[{"bbox": [97, 153, 1132, 206], "category": "Text", "text": "complements the programme on food security and resilience, which aims at increased availability of nutritious food, as well as the school feeding activities of the Education programme."}, {"bbox": [97, 231, 1133, 551], "category": "Text", "text": "The proposed Action aims at sustained delivery of essential health care and nutrition services for vulnerable populations among displaced and host communities in indicatively nine States of Sudan, including North, Central and South Darfur, South Kordofan, and the Eastern States (Red Sea, Kassala, Blue Nile, and Gedaref) as well as Khartoum peri-urban areas. Drawing upon lessons learnt from past EU funded projects and in reference to emerging health priorities, the proposed Action will support the local health care structures at Primary Health Care (PHC) level. These will include nutrition services, access to preventive and curative health care, retention of health workforce, ensuring the supply chain of essential drugs and the referral system. A participatory approach will address behaviour change interventions targeting nutrition and Water, Sanitation and Hygiene (WASH), Sexual Reproductive Health (SRH), Family Planning (FP), among others. This will be complemented by addressing financial barriers to accessing health care through bolstering National Health Insurance Fund (NHIF) subscriptions as well as through cash transfers to pregnant and lactating mothers. Active engagement and coordination of partners, beneficiaries, and local communities will be ensured, in line with the PHC model of care."}, {"bbox": [97, 576, 1132, 630], "category": "Text", "text": "The proposed Action intends to contribute to the EU's priority of Human Development through sustainable universal access to quality health services within a resilient and responsive local health care system."}, {"bbox": [97, 655, 1133, 843], "category": "Text", "text": "The **overall objective** of this Action is to contribute to improve the health conditions of vulnerable populations affected by extreme poverty, food insecurity and malnutrition in Sudan including IDPs, refugees and Host Communities. The overall objective reflects the EU commitment to SDG 3 (sub-target 8): Universal Health Coverage (UHC) and to UHC 2030 Health Systems Strengthening towards Universal Health Coverage. The **specific objective** is to increase sustainable access to and demand for quality Primary Health Care (PHC), nutrition and Water, Sanitation and Hygiene (WASH) services in targeted States, including for host communities, Internally Displaced Persons (IDPs) and refugees."}, {"bbox": [97, 868, 1020, 895], "category": "Text", "text": "The outputs to be delivered by this Action, contributing to the corresponding Specific Objective are :"}, {"bbox": [173, 914, 1132, 992], "category": "List-item", "text": "1. Primary healthcare, nutrition and Water, Sanitation and Hygiene (WASH) services at Primary Health Care (PHC) centre and community level improved, including for IDPs, refugees and host communities, with particular reference to women and girls and people with disabilities (PwD);"}, {"bbox": [173, 994, 927, 1020], "category": "List-item", "text": "2. Management capacity and accountability of local health systems strengthened;"}, {"bbox": [173, 1020, 959, 1045], "category": "List-item", "text": "3. Socio-cultural behavioural and gender barriers to health and nutrition are reduced;"}, {"bbox": [173, 1046, 1033, 1072], "category": "List-item", "text": "4. Financial barriers to maternal and child healthcare and Family Planning (FP) are reduced."}, {"bbox": [85, 1099, 263, 1122], "category": "Section-header", "text": "## 2 RATIONALE"}, {"bbox": [85, 1152, 220, 1176], "category": "Section-header", "text": "### 2.1 Context"}, {"bbox": [97, 1195, 245, 1219], "category": "Section-header", "text": "#### General context"}, {"bbox": [97, 1221, 1133, 1620], "category": "Text", "text": "More than two years after the 2019 revolution and the signing of the Constitutional Document establishing a Transitional Government, Sudan remains politically fragile. Sudan's civilian-led transitional government had made great strides in ambitious reforms and macroeconomic policies to rectify decades of economic mismanagement. The Government reduced unaffordable energy subsidies, transitioned to a market-determined exchange rate and implemented fiscal consolidation to put the economy back on a sustainable path. A gradual increase in social expenditures was also planned. The military takeover of 25 October 2021 has put a sudden stop to the ongoing reform process of the transitional government which was dissolved and high-ranking officials arrested or replaced. The political developments in Sudan led to a disengagement of the major multilateral and bilateral donors. The country lost an estimated USD 4.4 billion in foreign assistance which was frozen as a result of the military takeover, and processes to relief the country of its USD 60 billion debt stalled. The economic recovery following the most painful macroeconomic reforms did not materialize as expected in 2021. Political unrest, port closures, disruption of transport links and supply chains weighed on the economic activity. The socio-economic situation of children and families, already precarious since early 2020, has deteriorated further amid a continued severe and acute economic crisis. Poverty is high and rising, estimated at 57.8% (World Bank), and disproportionally affecting rural areas. Inflation averaged 359% in 2021 and is expected to remain above 200% on"}, {"bbox": [1037, 1680, 1143, 1705], "category": "Page-footer", "text": "Page 4 of 26"}]