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
[en] (PDF, Number of pages 102, 934.0 kB, English)

Swiss Contributions to Human Resources for Health Development in Low- and Middle-Income Countries
Summary
[en] (PDF, Number of pages 6, 3.3 MB, English)

Fiche de synthese sur les études
[fr] (PDF, 111.2 kB, French)

Recherche qualitative sur le personnel de santé étranger en Suisse et sur son recrutement
[de] (PDF, 635.5 kB, German)

[fr] (PDF, 652.5 kB, French)

Ausländisches Gesundheitspersonal in der Schweiz
[de] (PDF, 685.5 kB, German)

Building Bridges across Time and Space – Experience and Success of a Telemedicine Pilot Project
Asia Brief - May 2013
[en] (PDF, Number of pages 4, 413.9 kB, English)

WHO Global Strategy and Plan of Action on Public Health, Innovation and Intellectual Property:
the Contribution of Switzerland
[en] (PDF, 1.1 MB)

Un seul monde 1/2013
Disponible seulement en Suisse
No. 1/2013: Afrique du Nord / Honduras / Éthiopie / Somalie / Télémédecine en Mongolie / Programmes culturels Asie centrale / Eau / Partenariat public-privé
[fr] (PDF, Number of pages 36, 6.0 MB, French)

Human Resources for Health Development in Low- and Middle- Income Countries
Health Brief
[en] (PDF, Number of pages 4, 274.3 kB, English)

Health despite poverty: a SDC-Sponsored project changes people's perspective
Central Asia Project Briefing
[en] (PDF, Number of pages 4, 898.0 kB)

Healthcare for remote regions: an SDC project in Kyrgyzstan sets the standard
Central Asia Project Briefing
[en] (PDF, Number of pages 4, 809.4 kB)

Article on family doctors in Bosnia and Herzegovina, published in issue no. 3/2009 of Un seul monde
[de] (PDF, Page 1, 54.7 kB, German)

Lessons learned from evaluations on community participation and civil society involvement in health
EvalBrief – October 2012
[en] (PDF, 291.8 kB, English)

Current projects

Object 61 – 72 of 1099

Rural Water Supply and Sanitation in the Ferghana Valley

boys washing their hands

01.01.2013 - 31.12.2019

Rural areas in Uzbekistan lack an adequate supply of clean water.  A large proportion of Uzbekistan's rural population of 10 million people suffer from diseases caused by unclean water. A project funded by the SDC is helping people in rural areas help themselves. Villagers are learning how to organise their water supply themselves.

Country/region Topic Period Budget
Uzbekistan
Water
Drinking water and basic sanitation (WASH) (til 2016)
Water sector policy
WATER SUPPLY & SANITATION
WATER SUPPLY & SANITATION
WATER SUPPLY & SANITATION
Basic drinking water supply and basic sanitation
Water sector policy and administrative management
Water sector policy and administrative management

01.01.2013 - 31.12.2019


CHF 6'157'000



Plannes Project: Promotion de la coopération transfrontalière locale

01.01.2013 - 31.12.2020

Jusqu’ici, l’UEMOA[1] a abordé l’intégration régionale par le haut, à travers les Etats. Les collectivités territoriales ne sont directement éligibles ni à ses allocations budgétaires[2], ni à ses programmes sectoriels. Le Conseil des Collectivités Territoriales (CCT) veut changer cette situation en initiant le PCTL qui donne aux élus locaux les ressources pour réaliser des projets transfrontaliers améliorant l’accès des populations aux services publics de base.  Il replace la décentralisation au cœur de l’intégration régionale et du développement socioéconomique.

[1] Union Economique et Monétaire Ouest-Africaine créée en 1994 et regroupant huit pays d’Afrique de l’Ouest.

[2] De 1996 à 2006, l’UEMOA a alloué aux pays CHF 270'000'000 au titre de compensations financières liées à l’intégration. Ces ressources sont destinées exclusivement aux Gouvernements.

Country/region Topic Period Budget
West Africa
Governance
Other
Decentralisation
Sector not specified
Public sector policy
GOVERNMENT AND CIVIL SOCIETY
Unallocated / Unspecified
GOVERNMENT AND CIVIL SOCIETY
Decentralisation and support to subnational government (incl. accountability)
Sectors not specified
Public sector policy and administrative management

01.01.2013 - 31.12.2020


CHF 8'187'500



Better quality of life for Roma communities in Bulgaria

Two girls dancing.

01.01.2013 - 30.11.2019

The Roma are the largest ethnic minority in Bulgaria. Many Roma suffer from social exclusion, discrimination, poverty and unemployment. Social, cultural and economic barriers hinder access to education and healthcare for members of the Roma community. With its contribution to the enlarged EU, Switzerland is supporting projects to improve the living conditions of the Roma in Bulgaria.

Country/region Topic Period Budget
Bulgaria
Improving social security
Prevention
Various social services

01.01.2013 - 30.11.2019


CHF 6'695'773



Programme d’appui aux communes urbaines du Mali (PACUM)

01.01.2012 - 31.12.2019

Un des enjeux de la reconstruction du Mali se trouve dans la promotion de villes secondaires délivrant des services de base aux populations et redevables devant leurs citoyens. C’est l’objet de ce programme financé par la Banque Mondiale à hauteur de CHF 65’000'000. Sollicitée pour son savoir-faire en matière de développement local, la DDC apporte une contribution de CHF 18'200'000 (21% coût global) pour structurer la gouvernance à la base et soutenir les dotations d’investissement pour les villes de Koutiala et Tombouctou.

