Showing posts from category community-based.
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Integrated Approach Helps “Model Farmers” Increase Productivity in Ethiopia
›March 24, 2011 // By Schuyler Null
To reach the village of Grar Gaber from Addis Ababa, you drive up over the Entoto Mountains overlooking the capital then motor down two hours of new Japanese-built highway to the town of Fiche. From there it’s 20 minutes on a broken dirt road across rocky hills. I was joined there by about 20 others from the PHE Ethiopia Consortium’s general assembly (see day one and day two coverage here) and Population Action International, to visit an integrated population, health, and environment (PHE) development program run by LEM Ethiopia.
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The Continuing Challenges of Integrated Development
›March 20, 2011 // By Schuyler Null
“How are we going to feed all these mouths?” asked Bekele Hambissa, director of the Environmental Protection and Development Organization in Addis, on day two of the PHE Ethiopia Consortium general assembly (read about day one here). Environmental resources are directly tied to Ethiopia’s population growth, said Hambissa, during a discussion of balancing efforts to address population growth, environment, and livelihoods. While poverty alleviation is an important goal of population, health, and environment integration (PHE), it must be environmentally sustainable, he said.
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Watch: Roger-Mark De Souza on the Scaling Advantages of Population, Health, and Environment Integration
›March 11, 2011 // By Schuyler NullBy integrating population, health, and environment (PHE) efforts, development programs can make a difference in people’s lives in a real and meaningful way – one which they understand, appreciate, and desire, said Roger-Mark De Souza in this interview with ECSP. De Souza is the vice president of research and director of the Climate Program at Population Action International.
The PHE approach “allows itself to be applied at different levels,” said De Souza. “It’s easily implemented at the level of a village, or a town, or a city where a number of individuals can say ‘these are concrete results and outcomes that we want in our lives and that we want to live our lives in an integrated way.’”
PHE interventions not only provide tangible results to individuals, said De Souza, but they also help accomplish broader policy objectives, including improving health and alleviating poverty.
“There are lessons to be learned from different areas of integration, not just population, health, and environment,” De Souza said. For example, initiatives that integrate food security and HIV/AIDS deal with issues “similar to the ones we deal with in integrating population, health, and environment,” he said. Lessons and experiences need to be shared between these communities, but they also share similar advantages: From a cost-efficiency stand point, integration simply provides greater “bang for the buck,” he said. -
Watch: Stephan Bognar on Integrated Development for Donors and Practitioners
›March 4, 2011 // By Hannah MarquseeIn order to be successful, NGOs must “remove the binoculars and put on a kaleidoscope,” said Stephan Bognar, executive director of the Maddox Jolie-Pitt Foundation (MJP), in an interview with ECSP. “Although we have thousands of NGOs out there, we need to start working as one team, one voice, to implement development programs. Otherwise, we are still going to be in a poverty trap.”
The Maddox Jolie-Pitt Foundation is a Cambodia-based conservation NGO founded by Angelina Jolie in 2003 with the mission of eradicating extreme rural poverty, protecting natural resources, and conserving wildlife. MJP takes an integrated approach to rural development, combining community-based health, education, agriculture, and development projects with park conservation projects to best serve communities and their environment.
“One of the largest problems NGOs face are lack of funds,” said Bognar. This often prevents them from implementing integrated development projects. “They’re so focused on one component that they’re forgetting to link with the other NGOs.” But even if NGOs can’t get the funding to operate in multiple sectors by themselves, he said, it’s their “responsibility” to partner with other NGOS that have the skills and expertise to address other factors of rural development.
Despite best intentions, Bognar said, NGOs often become “so disconnected from the other sectors that within a few years their own program will implode.” NGOs must “reach out and look at the program outside of their lens,” he said. “Breaking down these barriers” is key to successful development work. -
Joan Castro on Integrated Population and Coastal Resource Management in the Southern Philippines
›In the southern Philippines, the innovative IPOPCORM program “worked in areas where there is high…marine biodiversity, high population, and high population momentum, which means…about 40 percent of the population are 15 years and below,” Joan Castro told ECSP in this interview. Castro, the executive vice president of PATH Foundation Philippines, Inc., recently spoke at the Wilson Center on the state of integrated development efforts in her country and elsewhere.
