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 946

Production des Connaissances et Appui Institutionnel pour une gestion intégrée des Ressources en Eau au Tchad - ResEau

01.06.2024 - 31.05.2028

Le Tchad subit fortement les effets du changement climatique avec des pluviométries aléatoires. Le sous-sol du Tchad dispose d’un important potentiel en eau. Faute de compétences nationales, ces ressources en eau restent très peu mobilisées. La DDC renforce, à travers ce projet, les compétences et les connaissances nationales pour favoriser une gestion durable de ces ressources et contribue ainsi à la résilience du Tchad face aux changements climatiques.


Futuro Microbank

15.05.2024 - 31.12.2027

The microfinance institution Futuro Mcb, SA currently provides financial services (loans, savings, insurance) to micro, small and medium enterprises (MSMEs) mainly in and around Nampula city. Switzerland will continue to support Futuro with a grant for technical assistance that will help the bank to expand its impact by providing financial services to more low-income entrepreneurs in more regions in Northern Mozambique, thus allowing them to enhance their income and create more jobs.


Good Financial Governance (GFG)

01.05.2024 - 30.04.2027

The project contributes to strengthen Tanzania’s public financial system, a central element to cement its economic status. The 3rd phase aims at expanding the mobilization of domestic revenue and improving the government’s expenditure control. It shall strengthen interinstitutional mechanisms for tax data exchange, enhance the audit system, and improve public procurement. At policy level, it seeks to develop an evidence-based and gender responsive fiscal strategy for better public service delivery to benefit the population, especially the poor.


Integrated Water Resources Management in Kosovo (IWRM-K)

01.05.2024 - 30.04.2029

Switzerland assists water sector related governments, civil society and private sector stakeholders in Kosovo in the development/implementation of a national integrated and sustainable water resources management framework. Support activities combined with capacity development and awareness building will contribute to enhanced conservation, protection, quality and equitable distribution of water resources. Thus the project also contributes to good governance, reduced risks of internal and transboundary water-related conflicts, the mitigation of climate change impact as well to enhanced the health of the population.


Scaling Up Youth Employment in Agriculture Initiative

01.05.2024 - 30.04.2028

In Zambia and Zimbabwe, due to a mismatch between the skills they have and those in demand, youth cannot access or create economic opportunities and overlook those available. The project builds skills and matches youth with firms, markets and finance to create more and better (self)-employment in agri-food, renewable energy and emerging sectors, contributing to Swiss priorities on human and economic development and climate change. This is a contribution implemented by SNV.


Progressing towards Universal Health Coverage in Moldova

01.05.2024 - 30.06.2027

Switzerland supports Moldova’s efforts to achieve better health of the population, through ensuring universal access to affordable medical services of good quality. In its 2nd (exit) phase, the project will accompany the health authorities in advancing health financing and service delivery reforms, improving the efficiency and responsiveness of the healthcare system, promoting transparency and accountability in the health sector, and empowering service users and civil society organizations to oversee healthcare services, their quality and resource allocation.


From Education to Employment (E2E)

01.05.2024 - 30.04.2028

To raise labour market participation and address the growing workforce shortage affecting the Serbian economy, in partnership with the Serbian Ministry of Labour, Swiss approaches and instruments for labour-market insertion will be adopted and scaled by key labour-market actors from the central and local Government, civil society and the private sector. Serbian companies will be capacitated to train their workforce independently and sustainably, and to fill vacancies through improved job matching services.


Citizen Participation and Conflict Prevention programme (PCPC)

01.05.2024 - 31.12.2029

Rwanda has achieved notable progress with regard to socioeconomic development and improved social cohesion. However, the role of citizens in decision-making and in holding leaders to account remains insufficient affecting the sustainability of results. This programme will increase the capability of the 30 districts in Rwanda to properly engage citizens in decision-making processes and will strengthen local conflict-resolution mechanisms, hence contributing to improved accountability and lasting social cohesion.


Swiss Emergency Response Team (SERT)

16.04.2024 - 31.12.2027

Several Swiss organizations active in Mozambique together with the Swiss Agency for Development and Cooperation (SDC) decided to join forces to be organized in a way, that we all together have fast and unbureaucratic access for doing the rapid needs assessment together and provide immediate response support where possible in Mozambique. Since 2021, the Swiss Emergency Response Team (SERT) organized several trainings in crisis management, rapid needs assessment and cash/voucher-based approaches for the staff members of the organizations. Doing the crisis management and rapid need assessment together creates synergy and complementarity among partners rather than each partner planning a response at the same place. A coordinated, locally led intervention will also yield the data necessary to justify an appeal to SDC’s emergency fund in time, should it be opportune.


Building Damage Assessment in Albania

01.04.2024 - 31.12.2027

The devastating earthquake in 2019 revealed that Albania has a weak policy and institutional framework and low public awareness on building damage assessment. The Swiss project will support Albania in strengthening its disaster risk management institutions at national and municipal level to provide sustainable and effective building damage assessment services, leading to safer living conditions and a more disaster resilient business environment.


