How Switzerland comes to the aid of people forced to flee their homes

Article, 20.05.2016

What action can be taken to address the ever-increasing number and duration of humanitarian crises? The SDC’s Humanitarian Aid takes measures to make the most efficient use possible of the funds at its disposal. In addition to providing emergency aid it gives priority to enabling population groups forcibly displaced by conflicts or other disasters to take their lives in their own hands in the long term. Switzerland will contribute the results of several successful experiences it has had in this field to the discussions at the World Humanitarian Summit on 23-24 May 2016 in Istanbul.

A family in a refugee camp
When crises cannot be avoided, the SDC’s Humanitarian Aid does all it can to launch projects that enable vulnerable population groups to rebuild their everyday life in the long term. © UNHCR

From the perspective of humanitarian aid for the victims of conflicts and natural disasters, these are frightening times. Humanitarian needs for 2015 alone amounted to almost CHF 20 billion (five times more than ten years ago), of which only half was raised. 

The main crises today are characterised by their durations of many years as can be seen with the Syrian crisis, the persistent emergency situation in the Central African Republic and the ongoing acts of violence committed by the Boko Haram group against civilians. It is estimated that the number of forcibly displaced people in the world currently stands at 60 million. 

Faced with this reality, the donor countries, international organisations and NGOs are obliged to set priorities and deal with the most urgent needs – this meaning that hundreds of millions of other people around the world see their basic needs (subsistence, education, health) remain unmet.

Long-term rehabilitation 

In parallel, Switzerland, like others, is doing all it can to adapt its intervention strategies. For many years the SDC and the FDFA's Human Security Division have been actively involved in preventing conflicts and disasters by means of concrete initiatives carried out in the regions concerned. 

When crises cannot be avoided, however, the SDC's Humanitarian Aid endeavours to launch projects that aim to contribute to the rehabilitation of vulnerable population in the long term. By means of support Switzerland helps beneficiaries to develop their own 'resilience', meaning their ability to confront difficulties and rebuild their everyday life – in many cases far from home. 

At the World Humanitarian Summit, the Swiss delegation, headed by Federal Councillor Didier Burkhalter, will have the opportunity to present a number of successes Switzerland has had in this field (see below). Furthermore, Switzerland will appeal for greater respect for the values and principles of international humanitarian law.

Syria: employment aid, food vouchers and durable accommodation

Helping displaced Syrians to feel useful and earn a livelihood while contributing to the reconstruction of their country – this is the aim of a project launched by the United Nations Development Programme and co-funded by the SDC. In view of this protracted crisis, Syrians are unwilling to remain inactive for much longer.

«Recommencer à vivre dans un pays à feu et à sang», (Starting life again in a country torn apart by war), article to appear in the 2/2016 edition of the 'Un seul monde' magazine (special dossier 'Refugees and migrants') (PDF, 1 Page, 2.4 MB, French)

The resilience of the victims of the Syrian conflict also involves developing new ways of providing food aid. In the cities of Homs and Latakia, the World Food Programme distributes vouchers to pregnant women and mothers with newborns, with which they are able to buy the kinds of food that best meet their needs. A member of the Swiss Humanitarian Aid Unit is coordinating the project.

Interview with Stefan Bumbacher, specialist working for the Swiss Humanitarian Aid Unit

The financial and technical support that Switzerland is providing the Office of the UN High Commissioner for Refugees (UNHCR) in Syria is crucial. The two years that building expert Henri Stalder spent in Damascus has enabled the UNHCR to draw up standards for 'solid' buildings in the midst of the ruins. Only when displaced Syrians have a proper roof over their heads will they be able to look to the future.

UNHCR-project in Syria: Rebuilding beyond the crisis

In general, Switzerland's involvement in the Middle East aims to complement the emergency aid delivered to Syria, Iraq, Jordan and Lebanon with a long-term vision of development for the populations concerned.

Switzerland’s Middle East cooperation strategy: ensuring the long-term security of civilian populations

Darfur: producing honey against all odds

Almost three million Sudanese were forced to flee their land during the war in Darfur. Since 2010, the SDC has funded a programme to relaunch local beekeeping to enable displaced communities to become as financially autonomous as possible. It has paid off: to date, more than 3,300 family beekeeping operations are marketing their honey, which in some cases is generating up to CHF 2,900 a year.

