[{"bbox": [86, 152, 361, 179], "category": "Section-header", "text": "3.5 The Intervention Logic"}, {"bbox": [96, 194, 1160, 307], "category": "Text", "text": "The underlying Intervention logic for this action is that better access to Primary Health Care (PHC) and nutrition services, strengthening of health care structures, and removal of behavioural and financial barriers to health services will contribute to improve the health conditions of vulnerable populations affected by extreme poverty, food insecurity and malnutrition in Sudan. This will be achieved through four key pathways (outputs to be delivered):"}, {"bbox": [96, 325, 1160, 467], "category": "Text", "text": "If PHC service providers are strengthened in service delivery, patient-friendly outreach and public health surveillance and Health and Nutrition-focused community networks take an active role in monitoring, referring and awareness raising through strong linkages to client-friendly PHCs and strong referral mechanisms between community, PHCs and rural hospitals (supported with critical services) are functioning well, then **healthcare and nutrition services at PHC centres and community level have sustainably improved to meet growing need (output 1).**"}, {"bbox": [96, 484, 1160, 684], "category": "Text", "text": "If Health Community, WASH and other Committees are strengthened/trained and linked to service providers for better information sharing, referral pathways and integrated into joint planning processes with locality and State ministries and health information management systems are strengthened to support evidence-based decision making and analysis and locality and State health ministries can coordinate inclusive and well-planned health and nutrition programmes in suitable facilities (PHC and LHD) supported by improved local supply chain management, then **local health systems will be strengthened, rendering them more sustainable with clear accountability structures (output 2).**"}, {"bbox": [96, 701, 1160, 815], "category": "Text", "text": "If social and behaviour change strategies are designed, informed by socio-behavioural assessments addressing key barriers to the uptake of critical health and nutrition services and the strategy is mainstreamed and implemented throughout the collective action to ensure as wide a reach as possible and act as an “impact multiplier” then **socio-cultural and behavioural barriers to health and nutrition will be reduced (output 3).**"}, {"bbox": [96, 833, 1160, 917], "category": "Text", "text": "Lastly, if a proven financial model to support pregnant and breastfeeding mothers at PHC centres is scaled to address the growing need in Sudan and action research underscores the viability of this model for a further scale in dynamic, protracted crises, then financial barriers to **maternal and child healthcare will be reduced (output 4).**"}, {"bbox": [96, 936, 1160, 991], "category": "Text", "text": "The outputs are interdependent and complementary to one another. A reduction of barriers (output 3 and 4) rely on functioning health systems, able to absorb higher service demand from communities."}, {"bbox": [96, 1010, 226, 1036], "category": "Section-header", "text": "**Assumptions**"}, {"bbox": [135, 1054, 1160, 1108], "category": "List-item", "text": "1. No major change in the political, economic and/or security situation that renders access, human resource availability and population needs beyond the action ability to serve targeted population;"}, {"bbox": [135, 1108, 1160, 1160], "category": "List-item", "text": "2. No further catastrophic deterioration in the nutritional situation beyond planning figures which can further worsen food security and nutritional status;"}, {"bbox": [135, 1161, 656, 1187], "category": "List-item", "text": "3. The banking system remains with adequate liquidity;"}, {"bbox": [135, 1188, 731, 1215], "category": "List-item", "text": "4. All project partners will continue operating as per status quo."}, {"bbox": [1027, 1681, 1143, 1706], "category": "Page-footer", "text": "Page 14 of 26"}]