[{"bbox": [81, 146, 1168, 1080], "category": "Table", "text": "<table><tr><td></td><td></td><td></td><td></td><td>issues and economic empowerment of survivors and their communities.</td></tr><tr><td>External environment</td><td>Availability of health personnel in conflict affected areas is significantly reduced hence limiting possibilities for specialized assistance to GBV victims</td><td>M</td><td>M</td><td>Implementation of the Action will be accompanied by regular policy dialogue with Ministry of Health to deploy critical health personnel in conflict affected areas and also strengthen existing referral systems. The Action will also be complemented by an ongoing IM1 support specialized training for medical personnel to increase availability of care with a focus on the targeted conflict affected areas.</td></tr><tr><td>Planning processes and systems</td><td>Substantial increases in the costs of constructions and fixed budget reduces the scope of intervention</td><td>M</td><td>H</td><td>In depth assessments of health facilities and needs will be conducted in inception phase to establish a realistic rehabilitation plan in partnership with Government Health authorities. EUD will also continuously engage with MS active in health sector to explore possibility for additional contributions and longer term sustainability of the programme.</td></tr><tr><td>External environment</td><td>Aid diversion</td><td>M</td><td>H</td><td>EU and implementing partner will put in place safeguarding measures to reduce the risk of aid diversion. Regular follow up with implementing partners and government counterparts on implementation of the action, coupled with monitoring missions, regular systems audits and expenditure verifications.</td></tr></table>"}, {"bbox": [92, 1082, 253, 1106], "category": "Section-header", "text": "Lessons Learnt:"}, {"bbox": [92, 1127, 1162, 1235], "category": "List-item", "text": "* Political and security situation in Ethiopia remains volatile and design and implementation of actions on the ground will need to be sufficiently flexible to adapt to a rapidly changing context. Access to conflict affected areas may vary, hence continuous monitoring and contact with authorities and partners on the ground is of paramount importance."}, {"bbox": [92, 1236, 1162, 1396], "category": "List-item", "text": "* While the problem analysis and the intervention logic of this Action will remain relevant, it is not unlikely that volatile situation may require adjustment in the scope of the rehabilitation/reconstruction works, possibly due to rapid increase in the price of building materials, difficult access to targeted areas, as well as repeated damages due to protracted conflict. Because of substantial discrepancies between costs estimated during proposal and needs assessment during inception phase, the number of health facilities rehabilitated under the UNICEF implemented project CARE4Health (NDICI AFRICA/2022/437-516) had to be drastically reduced."}, {"bbox": [92, 1397, 1162, 1477], "category": "List-item", "text": "* GBV survivors may refrain from requesting appropriate support due to fear of stigma and discrimination. There is a need to devise multi-sectoral approaches to reach GBV survivors and address the multi faceted problems (health, psychosocial and economic) they face."}, {"bbox": [92, 1478, 1162, 1584], "category": "List-item", "text": "* It is necessary to devise relevant strategies and approaches to challenge existing attitudes, beliefs, norms and structures that promote or excuse gender based violence. Informal mechanisms (religious leaders, traditional leaders, clan leaders in Afar, community based structures) can play pivotal roles in creating awareness, mobilize community members and bringing attitudes change."}, {"bbox": [1026, 1680, 1142, 1705], "category": "Page-footer", "text": "Page 12 of 23"}]