Archive for: Uganda


The Health of People and Environment–Lake Victoria Basin (HoPE–LVB), a cross-sectoral integrated Population, Health, and Environment (PHE) effort implemented by Pathfinder International and a range of partners in Kenya and Uganda during 2011-2019, aimed to improve interconnected health, environment, and development challenges in an ecologically biodiverse region. After an external evaluation in 2018 documented the results of the project, partners and donors were interested in learning about the ongoing sustainability of the project activities to draw lessons for designing future projects. Therefore in 2022, USAID through the Knowledge SUCCESS project, collaborated with a philanthropic partner, Preston-Werner Ventures, to conduct a rapid stock-taking exercise to explore the successes, challenges, and opportunities in scaling-up and sustaining the cross-sectoral programming. This learning brief features the voices from a range of stakeholders that were involved in the project to share their perspectives and knowledge on the scale-up and sustainability of HoPE-LVB activities.

Year: 2022

Source: Knowledge SUCCESS

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The aim of this guide is to outline the unmet need for family planning that exists in many parts of sub-Saharan Africa, highlight the barriers to accessing and using family planning that exist for many girls and women, explain why conservation organizations are uniquely placed to introduce such activities to the communities they work with, and provide guidance for any organization that wishes to start a program to tackle this issue. It is based on CHASE Africa’s experience over the past ten years of supporting local partners to run, and in several cases set-up, community health and family planning programs in Kenya and Uganda. While some of the guidance is context specific, the guide highlights how programs could be adapted to other situations and circumstances.

Year: 2021

Source: CHASE Africa

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The aim of PHE projects is to improve access to reproductive and other health services for vulnerable populations in rural and ecologically threatened areas, while at the same time empowering these communities to manage their natural resources in ways that benefit their livelihoods. By linking these issues, people are increasingly motivated to change behaviors that threaten their health and environment. The PHE approach proposes that close collaboration and coordination across multiple sectors contributes to holistic results—people with improved health outcomes, diversified livelihoods, and stronger, more sustainable ecosystems. This publication features insights from four ongoing PHE projects in East Africa—two led by Pathfinder International and two by Deutsche Stiftung Weltbevölkerung (DSW)—and provides recommendations for those seeking to refine the PHE development framework. The projects described are located in Ethiopia, Uganda, Tanzania and Kenya.

Year: 2013

Source: Pathfinder International | DSW

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    These stories and photos are from policy makers and champions of an integrated approach to development known as Population, Health, and Environment (PHE), which focuses on the interconnectedness between human health and environmental health. PHE programs improve primary health care services such as family planning and reproductive health, while also helping communities conserve biodiversity, manage natural resources, and develop sustainable livelihoods. When these issues are addressed  simultaneously, communities thrive. This collection highlights the experiences of PHE stakeholders and champions in the Lake Victoria Basin.

    The stories are an inspiration to anyone struggling to understand why PHE is important. Any donor or development partner who is looking for reasons to invest in PHE can find answers right here. For program designers and developers of integrated PHE  approaches, this collection provides an overview of key components to consider while designing your package.

    Year: 2018

    Source: Lake Victoria Basin Commission and the Knowledge for Health (K4Health) Project

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      The purpose of this workshop was to establish and operationalize PHE zones in the Republic of Uganda, with inputs from relevant national stakeholders. Participants included staff from the EAC Secretariat,  representatives from Uganda’s line ministries, various departments and agencies, research institutions; and the organizations Pathfinder International and Conservation Through Public Health. This report outlines the workshop proceedings, including a set of recommendations from the participating stakeholders.

      Year: 2016

      Source: East African Community

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        Population Reference Bureau (PRB) coordinated a comparative study of population, health, and environment integration in East Africa. Teams from Ethiopia, Kenya, Rwanda, Tanzania, and Uganda assessed the state of PHE integration in their respective countries, including identifying relevant stakeholders; assessing the policy environment for cross-sectoral collaboration; highlighting the most salient population, health, and environment issues; and describing the current state of integration among projects, programs, and policies. An assessment of this “state of integration” was undertaken by an interdisciplinary team led by Pro-Biodiversity Conservationists in Kampala, Uganda, to explore in more detail population-health-environment (PHE) interactions and the opportunities for and challenges of cross-sectoral collaboration and integrated programming in Uganda. This policy brief is based on the Uganda PHE Assessment written by Elady Muyambi of Pro-Biodiversity Conservationists in Uganda, with assistance from members of the Uganda PHE Assessment team. The methods used for this assessment include a review of relevant policies, laws, and project docu-ments; key information interviews; and field visits to case study sites. The Uganda PHE Assessment was made possible with funding from the U.S. Agency for International Development (USAID).

