[{"bbox": [96, 153, 1135, 257], "category": "Text", "text": "The action has been designed in collaboration with the Ministry of Health, the Office of the First Lady and the National Institute of Health of El Salvador, ensuring that ownership of the project is a structural component from the outset. The ultimate goal of the initiative is to build a high level of capacity in the staff and health facilities involved."}, {"bbox": [96, 284, 1135, 525], "category": "Text", "text": "The action is composed of three components: The first component aims to optimise existing health facilities with equipment and protocols strengthening the \"hub and spoke\" reference network capable of operationally linking primary health centres with hospitals at the 1st, 2nd and 3rd levels. The second component focuses on strengthening the capacities of health personnel, through high-level training, specialisation and continuing medical education in the field of neonatal pathology, with particular attention to prematurity. It is aimed at medical and nursing staff and technical health workers and includes the design and implementation of follow-up protocols for the care of mothers and children with risk factors associated with preterm birth or congenital malformations. Finally, the third component involves the implementation of information and awareness-raising campaigns, through a civil society organisation, on the \"Nacer con carino\" law and on access to maternal and infant health."}, {"bbox": [96, 549, 1135, 631], "category": "Text", "text": "The action will contribute to the Gender Action Plan III³ thematic area 3.2 Promoting sexual and reproductive health and rights⁴, as well as contributing with the International Conference on Population and Development (ICPD) Programme of Action."}, {"bbox": [96, 656, 1135, 791], "category": "Text", "text": "In accordance with the Global Health Strategy, this action will prioritize strengthening support for universal access to sexual and reproductive health and rights, focusing on women, girls, youth and people with disabilities. This includes addressing preventable maternal mortality and the work relies on ensuring equitable access to quality services, products and information, including via health systems strengthening toward universal health coverage, and youth-friendly services."}, {"bbox": [96, 815, 1135, 897], "category": "Text", "text": "The action, to be implemented in Indirect Management with the Italian cooperation, will build and expand on an ongoing intervention by Italy in partnership with the Salvadoran Ministry of Health (MINSAL) and Office of the First Lady."}, {"bbox": [86, 936, 507, 966], "category": "Section-header", "text": "## 1.3 Zone benefitting from the Action"}, {"bbox": [86, 981, 1146, 1062], "category": "Text", "text": "The action will be implemented throughout the territory of El Salvador. The project will be implemented in health facilities with special attention to those characterised by a high incidence of maternal and infant mortality and limited access to quality antenatal and postnatal care."}, {"bbox": [86, 1089, 325, 1121], "category": "Section-header", "text": "# 2 RATIONALE"}, {"bbox": [86, 1154, 236, 1182], "category": "Section-header", "text": "## 2.1 Context"}, {"bbox": [96, 1201, 1135, 1335], "category": "Text", "text": "President Bukele was re-elected in February 2024 despite the Constitution's apparent prohibition against consecutive presidential terms. Mr. Bukele enjoys widespread support and his party has a large majority in the Legislature and in municipal elections. The state of exception, declared in March 2022, had a significant impact on the reduction of gang violence, and continues to enjoy widespread popular support despite allegations and evidence of repression, persecutions and violation of human rights."}, {"bbox": [96, 1346, 1135, 1425], "category": "Text", "text": "The economic situation remains uncertain despite some positive developments in terms of growth in exports and tourism. Investment remains low and appears to be decreasing amid concerns about the macroeconomic situation and the lack of advances on a deal with the IMF that could alleviate the fragile fiscal situation. The IMF has"}, {"bbox": [86, 1476, 672, 1502], "category": "Footnote", "text": "³ https://ec.europa.eu/commission/presscorner/detail/en/IP_20_2184"}, {"bbox": [86, 1501, 1146, 1645], "category": "Footnote", "text": "⁴ This will support the improvement of obstetric care through detection of Malformations of organs or body parts during development in utero, as well as care during maternity and newborn health (GAPIII) / Priority area 3: Governance and human development: The Specific objective 5 to refer Empowerment of women and girls with the expected result: Public gender policy is consistent and operational, particularly on issues related to economic empowerment and sexual and reproductive rights: Indicators: Adolescent birth rate - rural and urban areas (CLIP El Salvador - Update November 2023)."}, {"bbox": [1027, 1655, 1145, 1682], "category": "Page-footer", "text": "Page 4 of 21"}]