Hahn S.,Mount Sinai School of Medicine |
Anandaraja N.,Mount Sinai School of Medicine |
D'Agnes L.,PATH Foundation Philippines Inc.
Mount Sinai Journal of Medicine
Population, health, and environment programs are cross-sectoral development initiatives that link conservation, health, and family planning interventions. These programs are generally located in biodiversity hotspots, where population pressure is among the factors contributing to environmental degradation. This review describes the general structure of population, health, and environment programs and provides selected examples to highlight various aspects of this approach. We focus in depth on a case study from the Integrating Population and Health into Forestry Management Agendas program in Nepal that simultaneously 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 Nepal project included empowerment of community forest user groups with population, health, and environment program know-how and appropriate technology. Lessons learned in Nepal point to the critical role that nongovernmental organizations can play as catalysts of cross-sectoral responses to complex development issues such as this one. The population, health, and environment approach can be an effective method for achieving sustainable development and meeting both conservation and health objectives. © 2011 Mount Sinai School of Medicine. Source
D'Agnes L.,PATH Foundation Philippines Inc. |
D'Agnes H.,PATH Foundation Philippines Inc. |
Schwartz J.B.,PATH Foundation Philippines Inc. |
Amarillo M.L.,PATH Foundation Philippines Inc. |
Castro J.,PATH Foundation Philippines Inc.
A quasi-experimental design was used to test the hypothesis that there will be a significant improvement in both coastal resource management (CRM) and human reproductive health (RH) outcomes by delivering these services in an integrated manner as opposed to delivering either in isolation. The CRM, RH and integrated CRM+RH interventions were tested in three island municipalities of Palawan. Pre-project (2001) and post-project (2007) measurements of dependent variables were gathered via biophysical and community household surveys. Regression analyses indicate the CRM+RH intervention generated higher impacts on human and ecosystem health outcomes compared to the independent CRM and RH interventions. Improvements in coral and mangrove conditions are attributed to the effects of protective management by collaborating peoples' organizations. The same institutions managed RH activities that enabled contraceptive access and a significant decrease in the average number of children born to women in the study area. Other trends showing a significant reduction in income-poverty among young adults infer added value. To ensure long term sustainability of CRM gains and prevent over-use of coastal resources, integrated forms of management that engage communities in the simultaneous delivery of conservation and family planning services are needed. © Foundation for Environmental Conservation 2010. Source