From 2000-2006, IPOPCORM (which stands for “integrated population and coastal resource management”) sought to integrate population, health, and environment (PHE) development efforts in Philippine communities. They had four primary objectives, said Castro: 1) improve the reproductive health of the community members; 2) improve management of the coastal resources; 3) increase knowledge of the linkages between population, health, and the environment; and 4) increase the capacity of community leaders to advocate for these links.
“The aspect of livelihoods was very essential,” said Castro, especially for empowering women in the communities. Through family planning services and micro-credit finance initiatives, women were able to better space their pregnancies and contribute to household incomes, she said. In addition, by establishing locally managed, marine protected areas, IPOPCORM increased the protection of high biodiversity zones and improved the likelihood that there will be enough fish to feed future generations.
The “Pop Audio” series is also available as podcasts on iTunes. -
Sam Rugaba, PHE Champion
Encouraging Childhood Education and Birth Spacing as an Approach to Conservation
›This PHE Champion profile was produced by the BALANCED Project.
Fifty-one-year-old Sam Rugaba is a dedicated teacher who loves his job at the Bujengwe Community Primary School. The school is the result of a community-based project located in the Bujengwe Parish of the Kayonza subcounty in the Kanungu district of Uganda – just 18 kilometers from the Bwindi Impenetrable National Park (BINP). The biodiversity-rich BINP is home to many rare species including the endangered mountain gorilla. Sam is also a Conservation Through Public Health(CTPH) community volunteer and community conservation health worker. -
Ruth Siyage, PHE Champion
Promoting Family Planning and Livelihoods for a Healthy Environment in Uganda
›This PHE Champion profile was produced by the BALANCED Project.
Meet 32 year old Ruth Siyage – a wife, mother, peasant farmer, shop owner, and population, health, and environment (PHE) champion. Ruth, her husband, Siyage Benon, and their three healthy daughters – ages 3, 6, and 11 – live about an hour from Bwindi Impenetrable National Park (BINP) in Uganda’s Kanungu District. The 33,000-hectare BINP is a World Heritage Site known for its exceptional biodiversity – with over 200 species of trees, 100 species of ferns, 350 species of birds, 200 species of butterflies, as well as many endangered species, including the mountain gorilla.
In addition to being a peasant farmer who grows potatoes, millet, beans, and groundnuts to feed her family, Ruth also has a small shop in the nearby trading center where she sells groceries and interacts with most of her friends. Ruth first learned of and embraced the PHE approach through a neighbor and local community volunteer, Mrs. Hope Matsiko – one of 29 PHE volunteers trained by the Conservation Through Public Health (CTPH) programs.
Ruth recalls:Hope used to approach us and tell us about family planning. Others refused to listen, but I took it up. Before, I used to refuse to go to Kajubwe Health Center for services and never got information because it was so far away. However, when Hope, the local volunteer, who is also my neighbor, visited me at home, I got more information about family planning. She also counseled me on the methods I could use, which was best for my health and how to use it. I now use family planning.
As a new champion, Ruth uses several ways to teach her community about family planning and PHE activities. One way is through face-to-face discussions with individuals attending village meetings. She focuses on women she sees often and who she knows have closely-spaced pregnancies. Recently, three of these women started using modern contraceptives.Ruth also spreads her PHE messages through her work with the local women’s association, Kishanda Bakyara Twebiseho (Kishanda Women Livelihoods Association), as an active member of a local church, and as a local village council member. In the council, she is in charge of teaching about agriculture and the environment – a perfect opportunity to share her PHE messages about the linkages between population, health, and the environment. Ruth is a great model of the benefits of taking a PHE approach, with her well-spaced pregnancies – which have helped ensure her own reproductive health and that of her three daughters – and her teaching of others, from what she now knows about the need to keep ourselves and our environment healthy to the impacts of each on the other.
Ruth says she believes that through a PHE approach much can be done and has been done:By teaching people about safe water use, I believe that we can stop diarrhea diseases. And by teaching about sanitation, we can help prevent diseases such as malaria, tuberculosis, and worms. Now my neighbors seldom get sick. We have a fairly healthy life. When we are not sick, we do not have to sell our goats and land to buy medicine. And when we plan our families, we are better able to care for and educate our children. Through our community sensitization, people now even understand the importance of gorilla conservation.
Ruth is especially appreciative of the CTPH program, which first taught her about and then turned her into an advocate for the integrated PHE approach.
