[{"bbox": [98, 154, 381, 178], "category": "Section-header", "text": "**Activities related to Outputs 4:**"}, {"bbox": [98, 179, 1132, 233], "category": "Text", "text": "Activity 4.1.1: Support to staff at PHC facilities to implement health-care waste management guidelines through capacity development."}, {"bbox": [98, 233, 1132, 285], "category": "Text", "text": "Activity 4.2.1 Tracking system to be developed to monitor use of solar energy at health facilities and action to be taken to ensure all primary health facilities have support to maintain solar systems."}, {"bbox": [159, 303, 350, 332], "category": "Section-header", "text": "## 3.3 Mainstreaming"}, {"bbox": [98, 346, 553, 372], "category": "Section-header", "text": "**Climate change and environmental protection.**"}, {"bbox": [98, 372, 1132, 584], "category": "Text", "text": "Zimbabwe faces many problems related to food security, water and energy, including those linked to its climate and vulnerability to droughts, floods and high temperatures. The HRF will be consistent with Zimbabwe's Nationally Determined Contributions (NDC) and will not engage in fossil fuel combustion. This programme will help fight climate change by encouraging investments in energy-efficient power generation for health clinics and providing increased access to clean, affordable energy technology such as solar power systems at health facilities. However, support from the HRF will be limited to tracking and maintenance of solar systems and not installation. This is because of the reduced budget and the fact that other donors (e.g. Sweden) support installation of solar power systems."}, {"bbox": [98, 610, 1132, 796], "category": "Text", "text": "Climate risks related to health and possible climate adaptation and mitigation measures (e.g. solar energy, waste management) to make the health system more resilient, will be included in policy discussions and raised at health policy forums (such as the Health Development Partners Group (HDPG), HDF/HRF Steering Committee) and technical working groups, including those on human resource management and healthcare financing. Investment by the government, private sector and other donors will be encouraged and this issue can be raised at meetings with the government and donors. As donor funding for the HRF has been reduced compared with the amount for the HDF, solar installations will not be supported, only the monitoring and tracking of these installations."}, {"bbox": [98, 823, 636, 849], "category": "Section-header", "text": "**Gender equality and empowerment of women and girls**"}, {"bbox": [98, 848, 1132, 982], "category": "Text", "text": "A Health and Gender Equity analysis¹⁵ informed the design of the action. In addition, a draft Joint Needs Assessment on Gender and Youth¹⁶ was taken into account. Gender is fully mainstreamed with emphasis given to maternal and child health including sexual and reproductive health, family planning, gender-based violence and recruitment of female health workers. Additional gender analyses will be completed during the inception phase to get more precise baselines data and reinforce stakeholder analysis to ensure gender issues are fully considered."}, {"bbox": [98, 1008, 1132, 1141], "category": "Text", "text": "**The new HRF will also contribute to the TEI 'Gender Equality and Women's Empowerment'.** Women and girls will be targeted through provision of maternal health services, family planning, reproductive health and nutrition service. Gender inequality will be tackled in the planning and delivery of health services to ensure interventions are accessible and appropriate to help improve outcomes for women and girls, and are inclusive of people with disabilities. This will include risk screening and diagnosis of disability at birth"}, {"bbox": [98, 1168, 1132, 1458], "category": "Text", "text": "Gender based violence (GBV) health responses and treatment protocols will be implemented. These activities **complement the Spotlight Initiative in Zimbabwe which** contributes to the elimination of sexual and gender-based violence (SGBV) and harmful practices (HP) by strengthening mechanisms at the district level to deliver on various GBV/SGBV and SRHR mandates. Victims of gender-based violence will be supported and protocols implemented. Gender inequality will be tackled in the planning and delivery of health services to ensure interventions are accessible and appropriate to help improve outcomes for women and girls, and are inclusive of people with disabilities. Measures will be taken to ensure that women and girls are effectively represented in health sector governance, in particular, primary health care settings. This is important to challenge deeply rooted traditional/religious beliefs held by communities that increase maternal and new born deaths. In addition, gender disaggregated data will be collected to assess whether the programme is equitably reaching women and girls and meeting their specific needs."}, {"bbox": [98, 1485, 243, 1511], "category": "Section-header", "text": "**Human Rights**"}, {"bbox": [87, 1565, 679, 1589], "category": "Footnote", "text": "¹⁵ Health and Gender Equity Policy Brief, The World Bank, June 2019."}, {"bbox": [87, 1589, 771, 1613], "category": "Footnote", "text": "¹⁶ Draft Joint Needs Assessment on Gender and Youth, UNFPA, Zimbabwe, 2021."}, {"bbox": [604, 1638, 628, 1660], "category": "Page-footer", "text": "12"}]