Download Selecting PHE Interventions, Session 5

Session 5
Selecting PHE Interventions
1
Session Objective
From a conceptual model, identify:
• The intervention(s) that addresses
the interdependencies between
population, health and environment
factors at a local site
2
Intervention Type
1. Single sector – impacts a sectoral
objective
– Example: Measles vaccination that
impacts child survival
3
Intervention Type
2. Value Added – adds value in one
sector as a result of work targeted
at another sector
– Example: Improved cooking stove (ICS)
to conserve trees/forests also yields
social benefit (time-saving), economic
benefit (fuel-saving) and health benefit
(ARI-prevention) for humans
4
2. Value added (2nd example)
Moringa Tree (Moringa oleifera )
•
•
•
•
Perennial softwood native to sub-Himalaya
Fast-growing, drought resistant, thrives in poor soil
Targeted as agro-forestry intervention (alley-cropping)
Also adds value for:
 Human health (leaves/seeds are edible and highly nutritious)
 Animal husbandry (food/fodder)
 Livelihood (seeds processed into cooking oil)
 Climate adaptation (trees make good wind breakers)
 Environmental health (seeds used for H2O purification)
 Alternative energy (biogas production)
5
Intervention Type
3. Linked - two or more sectoral interventions
that are conceptually linked, operationally
coordinated and generate results that go
beyond the expected sectoral impacts
–
Example: An environmental hygiene intervention
(organic waste management) linked to an
agricultural intervention (composting) impacts
sanitation in the homestead (expected), crop
production (expected) and the nutrition status of
children in the homestead (unexpected)
6
IPOPCORM Interventions
Objective
(short-term outcome)
1. Reproductive health
outcomes improved in
coastal communities
List of Interventions
•
•
2. Community capacitated to
implement CRM strategies
including alternative
livelihood
•
•
3. Public/policymakers’
awareness and support for
PHE increased
•
•
•
CBD – targeted at the health sector but
also adds value to CRM as it creates
alternative livelihood opportunities
Habitat enhancement
Community based
distribution (CBD) of
contraceptives
Protected area management
Environmentally friendly
enterprise development
(EED)
Coastal clean-up campaign
Adolescent sexual and
reproductive health IEC
Micro-credit for EED
Which of the above is a
value-added intervention?
7
Interventions Work at Different Levels
Individual
Delivered to one person at a time; seek to modify knowledge,
attitudes, beliefs, and self-efficacy
Group
Designed to influence individual behavior but delivered in a group
setting and reinforced by peer pressure and support from other group
members
Community
Seek to change attitudes, norms, and values of an entire community or
target population
Structural
Aim at modifying the social, economic, and political structures and
systems; may affect legislation, media & the market place
8
IPOPCORM Interventions –
Work at Several Levels?
Intervention
Individual
Group
Community
Structural
Policy advocacy
Peer education about
FP/RH
CBD of contraceptives
Youth ecology camp
Participatory coastal
resource assessment &
mapping
Establish fish sanctuary
Passage of local
ordinance banning use
of cyanide in fishing
9
“Evidence-based” Interventions
What & Why?
• Set of activities or procedures that has been validated
through experimental studies or rigorous evaluation
• Enhances the effectiveness of your PHE project and
chance of success
• Enables members of the leadership team to build on the
experience of others
See Participant Manual:
List of Evidence-based PHE Interventions
Can you suggest other examples of evidence-based
interventions related to environmental outcomes?
10
TASK – Select Interventions
Step One: Review your Conceptual Model, hierarchy of
Objectives and Results Chains and identify a critical
factor (desired outcome) for each sector
Step Two: Using the list of Evidence-Based Interventions,
select those that match your desired outcomes (create
your own, if necessary)
Step Three: For each intervention, identify Level & Type
Step Four: Input your selection into the Worksheet
Time: 50 minutes
OBJECTIVE
Results
Chain Factor
INTERVENTION
Level of
Intervention
1 Worksheet for each Objective
1 Value-Added Intervention per Objective
Type of
Intervention
11
Intervention Selection Worksheet
Examples
OBJECTIVE
Result
Chain Factor
INTERVENTION
Level of
Intervention
Type of
Intervention
(desired outcome)
RH outcomes
improved
Access to
family planning
information
and products
increased
CBD system and social
marketing scheme for
contraceptives
Structural
Referral mechanism for clients
who want sterilization
Individual
Single sector
Acceptance
and use of FP
improved
Peer education for married
women of reproductive age
Individual
Single-sector
Street drama encouraging
people to plan their families
and to protect their coastal
resources to improve food
security from the sea
Community
Safer sex education for teens
engaged in unprotected sex
Individual
Unintended
pregnancy
among youth
reduced
Interactive board game with IEC
messages encouraging youth to
become stewards of their
sexuality and the environment
Value added
(FP, Livelihood)
Linked
(RH-CRM = food
security)
Value added
(FP, Health)
Group
Value added
(RH, Environment)
12
OBJECTIVE
Result
INTERVENTION
Level
Type
Chain Factor
CB-CRM
capacity
developed
Critical
habitats
protected by
community
Participatory coastal resource
assessment (PCRA)
Group
Value Added
(CRM, Governance)
Marine tenurial agreement
Structural
Single sector
MPA management
Committee and Plan
Group
Value Added
(CRM, Governance)
Establishment of MPA (i.e.,
fish sanctuary, mangrove
reserve)
Community
Single sector
Illegal
fishing
stopped with
community
involvement
Surveillance (patrolling) of MPA
Community
Single sector
Enforcement effort by
deputized fish wardens
Group
Single sector
Behavior change
communication targeted to
illegal fishers
Individual
Single sector
Fishing
effort
reduced
Environment-friendly
enterprise development (EED)
Group
Value Added
(CRM, Economic)
Micro-credit facility for EED
Individual
Value Added
(CRM, Economic)
CRM gains
sustained
Integrate FP into CRM agendas
and village development plans
Structural
Linked
(CRM-RH-EED)
13