[{"bbox": [97, 152, 1134, 233], "category": "Text", "text": "The conflict has led to loss of livelihoods as well as mental distress and sexual abuse of women and girls. GBV cases, especially sexual violence, is still rife in conflict-affected areas, and there is an urgent need to address the long-term effects of GBV and sexual violence in the aftermath of the northern Ethiopia conflict."}, {"bbox": [97, 245, 1134, 325], "category": "Text", "text": "Assessments from the northern regions indicates that the conflict drove a dramatic rise in reported GBV cases, which is believed to represent a small proportion of the actual GBV incidents, given the lack of access to medical facilities, as well as social stigma around reporting."}, {"bbox": [97, 337, 1134, 683], "category": "Text", "text": "Sexual and other forms of gender-based violence as a result of the northern conflict have had multiple consequences for survivors and their communities, including negative health outcomes and psychosocial impacts. Health consequences include sexually transmitted infections and HIV, unwanted pregnancies, abortions, gynecological problems, fistula, and other bodily injuries. Psychosocial impacts on survivors have both psychological and social dimensions, which can be closely related. Psychological impacts include depression, anxiety, or post-traumatic stress disorder (PTSD). The longer-term psychological impacts on children who were themselves survivors or witnesses remains to be seen. Social impacts include stigma. Identification as a survivor of many forms of GBV in Ethiopia can lead to stigmatisation, which includes abandonment by a spouse or a family, exclusion from communities, and subsequent lack of access to resources and protection that can in turn lead to vulnerability to further exploitation and abuse. Finally, in terms of sheer economic impacts, in addition to the above-mentioned loss of access to resources if rejected by family and community, many survivors reported immediate loss of food, drink, and property rights. Others suffered loss of livelihood or ability to work due to the physical or psychological injuries they sustained."}, {"bbox": [97, 695, 1134, 854], "category": "Text", "text": "The mental health and psychosocial impacts of the conflict goes beyond the GBV survivors. The health workers themselves and the communities in conflict affected areas are traumatized and the need for MHPSS interventions is critical. Unfortunately, there is also limited capacities of trained MHPSS professionals specialized in trauma in conflict affected areas rehabilitation for which hospitals/health centres experience high rates of staff burnout. Additionally, increased awareness is needed of trauma-informed practices by non-MHPSS actors working with highly traumatized communities."}, {"bbox": [97, 866, 1134, 921], "category": "Text", "text": "Identification of main stakeholders and corresponding institutional and/or organisational issues (mandates, potential roles, and capacities) to be covered by the action:"}, {"bbox": [97, 932, 1134, 1065], "category": "Text", "text": "The main beneficiaries of this Action will be the rights holders, population living in conflict affected areas, with a special focus on women and girls. Other population living in the most vulnerable situations such as persons with disabilities, the elderly and IDPs and refugees will also benefit from this action. The Action will also targets health personnel who is practicing in conflict affected areas, in support of their mandate to provide assistance to GBV victims but also as themselves being victims affected by the conflict."}, {"bbox": [97, 1078, 392, 1104], "category": "Text", "text": "Other key stakeholders include:"}, {"bbox": [97, 1118, 1134, 1330], "category": "List-item", "text": "* **EU Member States (MS)**: almost all EU MS are present in Ethiopia and some are actively engaged in the health sector. Most of them (Spain, Ireland, Italy and the Netherlands) provided support to health through contribution to the Sustainable Development Goals Performance Fund (SDG PF), which is a non-earmarked pooled fund managed by the Ministry of Health using its financial management systems and procedures. The EU also supported the sector mainly through budget support operations. Currently, due to the country's situation, Budget Support operation remains suspended. The EU, however, consistently supported the Ethiopian population through Individual Measure 1, with a focus on the provision of basic services (health and education) in collaboration with UN agencies (UNICEF, WFP) and EU MS (Spain, Italy and France)."}, {"bbox": [97, 1332, 1134, 1436], "category": "List-item", "text": "* **UN agencies**: the UN system is also an important partner supporting the health sector in Ethiopia. UNICEF, UNFPA, and the World Health Organisation (WHO) are the most active UN actors in health. UNDP is also relevant partner to collboarate, exchange information and target on persons associated with armed groups and ex-combatants for GBV services and MHPSS."}, {"bbox": [97, 1439, 1134, 1519], "category": "List-item", "text": "* **IFIs, such as World Bank**, supporting restoration of health infrastructures and community work in woredas affected by conflict, through its reconstruction fund. The EIB is also supporting health system strengthening through a partnership with WHO."}, {"bbox": [97, 1521, 1134, 1626], "category": "List-item", "text": "* **International NGOs**: Save the Children, the African Medical and Research Foundation (AMREF), Medecins Sans Frontieres, Medecins du Monde, International Rescue Committee, Collegio Universitario Aspiranti e Medici Missionari (CUAMM) and the Catholic Organization for Relief and Development Aid (Cordaid), Center for Victims of Torture (CVT) are amongst the most active international NGOs in the health sector."}, {"bbox": [1038, 1682, 1144, 1706], "category": "Page-footer", "text": "Page 7 of 23"}]