Small countries initiative

Small countries initiative

The WHO/Europe Small Countries Initiative is a network of 11 European countries with 2 million or less inhabitants: Andorra, Cyprus, Estonia, Iceland, Latvia, Luxembourg, Malta, Monaco, Montenegro, San Marino and Slovenia.

The Small countries initiative is a laboratory for innovation. Since its start in 2014, the small country initiative is the place where small countries come together to find solutions to health-related needs and vulnerabilities.

Today the small countries face new challenges – such as the response and recovery from COVID-19.

The objectives of the Initiative are to:

  • place health and well-being high on the key political agendas of small countries;
  • advocate the needs of small countries at the regional and international levels;
  • promote investment for health and well-being, leaving no one behind;
  • build a solutions platform for better population health and resilient health systems;
  • measure progresses.

This requires even stronger action - under the umbrella of the WHO European Programme of Work:

  • to protect people better against health emergencies, such as COVID19 
  • to strengthen health systems towards achievement of universal health coverage
  • to ensure healthy lives and well-being for people of all ages.

The Secretariat is housed at the WHO European Centre for Investment for Health and Development in Venice, Italy.


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Towards collaboration on mental health in the Small Countries Initiative: background paper

This background document was developed specifically for reporting on the status of the eleven countries participating in the Small Countries Initiative...

Ninth high-level meeting of the Small Countries Initiative: advancing health and well-being: Luxembourg, 10–12 May 2023

The Ninth High-level Meeting of the Small Countries Initiative (‎SCI)‎ brought together ministers of health and secretaries of state from the 11...

Issues and challenges in access to medicines faced by small countries in the WHO European Region: policy brief

Essential medicines save lives and improve health when they are available, affordable, of assured quality and properly used. Lack of access to essential...

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