[{"bbox": [97, 152, 1136, 340], "category": "Text", "text": "Some of the main issues and risks related to safeguarding of human rights in the context of the development of this programme may be related to persistence of violence against women and girls, and a general absence of sexual and reproductive health rights for young people. These violations generally translate into greater vulnerability to risks associated with sexual and reproductive health. This implies that the Action will promote activities to ensure protection of girls and women and providing access to reproductive, maternal, new-born and infant health care. All relevant ministries, not just health, and religious and traditional leaders will be consulted and involved to support progress on women's health issues."}, {"bbox": [97, 366, 196, 393], "category": "Section-header", "text": "## Disability"}, {"bbox": [95, 393, 1136, 976], "category": "Text", "text": "As per OECD Disability DAC codes identified in section 1.1, this action is labelled as D1. This implies that persons with disabilities, often facing stigma, discrimination and difficulty in accessing public service, particularly regarding their access to sexual and reproductive health and rights, specifically because of their disability, will be facilitated in accessing RMNCAH (including SRHR and Nutrition) services²². Within this framework all the activities of this programme contribute to the respect, protection and fulfilment of the rights and inclusion of people with disabilities, ensuring and promoting their empowerment and accessibility to health care, sexual and reproductive health and rights, and influencing the development and strengthening of policies to support the participation of these persons with disabilities and/or their representatives in society. The establishment of universal health coverage in the country should ultimately allow equitable access by people with disabilities to the services they need: while supporting the creation of a national health insurance scheme for essential health care (under output 3), the EU will advocate for the inclusion of the costs of basic disability contract and devices (wheelchairs, prostheses, etc.) in the essential package covered by the national scheme. This would be a strong, concrete measure in favour of people living with disabilities. Women with disabilities face obstacles such as limited access to services, narrow selections of contraceptive methods, insensitivity of the health service providers, lack of information on reproductive health issues which can be an obstacle to receiving the treatments, adequate reproductive health services and support in family planning. Women with disabilities and chronic health problems need accurate information, easily accessible health services and supportive and competent health service providers. The barriers that prevent or limit their ability to become clients of these services should be removed. Additional obstacles can be poverty, non-accessible transportation dependence on others for personal care, communication difficulties and stereotyped perceptions. This programme will advocate the development of accessible health services for persons with disabilities by providing relevant information both to services providers, authorities and persons with disabilities themselves."}, {"bbox": [97, 1003, 344, 1030], "category": "Section-header", "text": "## Reduction of inequalities"}, {"bbox": [97, 1029, 1136, 1239], "category": "Text", "text": "Nigeria faces major challenges in terms of levels and inequalities in SRHR outcomes and access to services. These inequalities related to poverty highlight the persistence of social inequities in the country. Furthermore, addressing gender inequalities is central to improving the sexual and reproductive health outcomes and more broadly the wellbeing of women including those living with HIV. There is a need for pro-equity interventions, with stronger efforts in targeted areas with larger socioeconomic vulnerabilities as highlighted in the recently released multidimensional poverty index survey results 2022²³. The Action will address the social and structural context of inequality through interventions to reach the poor with SRHR services as well as ensure disability inclusive SRHR services."}, {"bbox": [97, 1255, 212, 1281], "category": "Section-header", "text": "## Democracy"}, {"bbox": [97, 1281, 1136, 1361], "category": "Text", "text": "This programme has been designed respecting international benchmarks and indicators in order to maximise the potential benefits of the activities developed. Through a democratic, collaborative and shared dynamics, best practices in public health and in the governance of the health system will be promoted and stimulated."}, {"bbox": [97, 1389, 488, 1416], "category": "Section-header", "text": "## Conflict sensitivity, peace and resilience"}, {"bbox": [97, 1416, 1136, 1550], "category": "Text", "text": "The action will take forward the recommendations from the Conflict Analysis Screening (CAS) for Nigeria undertaken in 2021. It would strengthen the capacity of relevant health or health related MDAs at National and Sub-national levels to be more resilient towards their limited financial and technical resource capacities and assist them in improving their workflow processes, management procedures and performance for them to adequately monitor their strategies and policies. The present Action aims to counteract negative trends and ensure access to"}, {"bbox": [85, 1577, 1145, 1622], "category": "Footnote", "text": "²² DCD/DAC/STAT (2020). The OECD-DAC policy marker on the inclusion and empowerment of persons with Disabilities - Handbook for data reporters and users. OCDE."}, {"bbox": [85, 1622, 514, 1646], "category": "Footnote", "text": "²³ https://nigerianstat.gov.ng/elibrary/read/1241254"}, {"bbox": [1027, 1681, 1145, 1706], "category": "Page-footer", "text": "Page 11 of 26"}]