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 73 – 84 of 1057

Fair and ethical recruitment of migrant workers

01.11.2021 - 31.12.2023

Approximately 105 million people are currently working outside their country of origin. Many of these migrant workers have profited from international labour recruitment intermediaries. Millions, however, have become victims of abusive and exploitative practices by unethical recruiters. Working together with different actors, SDC will support initiatives to ensure fair and ethical recruitment. Migrants and their families will be better protected and thereby better enabled to contribute to the development of their countries of origin and destination.


Bangladesh Agricultural and Disaster Insurance Programme

01.11.2021 - 31.12.2028

Farmers will improve their productivity and resilience by gaining access to client-oriented and affordable agricultural insurance products. Insurance-cover will allow farmers to invest in higher-return activities, access credit and to recover faster when affected by weather, diseases and disasters. By building capacity of and facilitating coordination and linkages among key stakeholders, inclusive insurance markets will be developed to eventually cater for several million farmers.


Promoting Social Entrepreneurship in selected countries

01.08.2021 - 28.02.2026

This regional program with national implementation components supports Social Entrepreneurs (SEs) contributing to solving societal and environmental problems with a market-based approach. The contribution identifies and supports selected SEs and helps them to reach out to the poor. It serves the creation of employment and income for low-income households improving their livelihoods. SEs use innovative ideas and business models that are well-aligned with SDC’s objectives of poverty reduction.



CLIMATE AND CLEAN AIR IN LATIN AMERICAN CITIES PLUS (CALAC+) PROGRAMME

01.03.2021 - 28.02.2023

Air pollution is an important impediment to sustainable development in cities, and short-lived climate pollutants such as black carbon represent a major trigger for climate change. Supporting increasing voluntary efforts, CALAC+ will assist clean air strategies in five Latin American cities by fostering normative and technological changes and share lessons at the global level. Capacity building will use the comparative advantage of Swiss experience and the private sector’s interest to increase its stance in urban clean air issues.


Strengthening democratic local governance

01.01.2021 - 30.06.2026

The project aims at supporting the democratic transition and the peace efforts in Myanmar. Using a decentralized budget support approach to all townships of one state in the Southeast of the country, it will strengthen township’s participatory planning and budgeting capacity. The project will also deepen the community’s capacity to demand public services. Additionally it will support national level policy discussions based on this experience.


Joint Peace Fund

01.01.2021 - 31.12.2027

After 60 years of conflict, the government and 8 Ethnic Armed Groups have signed a National Ceasefire Agreement (NCA) in October 2015, opening up a unique opportunity to find lasting peace. The Joint Peace Fund is a multi-donor fund set up to channel coordinated international support for such efforts, including the implementation of the NCA and following political dialogue of the peace process, a requirement for development especially in border areas.


Pathfinders for Peaceful, Just and Inclusive Societies (Sustainable Develoment Goal 16+)

01.01.2021 - 31.12.2030

The promotion of peaceful, just and inclusive societies (SDG16) is integral to the success of the Agenda 2030 for Sustainable Development. In order to accelerate its implementation, a group of UN Member States are coming together to leveraging intersections within the Agenda (16+) and to accelerate national and international implementation, while building a movement of the willing around three grand challenges. Switzerland is a co-convener, a member and a donor to this initiative.


Skills for Local Economic Development SLED

01.01.2021 - 31.12.2030

Switzerland will explore opportunities for supporting local economic development through vocational skills development in predominantly rural areas in Southern Shan. A focus on market-oriented skills opportunities accessible to young women and men, especially from vulnerable groups will be identified that open life-long learning opportunities to improve livelihood options and support peace building and security in conflict-affected areas.


Redevabilité, sécurité et prévention de l’extrémisme violent pour les citoyennes et citoyens tunisiens RESPECT

01.12.2020 - 30.11.2026

L’intervention renforce la gouvernance du secteur de sécurité tunisien et les capacités institutionnelles de prévention de l’extrémisme violent. Elle contribue ainsi à une meilleure protection des citoyennes et des citoyens tunisiens à travers une assistance vers une gestion de la sécurité redevable et efficace, et à travers un soutien à la définition et à la mise en œuvre de politiques publiques limitant le phénomène de l’extrémisme violent.

 


Agricultural Services and Livelihood Improvement (ASLI)

01.10.2020 - 31.07.2028

Farming households in the Central Highlands of Afghanistan suffer from high levels of poverty and food insecurity. Their agricultural productivity remains low due to insufficient access to inputs and information. The Agricultural Services and Livelihood Improvement (ASLI) project aims to improve the livelihoods of poor rural families by strengthening the public extension system at subnational level to enable targeted, demand-driven agricultural service delivery.


Economic Policy for Inclusive Growth

01.10.2020 - 31.12.2029

The planned intervention aims at supporting inclusive growth that improves the living standards for the Mozambicans, in particular women and youth. It will be pursued through increased analytical capacity and better informed policy making, by means of focussed support to economic analysis and discussion in and between government and non-government institutions. Emphasis on non-government institutions will enhance the demand for and accountability for effective policy making for inclusive growth

Object 73 – 84 of 1057