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We recognise the links between poor health, unmet family planning needs, environmental degradation, food insecurity, gender inequality and vulnerability to climate change.

As a holistic response to these interconnected challenges, we have developed an integrated Population-Health-Environment (PHE) approach, which combines reproductive health services with our marine conservationsustainable fisheries and coastal livelihood initiatives.

This integrated PHE approach builds social and ecological resilience by supporting coastal communities to live more healthily and sustainably with their marine environment. It enables couples to plan and better provide for their families; improving food security, boosting local conservation efforts, and empowering them to create their own paths out of poverty.

Addressing community needs in such a holistic way has been proven to generate synergies that result in the more effective achievement of both health and conservation objectives, producing greater and more sustained gains than single sector approaches.

Integration also broadens community engagement, for example, enabling us to inform men about family planning and involve women in fisheries management. It maximises cost efficiency by facilitating the sharing of resources and skills between programmes. 

david-attenborough-2-sizedA model for everyone working to conserve the natural life-support systems of our troubled planet."

Sir David Attenborough - Renowned naturalist, broadcaster and presenter of the BBC's Madagascar series

Our critically acclaimed PHE approach was originally pioneered in the Velondriake area of southwest Madagascar from 2007, and is being replicated further north along the coast in Belo sur Mer from 2013. We are currently supporting a number of conservation partners to explore the value of integrated working, with the aim of encouraging broader uptake of this holistic model. 

We have presented the results and lessons learned from this integrated PHE approach worldwide, including at the World Conservation Congress, International Congress for Conservation Biology and International Conference on Family Planning.

Our work in Madagascar was recognised with an Excellence in Leadership for Family Planning (EXCELL) award in 2013, the Buckminster Fuller Challenge prize in 2011, and has been endorsed by the Woodrow Wilson Center, Population Reference Bureau, UNFPA, WWF, USAID, DFID and Oxfam. 

PHE publications

PHE Factsheet Women Are Waiting Harris et al 2012 Oryx-1
Population, Health and Environment factsheet
2012: Integrating family planning service
provision into community-based
marine conservation (Oryx) - contact us 
ECSP Focus 23 Blue VenturesPHENEW
Balanced Newsletter mediapic.PHEjpg  
2011: To live with the sea - reproductive
health and marine conservation in
Madagascar (Woodrow Wilson
Centre ECSP Focus Paper)

2011: Livelihoods and PHE in the 

Velondriake locally managed marine
area (BALANCED Newsletter)