Reducing the risks and addressing the effects of ill health are essential if the extreme poor are to improve their lives and livelihoods. Health components of extreme poverty programmes can act as safety nets by minimising the income erosion effects of illness and enabling the extreme poor to engage in livelihood activities. A more explicit focus on the needs and rights of the extreme poor within broader health interventions can also draw greater attention and resources to these populations and in turn help to increase their demand for services.
The purpose of this note is to
1) Provide guidance to assist in the design of health related interventions within poverty reduction programmes that are better able to reach and beneﬁt the extreme poor
2) Address the potentially impoverishing effects of ill health on the already poor
Of these two the primary focus is on the former. The note is also intended to assist in the screening process for challenge funds. By identifying key issues that need to be addressed in design and implementation, it provides guidance on the assessment of health focused or health inclusive proposals to DFID-sponsored programmes.
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