Project in Sudan «Farmers displaced by the conflict acquire a business perspective»

Somalia: humanitarian aid to strengthen basic services

In 2016, the SDC has allocated CHF 4 million to support the ICRC's efforts in Somalia to raise awareness among various local actors about respect for international humanitarian law. The SDC is also improving the health systems, the drinking water networks and agricultural production in several parts of the country.

Somalia: the challenges of operating in a protracted crisis

Nansen Initiative: a long-term vision for displaced people 

In October 2015, Switzerland and Norway presented the 'Agenda for the protection of cross-border displaced persons in the context of disasters and climate change', which was the product of the Nansen Initiative developed by Bernese professor Walter Kälin.

Preventive measures to help people displaced by natural disasters or the effects of climate change

Links

Current projects

Object 1 – 12 of 1400

DIKO - Réponse communautaire de protection et de renforcement de la résilience des populations affectées par les déplacements à Tillabéri

15.05.2025 - 14.05.2027

Les conflits armés dans la région de Tillabéri au Niger ne cessent d’accroitre le nombre de personnes déplacées internes et d’exposer les populations, notamment les femmes et les filles, à toutes formes de violence. A travers ce projet mené par une ONG nigérienne, la Suisse soutient la résilience des populations affectées via le renforcement de leurs moyens d’existence et des mécanismes communautaires de prévention et de réponse aux risques de protection.


Schools for Health (Shkollat për Shëndetin)

01.05.2025 - 31.12.2027

Nearly one third of the population in Albania is smoking, overweight or suffers from high blood pressure. Adopting healthy behaviours is crucial to combat non-communicable diseases. In the exit phase, the Ministries of Health and of Education will strengthen coordination mechanisms for health promotion in schools. Schools’ staff and healthcare professionals will implement jointly local action plans. Children, parents and communities will increasingly adopt healthy behaviours.


Programme d’Appui aux Organisations et Populations Pastorales (PAO2P3)

01.05.2025 - 30.04.2029

La Suisse soutient les populations pastorales afin qu’elles accèdent à des formations de qualité et à des opportunités d’emplois. Ces populations sont marginalisées par les politiques nationales et ré-gionales. Le programme PAO2P-3 vise la formation et l’emploi des jeunes (agro)pasteur-e-s dans les zones transfrontalières entre le Burkina Faso, le Bénin, le Mali, le Niger et le Togo. Il renforce leur résilience économique et contribue à réduire leur marginalisation et les conflits.


Towards Elimination of Malaria in Tanzania (TEMT)

01.05.2025 - 30.04.2030

Despite significant progress, Tanzania is still a major malaria-burdened country. It aspires to further accelerate progress towards malaria elimination through innovative strategies and investments in research, vaccine development, and multi-country collaborations. Switzerland supports capacity building, evidence creation, systems to strengthen vector control, case management, surveillance, monitoring and evaluation, multi-sectoral collaboration and cross-border initiatives upon request by the Government.


Sustaining Health Sector Reform in Ukraine Phase 2

01.05.2025 - 30.04.2029

Through a joint collaboration with the World Bank and World Health Organization, Switzerland contributes to strengthening resilience, reforms, and supporting the recovery of Ukraine’s health system in alignment with the Government of Ukraine’s priorities and the needs of the conflict-affected population. Phase 2 builds on a strong foundation and focuses on three pillars: governance and stewardship, health financing, and service delivery.


SSD: LHF/CVIDO, Intergrated Prot_FSL

01.05.2025 - 30.04.2026

Through the proposed project, Switzerland contributes to 2 local NGOs in the north west of South Sudan, in line with ongoing localization of aid efforts. The proposed intervention combines both protection and livelihoods interventions to address the urgent needs of refugees and returnees fleeing from the Sudan conflict and vulnerable host communities in Raja, a fairly remote and high need location with little humanitarian presence.


Smallholder SustaiNability Up-scaling Pro-gramme (SSNUP)

01.05.2025 - 30.04.2029

Recognising the gap in financing sustainable and resilient food systems globally, this multi-donor, public pri-vate partnership initiative is designed to catalyse private-sector investment in food systems, including from Swiss investors. By leveraging private investments and providing technical assistance to small and medium agribusiness enterprises, rural financial intermediaries and farmer organisations, the project promotes new income opportunities and better services for smallholder farmers and their application of more sustainable and nutrition-sensitive farm practices.


