ALB: Solidar - Health Emergency


Albania suffers from insufficient resources for public health emergencies and poor quality of primary care emergency services. The project aims at supporting the Ministry of Health and Social Protection and non-health actors to establish a sound coordination based on clear regulations and standards for health emergencies. It will also strengthen the capacity of healthcare and enable community initiatives regarding health emergencies preparedness and response. 

Land/Region Thema Periode Budget
Albanien
Gesundheit
Stärkung der Gesundheitssysteme
Primäre Gesundheitsversorgung
01.01.2022 - 31.10.2027
CHF  5’370’000
Hintergrund
  • The provision of uninterrupted emergency medical service at primary care but also at municipal hospitals is under-funded, inadequately staffed and under equipped. 
  • Inadequate and insufficient training for doctors and nurses for the management of emergencies. Medical emergency guidelines/ protocols and/or algorithms do not exist. 
  • Community engagement initiatives regarding health emergencies preparedness and response, are almost completely absent. 
  • The earthquake in 2019 and the COVID-19 pandemic have sparked increased awareness and sensitivity on disasters and health emergencies. 
  • Both the National Strategy for Development and Integration 2021 – 2030 and the National health strategy 2021 – 2030 set for the first time as a priority the strengthening of the system response to emergencies at local and central level. 
Ziele Improved access of the Albanian population, including the most vulnerable, to quality emergency care services managed by a more resilient health emergency system at all levels.
Zielgruppen Population in 5 selected territorial areas (“TACA regions”, 530’000) PHC doctors and nurses (779) MoHSP, Institute of Public Health, National Medical Emergency Center, Health service erator, Agency of quality assurance, National Center for Civil Protection and local CSOs 
Mittelfristige Wirkungen Outcome 1: Public health actors engage in effective and efficient health emergency preparedness and response. Outcome 2: Emergency medical services of high quality are available to people in the entire country, in particular at primary healthcare level. Outcome 3: Citizens and CSOs take an active role and contribute to a constructive dialogue with the Government of Albania to improve the country’s resilience to public health emergencies 
Resultate

Erwartete Resultate:  

  • The regulatory framework, standards, and guidelines for health emergencies are updated/revised.
  • Roles and responsibilities of primary health care services in the health emergency system are defined. 
  • The national training system for management of public health emergencies is strengthened. 
  • The epidemiological surveillance system is strengthened 
  • The network of 24/7 health centers, municipality hospitals is strengthened in delivering emergency services. Clinical guidelines and protocols for health emergencies at primary health care level are implemented 
  • Institutional development and capacities of “Together for Life” and other CSOs are strengthened to advocate for a community participatory approach in emergency preparedness and evidence-based health policy development. 


Resultate von früheren Phasen:  

  • Communities and institutions rely on central government for support when emergencies occur. 
  • Need of an after-action review that focuses on bringing together key stakeholders for collective learning, documenting lessons learned and institutionalizing best practices seen during the COVID 19 response 
  • Emergency services at the level of primary health care and municipality hospitals is disregarded by the health insurance and is not properly reported and financed. 
  • Communities need better education on health emergencies. 


Verantwortliche Direktion/Bundesamt DEZA
Kreditbereich Ostzusammenarbeit
Projektpartner Vertragspartner
Privatsektor
Ausländische staatliche Institution
  • Central State of South East
  • Ausländischer Privatsektor Norden


Koordination mit anderen Projekten und Akteuren Coordination with the two SDC health projects: HAP and Schools for Health will be ensured. 
Budget Laufende Phase Schweizer Beitrag CHF    5’370’000 Bereits ausgegebenes Schweizer Budget CHF    1’045’883 Budget inklusive Projektpartner CHF    5’370’000 Projekttotal seit Anfangsphase Schweizer Beitrag CHF   555’000 Budget inklusive Projektpartner CHF   9’000’000
Projektphasen Phase 1 01.01.2022 - 31.10.2027   (Laufende Phase)