PSPH – Private Sector Partnerships for Health

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
Employment & economic development
Health systems strengthening
Business support & economic inclusion
01.01.2019 - 30.09.2024
CHF  4’015’435
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
  • Private sector businesses engaged in the Somali health sector
  • 150,000 Somalis through health financing interventions 
  • 500,000 patients visited per month through service delivery network interventions
  • Ministry of Health of Somalia
Medium-term outcomes
  1. Private providers develop, test, and assess pro-poor healthcare financing mechanisms for sustainability and scalability; and
  2. Organized private service providers deliver quality and inclusive health services across the country, including areas of difficult access.

Expected results:  

  1. Innovative formal and informal healthcare financing mechanisms that benefit the poor are operating in the market and demonstrate commercial viability, effectiveness, and scalability.
  2. Organized private sector healthcare service provider associations and networks are operating in the market and demonstrate commercial viability, effectiveness, and scalability. 

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
  • Foreign private sector South/East

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    4’015’435 Swiss disbursement to date CHF    1’678’166