Resilient, Inclusive Markets in Moldova – Phase 2

01.05.2025 - 30.04.2029

Moldova’s growth continues being volatile and jobless. More and better jobs are needed for the rural population, disproportionately affected by the effects of extreme climate events and by the war in Ukraine. The project’s second phase will enhance an inclusive, competitive and resilient economic development, by improving regulatory frameworks and business support services which benefit economic activities in rural areas.


Development of WASH facilities and services in child-friendly schools in Abkhazia, Georgia

01.05.2025 - 30.04.2028

Since 2020, Swiss humanitarian assistance, in collaboration with UNICEF, has improved WASH facilities in nearly half of Abkhazian public schools, ensuring safer learning environments. The final phase will enhance sanitary and hygiene conditions in the remaining schools with critically inadequate sanitation, hindering learning and posing health risks for children. Additionally, it will introduce innovative and affordable sewage and fecal sludge treatment systems.


NRC : Education en situation d’urgence

01.04.2025 - 31.03.2029

Le Mali traverse une crise complexe et prolongée privant près de 600’000 enfants de protection et de leur droit fondamental à l’éducation. Déscolarisés, ils sont exposés à des risques accrus. Ce projet offre à plus de 24’000 enfants vulnérables des régions de Bandiagara, Douentza, Mopti et Tombouctou une opportunité éducative adaptée dans un environnement sûr et protecteur. Le renforcement des capacités éducatives et de gouvernance bénéficie à plusieurs milliers d’autres.


Fostering the economic resilience for small-scale female farmers in Samegrelo and Abkhazia through Farmer Field Schools

01.04.2025 - 31.03.2029

Switzerland  is  committed  to  support conflict  transformation in Georgia including  in the  break-away  region  of  Abkhazia.  Working  on  socio-economic  issues  affecting small-scale  female farmers in  Abkhazia  and  the neighbouring region  of  Samegrelo,  the  proposed  project  will enhance their agricultural and business skills, focusing on dairy, fruit, and vegetable production, processing and marketing. This should lead to increased incomes and reduced poverty rates.  


Protection and emergency care for vulnerable and unaccompanied minors

01.04.2025 - 31.07.2026

The number of migrants transiting through Bosnia and Herzegovina remains high with more than 25% of them being unaccompanied minors in need of essential care and special protection due to their vulnerabilities. As the state system is not yet able to fully address their needs, assistance from external actors remains crucial to provide adequate support to this vulnerable group of migrants and to safeguard their rights.

Object 1 – 12 of 1400

Project completed

Desde hace 25 años mCS contribuya a la implementación de la política cubana de salud a fin de lograr sostenibilidad de servicios de salud de alta calidad y para todos. Con proyectos en los sectores relacionados con enfermedades crónicas (cáncer) e infecciosas (VIH), la pediatría y la geriatría, mCS propone un mejor uso de los recursos materiales, humanos y del conocimiento, introduciendo principios de economía de salud en el sistema cubano.

Country/region Topic Period Budget
Cuba
Health
Health systems strengthening
15.04.2018 - 31.12.2021
CHF  1’930’000
Background

El sector de la salud pública juega un rol transcendente para la preservación de los logros sociales, pero está en estos momentos bajo mucha presión. Las autoridades nacionales encuentran dificultades para mantener los principios de gratuidad y universalidad de la salud dentro de una población más envejecida y con enfermedades y patologías más costosas, y que exigen altos niveles de inversión en equipo, tecnología e infraestructura que demanda a su vez otras estrategias.

La inversión en el sector salud sigue siendo una prioridad para el Estado cubano, como parte de la política social que aplica desde hace muchos años. Sin embargo, mantener servicios de calidad con cada vez menos recursos financieros es un desafío permanente.

La estrategia de mediCuba Suiza consiste en introducir entre los profesionales de la salud (y por medio de ellos al sistema) nuevas prácticas médicas, técnicas más modernas, algunas de ellas menos costosas, más eficientes y eficaces que le permitan al sistema ahorrar costes, focalizar inversiones y dar mayor sostenibilidad a los resultados.

