Archive for: Integration


Population, Health and Environment at Community Level in Madagascar

The USAID Population, Health and Environment (PHE) Integration Activity in Madagascar (2017-2019) was led by JSI Research & Training Institute, Inc. under the USAID Advancing Partners & Communities (APC) Project and USAID’s Community Capacity for Health Program. The PHE Integration Activity in Madagascar had the objective of studying, documenting, and promoting the effective integration of PHE activities with the Ministry of Environment and Sustainable Development, the Ministry of Public Health, and the Ministry of Population, Social Protection and Promotion of Women, and other stakeholders in Madagascar. The PHE Integration Activity ended in 2019, however the USAID Community Capacity for Health Program in Madagascar continued family planning, child health and monitoring and evaluation work in the same geographic areas.

The USAID Community Capacity for Health Program—known in Madagascar as Mahefa Miaraka—was a five-year (2016–2021) community-based integrated health program funded by the United States Agency for International Development (USAID). The Program was a collaborative effort among the Ministry of Public Health, USAID, and JSI Research & Training Institute, Inc. Mahefa Miaraka provided tools and capacity-building training to approximately 10,000 community health volunteers who provided basic maternal health, child health, and family planning services to their local communities.

Year: 2021

Source: John Snow, Inc.

Watch Part 1

Watch Part 2

USAID Sustaining Partnerships to Enhance Rural Enterprise and Agribusiness Development (SPREAD) Project: Integrated Community Health Program Mid-Term Program Evaluation

The overall goal of the Sustaining Partnerships to Enhance Rural Enterprise and Agribusiness Development (SPREAD) Project (2006-2011) was “to provide rural cooperatives and enterprises involved in high-value commodity chains with appropriate technical assistance and access to health-related services and information that will result in increased and sustained incomes and improved livelihoods.” SPREAD was a unique example of integrated programming within USAID, a “wraparound” project that receives funding across several technical areas in Health and Economic Growth. SPREAD’s design had its roots in the Population, Health and Environment (PHE) approach to development, which promotes multisectoral collaboration or “integration” to create synergy and improve project outcomes across programs, particularly at the community level. This evaluation reveals stakeholder perceptions of the integrated approach, shares successes, challenges and lessons learned, and makes recommendations to inform future funding of integrated programming.

Year: 2010

Source: Public Health Institute | United States Agency for International Development

Access the resource

    Tunza Jamii Yako, Tunza Mazingira Yako kwa Maisha Bora

    This training guide was produced in Swahili by the Green Belt Movement and FHI360 as part of the Program on Research for Strengthening Services (PROGRESS) in Kenya. The aim of the flipbook resource is to protect the environment and promote good governance, and covers topics including: family planning, healthy ecosystems, livelihood security, and healthy households.

    Year:

    Source: The Green Belt Movement | FHI 360

    Access the resource

      The Role of Community-Based Coastal Conservation and Development Initiatives in Building Social-Ecological Resilience to Climate Change: Experiences From Southern Madagascar

      Climate change impacts fall disproportionately on the world’s poorest, most marginalized communities, particularly those highly dependent on direct use of natural resources, such as subsistence fishing communities. Vulnerability to climate change involves social and ecological factors, and efforts to reduce it and build long-term resilience must target both. In Madagascar national and international planning to address vulnerability remains vague and indeterminate for most of the island’s coastal communities, with little meaningful implementation. Therefore, local measures to build resilience and adaptive capacity are critical to ensure that communities are able to cope with the immediate and long-term effects of climate change. This article examines a PHE program in Madagascar, and illustrates how practical initiatives can contribute to building immediate and long-lasting resilience and adaptive capacity. These approaches could play a key role in adaptation measures within the western Indian Ocean region, where many coastal communities live in severe poverty on the front line of a rapidly changing climate.

      Year: 2013

      Source: Western Indian Ocean Journal of Marine Science

      Access the resource

        The Population, Health and Environment (PHE) Pathway to Livelihoods Improvement: Lessons and Best Practices from Nepal

        This report describes the accomplishments and lessons learned by the Environmental Health Project (CDM) as part of the design and implementation of a pilot project to address community health and conservation issues, as requested by USAID/Nepal. The project was devised to build the self-help capacity of CFUGs to implement and sustain integrated approaches to population, health and environment (PHE) that also contribute to sustainable livelihood development. The pilot engaged 114 CFUGs in a variety of PHE advocacy, awareness-raising and service delivery activities during 2006-2008. RIMS-Nepal, WWF-Nepal, and ADRA-Nepal collaborated with CDM on this initiative. The livelihood, health and conservation accomplishments detailed here provide insights and best practices for PHE practitioners.

        Year: 2009

        Source: United States Agency for International Development | CDM International

        Access the resource

          The Impact of Population, Health and Environment Projects: A Synthesis of the Evidence

          The evidence of impact of integrated Population, Health, and Environment (PHE) projects is often isolated in project reports and not disseminated widely. To respond to that need, this report pulls together project findings across many integrated projects to assess and better document what is known about the results and benefits of integrated projects and where gaps in the evidence base still exist. This synthesis report examines and summarizes recent available evidence from integrated PHE projects to document what they are measuring and/or not measuring, assess the current state of PHE project monitoring and evaluation, and identify gaps in evaluation and research for current and future PHE projects to improve upon. Forty-three documents from 35 projects were reviewed in conducting this synthesis. Findings suggest that projects report data and impact in some areas, particularly family planning, consistently. The findings also note that many PHE projects have found it challenging to collect data and thus document their impact in other sectors, particularly related to their environmental and livelihood programming.

          Year: 2015

          Source: The Evidence Project

          Access the resource

            The History of PHE in Madagascar: Looking Back Over the Last 25 Years and Forward to the Next Chapter

            Madagascar has a rich history of integrated conservation and development initiatives. This report provides an overview of the evolution of the integrated PHE approach in Madagascar from the late 1980s through until the present day, along with a summary of opportunities and challenges relating to the scale up of this approach moving forward. It draws heavily on several excellent reports published during the mid-late 2000s, supplemented by grey literature and personal communications. This report is organised chronologically, with overlapping phases reflecting key developments in policy and practice. Major projects and players are highlighted at each stage, in addition to important approaches and lessons learned.

            Year: 2014

            Source: Blue Ventures | The Madagascar PHE Network

            Access the resource

              The 3rd National Conference on Population, Health, and Environment (PHE)

              The third National Conference on Population, Health, and Environment (PHE) was held in March 2008 Tagatay City, Philippines. The 350 delegates focused on the expansion, strengthening, and advancement of integrated Population, Health, and Environment (PHE) approaches. International partners from a myriad of countries shared PHE methods, models, and networks. Skill building sessions, presentations, demonstrations, and discussions were held to expand PHE knowledge and strengthen partnerships.

              Year: 2008

              Source: Conservation International

              Access the resource

                Sustainable Development in East Africa: Lessons From Four Population, Health, and Environment Projects

                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

                Access the resource

                  South-South Exchange on Integrated Population-Health-Environment (PHE) for Executives of Government and NGOs

                  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

                  Access the resource