[{"bbox": [211, 151, 487, 419], "category": "Text", "text": "consistent, exhaustive data of\nperformance of health\nfacilities at woreda level,\nselection of low performing\nworedas risk being done\nbased on wrong assumptions,\nwhich would lead to a misuse\nof EU funding to areas that\nshould not have been\nprioritised."}, {"bbox": [769, 151, 1159, 392], "category": "Text", "text": "order to determine which woredas,\namongst those affected by conflict, should\nbe prioritised. Exchanges with other\npartners in the health sector will also take\nplace to minimise the risk of choosing the\nwrong locations for implementation. The\nimplementing partner will as well have to\nensure that all relevant data is sex-\ndisaggregated."}, {"bbox": [92, 430, 253, 455], "category": "Section-header", "text": "Lessons Learnt:"}, {"bbox": [92, 468, 1161, 630], "category": "Text", "text": "Previous EU funded interventions in the health sector highlighted the importance of school clubs and youth clubs as an entry point for sexual reproductive health and family planning. The project \"ASURE - HEALTH: Access, Service and Utilisation of Reproductive Health\" was implemented between 2015 and 2019 by AMREF Health Africa, an international NGO. Amongst other activities, the project supported strengthening of adolescent and youth friendly services (AYFS) within the health centres it worked on. This led to improved quality and increased utilisation of Sexual and Reproductive Health (SRH) services by the youth. Three key lessons were learned from this project:"}, {"bbox": [130, 642, 849, 669], "category": "List-item", "text": "* Strengthening AYFS units leads to improved SRH services and education."}, {"bbox": [130, 671, 1161, 751], "category": "List-item", "text": "* Further creativity in equipping AYFS units with relevant youth games for both boys and girls, and solar panel for charging and electricity supported games, would enhance service utilisation and youth participation in awareness raising activities."}, {"bbox": [130, 752, 1161, 805], "category": "List-item", "text": "* There is a need to further strengthen close collaboration and linkages between AYFS (health centers) and school clubs for increased utilization of SRH and family planning services."}, {"bbox": [92, 805, 1161, 964], "category": "Text", "text": "This last recommendation was also suggested as a lesson learned of the project \"Promoting Sexual and Reproductive Health Services and Family Planning services for marginalized women and girls in Afar and Amhara Regional States of Ethiopia\", implemented between 2015 and 2019 by Save the Children. This project also proved that strengthening AYFS is key in improving access and quality of SRH services for youth and adolescents. For future intervention, the lesson learned is again to establish close collaboration and linkage with education sector interventions (support for school clubs) for increased utilization of SRH and family planning services."}, {"bbox": [92, 976, 1161, 1083], "category": "Text", "text": "This past experience suggests that teenagers are more receptive to trainings, discussions and similar activities when conducted not only in AYFS units, but also in the framework of school clubs. This action will therefore seek synergies with the Action on education prepared under the same Individual Measure, which foresees support to girls in primary and secondary education and the creation of \"safe spaces\" in schools."}, {"bbox": [85, 1109, 398, 1141], "category": "Section-header", "text": "3.5 The Intervention Logic"}, {"bbox": [95, 1153, 1159, 1393], "category": "Text", "text": "The underlying intervention logic for this action is that by carrying out activities to rehabilitate health facilities and support the victims of the conflict living in the most vulnerable situations, including through psychosocial support, gains lost or at risk due to the conflict will be restored. By implementing context specific activities in low performing woredas or poverty areas, in particular in those most affected by the conflict, inequalities in health service delivery in these areas will be reduced. As for activities such as equipping hospitals and health centres with Neonatal Intensive Care Units (NICUs) and newborn corner equipment/facilities, training of healthcare workers on maternal and neonatal care, as well as other specialised medical training provided (in particular those related to needs arising from the conflict), these will contribute to strengthening the quality of health care at all levels. If conflict recedes or is contained, these outcomes will be realised in the targeted locations."}, {"bbox": [95, 1404, 1159, 1512], "category": "Text", "text": "These outcomes will contribute to achieving improved health and well-being status of Ethiopian citizens, as has been seen in past contributions to the health sector. The impact achieved in this sector with support from the international community can not only be restored, but also enhanced by reaching more Ethiopian citizens and diversifying the areas of medicine covered by the support provided."}, {"bbox": [1026, 1679, 1141, 1704], "category": "Page-footer", "text": "Page 12 of 21"}]