        Year: 2009

        Source: Population Reference Bureau

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          This report documents the process through which a Ugandan conservation organization, Conservation through Public Health (CTPH), successfully integrated interventions traditionally seen as from different “domains” or “sectors” for the dual purposes of (1) reducing threats to mountain gorillas and their habitat and (2) improving the well-being of local communities directly dependent upon the health of the former (for ecotourism and natural resource use). CTPH received guidance from JSI in integrating family planning (FP) services to a quality standard, and increasing awareness of and demand for services among rural communities. This report describes activities undertaken between Oct 2006 and December 2008 and key results. It ends with an assessment of the potential for replication to increase coverage around this important Ugandan and World Heritage conservation area. Also presented are some lessons learned applicable to other initiatives aimed at extending access to FP around remote, biodiversity-priority areas and conserving the world’s biological richness.

          Year: 2010

          Source: John Snow, Inc. | Conservation Through Public Health | Evaluation and Research Technologies for Health

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            Evidence confirms that family planning contributes to broad development goals of poverty reduction, enhanced education, environmental sustainability, and gender equality, but improving access to contraception has largely remained an effort contained within the health sector. While development programs outside the health sector increasingly recognize the connections between improving family planning and reaching their own goals, more evidence is needed on whether and how such efforts can work, and what types of models might be replicated and scaled up.

            The FHI 360 PROGRESS project (2008-2013) added to the evidence base on multi-sector integration, providing guidance on how development organizations can successfully expand their program model to include family planning services. Among these was the Green Belt Movement (Kenya) and Conservation Through Public Health (Uganda). Working closely with partners, PROGRESS developed, implemented, and evaluated interventions, and then synthesized lessons learned and packaged materials for use in replicating and scaling up these interventions.

            Year: 2013

            Source: FHI 360 | Progress Project

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              Pathfinder International and partners in Kenya and Uganda have implemented the Health of the People and Environment in the Lake Victoria Basin (HoPE-LVB) project since 2011. The project aims to scale up its use of the population, health, and environment (PHE) community-development model at local, national, and regional levels by integrating PHE considerations in formal government development planning and policies. “PHE” refers to the PHE approach, which aspires to increase access to comprehensive reproductive health services and improve maternal and child health care practices while simultaneously improving natural resource management in project communities.

              On April 30th, 2019, HoPE-LVB project implementers and evaluators discussed the United States Agency for International Development (USAID) evaluation report on the model’s effectiveness and scalability. Released in April 2018, the USAID report addresses three key questions:

              • What are stakeholders’ perceptions of the HoPE-LVB project model’s added value to family planning and reproductive health, maternal and child health, livelihoods, governance, natural resources management, or conservation?
              • Has the HoPE-LVB project’s explicit focus on systematic planning for scale-up resulted in positive outcomes for the model’s institutionalization, sustainability, and expansion?
              • To what extent did the HoPE-LVB project achieve its objectives as measured by its key performance indicators/results?

              The evaluation of HoPE-LVB had been long anticipated, as the project was supported by cross-sectoral investments by multiple donors and represents a pioneering East African PHE project implemented at scale.

              The webinar, scheduled at 9:00 a.m. EST on April 30, 2019, was hosted by the PACE (Policy, Advocacy, and Communication Enhanced for Population and Reproductive Health) project. It included the following speakers:

              • Clive Mutunga of USAID provided introductory remarks on USAID’s support for PHE models globally and what USAID learned from the evaluation of HoPE-LVB.
              • Eileen Mokaya of Pathfinder International provided an overview of the HoPE-LVB project.
              • Richard Kibombo of Global Health Program Cycle Improvement Project (GH Pro) shared the evaluation’s results and his suggested next steps for PHE sustainability and scale-up.

              Year: 2019

              Source: Pathfinder International | Population Reference Bureau

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                Model households are a key aspect of Health of People and Environment in the Lake Victoria Basin (HoPE-LVB), an integrated Population, Health, and Environment (PHE) project with sites in Kenya and Uganda. Model households are trained in multiple project activities to illustrate behaviors that allow families to thrive without taking a toll on their environment and natural resources. Model households exhibit positive behaviors, including practicing sustainable agriculture and resource planning, adopting alternative livelihoods, prioritizing reproductive health and family planning, and investing in clean water for drinking, cooking, and washing.

                Year: 2016

                Source: Pathfinder International

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