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 61 – 72 of 972

Resilience for Pastoralist Communities in Northern Kenya

01.03.2021 - 31.07.2025

Pastoralism is a millennia old livelihood strategy adapted to the marginal and harsh environ-ments of Arid and Semi-Arid Lands (ASAL). In order to support pastoralists, this programme contributes to strengthening public and private institutions in the water and livestock sectors, putting policy frameworks in place to ensure efficient county-wide and cross-border water and rangeland management systems, and to increase access to water and pasture.


Programme d’Appui aux Collectivités Territoriales (PACT)

01.03.2021 - 31.12.2025

Malgré des avancées substantielles, les réformes en cours liées à la décentralisation au Niger sont ralenties dans leur mise en œuvre effective par un manque de ressources humaines et financières. La Suisse entend soutenir l’Etat pour améliorer les conditions cadres propices à la gouvernance locale et pour renforcer les collectivités territoriales en vue d’assurer la délivrance de services publics de qualité aux populations et ainsi contribuer à la stabilité du Niger.


Sustainable Economic Development: ph. 02

01.03.2021 - 28.02.2023

In the southern provinces of Kyrgyzstan, many households are still excluded from economic activities and depend on remittances. The current Covid-19 pandemic further weakens these families. The project will improve the quality of agricultural products and develop new market opportunities to increase the resilience of target groups. Best practices from phase 1 will be scaled up to other regions.


Unterstützung an trigon-film

01.03.2021 - 30.06.2025

Mit dem Ziel, Stimmen von Künstler*innen in zivilgesellschaft­lich relevanten Prozessen zu stärken, unterstützt die DEZA die Weiterentwicklung eines unabhängigen Filmsektors in Asien, Afrika, Lateinamerika und Osteuropa. Die Stiftung trigon-film ist ein Filmverleiher und bringt Filme aus diesen Regionen in die Schweizer Kinos. Sie berät und unterstützt die Filmemacher*innen, damit sie sich im internationalen Filmmarkt bekannt machen können.  


AgriPath: Empowering farmers’ transition to sustainable agriculture through effective and efficient digital pathways

01.03.2021 - 28.02.2026

500 million smallholder farmers need to increase their agriculture productivity, income and climate resilience. There is a lack of scientifically validated evidence on the effectiveness and cost efficiency of digital agriculture services. AgriPath aims to bring sustainable agriculture[1] to scale by identifying, evaluating, and promoting promising pathways for digitally supported agricultural advisory services. 

[1] The Consortium will embrace current concepts of climate resilient agriculture, climate smart agriculture, sustainable land management and agro-ecology. 


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.


Investing in UN-Water: accelerating progress on SDG 6

01.02.2021 - 31.12.2025

UN-Water is the ‘one voice’ of the UN system on all water and sanitation related issues. It is responsible for the monitoring and reporting of SDG 6 and strengthens the global water agenda. By maintaining its support to UN-Water, the SDC helps to reduce the fragmentation of the water sector and contributes to accelerating the achievement of SDG 6, thus keeping its global commitment towards the 2030 Agenda. 


Towards effective Global Water Governance (Core contribution to the Global Water Partnership)

01.01.2021 - 31.12.2025

Sound and integrated water resources management is needed more than ever to respond to the global water crisis and to translate the agenda 2030 on water into action. Multi-stakeholder networks such as the Global Water Partnership (GWP) play a crucial role in supporting inclusive decision-making and in moderating between different interest groups and perspectives to enable the creation and maintenance of momentum for coordinated action.


Mekong River Commission (MRC) – Contribution to the basket fund for the implementation of the Strategic Plan 2021-2025

01.01.2021 - 31.12.2025

The Mekong River Commission is the only treaty-based intergovernmental organisation for the Mekong River Basin with a clear mandate for integrated water resources management, procedures and tools to support equitable use of water and address transboundary issues. Switzerland with its experience in water diplomacy and management contributes to the implementation of the new Basin Development Strategy (2021-2030) and Strategic Plan (2021-2025) through the multi-donor Basket Fund. 


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.


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.


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.

Object 61 – 72 of 972