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41

Institutionalizing of Integrated Programming into Government Systems: A View of Homa Bay County

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.

42

Applying ExpandNet’s Systematic Approach toScaling Up in an Integrated Population, Health andEnvironment Project in East Africa

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.

43

Does Doing More Result in Doing Better? Exploring Synergies in an Integrated Population, Health and Environment Project in East Africa

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.

44

Health of the People and Environment in the Lake Victoria Basin (HoPE-LVB) Project Evaluation

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.

46

Prioritizing Health Needs: Institutionalizing Integration Through Population, Health, and Environment Advocacy in East Africa

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.