In 2024, Switzerland spent an estimated CHF 1.5 billion on prevention and health promotion (PHP). This expenditure accounted for 1.5% of all healthcare costs (CHF 97.2 billion, see FSO table). From 2010 to 2019 PHP expenditure accounted for between 1.7% and 2.1% of total healthcare costs. In 2020 (2.9%) and 2021 (3.5%) this percentage rose sharply, but in 2024 it was below the 2019 level. The Confederation, cantons and communes bore around half of the expenditure in 2024, while social insurances covered 17% (see "Expenditure on PHP by financing scheme" indicator).

In 2024, awareness activities among the population and target groups accounted for 40.3% of PHP expenditure. 15.4% of funds were spent on addiction prevention projects, 15.1% on mental health and healthcare in schools and 14.0% on projects for the prevention of accidents and injuries. 13.2% of funds went on vaccination programmes; this percentage rose steeply between 2020 and 2022 due to the COVID-19 pandemic and was responsible for the increase in the proportion of PHP expenditure in total healthcare costs during this period. Finally, in 2024, 0.8% of funds were spent on physical activity and nutrition and 1.3% on other prevention.

This indicator is part of the Monitoring System Addiction and NCD (MonAM) of the Federal Office of Public Health (FOPH).

Healthy ageing is an important objective of the Federal Council’s Health2030 Strategy. People of all age groups should encounter conditions favourable to a healthy life. This should also allow the unfavourable cost trend in the health care system to be curtailed. Investments in prevention and health promotion services make an important contribution towards achieving these goals.

Definition

The indicator shows the percentage share of prevention and health promotion (PHP) expenditure in total health cost expenditure in Switzerland. It also shows PHP expenditure by service category. The data are updated annually.

The indicator is calculated on the basis of the Federal Statistical Office’s (FSO) “Health care costs and financing statistics”. The statistics are based on the methodology of the Systems of Health Accounts (SHA; OECD, 2017) and present a synthesis of all available figures for an estimation of the monetary flows associated with the production, consumption and financing of goods and services of the Swiss health system during one year. The expenditure includes both material and personnel costs. For this indicator, the monetary flows for the category "Prevention" are analysed. The sub-category "Tests" is not included.

The range of prevention and health promotion services in Switzerland is broad and very diverse:

  • Awareness among the population/target groups: This category refers to awareness, information, support etc. among the population and target groups in various fields related to many different diseases.
  • Addiction: This category includes services for early diagnosis, advice, treatment and harm reduction with regard to alcohol, tobacco / nicotine, drugs or medication.
  • Mental health, health care in schools: This category includes on the one hand services that raise awareness of mental health problems and on the other hand the organisation of preventive measures in the school setting such as dental check-ups, vision and hearing tests, and vaccination monitoring.
  • Accidents and injuries: This category encompasses services to prevent occupational accidents and diseases as well as non-occupational accidents or recreational accidents.
  • Vaccination programmes: This category includes bacteriological examinations, vaccination campaigns, disinfection, epidemiology, disease control, occupational medicine/hygiene, medication, subsidies to institutions (e.g. Cancer or Rheumatism League). 
  • Physical activity and nutrition: This category refers to the cantonal action programmes (KAP) of Health Promotion Switzerland to promote a balanced diet, sufficient physical activity and the improved mental health of children, adolescents and older people. 
  • Other prevention: This category includes civil services that cannot be classified in another category.

Switzerland’s 26 cantons finance their own prevention and health promotion independently. There is no uniformly applied definition as to what comes under prevention or health promotion. This makes it difficult to assign data in a uniform manner to the different service categories. For this reason, PHP expenditure can only be estimated approximately.

Sources

References

  • Federal Statistical Office (FSO) (2026): Costs of health care since 1960 (retrieved on 26.05.2026)
  • OECD, Eurostat and World Health Organization (2017), A System of Health Accounts 2011: Revised edition, OECD Publishing, Paris: Publication (englisch).

Further information

  • Gmeinder, M. et al. (2017): How much do OECD countries spend on prevention?, OECD Health Working Papers, No. 101, DOI: 10.1787/f19e803c-en: Study.
  • OECD (2025). Health at a Glance 2025: OECD Indicators. OECD Publishing. Paris: Report.

Media enquiries

Federal Office of Public Health FOPH
Tel. +41 58 462 95 05
media@bag.admin.ch

Last updated

15/06/2026

Citation

FOPH & Obsan (2026). Expenditure on prevention and health promotion by service (MonAM indicator). https://ind.obsan.admin.ch/en/indicator/monam/_270

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