Anti-corruption and Accountability

01.04.2024 - 31.12.2027

Building on the results achieved in the first phase, Switzerland will contribute to reduce corruption in Mozambique by (1) improving and strengthening legal institutions and the judicial framework (2) strengthening anticorruption institutions to effectively tackle corruption, economic crime and the recovery, management of stolen assets and (3) supporting civil society organisations at national and local level in the fight against corruption. 


Strengthened and Informative Migration Systems (SIMS) Phase II

01.04.2024 - 31.03.2029

Switzerland is interested in ensuring that international migration is regular, secure, respects human dignity and the rights of migrants. The project will institutionalise well tested awareness mechanisms on the perils of irregular migration and enhance further public and private capacities to deliver services to potential migrants. The intervention contributes to Switzerland’s dialogue on safe, orderly and regular migration at national and global levels.

Object 1 – 12 of 946

Project completed

Through this project, Switzerland will support the Moldovan government's efforts to ensure access to healthcare services for all and to protect the population against impoverishing health expenditures. This will be achieved through making services more affordable and more accessible for the poorest and the most vulnerable. The population will be empowered to demand transparency and accountability in the healthcare system. 

Country/region Topic Period Budget
Moldova
Health
Health systems strengthening
Medical services
01.11.2017 - 30.04.2024
CHF  5’024’000
Background Moldova formally meets the basic preconditions to achieving, by 2030, the SDG target 3.8: universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all. Around 86% of the population are covered by mandatory health insurance. Moldovan health authorities attempt to reduce out-of-pocket payments by gradually increasing salaries of health workers, extending the list of compensated medicines, and changing the practices related to prescription of medicines. However, the existing health benefit package (which includes emergency, primary, inpatient and specialized outpatient services, and a limited number of fully or partially compensated medicines) under mandatory health insurance is not adequately designed to match the existing needs and available financial resources. The machanism of strategic purchasing in the health sector is not appropriately used to create incentives for better performance of health care service providers. Inefficient use of the scarce public budget resources for the health sector imposes an additonal financial burden on the population, especially the poorest. Corruption, including persisting practices of bribing ("thanking") doctors, undermines people's trust in the usefulness of the reforms and reduces willingness to be enrolled in the mandatory health insurance scheme. 
Objectives Moldovan population enjoys quality healthcare with adequate financial protection. 
Target groups

Target groups include health authorities, institutions and professionals involved in the provision of health services at all levels; the National Health Insurance Company, public health institutions and other relevant entitites, and professionals involved in financing of health services; members of the Parliamentary Commission for Social Protection, Family and Health, as well as of civil society organizations.

End of project beneficiaries are health care service users and specifically those from the poorest quintile, currentyl suffering the most from catastrophic health expenditures.

The geographical coverage is nationwide, since the project addresses the reform of the health sector and supports the implementation of national strategies. 

Medium-term outcomes

Outcome 1. Financial resources of the Mandatory Health Insurance are appropriate to cover an evidence-based Health Benefit Package.

Outcome 2. Moldovan health authorities improve coordination and distribution of resources and services in health care at local level.

Outcome 3. The service users / clients and civil society are involved in governance and oversight of health care system reforms, with special focus on health expenditures. 

Results

Expected results:  

1. Shared strategic vision on Universal Health Coverage strengthening and long-term health financing between the main national stakeholders.

2. The Health Benefit Package under the Mandatory Health Insurance is re-defined in line with medico-demographic transitions and population needs.

3. Policy and programmatic recommendations developed to address bottlenecks in healthcare coordination and continuity.

4. Strategic purchasing mechanisms revised for improved efficiency and transparency.

5. Relevant stakeholders put in place mechanisms for increased transparency and social accountability in the health sector.

6. Health care users / clients and civil society are enabled to hold health authorities and service providers accountable. 


Results from previous phases:   In the opening phase, the shortcomings of health sector governance, health financing and service provision were identified. The main findings, as well as the lessons learnt from all other Swiss interventions in the health sector, provided the basis for designing the present project. 


Directorate/federal office responsible SDC
Credit area Swiss cooperation with Eastern Europe
Project partners Contract partner
International Financial Institution (IFI)
Foreign state institution
Swiss Non-profit Organisation
  • Central State of South East
  • Other Swiss Non-profit Organisation
  • Swiss Red Cross
  • World Bank - International Bank for Reconstruction and Development


Coordination with other projects and actors Synergies with all ongoing Swiss supported projects in health and local governance domains will be ensured. With a growing number of development partners interested in supporting health reforms in Moldova, Switzerland will put a strong focus on policy dialogue and donor coordination, in order to ensure harmonized and consequent international support. 
Budget Current phase Swiss budget CHF    5’024’000 Swiss disbursement to date CHF    4’933’181 Total project since first phase Budget inclusive project partner CHF   11’000’000
Project phases Phase 2 01.05.2024 - 30.06.2027   (Current phase)

Phase 1 01.11.2017 - 30.04.2024   (Completed)