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, 102 Pages, 934.0 kB, English)

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

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


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

Article on family doctors in Bosnia and Herzegovina (PDF, 1 Page, 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 61 – 72 of 1024

Contribution to UN Trust Fund to End Violence against Women 2021-2025.

01.12.2021 - 31.07.2026

The purpose of this proposal is to renew Switzerland’s support to the UN Trust Fund to End Violence Against Women (UNTF). The UNTF is the only UN system-wide fund and global multilateral grant-making mechanism devoted to local and national efforts to end violence against women and girls (EVAW/G), including in fragile and conflict affected contexts. Promoting gender equality through combatting all forms of gender based violence is a key strategic objective of Switzerland’s International Cooperation Strategy. The UNTF has the added value of combining systemic engagement (e.g. through global advocacy and legal reform) and outreach to the most at-risk women and girls. 


International Recruitment Integrity System (IRIS)

01.12.2021 - 30.11.2024

When recruitment is fair and ethical, it benefits migrant workers, employers, as well as governments in countries of origin and destination. Switzerland partners with the International Organization for Migration (IOM) on the consolidation of the International Recruitment Integrity System (IRIS), a global initiative to promote ethical international recruitments that engages different actors. Engaging with the private sector will be at the center of this phase. 


RBCM - Solidar Suisse Resilience Building in Central Mozambique

01.12.2021 - 31.03.2023

After having provided emergency relief and recovery support (response to Idai 2019, Chalane 2020, Eloise 2021), Solidar Suisse is assisting climate change and conflict related displaced persons and host communities in Central Mozambique with durable solutions mainly in the sectors of water, sanitation and hygiene (WASH), housing, and agricultural production, thus increasing resilience and enabling the beneficiaries to resume a normal life.


IIMM - Myanmar – Contribution to the Trust Fund for the Independent Investigative Mechanism for Myanmar

01.12.2021 - 31.12.2023

By contributing to the Trust Fund of the IIMM, Switzerland will actively support the collection of evidence on international law abuses and crimes in Myanmar, for increased accountability and with the aim of deterring future international crimes. The support of the Mechanism complements Switzerland’s Country Program by strengthening accountability for human rights.


PYE - Participation and Equity Platform

01.12.2021 - 30.06.2024

PYE, phase 3, aims to consolidate in a platform the efforts of 15 Cuban civil society actors, including the 6 partners part of the Gender Equity Program (PEGIN), for the promotion of laws and public policies to improve human rights in Cuba, in the areas of gender, race, poverty and social inclusion to promote legislative, social and public policy changes, with the promotion of activism and leadership of local actors.


Contribution to the Multi-Donor Trust Fund of the Africa Disaster Risk Financing Programme ADRiFi

01.12.2021 - 30.11.2025

Through a contribution to the ADRiFi programme of the African Development Bank, Switzerland intends to facilitate access to subsidies for the payment of natural disaster insurances for at least an additional 15   African countries. Payouts (up to 5 mio USD per event) from the insurance, managed by the African Risk Capacity Group, will allow governments respond timely and effectively to the needs of their population in case of disaster on the basis of the prepared effective contingency plans. 


LURAS - Lao Upland Rural Advisory Services

01.12.2021 - 30.11.2025

Laos is an agriculture-based country in transition. Farmers in the Northern region require additional knowledge, skills and access to resources to organize themselves within the ongoing agricultural socio-economic changes. Switzerland’s expertise in inclusive economic development, climate change and environment will support rural advisory services during this final phase to sustainably stimulate climate resilient and lasting improvements in agricultural production and income generation for these farmers.


Programme Nutrition dans la Région des Grands Lacs

01.12.2021 - 31.12.2025

Les interventions suisses dans le domaine de la nutrition dans la région des Grands Lacs se concentrent sur la lutte contre la malnutrition chronique des enfants de moins de cinq ans et des femmes enceintes et allaitantes. La Phase III du programme nutrition au Rwanda, Burundi et RDC met l’accent sur l’engagement communautaire et le renforcement des institutions nationales. L’appui de la Suisse s’inscrit dans la continuité et promeut la mise à l’échelle de l’approche multisectorielle voulue dans le cadre de la réforme des Nations Unies.


Enhanced resilience of viticulture in Abkhazia

01.12.2021 - 30.11.2026

A vast area in Abkhazia was contaminated by the explosion of an ammunition warehouse in 2017. Clearance efforts supported by international experts are about to be completed, enabling the restoration of the land for agricultural purposes. Endemic grape varieties will be reintroduced fostering biodiversity and resistance to disease. Growers’ resilience to climatic and economic shocks will be enhanced by setting a sector association and training in advanced agricultural practices.


Promoting Private Sector Employment (PPSE)

16.11.2021 - 15.11.2025

The last phase of PPSE will continue to help enterprises in the Food and Natural Ingredients (FNI) and tourism sectors grow through increasing competiveness, product diversification and improving access to markets, thus creating jobs in Kosovo, with focus on women and minorities. Further, by improving sector coordination, PPSE improves public-private dialogue and achieves sustainable results.


Energy and Environment Partnership Africa Trust Fund

15.11.2021 - 30.11.2025

With financing to the Energy and Environment Partnership Trust Fund Africa, Switzerland will help provide early stage grants and catalytic financing to innovative clean energy projects, technologies and business models implemented by private actors in Zambia and Zimbabwe. Switzerland’s contribution increases access to clean energy by vulnerable and underserved groups and consolidates its engagement in climate change mitigation.


Regional Arts and Culture Project in the South Caucasus

15.11.2021 - 31.10.2025

By supporting documentary films, documentary theatre and photography as powerful tools of contemporary art, the project will challenge social stigma, promote inclusion and human rights through empowering the civil society, nurturing intercultural dialogue and regional cooperation in the South Caucasus.

Object 61 – 72 of 1024