This project aims to contribute to overall health systems strengthening in Somalia. It supports sustainable private sector healthcare financing and service delivery through networks and associations of private providers. Thereby, the project improves access to quality and affordable service delivery, increasing the stability of the country, which is in the interest of Switzerland.
Country/region | Topic | Period | Budget |
---|---|---|---|
Somalia |
Health Inclusive economic Development
Health systems strengthening
Business support & economic inclusion |
01.01.2019
- 31.10.2025 |
CHF 4’750’435
|
Background | Somalia has a population of approximately 16 million people and a Gross Domestic Product per capita of US $315, making it one of the poorest countries in the world. Very low levels of human development, coupled with long-term political, economic and security challenges, have contributed to an extremely fragile health sector that is characterized by parallel, under-resourced, and fragmented systems and structures. The country has some of the world’s poorest health indicators despite some improvement in recent years. As a result of 25 years of vacuum left by a collapsed State, the private sector is the main provider of essential healthcare services for Somalis. Despite a vibrant private health sector that continues to grow rapidly, there are significant gaps in the areas of regulation, quality control, staffing and human capacity, medicines, equipment, and geographical distribution of services along with widespread concerns from patients and health workers about quality of care. Given the absence of social health insurance and low private insurance coverage, the Somali health sector has primarily been financed through out-of-pocket expenditures by the population and through funding from donors and development partners. There is no budget for a social insurance fund nor for nationwide service delivery. Health insurance is available in Somalia, but it is very new and too expensive for the majority of people. |
Objectives | Providing Somali citizens, including the most disadvantaged groups, with better access to quality and affordable health services. |
Target groups |
|
Medium-term outcomes |
|
Results |
Expected results:
Results from previous phases: PSPH builds on experience of the Swiss funded Piloting Private Healthcare Networks in Somalia programme in 2017. The objective of the pilot was to test the market viability of a private for-profit health provider network (Caafinet) as a means to expand access to quality and affordable healthcare for Somalis. Caafinet’s success demonstrated that the commercial private sector can contribute beneficially to health systems strengthening and reaching universal health coverage. During the opening phase a gender and market health assessment have been elaborated which informed the tender documents. During the planning phase additional studies and the Prodoc was finalised. |
Directorate/federal office responsible |
SDC |
Credit area |
Development cooperation |
Project partners |
Contract partner Private sector
Other partners Main Contract Partner: CARDNO Sub-contractors: STPH and SORDI
|
Coordination with other projects and actors |
World Bank “Damal Caafimad” project, financed through IDA funds (75 Mio USD) and GFF funds (25 Mio USD) PSPH complements other SDC engagements in the health sector, in particular UNFPA, CHASP and in the region Swiss Capacity Building Facility. |
Budget | Current phase Swiss budget CHF 4’750’435 Swiss disbursement to date CHF 4’543’099 |
Project phases | Phase 1 01.01.2019 - 31.10.2025 (Current phase) |
Sector according to the OECD Developement Assistance Commitiee categorisation |
HEALTH BUSINESS & OTHER SERVICES |
Sub-Sector according to the OECD Developement Assistance Commitiee categorisation |
Health policy and administrative management
Business support services and institutions
|
Aid Type |
Mandate without fiduciary fund |
Project number |
7F10062 |
Last update 26.01.2022
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