Mohan Vik, Shellard Tess
Medical Director, Blue Ventures, London, UK.
Project Assistant, Blue Ventures, London, UK.
Reprod Health Matters. 2014 May;22(43):93-103. doi: 10.1016/S0968-8080(14)43766-2.
Population-Health-Environment (PHE) is an interdisciplinary model of programme design which recognises the complex interconnections between people, their health and their environment. PHE responds holistically to the challenges faced by ecosystems and the communities dependent on them, with thematically distinct but interconnected work strands sharing the same infrastructure, resources and goals. This has been shown to achieve better outcomes than tackling health and environmental issues in isolation. This paper shows how PHE programme design has been used by Blue Ventures for providing family planning services in a remote, biodiverse coastal region in southwest Madagascar. The PHE programme has integrated family planning services into a pre-existing, community-based conservation programme, aided by the established infrastructure and good community relations developed by the conservation workers. Implementation of the programme has led to a strong uptake of family planning services, and couples in the region are now able to make their own family planning choices. Successes and challenges of the programme are discussed.
人口-健康-环境（PHE）是一种跨学科的项目设计模式，它认识到人类、人类健康与其环境之间复杂的相互联系。PHE全面应对生态系统以及依赖这些生态系统的社区所面临的挑战，其工作主题虽各有不同但相互关联，共享相同的基础设施、资源和目标。事实证明，这种方式比单独处理健康和环境问题能取得更好的成果。本文展示了蓝色 Ventures 如何运用 PHE 项目设计，在马达加斯加西南部一个偏远的、生物多样性丰富的沿海地区提供计划生育服务。PHE 项目已将计划生育服务纳入一个现有的、基于社区的保护项目，这得益于保护工作者建立的基础设施以及良好的社区关系。该项目的实施促使计划生育服务得到大力推广，该地区的夫妇现在能够自主做出计划生育选择。文中还讨论了该项目的成功之处与挑战。