This PHE Champion profile was produced by the BALANCED Project. A PDF version can be downloaded from the PHE Toolkit. PHE Champion profiles highlight people working on the ground to improve health and conservation in areas where biodiversity is critically endangered.
Photo Credit: Silverback mountain gorilla named Mwirima with a juvenille gorilla from the Rusguguar group near Bwindi Impenetrable National Park, and Ruth and her son in their shop in rural Uganda, courtesy of CTPH. -
Integrated Development in PHE: Updates From Ethiopia and the Philippines
›“All protected areas in Ethiopia are being threatened by population pressure,” said Negash Teklu, executive director of PHE Ethiopia at an event at the Wilson Center co-sponsored by ECSP and the Africa Program. The best way to address this pressure is by implementing integrated population, health, and environment (PHE) programs that combine natural resource management with family planning services, said Teklu. “Without the family planning component, they cannot solve the protected area problems,” he said.
Teklu was joined by Joan Regina Castro, executive vice president at PATH Foundation Philippines, Inc., and Annie Wallace, PHE technical advisor with the USAID Global Health Fellows Program, to compare PHE projects in Ethiopia and the Philippines and identify best practices. [Video Below]
The Population-Climate Connection
To address population growth in areas of high biodiversity, Teklu created PHE Ethiopia, a consortium to coordinate PHE projects in the country and increase awareness of the value added by integrating them.
“The population-climate connection is easily seen in Ethiopia,” said Teklu. The country’s deforestation, loss of biodiversity, poverty, high maternal and child mortality, and vulnerability to climate change are linked to the rapid growth of its population, which is currently 85 million. Building community resilience in this kind of environment is “critical,” he said.
Bridging Gaps: Gender, Youth, and Religion
Wallace, in her assessment of the Packard Foundations’ PHE projects in Ethiopia, found the projects bridged gender gaps. By integrating health and environmental education in PHE youth groups and in outreach by extension workers, the projects increased male involvement in health and family planning (a traditionally female activity) and increased women’s involvement in agriculture and environmental activities (traditionally male). This cross-gender success increased the total number of family planning users, said Wallace.
But for any of this work to succeed, “community ownership and participation are very critical and essential,” said Teklu. Both youth and religious leaders were primary stakeholders in this process. “Youth are the next leaders. By targeting youth you can get them to think about livelihoods and make these connections,” said Wallace.
PHE has proven to “transcend religion,” said Castro. Despite traditional opposition to abortion and family planning, support from Christian and Islamic leaders in Ethiopia and the Philippines was critical in determining a project’s success. “When religious leader buy-in comes in, the community really responds to that,” said Wallace.
In addition, religious leaders understand the population-environment connection. “Our livelihoods are affected when we have too many mouths to feed…family planning and reproductive health makes sense,” an Ethiopian religious leader told Wallace.
Securing Sustainable Support for Scaling Up
IPOPCORM, the PHE initiative in the Philippines, is now “the biggest [PHE] project, modesty aside, in the world,” said Castro, because it has succeeded in working at all levels of government. To scale up its work in the “priority areas” of high biodiversity and rapid population growth, where the “poorest of the poor” live, IPOPCORM first scaled up its advocacy work. To be sustainable, “you have to have a lot of PHE leaders and champions” at all levels, from village to national government, she said.
Ethiopia faces a significant challenge in securing sustainable support and funding from the national government and other sources. “While there is buy-in for the local approach, there isn’t funding,” Wallace said. “A lot of work is donor-driven, whether we like it or not,” she added. “There needs to be a more sustainable strategy” to ensure the survival of these projects, she said, which means garnering national and international support.
But it also means conducting research to provide empirical evidence of PHE’s added value, the speakers agreed. A new paper in the journal Environmental Conservation, coauthored by Castro, uses evidence from IPOPCORM’s projects to conclude that integrating family planning and coastal resource management offers benefits over single-sector approaches. But elsewhere, there is a “big need for monitoring and evaluation” to “strongly gather data to show our success on the ground,” said Teklu.
However, communities on the ground “don’t need the empirical evidence,” said Castro. “The community and the people say their lives are linked and so the solutions should be linked,” she said. “The life that they live speaks of integration.”
Photo Credit: “Safia Fungie Hasenna – Climate witness from Ethiopia” by Zeresenay Berhane Mehar courtesy of flickr user Oxfam International
