[{"bbox": [93, 154, 1162, 238], "category": "Text", "text": "began in 2017, but the content needed to be revised in order to ensure that it was in line with the country's current\nreality. Thus, with the support of the EU through Ianda Guinea Health, the two Plans were finalised in 2023 and now\nonly await approval by the Council of Ministers."}, {"bbox": [93, 251, 1162, 365], "category": "Text", "text": "Hence, the MoH has shared its willingness to build on PIMI and Ianda Guiné Saúde achievements and engage with\nthe EU in a strategic dialogue, in order to implement the activities of the PNDS in selected areas and continue to\nguarantee minimum levels of assistance to pregnant women and children under five years of age through the\nstrengthening of the PHC network."}, {"bbox": [93, 379, 1162, 463], "category": "Text", "text": "The Action will therefore consolidate the EU as a key partner, and position the EU at the centre of the policy and\nstrategic dialogue on the health sector, contributing to strengthen the system in its main functions, to gradually achieve\nuniversal health coverage."}, {"bbox": [93, 477, 1162, 619], "category": "Text", "text": "The gradual transfer of responsibility to MoH in managing services and protocols, to eventually strengthen and ensure\nits resilience, is based on a capacity building Action aimed at strengthening three of the six building blocks of the\nhealthcare system (health workforce, health information systems, access to essential medicines), and on accompanying\nthe MoH towards autonomous MCH service delivery. It is also expected to build a credible political and policy\ndialogue on human rights and gender equality."}, {"bbox": [93, 632, 1162, 744], "category": "Text", "text": "An enhanced coordination with national and international stakeholders, in order to gradually move away from a\n\"substitution approach\" and progressively contribute to building a country led UHC system, will allow the best use of\navailable resources, while the MoH will have to strengthen its leadership capacity to implement stronger advocacy\nand obtain more resources."}, {"bbox": [93, 759, 1162, 931], "category": "Text", "text": "Synergies and complementarities will be sought with World Bank, WHO, the Global Fund, GAVI, UNFPA Supplies, UNICEF, and WFP, while complementarity with Regional TEIs (on Public Health Institutes and One Health) and EU Member States initiatives (i.e. Telemedicine, supported by the Portuguese cooperation), will contribute at expanding the scope and increasing the impact of the Action. In particular, the TEI to support the National Public Health Institutes in Africa will contribute to strengthen the scope of the Action by reinforcing the development of INASA capacities to carry out essential public health functions, effectively use digital healthcare tools, and manage digital data systems."}, {"bbox": [93, 944, 1162, 1114], "category": "Text", "text": "The Action is closely coordinated with EU's and other international partners' efforts in the field of Public Financial\nmanagement (PFM) and Public Administration Reform. In particular, with the EU-funded Economic Governance\nproject (AAP 2023) that will start its implementation in 2024 and will improve the budgetary process with a focus on\nkey Ministers such as health and education, and will also push a broader agenda of PFM reform. There will also be a\nclose coordination with World Bank projects and IMF technical assistance in the fields of Domestic Revenue\nMobilisation (DRM) and of human resource management in the public sector, both key issues for sustainability."}, {"bbox": [93, 1127, 1162, 1213], "category": "Text", "text": "Finally, lessons learnt also point out the importance of ensuring regular monitoring in coordination with MoH and\nsharing information at all levels, being realistic in defining the objectives in order to make Actions more \"owned\" by\nan extremely weak system."}, {"bbox": [86, 1241, 398, 1272], "category": "Section-header", "text": "## 3.5 The Intervention Logic"}, {"bbox": [93, 1287, 1162, 1401], "category": "Text", "text": "The Action proposes a five-year intervention to further consolidate PIMI's achievements and pave the way towards\na UHC system. This is based on the assumptions that the country will remain stable and also, among others, that a\nstrengthened governance of the health system is crucial to the improvement of UHC. The underlying intervention\nlogic for this Action is that:"}, {"bbox": [93, 1414, 1162, 1644], "category": "Text", "text": "**IF** technical support is provided to the public health institutions for their governance and regulation at national and subnational levels, including on data and knowledge management; support is ensured on the policy and regulatory framework related to pharmaceutical and health products and technologies, as well as to the infrastructure for their storage and equitable distribution; expertise is supplied to operationalise the policy framework for effective management of human resources in the health sector and a modern skills development system for competent health workforce, **AND** the assumptions related to the planned activities hold true, **THEN** the capacities of public health institutions on planning, budgeting, supervision and management of health facilities and resources and on a gender responsive health information system will be strengthened; institutional and policy development capacity to ensure"}, {"bbox": [1023, 1680, 1143, 1706], "category": "Page-footer", "text": "Page 16 of 26"}]