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 25 – 36 of 1013

Festival del Film Locarno 2022-2024

01.01.2022 - 31.12.2024

As part of sustainable development, the promotion of cultural diversity is rooted in the Swiss Constitution. Switzerland’s support for artists from Africa, Latin America, Asia, and Eastern Europe is promoting the diversity of analysis of social issues, thereby ensuring the fundamental values ​​of the democratic system. The partnership between SDC and the Locarno Film Festival supports independent film production through the special section Open Doors. Participants from Latin America gain visibility, network, knowledge and opportunities for filmmaking.


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.


International Fund for Agricultural Development (IFAD) 12 Core contribution 2022 - 2024

01.01.2022 - 31.12.2024

IFAD aims at transforming rural economies and food systems by making them more inclusive, productive, resilient and sustainable. During 2022-2024, IFAD plans lifting 68 million poor rural women and men out of hunger and poverty, en route to doubling its impact by 2030. IFAD is one of the 15 priority multilateral organizations of the Swiss international cooperation and shares its priorities of leaving no one behind; addressing issues of climate change, nutrition, gender and youth; and engaging more with the private sector and promoting innovation.


Fair and ethical recruitment of migrant workers

01.11.2021 - 31.12.2023

Approximately 105 million people are currently working outside their country of origin. Many of these migrant workers have profited from international labour recruitment intermediaries. Millions, however, have become victims of abusive and exploitative practices by unethical recruiters. Working together with different actors, SDC will support initiatives to ensure fair and ethical recruitment. Migrants and their families will be better protected and thereby better enabled to contribute to the development of their countries of origin and destination.


Bangladesh Agricultural and Disaster Insurance Programme

01.11.2021 - 31.12.2028

Farmers will improve their productivity and resilience by gaining access to client-oriented and affordable agricultural insurance products. Insurance-cover will allow farmers to invest in higher-return activities, access credit and to recover faster when affected by weather, diseases and disasters. By building capacity of and facilitating coordination and linkages among key stakeholders, inclusive insurance markets will be developed to eventually cater for several million farmers.


Economic Policy for Inclusive Growth

01.11.2021 - 31.12.2029

The planned intervention aims at supporting inclusive growth that improves the living standards for the Mozambicans, in particular women and youth. It will be pursued through increased analytical capacity and better informed policy making, by means of focussed support to economic analysis and discussion in and between government and non-government institutions. Emphasis on non-government institutions will enhance the demand for and accountability for effective policy making for inclusive growth


Strengthening livestock sector in Arid and Semi-Arid Lands (ASAL) Counties of Kenya

01.10.2021 - 30.04.2024

Around 60% of the population in the arid and semi-arid lands of Northern Eastern Kenya Counties live in abject poverty and are almost entirely dependent on livestock production for their livelihoods in an environment that is characterized by droughts and resource based conflicts. This programme will support these Counties to enhance livestock production by strengthening key factors such as fodder production, animal health, etc. and by strengthening the institutions to more effectively deliver relevant services and reduce conflicts. 


SPARK - Regional Employment Programme in Jordan and Lebanon

01.09.2021 - 31.12.2023

In Lebanon and Jordan, the protracted refugee crisis, structural fragility, political and economic crises, and the impact of the COVID-19 pandemic have led to increased poverty and unemployment, especially among youth and women. Switzerland’s contribution to the SPARK Regional Employment Programme will support both countries to retain and create quality employment opportunities, to prepare local and refugee populations for such opportunities and to facilitate their transition from education to work.


SKYE - Skills Development for Youth Employment

01.09.2021 - 28.02.2023

Over 43% of the potential working population in Nigeria is either unemployed or underemployed and Edo State’s employment rate recently dropped below the national average. Edo also constitutes an important source of irregular migration as well as the epicenter of human trafficking in the country. Through its contribution to the SKYE program, Switzerland aims to improve the range of active labor market measures by building capacities within the institutions delivering job-matching services and professional training.


Agricultural Services and Livelihood Improvement (ASLI)

01.08.2021 - 31.07.2029

Farming households in the Central Highlands of Afghanistan suffer from high levels of poverty and food insecurity. Their agricultural productivity remains low due to insufficient access to inputs and information. The Agricultural Services and Livelihood Improvement (ASLI) project aims to improve the livelihoods of poor rural families by strengthening the public extension system at subnational level to enable targeted, demand-driven agricultural service delivery.



Promoting Social Entrepreneurship in selected countries

01.08.2021 - 28.02.2026

This regional program with national implementation components supports Social Entrepreneurs (SEs) contributing to solving societal and environmental problems with a market-based approach. The contribution identifies and supports selected SEs and helps them to reach out to the poor. It serves the creation of employment and income for low-income households improving their livelihoods. SEs use innovative ideas and business models that are well-aligned with SDC’s objectives of poverty reduction.

Object 25 – 36 of 1013