Community Health Provision in Somalia (CHASP)

The programme provides maternal and child health services in Somalia in targeted facilities. It strengthens the capacities of regional and district health authorities including of health personnel working in these facilities. The programme promotes access in terms of basic health services and skilled health personnel at decentralized levels. This is connected to the Swiss interest of promoting service provision and good governance capacities especially at grassroot levels, which also feeds into the transformation/ development agenda of Somalia.

Paese/Regione Tema Periodo Budget
Assistenza sanitaria primaria
Rafforzamento dei sistemi sanitari
Educazione sanitaria
01.05.2024 - 30.04.2027
CHF  6’200’000
Contesto Despite the significant milestones and the promising steps by the government of Somalia (FGS) towards equitable access to health care services and improved coverage, only less than 30% of the Somalis have access to health care services. In the recent Somalia Health and Demographic Survey (2020), the maternal mortality rate was at 692 per 100’000 live births. 32% of births are attended by skilled health personnel while the Antenatal Care coverage stands at 31%. In addition, humanitarian health crises (malnutrition and disease outbreaks) related to the effects of climate change (droughts, floods) often disrupt the development gains achieved within the health sector. These issues combined with the limited financial resources have a severe impact on Somalia’s health outcomes. This programme seeks to boost access to maternal and child services in the public sector through provision of basic health services. The programme will be implemented in 77 health facilities across 13 districts. 6 districts in South Central federal state (Adado, Herale, Hurshe - Galgaduud region; Kismayo, Afmadow, Dhobley - Lower Juba Region) and 7 districts in the Bari region of Puntland (Bossaso, Ishkushuban, Qandala, Alula, Carmo, Ufayn and Bargal).
Obiettivi To improve the quality of the health system and service provision through the provision of basic health services
Gruppi target
  • 643’000 persons across 13 districts
  • 886 Health personnel in the facilities
  • Health authorities at the regional levels
Effetti a medio termine
  1. Continued provision of the Essential Package of Health Services (EPHS), delivered to women and children
  2. Enhanced governance capacity of Ministry of Health (MoH) to sustain equitable and resilient health systems
  3. Strengthened Community structures to ensure ownership, inclusive participation, equitable access, and service utilization

Risultati principali attesi:  

  • Improved delivery of health services at the facilities and community level through the implementing partner
  • Improved capacity of health facility personnel through targeted training to enhance their competencies
  • Improved capacities of local authorities to facilitate the management of regional and district health services
  • Increased capacity of health facilities in terms of infrastructure, equipment and personnel
  • Strengthened sexual and gender-based violence case management at facility level
  • Enhanced accountability, reporting and referral mechanisms, at the community level

Risultati fasi precedenti:  

  • Over 1’272’000 beneficiaries assisted with basic health services
  • 640’048 children under 5 years accessed health services
  • 62’225 women accessed facility-based deliveries by skilled birth attendants
  • Improved and more frequent health authority led supervisions to health facilities, as a consequence of district health boards ensuring quality health governance
  • Increased capacity and functionality of community-based structures across all the three regions
  • Increased mobilization of resources by the Community based health boards to improve infrastructure and purchase medical equipment

Direzione/Ufficio responsabile DSC
Credito Cooperazione allo sviluppo
Partner del progetto Partner contrattuale
ONG internazionale o straniera
Economia privata
  • Other international or foreign NGO North
  • Settore privato straniero Sud/Est
  • Save the Children International (Sweden); Local partner to be identified

Coordinamento con altri progetti e attori This support works to build the public health system which complements SDC health engagements in the private health sector - Private Sector Partnerships for Health (PSPH). Both work on different sides of the same coin to build the health system. The programme also complements other basic health services programmes supported in Somalia by SDC (UNFPA) as well as those supported by other donors (Damaal Caafimad by WB, Better lives by FCDO).
Budget Fase in corso Budget Svizzera CHF    6’200’000 Budget svizzero attualmente già speso CHF    0 Progetto totale dalla prima fase Budget Svizzera CHF   13’344’024 Budget inclusi partner del progetto CHF   20’000’000
Fasi del progetto Fase 3 01.05.2024 - 30.04.2027   (Fase in corso) Fase 2 01.08.2021 - 30.04.2024   (Completed) Fase 1 15.06.2017 - 30.04.2021   (Completed)