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, Number of pages 102, 934.0 kB, English)

Swiss Contributions to Human Resources for Health Development in Low- and Middle-Income Countries, summary (PDF, Number of pages 6, 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, Number of pages 4, 274.3 kB, English)

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


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

Article on family doctors in Bosnia and Herzegovina (PDF, Page 1, 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 121 – 132 of 973

Water and Comprehensive Sanitation Project in Rural Areas (ASIR – SABA), Phase III

01.06.2020 - 31.07.2022

The ASIR-SABA Project aims to contribute to the sustainable management and governance of water and sanitation, as well as public health, as a contribution to the consolidation of peace in rural areas of the country. To achieve its objective, the project promotes dialogue between the different actors of the WASH sector in Colombia. It also aims to strengthen the capacities at the community and institutional level (national, departmental and municipal) for the co-management of water and sanitation in rural areas of the country.

Based on the achievements capitalized by the project in its first and second phases and the challenges and opportunities identified with the different governmental actors of the WASH sector in Colombia, the SDC implements the third and final phase of the ASIR-SABA project.


Programme Redevabilité

01.06.2020 - 31.05.2024

Dans un contexte politico-social de plus en plus tendu, la Suisse mettra à profit sa valeur ajoutée en termes d’engagement sur la durée, de discrétion, de fiabilité et de transparence pour contribuer, lors de la 2ème phase du programme, à renforcer les capacités d’interpellation de la société civile et les efforts des autorités pour lutter contre la corruption et l’impunité, ce qui leur permettra de pouvoir mieux assumer leurs responsabilités dans la délivrance de services publics de qualité à la population. 


Strengthening the Role of Local Communities in Bosnia and Herzegovina

01.05.2020 - 31.03.2024

The Project will enhance community governance in BiH by empowering local communities (MZs) as modern and effective structures for pro-active citizens’ participation. A new functional and organizational set up of MZs in BiH will be created and standardized countrywide. In turn, women and men will benefit from more people-centred local service delivery, better accountability and transparency of municipalities.

 

 

 


Kyrgyzstan Electoral Support Programme (KESP)

01.05.2020 - 31.12.2021

The programme aims at promoting fair, inclusive, transparent and peaceful elections in Kyrgyzstan by building technical capacities and expertise of key institutions responsible for administering elections and by empowering Kyrgyz citizens, including underrepresented groups like women, youth, ethnic minorities and persons with disabilities, to participate and exercise their electoral rights.

 

 

 


Women and Girls First

01.05.2020 - 31.12.2022

SDC up-scales the “Women and Girls First” program of its priority partner UN Population Fund in southern Shan, where no other donor is present. The program strengthens government, civil society and ethnic health providers’ systems to be responsive to the needs of young people related to sexual reproductive health and rights. It improves access to comprehensive gender-based violence, mental health and psychosocial support services, and enhances social cohesion.


UN COVID-19 Response and Recovery Trust Fund (MPTF)

01.05.2020 - 31.12.2022

The MPTF provides the opportunity to alleviate the socio-economic impacts of COVID-19 on the poorest countries. It complements Switzerland’s support to the UN’s humanitarian response beyond the immediate sanitary response. It is an opportunity for a coherent and coordinated UN COVID-19 response. It is an expression of Swiss solidarity to avoid that people fall into poverty and that inequalities between people and countries grow as a result of COVID-19. 


Programme d’Appui au Plaidoyer des Faîtières des Organisations Socio-professionnelles Agricoles (AP/OSP)

01.05.2020 - 30.04.2024

L’agriculture constitue la principale source d’emploi et de revenu au Bénin. Or, les réformes dans le secteur de l’agriculture ne sont pas encore toutes définies de commun accord avec tous les acteurs. La Suisse contribue au renforcement institutionnel et à la gouvernance des faîtières des producteurs et éleveurs afin que ces derniers puissent mieux jouer leurs rôles d’interpellation, de proposition, de participation et de suivi de la mise en œuvre des politiques agricoles.


Programme d’Appui au Secteur du Développement Rural (Wusua Dabu) - PASDeR

01.05.2020 - 30.04.2024

Au Bénin, l’agriculture constitue la principale source d’emploi et de revenu. Des reformes ont été initiées par le gouvernement pour promouvoir les filières agricole et animale. Se basant sur les acquis des phases précédentes, la DDC vise à mettre à l’échelle le programme en élargissant la zone géographique d’intervention sur tout le Nord et d’augmenter le nombre de filières cibles, tout en s’inscrivant dans une approche plus économique et créatrice d’emplois pour les jeunes et les femmes.


Swiss Investment Fund for Emerging Markets (SIFEM) – Least Developed Countries (LDC) Risk Support

10.03.2020 - 31.03.2023

To accelerate Swiss investments into Least Developed Countries (LDCs), this programme will establish a co-operation between SDC and the Swiss Investment Fund for Emerging Markets (SIFEM). The co-operation is built on the provision of first loss guarantees, financed by SDC, for SIFEM investments benefitting local Small and Medium Enterprises in LDCs. This innovative programme will also build capacities in local financial markets and help to mobilize private and public sector funds for fulfilling the Sustainable Development Goals.


Mali : UNICEF — Protection des enfants affectés par les conflits armés

01.03.2020 - 28.02.2023

Les violations graves des droits de l'enfant sont en forte augmentation au Mali. Le recrutement de

filles et de garçons par les groupes armés a doublé en 2019. En contribuant à ce projet de

l'UNICEF, la Suisse intensifie la surveillance et la prévention de ces violations, facilite le retrait de

400 enfants des groupes armés et soutient leur réintégration sociale et éducative durable. La

Suisse contribue ainsi à la cohésion sociale et fait concourir les efforts humanitaires, de

développement et de paix.


Opportunities for Youth Employment (OYE)

01.03.2020 - 31.05.2024

Inspired by aspects of the Swiss Vocational Skills Development model, the Opportunities for Youth Employment project aims to improve the livelihoods of young rural and peri-urban out-of-school women and men. In addition to building youths' skills-set and connecting them with existing markets for gainful selfemployment in agriculture and renewable energy, this project will also contribute to a more youth friendly and effective market system and policy environment Co-funding is provided by the private sector.


FAO Desert Locust Emergency Response in the Horn of Africa Region

20.02.2020 - 19.06.2021

To control the spread of the worst outbreak of desert locusts in decades in the Horn of Africa (Somalia, Ethiopia, Kenya) and safeguard livelihoods of thousands of affected vulnerable households, Switzerland intends to contribute to the regional desert locust crisis appeal by the Food and Agriculture Organization (FAO) of the United Nations. 

Object 121 – 132 of 973