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 37 – 48 of 932

Economic Policy for Inclusive Growth

01.03.2021 - 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


SYP Safeguard Young People in Eastern African countries

01.03.2021 - 28.02.2024

The SYP program contributes to improve sexual and reproductive health and rights (SRHR) of young people, thus  reducing gender based health inequities. It supports the adoption, domestication and implementation of policies, and strengthens young people’s competencies on and access to SRHR services. The expansion to Tanzania and Rwanda leverages on the  experience in Southern Africa financed by SDC, the United Nations Population Fund (UNFPA)’s thematic expertise and convening power.


Joint Peace Fund

01.01.2021 - 31.12.2027

After 60 years of conflict, the government and 8 Ethnic Armed Groups have signed a National Ceasefire Agreement (NCA) in October 2015, opening up a unique opportunity to find lasting peace. The Joint Peace Fund is a multi-donor fund set up to channel coordinated international support for such efforts, including the implementation of the NCA and following political dialogue of the peace process, a requirement for development especially in border areas.


Skills for Local Economic Development SLED

01.01.2021 - 31.12.2030

Switzerland will explore opportunities for supporting local economic development through vocational skills development in predominantly rural areas in Southern Shan. A focus on market-oriented skills opportunities accessible to young women and men, especially from vulnerable groups will be identified that open life-long learning opportunities to improve livelihood options and support peace building and security in conflict-affected areas.


Pathfinders for Peaceful, Just and Inclusive Societies (Sustainable Develoment Goal 16+)

01.01.2021 - 31.12.2030

The promotion of peaceful, just and inclusive societies (SDG16) is integral to the success of the Agenda 2030 for Sustainable Development. In order to accelerate its implementation, a group of UN Member States are coming together to leveraging intersections within the Agenda (16+) and to accelerate national and international implementation, while building a movement of the willing around three grand challenges. Switzerland is a co-convener, a member and a donor to this initiative.


PFNL Crédit d'ouverture Phase 1

01.01.2021 - 28.02.2026

Au Tchad, les PFNL constituent une importante source d’alimentation pour la population rurale (tamarinier, jujubier). Le projet facilite : (i) la valorisation de certains PFNL pour améliorer la sécurité alimentaire et nutritionnelle, (ii) l’accès à des marchés porteurs et rémunérateurs à travers le renforcement des petites et moyennes entreprises et, (iii) l’amélioration des conditions cadres socio-économiques visant la création d’emploi et de revenu pour les plus pauvres (gomme arabique).


Promotion de l‘emploi et de revenus non agricoles dans la région des Grands Lacs grâce à la production de matériaux de construction respectueux du climat (PROECCO)

01.01.2021 - 31.12.2024

La forte demande en matériel de construction due à l’urbanisation rapide dans la région des Grands Lacs prédispose ce secteur à la création d’emploi et à offrir une perspective économique au grand nombre de jeunes dans la région. L’introduction par le projet PROECCO de briques améliorées, abordables et neutres en CO2 répondant aux normes de résistance et de durabilité a créé une forte demande. Pour la troisième phase, il s’agit d’appuyer le secteur privé à augmenter la production pour satisfaire la demande et d’atteindre les effets escomptés en emplois et en réduction des émissions de CO2


Organisation Mondiale contre la Torture (OMCT)

01.01.2021 - 31.12.2025

L’intervention a pour objectifs de renforcer la responsabilisation des acteurs publics pour les violations des droits humains et de contribuer à la réforme de l’environnement institutionnel pour prévenir la torture et réduire l’impunité en Tunisie. Elle offre une assistance directe aux victimes et promeut une meilleure conduite professionnelle des forces sécuritaires et carcérales. L’OMCT travaille aussi en lien étroit avec la société civile pour mener des plaidoyers communs contre la torture et l’impunité des responsables.


Programme d’Appui aux Filières Agropastorales de Sikasso - PAFA 2

01.01.2021 - 31.12.2024

En partenariat avec le Luxembourg, la Suisse soutient les exploitations familiales, le secteur privé et les collectivités, chacun dans leur rôle, dans le développement des filières pomme de terre et lait dans le Sud du Mali, générant ainsi des opportunités d’emplois et de revenus durables, en particulier pour les femmes et les jeunes. Le programme soutient ainsi le développement économique et la stabilité politique d’une zone peu touchée par le conflit, mais où ses précurseurs sont présents.


Skateistan

15.12.2020 - 31.12.2024

The Skateistan programme offers quality educational, sport and recreational opportunities to Afghan children and youth from low-income families, street working children, and children with disabilities. The programme facilitates the reintegration of out-of-school children into the formal public school system. Switzerland supports the Skateistan programme to contribute to create equitable, safe, and conducive learning opportunities especially for girls and marginalized children. 


Redevabilité, sécurité et prévention de l’extrémisme violent pour les citoyennes et citoyens tunisiens RESPECT

01.12.2020 - 30.11.2026

L’intervention renforce la gouvernance du secteur de sécurité tunisien et les capacités institutionnelles de prévention de l’extrémisme violent. Elle contribue ainsi à une meilleure protection des citoyennes et des citoyens tunisiens à travers une assistance vers une gestion de la sécurité redevable et efficace, et à travers un soutien à la définition et à la mise en œuvre de politiques publiques limitant le phénomène de l’extrémisme violent.

 


Strengthening the Anti-Corruption Committee of Armenia

01.12.2020 - 30.11.2022

In partnership with the OSCE, Switzerland supports the Armenian Government in establishing a new Anti-Corruption Committee (ACC). This specialized body will be key in investigating and combatting corruption crimes. Through capacity-building activities and policy support, the ACC will be in a position to contribute to curb corruption, strengthen the Anti-Corruption system and the rule-of-law in the context of the Government’s Anti-Corruption Strategy 2019.

Object 37 – 48 of 932