Archive for: Integration

April 2, 2021/by Sean Stewart

Integrating Population, Health, and Environment in Kenya

English Brief Population Reference Bureau Kenya Conservation, Economic Development, Environment, Institutionalization, Integration, Population

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

April 2, 2021/by Sean Stewart

Integrating Population, Health, and Environment in Ethiopia

English Brief Population Reference Bureau Ethiopia Conservation, Economic Development, Environment, Institutionalization, Integration, Population

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

English Tool/Guide United States Agency for International Development Global Conservation, Implementation, Integration, Population, Project Design, Scale-up

April 2, 2021/by Sean Stewart

Integrating Population, Health, and Environment (PHE) Projects: A Programming Manual

This highly detailed program design manual begins by describing the evolution of PHE integrated projects, and why they remain relevant. It then lays out critical steps for designing and implementing a PHE project. These steps are not strictly sequential; there is more than one successful way to carry out a project. The steps are provided as a guideline for project designers to determine if they are on the right track. This document also aims to achieve longer and larger success in PHE projects by creating value-added synergies, and including sustainability and scalability in project design. Emphasis is placed on these components as crucial steps to designing a successful integrated project.

Year: 2007

Source: United States Agency for International Development

English Report Conservation Through Public Health, Evaluation and Research Technologies for Health, John Snow Inc. Uganda Conservation, Economic Development, Family Planning, Integration, Population, Wildlife

April 2, 2021/by Sean Stewart

Integrating Human and Animal Health for Conservation and Development: Findings From a Program Evaluation in Southwest Uganda

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

English Journal Article Oryx—The International Journal of Conservation Madagascar Conservation, Family Planning, Integration, Sexual and Reproductive Health and Rights

April 2, 2021/by Sean Stewart

Integrating Family Planning Service Provision Into Community-Based Marine Conservation

This study presents Blue Ventures’ experiences incorporating sexual and reproductive health services within a pre-existing community-based marine conservation initiative in Madagascar as part of an integrated population, health and environment (PHE) programme. The findings emphasize the mutually beneficial synergies, supporting both public health and conservation objectives, which can be created by integrating sexual and reproductive health services into more conventional biodiversity conservation activities. This PHE approach demonstrates the inextricable link between reproductive health and resource use by providing practical, immediate and lasting benefits to public health, gender equity, food security and biodiversity conservation.

Year: 2012

Source: Oryx—The International Journal of Conservation

Conservation

Sexual and Reproductive Health and Rights

April 2, 2021/by Sean Stewart

Integrating Family Planning Promotion Into the Work Of Environmental Volunteers: A Population, Health and Environment Initiative in Kenya

English Journal Article International Perspectives on Sexual and Reproductive Health Kenya Family Planning, Implementation, Integration

Although the potential advantages of linked population and environment programs are increasingly acknowledged, evidence is still limited regarding the feasibility and acceptability of PHE initiatives. In some of the best known PHE models, such as those implemented in the Philippines and Madagascar, health promotion was added to environmental initiatives through the intervention of community health workers. Less is known about the ability of environmental workers to assume a direct role in health promotion. To help fill this evidence gap, the Program Research for Strengthening Services (PROGRESS) project, which was funded by the U.S. Agency for International Development to improve access to family planning services, teamed with the Green Belt Movement (GBM), a Kenyan nongovernmental organization dedicated to environmental conservation and community development. PROGRESS and GBM conducted a mixed-methods study to examine the following issues: (1) whether GBM’s frontline environmental outreach workers, known as Green Volunteers, could lead family planning promotion activities and (2) how communities would react to Green Volunteers’ promoting potentially sensitive messages about contraception. We used process monitoring and post-intervention data collection to assess the feasibility and acceptability of Green Volunteers’ implementing a PHE intervention and to explore the potential of this approach for expanding access to family planning information and services. In addition, we examined the costs of the intervention to evaluate affordability.

Year: 2015

Source: International Perspectives on Sexual and Reproductive Health

Implementation

April 2, 2021/by Sean Stewart

Integrating Family Planning Into Other Development Sectors

English Report FHI 360 India, Kenya, Uganda Family Planning, Integration

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

April 2, 2021/by Sean Stewart

Integrating Family Planning and Food Security: Lessons From the Population, Health, and Environment (PHE) Community

English Presentation, Video FHI 360 Global Family Planning, Food Security, Integration, Resilience

On March 31, 2016, the Food and Nutrition Technical Assistance III Project (FANTA) hosted a webinar to discuss why it is important to link family planning and food security, how family planning contributes to building resilience and promoting climate-compatible development, and how lessons and experiences from multisectoral population, health, and environment programs can be applied to food security programs.

Year: 2016

Source: FHI 360 | FANTA Project

English Journal Article Studies in Family Planning Madagascar Conservation, Family Planning, Integration, Underserved Populations

April 2, 2021/by Sean Stewart

Integrating Community-Based Family Planning Services With Local Marine Conservation Initiatives in Southwest Madagascar: Changes in Contraceptive Use and Fertility

This study assessed changes in contraceptive use and fertility between 2009 and 2013 in the Velondriake locally managed marine area of southwest Madagascar where marine conservation organization Blue Ventures began implementing an integrated health-environment program in 2007. The proportion of sexually active women aged 15 to 49 years using hormonal contraception and/or condoms during last intercourse increased more than twofold from 25 percent in 2009 to 59 percent in 2013. The number of births in the last 12 months per 1,000 women of reproductive age declined by 28 percent over the same period from 196 in 2009 to 141 in 2013. This program increased access to family planning for previously under-served communities, leading to uptake of modern contraceptives with an associated decline in fertility. These results suggest that this program has enabled couples to avoid unintended pregnancies, thereby bolstering local marine conservation initiatives.

Year: 2017

Source: Studies in Family Planning

Conservation