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 972

Climate and Clean Air in Latin American Cities Plus Programme Phase 2 (CALAC+ 2)

01.08.2021 - 31.07.2025

Phase 2 of the Climate and Clean Air in Latin American Cities Plus Programme (CALAC+) will support the consolidation and implementation of local and national measures to reduce emissions of air pollutants and greenhouse gases (GHG) from urban transport and non-road mobile machinery to protect the climate and human health. CALAC+ will foster normative and technological changes through regional cooperation, building on Swiss expertise, and share the programme’s experience at the global level. 


Women’s Economic Empowerment in the South Caucasus

01.08.2021 - 31.07.2024

In 2017, Switzerland embarked on a multi-donor project which laid a solid foundation for women’s economic empowerment in the South Caucasus, yet, further support is needed to fulfil women’s rights, which remain constrained by structural and cultural barriers. The Swiss-funded contribution will support capacity-building and provide technical assistance at institutions and policy level and, combined with activities at grassroots level, benefit at least 1’850 vulnerable women in Armenia, Azerbaijan and Georgia


Leave No One Behind Project

01.08.2021 - 31.07.2025

Albania is building up its social protection system, with the vision of providing decentralized services. The importance of an effective social protection system has increased by the ongoing pandemic. The project covers part of the social protection system. Its 2nd phase scales up the reform roll-out. This Albania-Switzerland-UN’ effort collaborates with 50% of municipalities and strengthens their capacities to support 160’000 vulnerable people.


Enhanced Skills for Sustainable and Rewarding Employment (ENSSURE) Phase II

16.07.2021 - 15.07.2025

For Nepalese women and men to gain and retain social and economic benefits from lifelong learning, the establishment of a well-functioning federalised Technical and Vocational Education and Training (TVET) system is crucial. In light of its long-standing expertise in TVET and federalism, Switzerland is well placed to support the implementation of a federalised TVET system that responds to the needs of enterprises and increases the prospect of gainful employment for all, especially youths. 


PAAS - Project to Support Sustainable Agriculture in Cuba

15.07.2021 - 15.07.2023

The phase 3 of PAAS proposes the consolidation of a methodology for the application and scaling up of the value chain management model. It includes elements of circular economy, climate-smart agriculture and agro-ecological certification in 11 municipalities and 5 chains (cassava, broiler chicken meat, small livestock, fruit trees and vegetables). The project expects to have an impact on agricultural public policies by incorporating the model into the guidelines of the prioritized national agricultural programs.


Support to the International Women’s Rights Action Watch Asia Pacific (IWRAW AP)

01.07.2021 - 31.12.2024

Gender inequalities persist and are a major barrier for poverty reduction and sustainable inclusive development. SDC supports the International Women’s Rights Action Watch (IWRAW) Asia Pacific, a non-governmental organisation working nationally, regionally, and globally towards the achievement of women's human rights, especially through the UN Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) mechanism.


Partnership for Forestry and Fisheries (PaFF): Support to Forestry and Fisheries Communities in Cambodia

01.07.2021 - 30.06.2023

The final phase of the Partnership for Forestry and Fisheries is implemented by four NonGovernmental Organisations led by the Center for Forests and People - RECOFTC. It will support rural communities in managing their natural resources in four provinces. With SDC`s contribution and inclusive development, the communities’ economic, social and cultural rights will be enhanced through funding opportunities that improve their livelihoods and increase resilience to natural shocks.  


Supporting the Security Sector Reform (SSR) Process in The Gambia

01.07.2021 - 30.06.2024

The Gambia, which is a priority country in regard to Swiss migration interest, initiated a national SSR process in 2017. Based on 3 years of in-depth research and support to this process, in 2021 DCAF launched a new program to enhance the efficiency and effectiveness of the Gambian security sector. Through its contribution, Switzerland aims to improve the quality of services provided to local communities by the immigration department by strengthening its management and accountability.


2021 Population and Housing Census of Nepal

01.07.2021 - 31.12.2022

The goal is to support the Government of Nepal to conduct the 2021 census in line with international standards to obtain high quality data, reflecting Nepal’s social, ethnic, religious and linguistic diversity and which can be used to better respond to the needs of the different population groups. Given its track record and emphasis on federal state building, Switzerland has a key interest that the census is adapted to the federal context and gender equality and social inclusion principles are followed. 


AcËess to Justice project in Tajikistan

01.07.2021 - 31.07.2025

This exit phase of the Access to Justice (A2J) in Tajikistan will solidify the free public legal aid system to vulnerable individuals with respect to their legal claims (e.g. child allowances, spouse support etc.). It will also entirely transmit the aid system to the state budget and to the institutional management by the Ministry of Justice of Tajikistan in order to achieve full financial sustainability of access to Justice for the most vulnerable ones.


Making Markets work for te next generation

01.06.2021 - 31.12.2026

MarketMakers (MM) introduces missing and strengthens underperforming market functions in the IT and Business/Knowledge-Process-Outsourcing (BPO/KPO) sectors in Bosnia and Herzegovina (BiH). MM induces economic growth in private companies and contributes to create new and better jobs. MM further supports youth employment and entrepreneurship by improving conditions for self-employment, business creation and freelancing. This consolidation phase of MM will ensure further scale and sustainability of interventions. 


Sustaining Health Sector Reform in Ukraine

10.05.2021 - 30.04.2025

Health outcomes in Ukraine can only be improved if the healthcare reform is implemented on all levels. Reform efforts need to be reliably accompanied and continuously sustained and supported by development partners through successes as well as set-backs. Through this targeted project, Switzerland will help to optimize the World Bank (WB) and World Health Organization (WHO) reform blueprints to the Ukrainian context and challenges and contribute to a comprehensive system building of the health sector. 

Object 37 – 48 of 972