Commonalities, Conditions

1
Session 2

• Commonalities, Conditions Characteristics of
  PHE Projects

2
Session Objectives

• Define the continuum of integrated programming
  approaches and their relative advantages and
  disadvantages.
• Establish the basic rationale for doing
  integrated projects (cross-sector vs. single
  sector projects)

3
Session Overview

• Introduction to PHE
• Reasons for Integration
• Types of Integration
• Conditions Supporting Integration
• Achieving Integration

4
Session Overview

• Introduction to PHE
• Reasons for Integration
• Types of Integration
• Conditions Supporting Integration
• Achieving Integration

5
What is PHE?

• DEFINITION
• A community development model that links
  population, health, and environment (PHE) factors
  and supports cross-sectoral collaboration and
  coordination, particularly in biodiversity-rich
  areas (BALANCED)
• Linkage, within a community or group of
  communities, of natural resource management or
  similar environmental activities and the
  improvement of reproductive health, always
  including but not limited to provision of family
  planning services (Engelman)

6
What is PHE?

• P Reproductive health family planning
• H Water, sanitation, malaria, HIV/AIDS, MCH
• E Natural resource management, biodiversity
  conservation, fisheries management,
  eco-agriculture
• Amenable to other sectors
• E Education (non-formal formal)
• Energy (fuel efficient smokeless stoves,
  biogas)
• Eco-tourism, sustainable tourism
  development
• Enterprise/livelihood development

7
Session Overview

• Introduction to PHE
• Reasons for Integration
• Types of Integration
• Conditions Supporting Integration
• Achieving Integration

8
Reasons for Integration

• Over 1.1 billion people worldwide live in
  biodiversity-rich areas
• Population growth in hotspots is nearly 40
  percent greater than globally

9
Reasons for Integration

• Integrated lives
• Address root causes
• Enhance relationship
• Access different communities
• Economic efficiencies
• Build on existing frameworks
• Broader community participation
• Synergy from combination

10
Synergy from Combination

• Social systems ecosystems are interrelated and
  linked
• Whatever effects one system, affects the other
• Small improvements in either system reinforce
  each other
• To turn around both systems from degradation to
  health

Linked Eco-Social System Concept (G.G. Marten)
11
Session Overview

• Introduction to PHE
• Reasons for Integration
• Types of Integration
• Conditions Supporting Integration
• Achieving Integration

12
Types of Integration

• Parallel
• Coordinated
• Cross-sectoral (Bridge)
• Integrated (Symbiotic)

Parallel
Cross-sectoral (Bridge)
Integrated (Symbiotic)
Coordinated
13
Types of Integration

• Parallel projects conducted in a single area
  without coordination among organizations
• Coordinated projects conducted in the same area
  with some level of coordination
• Cross-sectoral projects involving several
  sectors that are conceptually linked
• Integrated projects involving several sectors
  that are conceptually and operationally linked

14
Session Overview

• Introduction to PHE
• Reasons for Integration
• Types of Integration
• Conditions Supporting Integration
• Achieving Integration

15
Policy Context

• Food security
• Climate change
• Gender
• HIV/AIDS prevention
• Disaster mitigation
• Resource governance

16
Site Context

• Need of intervention
• PHE is more of a prevention approach than
  rehabilitation
• Desire of community to participate
• and its indigenous knowledge and practices
  regarding conservation and health
• Biological value
• Ecologically significant area where population
  dynamics pose threats to the flow of ecosystems
  services/goods vital to human populations
• Socioeconomic criteria
• Level of organization in community, level of
  poverty, level of education and literacy, access
  to information
• Physical criteria
• Distribution of community access to
  infrastructure

17
Session Overview

• Introduction to PHE
• Reasons for Integration
• Types of Integration
• Conditions Supporting Integration
• Achieving Integration

18
Achieving Integration

• Conceptual Integration
• Field Integration
• Community Involvement
• PHE Partnerships
• Mobilizing Resources
• Planning Ahead

19
TEAM TASK Assessing Organizational Capacity

• Review flow chart General Steps in Creating a
  PHE Project. Assess your organizations
  capacity
• Which steps (up to 3) has your organization met
  with success?
• Which steps (up to 3) posed the most challenge?
• Which steps (up to 3) does your organization have
  very little or no experience?
• 2. Based on the color-code below, use the
  colored dots to show your results by placing each
  dot next to the appropriate step on the wall
  chart. Write your organizations name or
  acronym next to each of your posted dots.
• Success green Challenge red
• Little/no experience yellow

Time 20 minutes
20
Acknowledgements

• US Agency for International Development
• Global Health Program, Office of Population and
  Reproductive Health
• http//www.ehproject.org/phe/phe.html