[{"bbox": [91, 120, 1150, 253], "category": "List-item", "text": "- **A team of health care professionals** in the field to support local health staff. This team should involve clinical staff and personnel responsible for supporting the management of health structures (including the management of ‘gratuity services’). All structures should have a focal point for the clinical aspects and another for the management component. It would be very useful to have a clinical and management coordinator at the level of the Regions to report, monitor and audit the activities’ implementation."}, {"bbox": [91, 264, 1150, 611], "category": "List-item", "text": "- **Technical Assistance (TA)** to MINSAP to improve planning and implementing capacity, and to start the reflections about a social protection system or a national health insurance system to develop a national strategy on social security towards a UHC (involving the MINFIN). It is essential to develop conditions to align and use the national health data system (SIS) in monitoring programme activities and indicators. The relationship and collaboration with the national public health institute (INASA) will be promoted. Furthermore, the TA will have to ensure alignment and complementary with the REDISSE programme and other regional initiatives for pandemic preparedness, as well as with other initiatives aimed at promoting social empowerment of young women (UNFPA). Activities related to the administrative and financial management must be implemented, and coordinated with provincial and central level. TA's activities could also include an in-depth analysis of the current situation of health financing policies and explore opportunities to increase national financial resources for health (e.g. innovative fiscal measures such as a VAT rate for health, etc.). The TA will also be instrumental to support MINSAP in developing a new National Health Strategy and the corresponding action and implementation plan. This TA will be provided by a pool of experts that can be requested on an ad-hoc basis."}, {"bbox": [91, 622, 1150, 674], "category": "List-item", "text": "- **A group of researchers** with extensive quantitative and qualitative research experience to assess the effects of health interventions in Guinea-Bissau."}, {"bbox": [124, 707, 341, 738], "category": "Section-header", "text": "## 3.3 Mainstreaming"}, {"bbox": [91, 763, 535, 791], "category": "Section-header", "text": "### Environmental Protection & Climate Change"}, {"bbox": [91, 802, 1147, 856], "category": "Text", "text": "The Environment Impact Assessment screening classified the action as Category C (no need for further assessment). The Climate Risk Assessment screening concluded that this action is no or low risk (no need for further assessment)."}, {"bbox": [91, 868, 1150, 1131], "category": "Text", "text": "Climate change, climate-related extreme events and other environmental shocks and disasters affect mainly the poor and those in vulnerable situations. On average, 5% of the country's total population, are annually affected by droughts⁷. Islands and coastal areas are more prone to adverse climate events impacts (floods, heatwaves, water scarcity, etc.). In addition, challenges of the significant, but unplanned urban growth, including traffic congestion and unordered waste disposal, increase social inequalities and the deterioration of health conditions linked to the lack of access to basic services such as water and sanitation. In Guinea-Bissau children are very vulnerable to environmental stresses and extreme weather events, hence investments that improve access to health and nutrition services (for example, quality maternal and newborn care services, immunization programmes, support to preventive and curative services for pneumonia, diarrhoea, malaria and other child health conditions) can considerably reduce overall risks."}, {"bbox": [91, 1146, 1150, 1303], "category": "Text", "text": "Environmental issues will be taken into account and sustainable measures will be promoted, in particular, sustainable health care waste management in hospitals and health centres, through the construction of hospital incinerators and the definition of sustainable procedures for the elimination of organic and inorganic residues. Where required, the improvement of sanitary infrastructures (water, sanitation, electricity) will be based on the use of renewable energy and good environmental practices. Moreover, training for proper maintenance practices of renewable energy systems will be ensured."}, {"bbox": [91, 1344, 630, 1372], "category": "Section-header", "text": "### Gender equality and empowerment of women and girls"}, {"bbox": [91, 1383, 1150, 1541], "category": "Text", "text": "As per OECD Gender DAC codes identified in section 1.1, this action is labelled as G1. This implies that the objectives and outcomes of this action are directly oriented towards the reduction of gender inequalities and to favour the empowerment of women and their right to sexual and reproductive health. The actions to be developed will focus on eliminating financial barriers in access to health care, promoting the active involvement of women in decision-making related to their health and well-being, and improving women's health as a resource to generate considerable socio-economic benefits."}, {"bbox": [91, 1554, 1150, 1607], "category": "Text", "text": "Gender equality and women empowerment issues will be taken into account in the action's implementation through the involvement of women's associations, such as “Plataforma política das mulheres” (women's CSO for"}, {"bbox": [80, 1642, 924, 1666], "category": "Footnote", "text": "⁷ UNISDR, Disaster Risk profile Guinea Bissau, 2018 (% computed with reference to the total 2016 Population)."}, {"bbox": [1055, 1690, 1160, 1714], "category": "Page-footer", "text": "Page 8 of 22"}]