From Access to Inclusion: Advancing Health System Integration for Refugees (FAIR Health)


The intervention aims at supporting Moldova’s transition from fragmented emergency assistance towards more integrated health financing and service delivery for refugees and other vulnerable foreign populations. It combines developing sustainable health financing mechanisms and strengthening the institutional capacity of the public healthcare system with community outreach, for a more resilient and inclusive health system.

Country/region Topic Period Budget
Moldova
Health
Health systems strengthening
Medical services
16.07.2026 - 31.12.2028
CHF  5’600’000
Background Moldova continues to host over 127,000 refugees and more than 10,000 third-country nationals displaced by the war in Ukraine. Despite limited fiscal resources, national authorities have expanded healthcare entitlements for refugees under Temporary Protection. However, refugee health financing remains highly dependent on external support, while health needs are becoming increasingly long-term and complex. The intervention supports the transition from emergency assistance towards sustainable integration of refugee health services into national systems, in line with the 2025–2027 National Programme on the Gradual Integration of Foreigners.
Objectives Refugees from Ukraine and other vulnerable foreigners in Moldova have equitable and sustainable access to quality health services provided through the national public healthcare system.
Target groups

The intervention targets health authorities (MoH, NHIC) and public healthcare providers at all levels, as well as authorities managing migration.

The intervention will benefit refugees from Ukraine, third-country nationals displaced by the war in Ukraine or other countries, asylum seekers, stateless persons, uninsured migrants, and other foreign nationals facing barriers to accessing health services.

Medium-term outcomes
  1. National health authorities strengthen and operationalise sustainable and integrated mechanisms for financing, reimbursement, and governance of health services for refugees and other vulnerable foreigners.
  2. Refugees and other vulnerable foreigners benefit from gender- responsive and inclusive information, support and empowerment, enabling them to access health services equitably.
Results

Expected results:  

  • Enhanced policy and regulatory framework and institutional capacities of the health care system to facilitate access for refugees and vulnerable foreigners.
  • Reimbursement of eligible health services for refugees through NHIC.
  • Development of sustainable health financing mechanisms, incl. forecasting, costing and health financing tools, improved monitoring and reporting systems.
  • Gender-responsive and inclusive outreach and information mechanisms enabling refugees and other vulnerable foreigners to access available health services.
  • Community-based, non-clinical mental health and psychosocial support services accessible to refugees and other vulnerable foreigners.


Results from previous phases:   Previous Swiss-supported refugee health interventions enabled thousands of refugees to access primary, specialized and hospital care, compensated medicines, oncology services, dialysis and mental health support. They also supported the Ministry of Health (MoH) and the National Health Insurance Company (NHIC) in establishing reimbursement, forecasting and monitoring mechanisms for refugee health services, providing the foundation for a more sustainable system-based approach.


Directorate/federal office responsible SDC
Project partners Contract partner
Foreign state institution
United Nations Organization (UNO)
  • Central State of South East
  • International Organisation for Migration
  • World Health Organization
  • National Health Insurance Company; International Organization for Migration; World Health Organization.


Coordination with other projects and actors The project complements the Swiss health portfolio in Moldova, which includes interventions on Universal Health Coverage, improvement of the emergency care and rehabilitation services, and other health system strengthening initiatives. It is coordinated with the MoH, NHIC, UN agencies and other development partners and complements the efforts under the Regional Refugee Response Plan.
Budget Current phase Swiss budget CHF    5’600’000 Swiss disbursement to date CHF    0 Total project since first phase Swiss budget CHF   0 Budget inclusive project partner CHF   5’600’000
Project phases Phase 1 16.07.2026 - 31.12.2028   (Current phase)