Objectives Reforzar el sistema de salud cubano para que siga ofreciendo servicios de calidad y accesible para toda la población.
Target groups

Beneficiarios directos:

  • Pacientes sufriendo de cáncer (67’000);
  • Niños y adolescentes con enfermedades crónicas no transmisibles (68’100);
  • Adultos mayores que participan en programas y necesitan nuevos protocolos (13’200);
  • Personas con VIH que participan en el programa (4’000);
  • Profesionales de la salud pública participando en eventos internacionales de intercambio (300)

Beneficiarios indirectos:

  • acciones informativas / educativas y de prevención  (280’000);
  • 2.5 millones de Cubanos/as se beneficiaran de campañas informativas y diagnósticos sobre el VIH. 
Medium-term outcomes
  • Servicios de oncología ofrecen atención efectiva y eficiente a pacientes y sus familias gracias a la modernización del equipamiento hospitalario, la formación especializada de expertos/as y el establecimiento de instrumentos para la gestión del conocimiento y el monitoreo.
  • Enfermedades crónicas no transmisibles en niños y adolescentes se pueden diagnosticar prematuramente, y sientan bases para el tratamiento adecuado.
  • Servicios de geriatría cuentan con mejores diagnósticos y tratamiento.
  • Personas que viven con VIH tienen mejor calidad de vida. Nuevas infecciones por VIH han ido disminuyendo.
  • Profesionales y científicos cubanos presentan sus experiencias y aprenden en foros internacionales.
Results

Expected results:  

  • Enfermedades non-transferibles /Oncología: Equipos y nuevas técnicas de cirugía de mínimo acceso son aplicadas en el Instituto nacional de Oncología (INOR);
  • Especialistas jóvenes son formados en las nuevas técnicas quirúrgicas;
  • Un Sistema Integrado de Gestión Hospitalaria está aplicado en el INOR;
  • Aplicación del diagnóstico molecular para el manejo clínico de pacientes con patologías asociadas a la infección por el virus del papiloma humano (VPH).
  • Pediatría: Registro Nacional Infanto-Juvenil: Servicios de endocrinología pediátrica de varios hospitales aplican y validan el registro de datos probado en los hospitales de la Habana y occidente del país.
  • Laboratorios de nefrología pediátrica de 5 hospitales de la Habana, 1 en Santiago de Cuba, 1 en Matanzas y 1 en Cienfuegos dotados con equipos y reactivos.
  • Geriatría: Servicios comunitarios del programa de Adulto Mayor (AM) equipados y funcionando; Aplicaciones informáticas pilotos son usadas por el AM en sus terapias.
  • Enfermedades infecciosas / VIH: creación de 8 Centros de Facilitación Comunitaria en los 5 municipios más afectados por el VIH; introducción de técnicas y formación en 3 laboratorios provinciales para el diagnóstico microbiológico y molecular.
  • Intercambio entre profesionales: Presencia cubana en ámbitos científico-profesionales (4 por año); Los proyectos de mCS cuentan con acompañamiento de grupos mixtos (especialistas cubanos y suizos).


Results from previous phases:  

  • Modernización del registro nacional de cáncer: El registro instalado cumple con los estándares internacionales y sirve para la toma de decisiones con base a evidencias en el contexto cubano. El personal especializado fue capacitado, los instrumentos informáticos fueron adaptados y distribuidos a nivel nacional y en las sucursales provinciales.
  • Monitoreo de virus en trasplante de órganos: El empleo del seguimiento virológico permitió establecer un protocolo para la terapia antiviral a nivel nacional.
  • Cirugía endoscópica: El sistema telepack se encuentra en uso, tiene efectos médicos (reducción de la mortalidad tras las complicaciones); la formación de un primer grupo de especialistas está cumplido.
  • Registro nacional de diabetes infanto-juvenil: Las mejoras del levantamiento y procesamiento de datos han permitido diferenciar a nivel nacional la respuesta clínica-epidemiológica de la enfermedad.
  • Geriatría. Estrategia nacional de intervención cognitiva para el adulto mayor con deterioro cognitivo.
  • Formación de consejeros para la prevención del VIH/sida en la provincia de Matanzas.


Directorate/federal office responsible SDC
Credit area Development cooperation
Project partners Contract partner
Swiss Non-profit Organisation
  • MediCuba


Other partners

Ministerio del Comercio Exterior y de la Inversión extranjera (MINCEX)

Ministerio de la Salud Pública (MINSAP)

Coordination with other projects and actors

Ministerio del Comercio Exterior y de la Inversión extranjera (MINCEX)

Proyectos PRODEL y PADIT

Budget Current phase Swiss budget CHF    1’930’000 Swiss disbursement to date CHF    1’941’713
Project phases Phase 3 05.10.2022 - 30.06.2024   (Completed)

Phase 2 15.04.2018 - 31.12.2021   (Completed)

Phase 1 01.09.2013 - 31.03.2018   (Completed)