One Health Units for Humans, Environment, Animals and Livelihoods (HEAL)

Transmission of diseases between humans and animals are frequent in pastoralist societies of

Somalia, Ethiopia and Northern Kenya and related to environmental conditions. The HEAL project

promotes sustainable rangeland management and access to integrated human/livestock health

services. Thereby, it contributes to improved health, to reduced vulnerability among pastoralist

communities and to prevention of their displacement/migration, which is in the interest of Switzerland.

Pays/région Thème Période Budget
Corne de l’Afrique
Agriculture et sécurité alimentaire
Système de santé primaire
Services agricoles & marché
Ressources en terres cultivables
01.03.2019 - 31.10.2024
CHF  5’635’568

Over 30 million pastoralists in Ethiopia, Somalia

and Kenya (Horn of Africa) are affected by

inadequate access to essential healthcare and a

poorly developed veterinary service for their

livestock. This is mainly because of factors

associated with their lifestyles such as dispersed

settlement patterns, seasonal mobility and social

and economic features that perpetuate the

underutilization of essential services even when

they are available. The services provided are

insufficiently adapted to the needs and contexts of

the communities. Moreover, the health system and

policies in the Horn of Africa do not sufficiently take

the unique context of pastoralist communities into

account. The situation is compounded by recurrent

drought, flooding and human and livestock disease

outbreaks which cross boundaries. Switzerland will

address this situation by promoting One Health

services, which address human, animal and

ecosystem health in an integrated way. The Swiss

value added in this field is based on longstanding

experience in livestock management and the Swiss

expertise in One Health.

Objectifs Enhanced well-being and improved resilience to shocks of vulnerable communities in pastoralist and agro-pastoralist areas in the Horn of Africa.
Groupes cibles Communities: 1.2 million pastoralists and agro-pastoralists (60% women and girls) in communities of the Horn of Africa who are challenged by inadequate access to basic health services, basic veterinary services and poor environmental conditions. With the 12 One Health Units to be piloted and supported, 4,279,350 livestock will be able to access improved animal health services. Institutions: Formal institutions such as public health and veterinary service providers, regional/county and woreda/district line departments and offices; and informal/traditional institutions such as community platforms.
Effets à moyen terme Men and women members of pastoral communities are engaged in defining sustainable, demand-driven and need-based One Health Units. Public health offices at local level operate context-specific, cost-effective One Health service delivery models. Policymakers and investors recognise HEAL-One Health Units as a solution

Principaux résultats attendus:  

Improved community capacity on natural

resource management for rangeland health

and One Health. Detailed plans for gender-sensitive One

Health Units set-up, both infrastructures

(‘hardware’) and mode of operating


Public health, veterinary and NRM service

providers supported to operationalize and

scale up different types of One Health Units

operational and scaled up.

Documented evidence and lessons learnt.

Regional community of practice established

and strengthened for contributing to policy

discussions. At least 6 meetings/workshops

involving donors and government actors

(including policy makers) will be conducted.

A minimum of 2 policy briefs developed and


Principaux résultats antérieurs:  

During the inception phase of the HEAL project

priorities and expectations of the beneficiaries,

partners and government were explored across

the three countries. Accordingly, the following

milestones were achieved.

* The one-health policy context and needs at

strategic level were mapped for the three

target countries.

* Pastoralist community representatives were

supported to establish 8 Multi-Stakeholder

Innovation Platforms in Ethiopia and Somalia.

* The vulnerability and capacity needs pertinent

to one-health were identified.

Direction/office fédéral responsable DDC
Crédit Coopération au développement
Partenaire de projet Partenaire contractuel
Organisation suisse à but non lucratif
  • Vétérinaires sans Frontières Suisse

Autres partenaires

Vétérinaires Sans Frontières Suisse is the main

contract partner. Comitato Collaborazione Medica

and International Livestock Research Institute are

also consortium members.

Coordination avec d'autres projets et acteurs HEAL consortium will closely work with the SDC-supported Jijiga One-Health Initiative project through consultation in project development, governance (participation in steering committee meetings) and advocacy work (jointly mobilizing the regional one-health taskforce in Somali Region). HEAL project coordinates with other one-health actors in the HoA.
Budget Phase en cours Budget de la Suisse CHF    5’635’568 Budget suisse déjà attribué CHF    4’679’694