Session 5

PHE Implementation
Models and Mechanisms
by RD Alexander A. Makinano
POPCOM- Caraga
November 23, 2017 @ Surigao City

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 Primary Integration
• Seeks to integrate P and H perspectives into
environment agendas (and vice-versa) in order to
assure balanced and sustainable development

• Align your PHE concept with a policy/agenda that has

cross-sectoral elements
Poverty Reduction Policy
Climate Change Agenda
Food Security Policy
Productive Safety Net Agenda
Post-conflict Building and Democracy Agenda

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 Is It Worth the Effort?
• Benefits of Primary Integration:

– Leverage more resources

– Enhances the sustainability of PHE approach
– Sets the stage for replication and scale-up
– Contributes to a larger cause

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 Primary Integration - How?
• First need to demonstrate the feasibility of PHE by
working with and through “champions” at local levels

• Organize a convergence meeting or multi-sectoral joint

planning/budgeting exercise to encourage the process

• Involve representatives from:

 Government agencies: Environment, health,

agriculture
 NGOs and CBOs (health, environment, rural
development)
 Resource user groups, women/youth clubs etc.
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 Primary Integration
Examples:
– Philippines – linked with an existing
municipal coastal resource management
policy to integrate population and RH
strategies
– Nepal – worked with an existing district forest
management agenda to integrate RH and clean
energy perspectives
– Madagascar – integrated RH and agro-ecology
interventions into commune development agendas
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 2nd Integration – Operational Level

• Training – integrated to incorporate both Pop/H and E learning

objectives to other concerns (poverty, food insecurity, etc.)

• Services – integrated so that Pop/H services and information are

available at community focal points for conservation and NRM

• IEC – focusing on the common goal (central organizing theme) of the

project (food security, sustainable livelihood development) with
target groups actively involved in the design and dissemination of
key messages and IEC materials

• M & E – incorporate value added and integrated indicators and, to

the extent possible, coordinate the means of data collection

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 Achieving Integration
• Field Integration
• Community Involvement
• PHE Partnerships
• Mobilizing Resources

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 Field Integration – Implementation
Models
• Community Management
• Social mobilization
• Community outreach
peer education (COPE)
• Farmer-to-Farmer

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 Achieving Integration
• Field Integration
• Community Involvement
• PHE Partnerships
• Mobilizing Resources

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 Community Involvement
• Social benefits
– Prestige, recognition
• Community projects
– Health post
• Environmental benefits
– Erosion control, watershed protection
• Aesthetic benefits
– Preservation of spiritually important places

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 Achieving Integration
• Field Integration
• Community Involvement
• PHE Partnerships
• Mobilizing Resources

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 PHE Partnerships
• Increase scale of effort
• Combine complementary skills
• Pool financial resources
• Minimize overlapping activities
• Build on existing programs & social capital
• Gain credibility
• Fill in service gaps
• Build capacity
• Increase sustainability
• Put the project in larger context

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 Achieving Integration
• Field Integration
• Community Involvement
• PHE Partnerships
• Mobilizing Resources

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 Mobilizing Resources
• Communities
– existing institutions to build upon
• Provincial and local governments
– existing services that can be tapped into or
linked with
• CBOs with ongoing projects that might serve as
an entry point for integrating P, H or E
interventions
• Service Clubs and Membership Associations that
provide small grants
– i.e. Lion’s Club, Rotary Club
• Local Independent Foundations and Trusts
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 Mobilizing Resources
International Sources of Funds and TA
• United Nations Agencies i.e. UNFPA
• The Clinton Foundation (HIV/AIDS and
climate change)
• The Packard Foundation (FP, RH, PHE)
• Engender Health (FP, RH)
• USAID/Global Health (PRB, MEASURE
Evaluation & BALANCED)

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 Bridging the Gaps through
Linkages and Community Capacity-Building
Government Government Staff
Municipal Planning & Agriculture
Rural Health
(town) Unit Development Engineer
Unit Planning

Barangay Barangay
Barangay Health Worker Development
(1-5 / barangay ) Council

Purok / Sitio Sari-Sari Peer Administer

Peoples
Store Educators Micro-Credit
Organization
(adult and Facility
CBD Outlet youth) MPA
Management

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