Archive for: Pathfinder International


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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      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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          A successful population, health, and environment (PHE) project requires the full and equal participation of women and girls and men and boys. In order to address the urgent, interconnected challenges in the Lake Victoria Basin—poor maternal and child health, a lack of access to contraception, dwindling fish supply, deforestation, and more—interventions must also work towards gender equality. Women must be able to exercise their right to sexual and reproductive health care services, including their ability to choose if or when to have children. They must be able to participate in income-generating activities, which improve their economic situation and better equip them to protect their families and the natural resources they depend on. The Health of People and the Environment in the Lake Victoria Basin (HoPE-LVB) project works to promote gender equality. HoPE-LVB implements a range of activities, including training women’s and young mother’s groups on integrated health and conservation practices and conducting community dialogue sessions surrounding the intersection between gender, sexual and reproductive health, and the environment to bridge gender divides and encourage input and support from all community members.

          Year: 2014

          Source: Pathfinder International

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            The overall goal of the The Health of People and the Environment in the Lake Victoria Basin (HoPE-LVB) Project is to reduce threats to biodiversity conservation and ecosystem degradation in the lake basin, while simultaneously increasing access to family planning and sexual and reproductive health to improve maternal and child health in project communities. This brief describes how the energy-efficient stove campaign exemplifies the power of this integration and the HoPE-LVB project.

            Year: 2016

            Source: Pathfinder International

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              The Health of People and Environment in the Lake Victoria Basin (HoPE-LVB) project seeks to reduce threats to biodiversity conservation and ecosystem degradation in the LVB while simultaneously increasing access to family planning and reproductive health services, in order to improve maternal and child health in Kenya and Uganda. This brief discusses how HoPE-LVB builds the capacity of Beach Management Units (BMUs) to take collective responsibility to actively protect and restore fish stocks, their habitat, and the entire ecosystem they depend on. This goes hand-in-hand with harvest management— establishing who, when, and where to fish, as well as tracking and documenting the fish catches.

              Year: 2016

              Source: Pathfinder International

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                This brief discusses the importance of advocacy at multiple scales to build policymaker support for the Health of People and the Environment in the Lake Victoria Basin (HoPE-LVB) project. Staff and partners have engaged key district, national, and regional health and environment officials in Kenya and Uganda. The project goals are to: (1) increase stakeholders’ understanding of the interconnectedness of PHE issues and the benefits of the PHE approach; (2) increase the key stakeholders’ capacity to communicate about the PHE approach; and (3) provide platforms for policy dialogue to influence regional and national stakeholders to integrate PHE into their programs.

                Year: 2016

                Source: Pathfinder International

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                  This is a report of the baseline data for the Health of People and Environment-LVB (HoPE-LVB) Project, led by Pathfinder International. The Project aims to provide underserved families and communities with knowledge and skills to improve reproductive health, reduce levels of poverty through livelihoods, and sustainably manage local natural resources. The survey found that community knowledge levels were high but practice levels were low for sectoral outcomes. Engagement in community groups was high, suggesting opportunities to implement value-added population, health, and environment (PHE) activities. The policy review found that policies encourage PHE integration, but lack structures to facilitate implementation across sectors. The participatory rural assessment yielded information on the potential ‘value-added’ that HoPE-LVB can generate, identifying increased income and access to quality health services as key priorities for the project and noting key challenges to uptake of positive health and conservation practices.

                  Year: 2013

                  Source: Pathfinder International

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                    An overview video of the HoPE-LVB project, implemented by Pathfinder International in the Lake Victoria Basin region of Uganda and Kenya.

                    Year: 2014

                    Source: Pathfinder International

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