[{"bbox": [93, 154, 1162, 267], "category": "Text", "text": "- Focusing on strengthening existing health centers rather than opening new ones is important because it optimizes the use of existing resources, maintains and develops the skills of health workers, ensures continuity of care and reduces long-term costs. In addition, this strategy promotes environmental sustainability and contributes to an overall improvement in the efficiency, effectiveness and quality of health services provided."}, {"bbox": [93, 284, 1162, 369], "category": "Text", "text": "- Ensuring adequate training for staff when introducing new equipment in a project is crucial to maximize the benefits of the investment. This is because comprehensive and targeted training allows staff to use the new equipment effectively and efficiently, thereby improving overall performance and the quality of patient care."}, {"bbox": [93, 387, 1162, 528], "category": "Text", "text": "- Informing stakeholders in a maternal and child health project is essential to ensure active and informed community participation. This involvement is crucial because it allows for a better understanding of local needs and challenges, tailoring services to meet actual needs, and building a strong and collaborative partnership between health workers and users. In addition, informing stakeholders helps to raise awareness of health rights, reduce inequalities in access to services, and improve the long-term effectiveness and sustainability of initiatives."}, {"bbox": [86, 562, 398, 592], "category": "Section-header", "text": "## 3.5 The Intervention Logic"}, {"bbox": [97, 609, 1159, 691], "category": "Text", "text": "The underlying intervention logic for this action is that supporting the strengthening of high-level capacities of health professionals, as well as optimizing protocols and health centers involved in the intervention, will lead to a reduction of maternal and infant mortality in El Salvador"}, {"bbox": [97, 711, 406, 737], "category": "Text", "text": "The action has three components:"}, {"bbox": [97, 756, 1160, 866], "category": "Text", "text": "The first component involves the strengthening of a \"Hub & Spoke\" reference network that links the basic health centers with 1st, 2nd and 3rd level hospitals. This will include the training of health professionals at all levels, the creation of new protocols regarding maternal-infant health as well as the provision of appropriate equipment for health facilities."}, {"bbox": [97, 887, 1160, 943], "category": "Text", "text": "The second component involves a capacity building program on neonatal pathology specialization for the care of mothers and infants with risks associated with premature births and congenital anomalies."}, {"bbox": [97, 961, 1160, 1043], "category": "Text", "text": "Finally, the third component will support the functioning of the reference system for risk pregnancies in the most marginalized territories, through an information campaign at local level and rising awareness about the rights to maternal and child health and how to access these health services."}, {"bbox": [97, 1063, 1160, 1233], "category": "Text", "text": "The theory of change underlying the proposal is based on the assumption that (a) IF specialized capacities on critical birth assistance and neonatal pathology services are increased, (b) IF the quality of maternal and child services provided at all levels and the referral system throughout the country is strengthened, (c) IF the level of preparation of health personnel and the reference system is improved to bring each level of care closer to a quality standard, and (d) IF the targeted population know what services that are available and accessible in the field of SRHR and maternal and child care. THEN it will lead to a significant reduction in maternal and neonatal mortality in El Salvador."}, {"bbox": [86, 1345, 456, 1375], "category": "Section-header", "text": "## 3.6 Logical Framework Matrix"}, {"bbox": [1016, 1656, 1142, 1682], "category": "Page-footer", "text": "Page 13 of 21"}]