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


Access to basic health and veterinary services is challenging in (agro-)pastoralist societies in the Horn of Africa due to unfavourable environmental and climatic conditions and limited delivery of basic services. Using a One Health approach, Switzerland promotes an innovative integrated human/livestock/environmental health service model, contributing to improved health, reduced vulnerability and increased livelihood resilience.

Paese/Regione Tema Periodo Budget
Corno d’Africa
Sanità
Assistenza sanitaria primaria
Educazione sanitaria
Rafforzamento dei sistemi sanitari
01.11.2024 - 31.10.2028
CHF  4’195’000
Contesto (Agro-)pastoralist communities in the Horn of Africa (Somalia and bordering arid and semi-arid areas of Southeastern Ethiopia, Northerneastern Kenya) are heavily affected by recurrent and protracted droughts, most recently from 2020 to 2023, which caused massive livestock deaths, malnutrition, and water shortages that led to disease outbreaks, environmental degradation, and increased vulnerability especially of women and girls. Although (agro-)pastoralists are key contributors to the economy, with the livestock sector contributing an estimated 10-30% to the gross domestic product, they lack meaningful access to basic health and veterinary services, environmental protection measures, and other opportunities to safeguard their livelihoods. Security and resources-related conflicts further exacerbate these challenges, which continue to hamper effective mitigation of disease outbreaks including those that transcend international borders.
Obiettivi Enhanced well-being and resilience to shocks of vulnerable communities in (agro-)pastoralist areas in the Horn of Africa.
Gruppi target

Between 150,000 - 215,000 people in hard-to-reach areas will benefit from integrated One Health service delivery and health promotion activities.

Up to 1,000 - 1,500 service providers in public health, veterinary, environmental protection institutions, and community platforms will benefit from capacity strengthening, reaching an estimated population of about 1.2 million in the target areas across the Horn of Africa.

Effetti a medio termine
  • Communities are empowered to make informed decisions about their health, their animals, and their environment.
  • One Health Units provide integrated, gender-responsive, adaptive, and cost-effective services.
  • The public and private sectors have institutionalized and invest in recognized One Health Units.
Risultati

Risultati principali attesi:  

  • Scaling-up to 2 new regions in Somalia and 1 new zone in the Somali Region of Ethiopia, along intervention corridors of RCPHoA 2026-29;
  • Strengthen and establish new Multi-Stakeholder Innovation Platforms and One Health Units;
  • Enhance government allocations to service delivery in target areas;
  • Support One Health Units for efficient management of resources, and effective crisis response;
  • Strengthen joint advocacy to institutionalise the One Health approach by local government counterparts.
  • Market study to explore private sector engagement for One Health service delivery.


Risultati fasi precedenti:  

The HEAL project facilitated an innovative bottom-up, community-led approach for joint basic health, veterinary, and environmental services delivery in (agro-)pastoralist areas of the Horn of Africa: Key achievements of phase 1 are:

  • Establishement of 38 community Multi-Stakeholder Innovation Platforms for facilitating integrated service delivery. Ca. 40% of the members are women.
  • 14 One Health Units piloted for integrated service delivery in the 3 countries, and 146 service providers, 312 local government representatives, and 744 community-based actors trained on the principles and practices of One Health.
  • 50,447 households reached with emergency response interventions in the project locations through the crisis modifier.
  • Formation of One Health Taskforces at district and zonal levels.
  • Key recommendations for Phase 2 from the mid-term evaluation in 2024: i) joint advocacy for investment in One Health Units with governments, ii) explore and strengthen opportunities for partnership with private sector actors, iii) strengthen environmental component of One Health service delivery.


Direzione/Ufficio responsabile DSC
Credito Cooperazione allo sviluppo
Partner del progetto Partner contrattuale
Organizzazione svizzera senza scopo di lucro
  • Vétérinaires sans Frontières Suisse

Partner attuatore
Vétérinaires Sans Frontières Suisse (VSF-Suisse)
Amref Health Africa (Amref) and the International Livestock Research Institute (ILRI) are sub-contracted by VSF-Suisse.

Coordinamento con altri progetti e attori

University of Liverpool, CEDA, TRiM, as associated HEAL partners.

SDC projects in the same area (JOHI, RLP; Rapid+, LSS), and other One Health actors as collaborating partners.

Budget Fase in corso Budget Svizzera CHF    4’195’000 Budget svizzero attualmente già speso CHF    800’000 Progetto totale dalla prima fase Budget Svizzera CHF   5’350’736 Budget inclusi partner del progetto CHF   13’830’568
Fasi del progetto Fase 2 01.11.2024 - 31.10.2028   (Fase in corso) Fase 1 01.03.2019 - 31.10.2024   (Completed)