📋 Tender Overview
In Chad, the weakness of the governance of the health system is one of the causes of the health situation characterized by the lowest indicators in sub-Saharan Africa. Switzerland's support will contribute to improving the quality of services and the supply of health care in the health districts of the provinces of Batha and Moyen Chari as well as to the deployment of universal health coverage in certain provinces.
Country/region Topic Period Budget
Chad
Health
Governance
Conflict & fragility
Health systems strengthening
Decentralisation
Conflict prevention
01.04.2023 - 31.03.2027
CHF 9’961’000
The project in brief
Background The low level of health indicators in Chad is explained by the weakness of the governance of the health system. This situation is due to the little progress made in the supply and quality of care. The culture of responsibility, efficiency, transparency and accountability remains weak. Supported by its main partners, including Switzerland, the Government has undertaken reforms to strengthen its health system. Since 2013, Chad has been gradually moving towards the development of universal health coverage (UHC). Laws and decrees establishing the CSU, creating and organizing the national health insurance fund (CNAS) are published. A plan for the deployment of the CNAS on the national territory through the decentralized services of the Ministry of Public Health and Prevention and by delegation to delegated management organizations is being prepared for 2023. In order to mobilize more domestic resources and to promote access to services, Switzerland supported the establishment of an interministerial CSU unit and the recognition of mutual health insurance as a means of sustainable financing of health services.
Objectives Contribute to better governance of the health system towards universal coverage.
Target groups - More than 1.6 million people in the two districts including +/-50.6% women and +/-20.20% children under 5 years old; Community-based organizations and other field partners; - Health system decision-makers at national and local level and private actors; - Nursing and administrative staff in health districts.
Results Expected results: - Coordination of partners and participation of beneficiaries are ensured; - The performance of health structures improves; - The health information system produces data within the required time frame that contributes to decision-making; - The minimum activity package and the complementary activity package are provided in health facilities; - Essential care in the community is provided by community health workers; - Populations use health care thanks to health insurance mechanisms.
Results from previous phases: - Supervision and planning of health facilities are improved at district and provincial levels thanks to the availability of data for decision-making through the computerization of the health information system (SIS); - Innovations in single health, SIS and h
