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Session 5

Session 5. Selecting PHE Interventions. Session Objective. From a conceptual model, identify: The intervention(s) that addresses the interdependencies between population, health and environment factors at a local site. Intervention Type. Single sector – impacts a sectoral objective

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Session 5

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  1. Session 5 Selecting PHE Interventions

  2. Session Objective From a conceptual model, identify: • The intervention(s) that addresses the interdependencies between population, health and environment factors at a local site

  3. Intervention Type • Single sector – impacts a sectoral objective • Example: Measles vaccination that impacts child survival

  4. Intervention Type • 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

  5. 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)

  6. Intervention Type • 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)

  7. IPOPCORM Interventions • Objective • (short-term outcome) • Reproductive health outcomes improved in coastal communities • Community capacitated to implement CRM strategies including alternative livelihood • Public/policymakers’ awareness and support for PHE increased • List of Interventions • 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 • List of Interventions • 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 Objective (short-term outcome) • Reproductive health outcomes improved in coastal communities • Community capacitated to implement CRM strategies including alternative livelihood • 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 Which of the above is a value-added intervention?

  8. 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

  9. IPOPCORM Interventions – Work at Several Levels? X X X X X X X X X

  10. “Evidence-based” InterventionsWhat & 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?

  11. 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 1 Worksheet for each Objective 1 Value-Added Intervention per Objective

  12. Intervention Selection WorksheetExamples

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