Archive for: Community Health


In February 2010, the USAID-funded BALANCED Project sponsored a South-to-South learning opportunity for government and non-governmental officials to observe how local stakeholders in the Philippines implement integrated Population, Health and Environment (PHE) approaches. PATH Foundation Philippines, Inc. (PFPI), a BALANCED Project partner, hosted ten developing country representatives from six African and Asian countries. They spent two weeks visiting PHE learning sites and a marine protected area in Bohol province. PFPI has been working for the past ten years on the Integrated Population and Coastal Resource Management Initiative (IPOPCORM) and has a wealth of lessons learned and best practices to share with people who are new to PHE. Based on these lessons learned and program design discussions, the participants developed action plans for their respective organizations and countries, in order to implement PHE at home.

Year: 2010

Source: The BALANCED Project

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We identify three categories of challenges that have to be addressed to maintain and enhance human health in the face of increasingly harmful environmental trends. Firstly, conceptual and empathy failures (imagination challenges), such as an over-reliance on gross domestic product as a measure of human progress, the failure to account for future health and environmental harms over present day gains, and the disproportionate effect of those harms on the poor and those in developing nations. Secondly, knowledge failures (research and information challenges), such as failure to address social and environmental drivers of ill health, a historical scarcity of transdisciplinary research and funding, together with an unwillingness or inability to deal with uncertainty within decision making frameworks. Thirdly, implementation failures (governance challenges), such as how governments and institutions delay recognition and responses to threats, especially when faced with uncertainties, pooled common resources, and time lags between action and effect.

Year: 2015

Source: The Rockefeller Foundation–Lancet Commission on Planetary Health

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This manual was developed to train individuals to integrate community-based family planning and health into PHE projects through community-based distribution and peer education. The curriculum shows how community-based distributors (CBDs) and Peer Educators (PEs) can be trained to discuss basic ecology, PHE linkages, and reproductive health/family planning within a PHE context. The modules include international family planning norms and guidance on sexually-transmitted infections/diseases. This training was field-tested in Tanzania, Zambia and Ethiopia. It is best for: 1) training-of-trainers events where facilitators learn how to train PHE CBDs and PHE Adult PEs on community-based education and distribution of family planning methods within the context of an integrated PHE intervention; and 2) workshops where local trained facilitators train PHE CBDs and PHE Adult PEs who work on integrated PHE activities.

Year: 2011

Source: The BALANCED Project

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This study provides a snapshot of the population, health, and environment situation and practices in the villages surrounding the Saadani National Park (SANAPA) and demonstrates the utility of a transdisciplinary systems perspective to evaluate population–health–environment linkages (PHE). Analyzing survey data from eight villages, this paper shows that in the SANAPA area, livelihoods are highly dependent on natural resources, but both agriculture and fisheries are experiencing a decline in productivity and profitability. Population stressors include a high population momentum, early marriages, teenage pregnancies, and migration. Women bear a heavy workload, while having little or no say in decision-making. The public health situation is severe with health facilities few and far in-between; lack of access to clean water and safe sanitation; and many households suffering from diarrhea, malaria, pneumonia, skin diseases, and HIV/AIDS. Environmental protection arrangements are in place in all sites, however, the awareness of protected areas and their benefits is low and many feel helpless in protecting the environment. Climate change—increasing periods of drought and irregular rainfall—contribute to food insecurity and health problems. The interconnectedness between these stressors reinforces the need for an integrated approach to addressing coastal conservation and community development in the SANAPA area.

Year: 2012

Source: Ocean & Coastal Management

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This report describes the results of a 2007 evaluation of WWF (World Wildlife Fund) PHE (Population, Health and Environment) projects sponsored by Johnson & Johnson and USAID (the U.S. Agency for International Development). The PHE sites were located in Africa and Asia, where human-environment interactions are in constant flux, human populations are growing rapidly, and they depend most directly on and affect most profoundly some of the richest forest and marine ecosystems on Earth. The PHE projects facilitated basic health care and RH (reproductive health) provision with the working thesis that improving human health and environmental conservation jointly adds value to each independently. The report also recommends future actions on sustainability and scale up of PHE approaches, improved data collection and monitoring and technical support.

Year: 2008

Source: World Wildlife Fund

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This guide was adapted from the Youth Sexuality, Reproductive Health and Environmental Education: Training Manual for Youth Peer Educators developed by PATH Foundation Philippines Inc. (PFPI) under its Integrated Population and Coastal Resources Management (IPOPCORM) initiative and other resources. It incorporates international family planning norms and guidance on sexually transmitted infections (STIs), including HIV, as recommended by the World Health Organization (WHO), including the Medical Eligibility Criteria for Contraceptive Use (WHO 2004), Family Planning: A Global Handbook for Providers (WHO/RHR and JHU/CCP 2007), Contraceptive Technology (Hatcher et al. 2007), and Sexually Transmitted and Other Reproductive Tract Infections: A Guide to Essential Practice (WHO 2005).

Year: 2011

Source: The BALANCED Project

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This training guide was developed to train population, health and environment (PHE) Community-based Distributors (CBDs) who work on integrated PHE activities. A PHE CBD is someone who is trained to provide information on PHE, family planning (FP) methods, and the stocking and sales of FP commodities. This training guide can be used to train new PHE CBDs over a two-day period. It contains 12 modules covering basic topics that PHE CBDs need to know to discuss basic ecology, PHE linkages, and reproductive health/family planning with community members within a PHE context. The modules are based on international norms and guidance as recommended by the World Health Organization (WHO). This Guide is based on the publication “Population, Health and Environment (PHE) Community-based Distribution and Peer Education System: Train-the-Trainer Guide for Training PHE Community-based Distributors and PHE Adult Peer Educators,” which is geared for training master trainers who will, in turn, train PHE adult peer educators and PHE CBDs.

Year: 2012

Source: The BALANCED Project

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This training guide was developed to train PHE Adult Peer Educators (PEs) who work on integrated PHE activities. This training guide contains 12 modules covering basic topics that PHE Adult Peer Educators need to know to discuss basic ecology, PHE linkages, and reproductive health/family planning with community members within a PHE context. This Guide is based on the BALANCED Project publication, “Population, Health and Environment (PHE) Community-based Distribution and Peer Education System: Train-the-Trainer Guide for Training PHE Community-based Distributors and PHE Adult Peer Educators.”

Year: 2011

Source: The BALANCED Project

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The global PHE community consists of organizations and individuals with a wealth of knowledge and hands-on experience in PHE policy advocacy, operations research and program design and execution. This 2008 document provides detailed information on 15 past projects involving PHE approaches. Each project description explains the development challenges and the approaches taken to address them.

Year: 2008

Source: United States Agency for International Development

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Population, health, and environment (PHE) programs link conservation, health, and family planning interventions. These programs are generally located in biodiversity hotspots, where population pressure may contribute to environmental degradation. This review describes the general structure of PHE programs and provides examples to highlight various aspects of this approach. It focuses on a case study from the Integrating Population and Health into Forestry Management Agendas program in Nepal that addressed deforestation from fuel-wood harvesting, indoor air pollution from wood fires, acute respiratory infections related to smoke inhalation, as well as family planning in communities in Nepal’s densely populated forest corridors. Keys to the success of the project included empowerment of community forest user groups with PHE program know-how and appropriate technology. Lessons learned highlight the critical role that nongovernmental organizations can play to catalyze cross-sectoral responses to complex development issues. The PHE approach can be effective for achieving sustainable development and meeting conservation and health objectives.

Year: 2011

Source: Mount Sinai Journal of Medicine

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