Archive for: Kenya


This brief discusses the Health of People and Environment—Lake Victoria Basin (HoPE–LVB) project’s experience with advocacy in Homa Bay County, Kenya, and offers lessons for other implementers on how to lay the groundwork to sustain integrated PHE projects at the sub-national level.

Year: 2016

Source: Pathfinder International

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    While the importance of pursuing integrated population, health and environment (PHE) approaches and ensuring their sustainable expansion to regional and national levels have been widely affirmed in the development field, little practical experience and evidence exist about how this can be accomplished. This paper lays out the systematic approach to scale up developed by ExpandNet and subsequently illustrates its application in the Health of People and Environment in the Lake Victoria Basin (HoPE-LVB) project, which is an integrated PHE project implemented in Uganda and Kenya from 2012–2017. Results demonstrate not only the perceived relevance of pursuing integrated development approaches by stakeholders but also the fundamental value of systematically designing and implementing the project with focused attention to scale up, as well as the challenges involved in operationalizing commitment to integration among bureaucratic agencies deeply grounded in vertical departmental approaches.

    Year: 2018

    Source: Social Sciences

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      Population, health and environment (PHE) projects are an increasingly popular strategy for addressing lack of access to healthcare and livelihood opportunities in settings with threats to biodiversity loss. PHE projects integrate services and messaging from different development sectors, including health (particularly family planning), conservation and livelihoods. However, a question remains: do such projects produce value-added outcomes; that is, synergistic effects as a result of integration across sectors? Using qualitative data to explore value-added outcomes resulting from a PHE project serving communities along Lake Victoria in Kenya and Uganda, this study explores several theories about why this integrated project may be generating value-added outcomes, including changes in established gender roles, as well as substitution of time and investment of new income into sustainable livelihood activities, particularly among women. Integration led to several value-added benefits, particularly for women, although long-term sustainability of project outcomes remains a key concern.

      Year: 2018

      Source: Environmental Conservation

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        This evaluation examines the evidence on the effectiveness and scalability of the Health of the People and Environment in the Lake Victoria Basin (HoPE-LVB) model of integrated population, health, and environment (PHE) community development in Kenya and Uganda. The project aimed to increase access to sexual and reproductive health services and improve maternal and child health care practices while reducing threats to biodiversity conservation in project communities. It also aimed to scale up the PHE model at the local, national, and regional levels through institutionalizing PHE in government development planning. This report suggests several ways in which enhanced coordination and resources shared among stakeholders at different scales could improve project outcomes in situ. A focus on advocacy and project development at regional and national levels is recommended for successful PHE scale-up.

        Year: 2018

        Source: Global Health Program Cycle Improvement Project

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          This brief summarizes the results from the internal evaluation of Phases I and II of the HoPE-LVB project, implemented from 2011-2017.

          Year: 2018

          Source: Pathfinder International

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            This brief describes the strong advocacy component used by the HoPE-LVB project to ensure institutionalization and expansion of successfully tested approaches, particularly collaboration with the Lake Victoria Basin Commission as an institutional partner.

            Year: 2018

            Source: Pathfinder International

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              The HoPE-LVB Project project applied the ExpandNet/World Health Organization (WHO) systematic scaling-up approach of Beginning with the End in Mind to ensure successful institutionalization and expansion of the project. This brief provides lessons to implementers and donors on how institutionalization emerged as a critical pathway towards scale-up and sustainability of integrated programming.

              Year: 2018

              Source: Pathfinder International

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              A short film by the HoPE-LVB Project, implemented by Pathfinder International. In the film, Rosalida and Evans talk openly to their daughters, Mercy and Alice, about family planning, hygiene, and the environment. They also educate fellow fishermen and women on these topics.

              Year: 2018

              Source: Pathfinder International

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                The Health of People and the Environment in the Lake Victoria Basin (HoPE-LVB) project is one of the largest and most scaled up integrated Population, Health, and Environment (PHE) programs implemented in the East African region. As such, the HoPE-LVB toolkit has been developed using the lessons learned and best practices from the project in the hope that this PHE approach to sustainable development will be adopted on a wider scale not only in East Africa but in other areas of the world. The toolkit is a unique collection of resources that has been developed to promote “a complete status of well-being” of individuals and families by converging activities related to the three sectors of population, health and environment.

                Year: 2017

                Source: Pathfinder International

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                  This case study illustrates the relationship between population, family planning, community health, and the sustainability of natural resources in the Lake Victoria Basin, the largest lake basin on the African continent. It demonstrates how these dimensions are shaped by many factors, including human-caused alteration to the lake, access to sexual and reproductive health services, and environmental degradation.

                  Year: 2018

                  Source: Planetary Health Alliance

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