[{"bbox": [124, 121, 429, 151], "category": "Section-header", "text": "## 3.5 The Intervention Logic"}, {"bbox": [91, 177, 1176, 231], "category": "Text", "text": "The action proposes a four year intervention to further consolidate PIMI's achievements on RMNCH and pave the way towards a UHC System."}, {"bbox": [91, 242, 1176, 323], "category": "Text", "text": "Based on the assumption that accessible maternal and child health care is a critical component of UHC, and that access to and respect for sexual and reproductive health and rights is related to multiple human rights, including the right to health, the **specific objective** of the action is to ensure better access to quality RMNCH in Guinea-Bissau."}, {"bbox": [91, 334, 1176, 468], "category": "Text", "text": "PIMI III, stemming from the experience of PIMI I and PIMI II, will ensure the maintenance of high-quality, integrated, people-centred RMNCH services, based on primary health care and comprehensive essential service packages. To endure PIMI's contribution in reducing maternal and child mortality through a better access to healthcare services, the action intends to take advantage of the relatively stable political scenario where the MINSAP is showing renewed commitment and engagement in fighting corruption and improving the sound management of the health sector."}, {"bbox": [91, 479, 1176, 693], "category": "Text", "text": "PIMI's intervention resulted in a good balance between the increase of demand for services and improvement of quality, and in the validation of standards and protocols by MINSAP. It is now essential to advance this process, mainly led by NGOs, and transfer the responsibility to MINSAP, to permanently integrate these services and protocols within the national system, to eventually strengthen them and ensure their resilience and sustainability. This cannot be done abruptly, but requires a gradual shift from a substitution intervention (PIMI I and II) to a development capacity process (PIMI III). This will contribute to the development of a country led UHC system that provides efficient and equitable quality care for all, in particular to adolescent girls, women of reproductive age and children under 5, to be further supported under the MIP 2021-2027."}, {"bbox": [91, 705, 1176, 835], "category": "Text", "text": "Hence, to ensure better access to quality RMNCH in Guinea Bissau, thus contributing to reduce maternal and under five children mortality, the action intends to increase access to (better quality) antenatal, postpartum and postnatal consultations, increase the management capacity of health structures and Regional Health Directorates, improve general leadership of MINSAP (including on gender issues), and strengthen procurement and supply chain of essential medicines."}, {"bbox": [91, 849, 1176, 956], "category": "Text", "text": "The action will also ensure complementarity with other initiatives related to the promotion of Maternal and Child Health (World Bank), Community Health (Global Fund, UNDP), Health Governance (Camões Institute) and with the joint initiative promoted by UNIDO and UNFPA aimed at leveraging positive correlations between health, education, productivity and economic empowerment of youth, especially young women."}, {"bbox": [91, 968, 1176, 1205], "category": "Text", "text": "A possible mobilisation of funds, with the support of the European Investment Bank (EIB), which is still under review, might also allow the government to launch a rehabilitation programme for a number of health institutions, to be equipped with renewable energy sources (solar panels) and WASH facilities. EIB expressed interest provided such investments could be channelled through resident UN agencies, such as UNOPS, UNICEF or UNDP. If the EIB intervention is confirmed, it will mobilise an EU guarantee to be funded via the MIP. In the same vein, complementarity with the \"infrastructures\" component (rural roads) of the EU's ongoing *Ianda Guiné*! programme, as well as actions to be carried out under MIP's priority area 2 (Green and Inclusive Economy – SO 2.1: To improve urban living conditions, as well as the quality and efficiency of municipal/local services) should facilitate better mobility for people and therefore better access to basic services."}, {"bbox": [1045, 1690, 1162, 1714], "category": "Page-footer", "text": "Page 13 of 22"}]