The document discusses the Sustainable Livelihoods Framework, a tool for analyzing and addressing poverty through health. It focuses on livelihoods rather than just income and incorporates understanding vulnerability factors like climate change and economic crises. The context is health challenges in Malawi, which faces a shortage of health workers, a volatile agricultural economy impacted by climate change, and ongoing diseases of poverty. The framework assesses people's assets and capabilities to meet needs and withstand shocks. Its principles emphasize understanding local priorities, partnership, multi-level engagement, and sustainability.

1. Sustainable Livelihoods Framework A Tool of Analysis for Poverty Reduction through Health

2. Concept Tool to organize issues surrounding situations of poverty Focuses on livelihoods instead of absolute income levels Planning incorporates an understanding of vulnerability factors (climate change, natural disasters, economic crises)

3. Context Health in Malawi: Limited trained health staff – Critical shortage as classified by WHO Volatile agricultural market due to impact of climate change Increased vulnerability to poverty as world market fluctuates Malaria, HIV/AIDS, TB, and other poverty-related diseases still on the rise

4. Definitions Livelihood – “The capabilities, assets (including both material and social resources) and activities required for a means of living” (Carney 1998, pp. 4) Individuals in poverty use five assets to meet basic needs and to help protect from shocks

5. Source: http://www.fao.org/docrep/009/y5956e/Y5956E13.gif

6. Principles Understanding/People first – Start by understanding local community priorities Respond – Act in response to expressed priorities of the community Multi-level Engagement – Working between large and small scale actors Partnership – Public, private and civil-level engagement Sustainability – Assess environmental, economic, institutional, and social impact

7. Principles for Conference Health partners encouraged to gain deeper insights into challenges/resources of Malawians and the vulnerability context Partnership and capacity building encouraged to increase effectiveness and sustainability of health activities despite shocks (climate change, economic challenges, etc)

8. Sources http://practicalaction.org/?id=t4sl_shelterapproach http://www.fao.org/docrep/009/y5956e/Y5956E13.gif