Practical FP Integration_Bruce_5.12.11


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Practical FP Integration_Bruce_5.12.11

  1. 1. Reaching the Hardly Reached with Integrated Approaches The BALANCED Project .
  2. 2. Rukia in Tanzania <ul><li>Rukia lives around Saadani National Park in Tanzania </li></ul><ul><li>Most of the arable land is in the Park and cannot be cultivated. </li></ul><ul><li>Growing population pressure, destructive farming and fishing practices and drought have left Rukia and her community food insecure. </li></ul><ul><li>Growth rate range from 4 to 6 % ; CPR is 26%. </li></ul><ul><li>Nearest health care clinic is from 5 to 10 kilometers away . </li></ul>Rukia cooking on one of her fuel-efficient stoves
  3. 3. Mr. Gezahegh in Oromia Ethiopia <ul><li>Mr. Gezahegh used to eke out a living as a farmer. </li></ul><ul><li>But he learned sustainable agricultural practices from a conservation group and has better yields. </li></ul><ul><li>Yet, low agricultural productivity, drought, land degradation and growing population pressure still threaten livelihoods and health of farmers. </li></ul><ul><li>TFR in Oromia is 6.2; CPR is a mere 13.6 %. (2 nd most populous in Africa) </li></ul><ul><li>Distance to a local health posts is about 13 kilometers (over 7 miles). </li></ul>
  4. 4. Population, health and Environment <ul><li>PHE approaches simultaneously improve communities’ access to family planning and reproductive health (FP/RH) services, while improving natural resources management in ways that improve livelihoods and conserve the critical ecosystems upon which humans depend (Pielemeier 2007). </li></ul>
  5. 5. Why Integrate <ul><li>FP is essential to assure sustainability of conservation gains and in climate change mitigation and adaptation </li></ul><ul><li>NRM/CRM provides a context for better understanding of the need to limit family size </li></ul><ul><li>Integration makes sense and c ents </li></ul><ul><li>Integrated approaches can generate higher impact than sectoral approaches </li></ul><ul><li>Working with conservation groups helps governments/programs reach the “hardly reached” with health and FP interventions </li></ul>
  6. 6. How to Integrate <ul><li>Develop conceptual framework to show linkages </li></ul><ul><li>Develop goals and objectives which articulate the integration </li></ul><ul><li>Develop integrated IEC messages </li></ul><ul><li>Develop a community-based distribution and peer education system </li></ul><ul><li>If youth are a target group, train youth peer educator </li></ul><ul><li>Advocate for PHE with your stakeholders, especially to include funds for integrated activities in local government development plans </li></ul>
  7. 7. PHE in Tanzania – since 2009 <ul><li>PEs - Sellers of cooking stoves, SACCOS members, store owners give FP, health (watsan and HIV) and environment messages </li></ul><ul><li>Community-based distribution of FP methods thru CBDs and ADDOs (who are also PEs and Saccos members) </li></ul><ul><li>Increased referrals to health centers </li></ul><ul><li>Over 800 new users </li></ul><ul><li>Reduced distance to FP services from 7.8 kilometers to less than 1 Km </li></ul>
  8. 8. <ul><li>PEs – Watershed management groups, women’s coop members give FP and environment messages </li></ul><ul><li>Community-based distribution through stores - trained to distribute FP methods (through special permission from MOH) </li></ul><ul><li>Over 200 new users </li></ul><ul><li>Reduced distance to FP services from 8 km to 50 m to 3 km </li></ul>PHE in Ethiopia – just starting
  9. 9. PHE in the Philippines – since 2007 <ul><li>PEs – Couples, youth, fisherfolk, community organizations, etc give FP and environment messages </li></ul><ul><li>Community-based distribution through stores - trained to give FP information and methods </li></ul><ul><li>Over 8,000 new users </li></ul><ul><li>Reduced distance to FP services from 8 km to 50 m to 3 km </li></ul>
  10. 10. Call to Action <ul><li>If there are conservation or rural development organizations in your region, consider partnering with them to expand access to family planning </li></ul><ul><li>Go to www.k4health_PHE Tookit for more tools </li></ul><ul><li>Go to </li></ul>