Country/region Topic Period Budget
Mali
Agriculture & food security
Governance
Education
Rural infrastructure (till 2016)
Decentralisation
Public sector policy
Primary education
GOVERNMENT AND CIVIL SOCIETY
TRANSPORT AND STORAGE
GOVERNMENT AND CIVIL SOCIETY
TRANSPORT AND STORAGE
EDUCATION
Decentralisation and support to subnational government (incl. accountability)
Transport policy and administrative management
Public sector policy and administrative management
Decentralisation and support to subnational government (incl. accountability)
Transport policy and administrative management
Primary education

01.01.2012 - 31.12.2019


CHF 18'220'000



Better Planning for Albania's Government

Meeting of the Government of Albania.

01.01.2012 - 31.12.2020

Albania’s economy, public finance, and debt remain areas of concern as the government tries to keep positive growth and stability in a challenging context. Although capacities for policy and financial planning have improved, there still is a need for better performance, monitoring and integrated planning. Since 2005 a group of donors including Switzerland introduced the Integrated Planning System, a tool that aids the government in strategy planning while observing budget constraints.

Country/region Topic Period Budget
Albania
Governance
Decentralisation
Public finance management
GOVERNMENT AND CIVIL SOCIETY
GOVERNMENT AND CIVIL SOCIETY
Public finance management
Decentralisation and support to subnational government (incl. accountability)
Public finance management

01.01.2012 - 31.12.2020


CHF 1'375'000



Exchanging knowledge and experience to protect Andean forest ecosystems

Part of the Andean forest covered in mist.

01.11.2011 - 31.12.2019

The forests of the Andes are valuable in a variety of ways: they store and purify water, provide protection against natural hazards, and absorb environmentally harmful greenhouse gases. With the ANFOR project, the SDC is contributing to the long-term protection of Andean forests.

Country/region Topic Period Budget
Andean Region
Climate change and environment
Environmental policy
Forestry policy
Biosphere protection
Biodiversity
AGRICULTURE, FORESTRY, FISHING
GENERAL ENVIRONMENT PROTECTION
AGRICULTURE, FORESTRY, FISHING
GENERAL ENVIRONMENT PROTECTION
GENERAL ENVIRONMENT PROTECTION
Forestry development
Environmental policy and administrative management
Forestry policy
Environmental policy and administrative management
Biosphere protection
Biosphere protection
Bio-diversity

01.11.2011 - 31.12.2019


CHF 8'072'000



Swiss Bluetec Bridge: Swiss start-ups benefit disadvantaged populations

01.04.2011 - 31.12.2020

The challenges involving water are creating opportunities for cutting-edgetechnological innovation. The SDC's Swiss Bluetec Bridge initiative supports these innovations to improve access to water for the poorest populations. The first start-up to benefit from a loan is the start-up company “Swiss Fresh Water” which has developed a low-cost system fordesalinating salty or brackish water.

Country/region Topic Period Budget
Global
Water
Drinking water and basic sanitation (WASH) (til 2016)
WATER SUPPLY & SANITATION
Basic drinking water supply and basic sanitation

01.04.2011 - 31.12.2020


CHF 2'050'000



A vocational education and training fund for disadvantaged people in Nepal

 Eine junge nepalesische Frau arbeitet an einem Sicherungskasten.

01.01.2011 - 30.06.2020

The SDC established the Nepal Employment Fund together with the Government of Nepal and other partners to create training opportunities for young and disadvantaged people.  Training institutions fund the courses and the fund reimburses them if those receiving training find a job with a satisfactory income.  

Country/region Topic Period Budget
Nepal
Vocational training
Employment & economic development
Vocational training
Employment creation
SME development
EDUCATION
OTHER SOCIAL INFRASTRUCTURE AND SERVICES
INDUSTRY
Vocational training
Employment policy and administrative management
Small and medium-sized enterprises (SME) development

01.01.2011 - 30.06.2020


CHF 5'996'665



Participation active des citoyennes et citoyens tunisiens – PACT

01.01.2026 - 31.12.2028

La Suisse veut contribuer à la transition démocratique de la Tunisie suite à la révolution de 2011. Cette transition passe par une participation accrue des citoyens, en particulier des jeunes, dans la gestion des affaires publiques à travers la mise en place de mécanismes de participation inclusive. La Suisse entend promouvoir des initiatives citoyennes faisant la promotion d’une culture de redevabilité des acteurs politiques auprès des communautés tout en formant les nouveaux élus locaux dans le cadre de la décentralisation.


Contribution au programme santé de mediCuba-Suiza (mCS)

01.09.2025 - 31.08.2027

Après plusieurs années de soutien sporadiques, la coopération suisse propose de renouveler un soutien programme à l’association suisse mediCuba-Suiza (mCS). Cette dernière collabore avec plusieurs institutions publiques de premier plan, et favorise les échanges techniques entre professionnels de la santé en leur permettant un accès aux technologies et méthodes de traitement modernes. mCS  contribue ainsi à la couverture universelle des services de santé.


Youth-Inclusive Rural Finance (YIRF)

15.09.2024 - 14.09.2028

Millions of Tanzanian young people living in rural areas, in particular young women, are affected by vulnerable employment. Building on successful Swiss experience in youth employment, this initiative aims at increasing gainful self-employment through enhanced financial inclusion. It will support the design, market entrance and upscaling of innovative digital financial products and services tailored to rural youth, including female youth. In order to ensure scale and sustainability, a partnership with the private sector will be developed.


UN Joint Programme on Youth Employment

01.01.2024 - 31.12.2028

Cambodia is the most youthful country in South East Asia with more than 50% of the population below 25 years. The key challenge of Cambodia is to create decent and productive employment opportunities for new entrants to the labour market. With its contribution, SDC addresses the challenge by enabling young people to have access to skills and quality education and employment whilst promoting rightful and decent working conditions.

Object 61 – 72 of 1099