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.
Horn of Africa
Agriculture & food security
Primary health care
Agricultural services & market
Agricultural land resources
- Vétérinaires sans Frontières Suisse
Sector according to the OECD Developement Assistance Commitiee categorisation HEALTH
Sub-Sector according to the OECD Developement Assistance Commitiee categorisationBasic health care
Agricultural land resources
Cross-cutting topics The project promotes biodiversity.
Aid Type Project and programme contribution
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.
|Objectives||Enhanced well-being and improved resilience to shocks of vulnerable communities in pastoralist and agro-pastoralist areas in the Horn of Africa.|
|Target groups||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.|
|Medium-term outcomes||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|
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
Results from previous phases:
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
* 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.
|Directorate/federal office responsible||
Swiss Non-profit Organisation
Vétérinaires Sans Frontières Suisse is the main
contract partner. Comitato Collaborazione Medica
and International Livestock Research Institute are
also consortium members.
|Coordination with other projects and actors||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||Current phase Swiss budget CHF 5’235’568 Swiss disbursement to date CHF 3’879’694|