Switzerland works in the Republic of Moldova to increase the capacities and  quality of public services and to ensure equitable access, particularly for the rural population and disadvantaged groups. Core themes are health and water, but Switzerland is also active in the domain of migration.

Map of Moldova

Since declaring independence in 1991, the Republic of Moldova has been undergoing a process of transition towards democracy and a free market economy. That process is being hampered, however, by the blocking of reforms, the conflict over the secession of Transnistria, and political turmoil. Since the accession of Romania to the EU in 2007, the Republic of Moldova, Europe’s poorest country, has shared a border with the EU.

Switzerland works in the Republic of Moldova to support the transition process, helping to increase the capacities and improve the quality of public services and to ensure that, in particular, the rural population and disadvantaged groups receive equitable access to those services. The primary focus is on the thematically related domains of health and water. Thanks to many years of effective efforts in the country, Switzerland has succeeded in establishing a solid basis of trust in its relations with all of its partners, including both the general population and the public authorities of the Republic of Moldova.


Health system reforms

A decline in the general state of health of the country’s population during the transition period that followed independence is reflected in all of the current health indicators. Thus, for example, Moldova today has the lowest life expectancy at birth in all of Europe.

Switzerland provides support for health system reforms at the local, regional and national levels. The main focus of this assistance is on promoting health and preventing non-communicable diseases (cardio-vascular and acute respiratory disorders, cancer, diabetes). Switzerland is also supporting reforms in mental health care within community health services. Important advocacy work is also being done to ensure that the reforms and health policies are coherent and inclusive. 



Drinking water supply and sanitary facilities

Approximately one half of the population in Moldova is connected to the drinking water supply system; only some 5% of the rural population have access to the public sewage system. For this reason, Switzerland is constructing sustainable, affordable and easily replicable drinking water and sanitary facilities that can serve as models. The local authorities and population are assigned an important role in the management of these facilities, so that they can gradually assume full responsibility for them. At the national level, Switzerland is working to promote facilitating legislation, knowledge and technology transfer, and vocational education and training in the water sector.

Within the framework of the Swiss Water and Sanitation Project in Moldova (ApaSan), Switzerland has successfully introduced decentralised water-supply models that are managed by local consumer groups (Water Consumer Associations, WCA), specially created for that purpose. A further outcome of this project was the introduction of ‘ecosan’ dry toilets, which were installed with great success in schools and have since come into use in private households as well.


Migration and development

Using synergies in the health and water domains

Switzerland identifies and develops innovative initiatives in the field of migration, which are designed to mitigate negative impacts and promote positive outcomes. It supports the National Development Strategy ‘Moldova 2020’ and makes strong use of synergies that arise out of the work in its core intervention domains of health and water. In the health domain, this includes such things as providing psychological and social assistance for young people and the elderly whose family members have found work abroad. In the water domain, opportunities are being sought to exploit the potential of Moldavan migrants for the development of their home villages.

Approach and partners

Switzerland’s development cooperation activities are closely coordinated with the local authorities, other donor countries and international organisations such as the UN and the EU. As a leading donor country in the water sector, the SDC maintains a strategic partnership with the Austrian Development Agency (ADA). All programmes incorporate the principles of good governance and gender equality.

Switzerland’s main partners in the Republic of Moldova are:

  • Swiss NGOs; Helvetas-Swiss Intercooperation, Swisscontact, Swiss Tropical and Public Health Institute, Terre des Hommes, Save the Children
  • National partners: Ministries, city and community authorities, social and professional organisations, private sector and local NGOs
  • Bilateral and multilateral partners: Germany (Kreditanstalt für Wiederaufbau, KfW; Gesellschaft für Internationale Zusammenarbeit, GIZ), Austria (Austrian Development Agency, ADA), Sweden, Council of Europe, World Bank Group, World Health Organization (WHO), UN Development Programme (UNDP), European Union (EU), United Nations Children’s Emergency Fund (UNICEF ), European Bank for Reconstruction and Development (EBRD)


Current projects

Object 1 – 12 of 19

Planned project

Progressing towards Universal Health Coverage in Moldova

01.11.2018 - 31.10.2026

The project supports the Government of Moldova to reach the entire Moldovan population with essential health services, to extend health insurance to everyone and to reduce the fees for services that the population pays out-of-pocket , and thus to ensure universal health coverage. This will be achieved by rationalising the service provision, strengthening the capacity and the sustainability of the health insurance, and introducing more effective accountability mechanisms in the health sector.

Contribution to the Project on Cervical Cancer Prevention in Moldova

01.07.2017 - 30.06.2020

In Moldova, the cervical cancer incidence and mortality of women continues to be high due to very high proportion of late stage diagnoses. An integrated approach to cervical cancer prevention and control combining vaccination and regular cervical screening has the potential to reduce cervical cancer deaths by at least 80%. The project aims at reducing incidence and mortality due to cervical cancer through better access to and use of cost-effective and quality services within organized cervical cancer prevention program.

Schweizerisches Rotes Kreuz (SRK) / Swiss Red Cross (SRC) (Kredit Ost)

01.01.2017 - 31.12.2018

The SRC’s overall goal is to contribute to healthy and safe living for vulnerable groups and communities. Since access to quality health care services remains a key factor for good health, the SRC promotes both supply and demand side of local health systems. As healthy living also depends on the environment, SRC focuses on health determinants such as water, sanitation, nutrition and health literacy. Adressing risks and disasters, SRC programmes encompass disaster risk reduction measures and foster community resilience.

