[{"bbox": [97, 153, 1134, 206], "category": "Text", "text": "improve the political and financial commitment to health of the government, especially targeting increased disbursements to the health system."}, {"bbox": [97, 218, 1134, 324], "category": "Text", "text": "This Action is aligned with the Global Europe targets on health and human development by supporting greater access to and improves quality of resilient health and social protection services and nutrition1 and with the Global Gateway priorities on health, particularly in improving access to quality essential health services, strengthening response and public health capacities."}, {"bbox": [97, 336, 1134, 418], "category": "Text", "text": "The action is fully in line with the priority area on ‘Human Development’ as defined in the Multi-Annual Indicative Program for South Sudan 2021-2027. The action contributes to the EU Gender Action Plan III (GAP III)² and particularly to its thematic area of engagement on rights and freedoms:"}, {"bbox": [135, 428, 1134, 640], "category": "List-item", "text": "- Ensuring freedom from all forms of gender-based violence, Specific Objective 3 “Women, men, girls and boys in all their diversity, who experience sexual and gender-based violence have increased access to essential services and protection”; Specific Objective 4 “The rights of every individual to have full control over, and decide freely and responsibly on matters related to their sexuality and sexual and reproductive health and rights, free from discrimination, coercion and violence, is promoted and better protected”; and Specific Objective 6 “Women, men, girls and boys, in all their diversity, are better protected from sexual and gender-based violence in fragile and humanitarian crisis situations”;"}, {"bbox": [135, 652, 1134, 734], "category": "List-item", "text": "- Promoting sexual and reproductive health and rights, particularly Specific objective 2 “Improved access for every individual to sexual and reproductive health care and services, including family planning services, information and education on sexual and reproductive rights”"}, {"bbox": [135, 745, 1134, 852], "category": "List-item", "text": "- Strengthening economic and social rights and empowering girls and women, particularly on Specific Objective 8 “Improved access to safe water and sanitation facilities” and Specific Objective 9 “Public health systems have sufficient and sustaines financing to address the health needs of women and girls in all their diversity”."}, {"bbox": [97, 863, 1134, 944], "category": "Text", "text": "The action will directly contribute towards several targets of SDG 3 on health and well-being, and will have an impact on all other SDGs, mainly SDG 2 on food security; SDG 5 on gender equality; SDG 10 on reducing inequality; and SDG 16 on social cohesion/conflict reduction mechanisms."}, {"bbox": [85, 1011, 323, 1043], "category": "Section-header", "text": "## 2 RATIONALE"}, {"bbox": [85, 1076, 235, 1103], "category": "Section-header", "text": "### 2.1 Context"}, {"bbox": [97, 1123, 1134, 1386], "category": "Text", "text": "South Sudan was ranked 191 out of 191 countries on the 2021-22 Human Development Index (HDI) and has steadily lost both absolute and relative HDI value and position since the country's independence in 2011. Protracted and wide-spread conflict both prior to and since independence has created massive social and economic instability, caused trauma, and entrenched rather than alleviated grievances. War, displacement (including estimated 114.000 of people newly displaced from Sudan), the centralisation of investment and power, corruption, diversion of resources away from public services, and the destruction of infrastructure during conflict have left many communities impoverished. Civilians, always the most vulnerable in conflict settings, have borne the brunt of widespread subnational conflicts and violence. Extreme levels of poverty and pressure on human development services have been further aggravated by a succession of more recent crises including COVID-19 and food inflation."}, {"bbox": [97, 1400, 1134, 1483], "category": "Text", "text": "The impact of this legacy on health outcomes has been devastating. South Sudan has some of the worst health indicators globally, particularly for women and girls and for children. One child in ten is not expected to reach their fifth birthday while many more are vulnerable to stymied growth, poor development, disease and illness.³"}, {"bbox": [85, 1509, 1143, 1554], "category": "Footnote", "text": "¹ Regulation (EU) 2021/947 of the European Parliament and of the Council establishing the Neighbourhood, Development and International Cooperation Instrument – Global Europe"}, {"bbox": [85, 1554, 1143, 1626], "category": "Footnote", "text": "² https://myintracomm.ec.europa.eu/dg/near/whatwedo/equality-corner/genderequality/Documents/GAP/Gender%20action%20plan%20III%20%2820212025%29/GAP_III_Joint_Staff Worki ng_Document.pdf"}, {"bbox": [85, 1626, 780, 1647], "category": "Footnote", "text": "³ United Nations Inter-Agency Group for Child Mortality estimations, 2020 at https://childmortality.org/"}, {"bbox": [1038, 1681, 1143, 1705], "category": "Page-footer", "text": "Page 5 of 27"}]