déjà attribué CHF 4’543’099
Phases du projet	Phase 1 01.01.2019 - 31.10.2025 (Phase en cours)

Détails techniques supplémentaires

Secteur selon catégorisation du Comité d'aide au développement de l'OCDE	SANTE ENTREPRISES ET AUTRES SERVICES
Sous-Secteur selon catégorisation du Comité d'aide au développement de l'OCDE	Politique de la santé et gestion administrative Business support services and institutions
Type d'aide	Mandat sans gestion de fonds
Numéro de projet	7F10062