Archive for: Population Reference Bureau


For over a decade community-based projects linking family planning, health, and environment efforts were active in Fianarantsoa province, Madagascar. This brief explores the evolution of cross-sectoral approaches and projects in Fianarantsoa province. The early cross-sectoral initiatives recognized that conservation and management of natural resources could be undermined by high fertility rates, and that addressing health needs would lead to a connection between communities and development practitioners. Evaluations have demonstrated that these projects have reached new audiences, were efficient, and fostered greater community involvement.

Year: 2006

Source: Population Reference Bureau

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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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      The Population Reference Bureau coordinated a comparative study of population, health, and environment (PHE) integration and cross-sectoral collaboration in East Africa. Teams from Ethiopia, Kenya, Tanzania, Uganda, and Rwanda assessed the state of PHE integration in their respective countries, through 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. Drawing lessons from countries where PHE programs have already been successfully implemented, this brief explores the PHE context, challenges, and opportunities for pursuing an integrated approach to development in Rwanda. The methods used to conduct the assessment in Rwanda included a review of relevant government policies and project documents, key informant interviews, and focus group discussions. Recommendations on the way forward include: carry out an analysis of institutional interest in and capacity for PHE integration; develop a framework for institutional coordination and policy dialogue; develop a multimedia communication strategy; and explore the urban dimension of PHE interactions.

      Year: 2009

      Source: Population Reference Bureau

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        The Population Reference Bureau coordinated a comparative study of population, health, and environment (PHE) integration and cross-sectoral collaboration in East Africa. Teams from Ethiopia, Kenya, Tanzania, Uganda, and Rwanda assessed the state of PHE integration in their respective countries, through 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. The methods used for this assessment include a review of relevant policies, laws, and project documents; key informant interviews; and field visits to case study sites. The Tanzania PHE Assessment was made possible with funding from the U.S. Agency for International Development (USAID). This policy brief is based on the Tanzania PHE Assessment written in 2007 by the late Dr. N.F. Madulu, formerly of the Institute of Resource Assessment (IRA)/University of Dar es Salaam and the members of the Tanzania PHE Assessment team.

        Year: 2007

        Source: Population Reference Bureau

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          The Population Reference Bureau coordinated a comparative study of population, health, and environment (PHE) integration and cross-sectoral collaboration in East Africa. Teams from Ethiopia, Kenya, Tanzania, and Uganda assessed the state of PHE integration in their respective countries, through 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. The University of Nairobi and the National Coordinating Agency for Population and Development assessed the “state of integration” in Kenya. Findings confirm that these integrated approaches require more planning, coordination, and communication, but still can yield substantial results in the community and environment, including reduced dependence on forest resources, increased food security, cleaner drinking water, and greater access to health services. The assessment found that strong leadership was essential to the community-based PHE project; cross-sectoral interventions can be introduced at different times and at different scales; and that even low-cost interventions can improve the health and well-being of a community. Kenya still lacks clear legal framework and institutional money to initiate PHE policies, but according to this assessment, most development professionals prefer the integrated approach at the community level.

          Year: 2007

          Source: Population Reference Bureau

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            The Population Reference Bureau coordinated a comparative study of population, health, and environment (PHE) integration and cross-sectoral collaboration in East Africa. Teams from Ethiopia, Kenya, Tanzania, Uganda, and Rwanda assessed the state of PHE integration in their respective countries, through 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. Drawing lessons from countries where PHE programs have already been successfully implemented, this brief explores the PHE context, challenges, and opportunities for pursuing an integrated approach to development in Ethiopia, 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. The paper highlights and explains several opportunities and entry points for pursuing a more holistic way to address the complex interactions between humans, their health, and the environment in Ethiopia.

            Year: 2007

            Source: Population Reference Bureau

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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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                Sub-Saharan Africa (SSA) is undergoing major transformations. In the last decade, the region has experienced strong economic growth, reduced maternal and infant deaths, increased levels of education, and new advances in technologies and telecommunications—creating the conditions for a robust future. However, recent economic growth rates have slowed, underscoring the need for new strategies. Persistent high rates of population growth threaten to undermine future economic growth as well as other social and development advancements. In addition, more than 335 million people live in poverty and many are left out of the progress. The great challenges leaders face are how to cope with growing populations, reduce poverty and inequity, build the resilience of those most vulnerable, be competitive in today’s global economy, and improve people’s lives without compromising the environment or the well-being of future generations.

                Tackling these challenges requires cross-sectoral collaboration, innovative approaches, and making the most of all available interventions. Family planning is one intervention that could and should be further leveraged. This review examines the critical role of voluntary family planning in Africa’s future. It provides an overview of the status of family planning over the last five years, and explores family planning’s tremendous potential to make a difference in many of the social and economic obstacles facing SSA today.

                Year: 2016

                Source: Population Reference Bureau

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                  Family planning is a cross-cutting intervention that can accelerate progress towards achieving the Sustainable Development Goals (SDGs). In Kenya, family planning is a best buy that contributes to the nation’s growth and creates a path towards achieving the SDGs and Kenya’s Vision 2030. Developed in partnership with the National Council for Population and Development (NCPD) and with generous support from USAID Kenya and East Africa through the Policy, Advocacy, and Communication Enhanced for Population and Reproductive Health (PACE) Project, PRB has created a short video that demonstrates how family planning contributes to Kenya’s progress across all five SDG themes of People, Planet, Prosperity, Peace, and Partnerships. The video will be shared with policymakers throughout Kenya to enhance their understanding of the importance of family planning to realizing the SDGs.

                  Year: 2017

                  Source: Population Reference Bureau

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                    This case study demonstrates how an NGO microfinance institution went from being skeptical to optimistic about innovative approaches to social development in the Philippines. With the prevalence of poverty on the rise in the Philippines, from 37% of the population to 50% in three years, the FCB Foundation, Inc. (FCBFI) was founded as the first microfinance institution in the province of Bohol, as a branch of the First Consolidated Bank. The FCBFI’s mission is to address the social development needs of the population through microcredit programs, aiming to create jobs and expand entrepreneurial activities. But questioning arose that FCBFI had been spreading itself thin across too many development sectors. Integrated population, health, and environment (PHE) approaches were introduced to FCBFI with PATH Foundation Philippines, Inc. (PFPI)’s project, Integrated Population and Coastal Resource Management (IPOPCORM). This gave birth to a partnership between the two organizations.

                    Year: 2006

                    Source: Population Reference Bureau

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