Brot für alle / Pain pour le prochain (Kredit Ost)

01.01.2017 - 31.12.2018

En tant qu’organisation de développement des églises protestantes suisses, Pain pour le Prochain a le mandat d’informer et de former, de s’engager dans la politique de développement et d’assurer la qualité. Pain pour le Prochain et les onze œuvres partenaires forment une communauté de coopération (KoGe)[1] qui est un réseau d’apprentissage avec des objectifs spécifiques. Ce réseau permet notamment de joindre le travail de politique de développement en Suisse et le travail au Sud. Son objectif commun est de contribuer à une transformation du système et des comportements économiques, sociaux, politiques et écologiques.


[1] Les œuvres sont les suivantes : Pain pour le prochain, cfd (Christlicher Friedensdienst), Mission 21, International Blue cross, Connexio, DM-échange et mission, Heilsarmee, Horyzon, MEB-handicap visuel, SME (service de missions et d’entraide) , Tear Fund Schweiz, HEKS 

Helvetas Swiss Intercooperation (Kredit Ost)

01.01.2017 - 31.12.2018

Helvetas s’engage avec ses partenaires pour un développement librement déterminé de personnes et de communautés défavorisées dans les pays en développement et apporte une aide à s’aider par soi-même. Helvetas favorise l’accès équitable aux ressources vitales et la protection des droits sociaux, économiques, politiques, environnementaux et culturels.

Caritas Schweiz (Kredit Ost)

01.01.2017 - 31.12.2018

La stratégie de coopération internationale 2020 de Caritas s’intitule « End Poverty ». Pour y contribuer Caritas Suisse s’engage en faveur de la justice sociale et de la dignité humaine dans 40 pays avec 250 projets. Le programme de Caritas considère trois aspects dans son programme qui permettent la durabilité du développement humain: couvrir les besoins de base, promouvoir la résilience et créer des opportunités d’égalité en améliorant l’équité. Dans sa conception, Caritas considère la coopération au développement et l’aide humanitaire comme intégrées dans une seule démarche.

Solidar Suisse (Kredit Ost)

01.01.2017 - 31.12.2018

Solidar Suisse oriente son programme de développement sur les besoins et les droits des personnes vulnérables et défavorisées dans les pays les plus pauvres et dans les pays émergents et en transition où les inégalités sont profondes. Solidar Suisse développe des programmes qui renforcent les mouvements sociaux et promeuvent l’intégration active de la société civile dans les processus politiques. Le « travail décent » est devenu l’élément phare de Solidar Suisse qui a développé une véritable expertise dans cette thématique.

Contribution to Confidence Building Measures Program in Transnistria – Promoting Confidence in the Health Sector

01.03.2016 - 31.07.2019

Population living in Transnistria has limited access to quality maternal and child health care. The vaccination coverage rate is declining and the number of premature and underweight newborns is increasing. The project aims to approximate maternal and child health care in Transnistria to international standards, as well as to improve the access to and quality of maternal and child health services at secondary and primary level. A special focus is put on nutrition and immunization. The project offers good opportunities for building trust across borders through common trainings of professionals and concerted efforts on immunization.

Promoting lnclusiveness through Civil Society Advocacy in Moldova

01.12.2015 - 30.06.2021

The poor, the elderly, people with disabilities, sexual minorities, women, and Roma are among the most disadvantaged groups of Moldovan society. They face discrimination and violence, limited access to health services, education, and economic opportunities, and a bw representation in politics and decision-making. The project aims at strengthening clvii society groups, enabling them to play a critical role in promoting and safeguarding the rights and interests of the vulnerabie and exciuded.

Support to Strengthening Governance and Policy Dialogue in Health Sector in Moldova

01.12.2015 - 31.05.2019

Moldova's health sector reform agenda is ambitious and needs strong steering by the Ministry of Health and adequate capacities of key national health institutions. This project supports the production and use of evidence, the revision of policy documents and institutional capacity building, thus contributing to setting a favourable environment for health reforms and strong synergies with the policy components of all SDC health projects.

Water and Sanitation in Moldova

01.06.2015 - 31.05.2019

In Moldova, a majority of people living in rural areas lack access to safe drinking water and sanitation. To improve this situation, the project will establish decentralised water supply Systems and environmental sanitation facilities. The experience is then anchored in sector institutions by fostering their capacity, streamlining internal procedures, and handing over the lead in the implementation. In total, 60'000 people will have access to sustainable an improved water and 26'000 people to ecological toilets.

Reducing the Burden of Non-Communicable Diseases in Moldova

01.01.2015 - 30.06.2020

In Moldova, a quarter of the population dies of a Non-Communicable Disease (NCD), such as cardio-vascular disease, before reaching the age of 70. The quality of life of people affected by NCDs is very low, as the health system lacks the capacities to tackle NCDs effectively. The project strengthens primary healthcare service providers’ capacities to better organize care together with social services. Better health will be promoted through engaging communities and local authorities in common actions for NCD prevention and promotion of healthy behaviors.

Object 1 – 12 of 19