[{"bbox": [94, 154, 1163, 209], "category": "List-item", "text": "* The establishment of a **buffer reserve of ready-to-use therapeutic food (RUTF)** has been crucial to maintain an intact supply pipeline."}, {"bbox": [94, 234, 523, 261], "category": "Section-header", "text": "## Sustainability and accountability at local level"}, {"bbox": [94, 280, 1163, 387], "category": "List-item", "text": "* **Ensure Integrated, cross-cutting health systems interventions** for greater impact: particularly on the Health Information Systems (HIS), social accountability, and monitoring and reviews of health service delivery for all health facilities (not only the project supported ones) across the targeted localities ensuring broader impact on the decentralized health system."}, {"bbox": [94, 389, 1163, 443], "category": "List-item", "text": "* **Infrastructure development at Local Health Departments (LHDs)** proved to be a key factor which particularly significant impact where LHDs are weak and attractive incentives are provided."}, {"bbox": [94, 444, 1163, 520], "category": "List-item", "text": "* Health system decentralization can be built by **shoring up capacities of LHDs**, targeted support to health facilities, and community-based interventions to promote social health insurance and strengthen accountability mechanisms."}, {"bbox": [94, 549, 308, 574], "category": "Section-header", "text": "## Socio-cultural barriers"}, {"bbox": [94, 596, 1163, 703], "category": "List-item", "text": "* Socio-cultural barriers express themselves in behaviors that are deeply ingrained in people's conditioning and therefore require continuous community engagement over extended periods of time. For Social Behavioral Change communication to be effective, it must be designed in a way that it is able to address highly sensitive topics respectfully and carefully, taking the respective local thinking into close account."}, {"bbox": [94, 729, 492, 756], "category": "Section-header", "text": "## Financial barriers to accessing health care"}, {"bbox": [94, 776, 1163, 935], "category": "List-item", "text": "* **Evidence shows that the establishment of linkages** between the provision of cash as the platform for convergence on the one hand, and health and nutrition services as well as social behavioral change communication on the other, is a model that is able to deliver results that are greater than the sum of individual interventions, with sustainable impact that can break intergenerational cycles of poverty, poor health and food insecurity. Providing such interventions during a crITICAL window in an individual's life increases the likelihood of achieving the aforementioned results and impact."}, {"bbox": [94, 936, 1163, 990], "category": "List-item", "text": "* To optimize synergies with other ongoing and planned programming, it is important to coordinate efforts with other cash actors (eg. Emergency Safety Net Project for Sudan, implemented by the World Bank through WFP)."}, {"bbox": [94, 991, 1163, 1071], "category": "List-item", "text": "* The National Health Insurance Fund (NHIF) alone has not been able to address financial barriers to accessing health care in Sudan. NHIF subscriptions must therefore be accompanied by measures to reduce out-of-pocket expenditures on health."}, {"bbox": [1027, 1681, 1143, 1705], "category": "Page-footer", "text": "Page 13 of 26"}]