BALANCED newsletter issue 2

9ムホラマヌ# #||#,ユユラヌ# #||# 6#'(&(0%(5#

© CI/Sterling Zumbrumn

v#
Coral reef in the Verde Island Passage, Philippines

© CI/Russell Mittermeier

v#
Foothills of the Himalaya mountains in Nepal

v#
View from Khumjung village in Nepal

© CI/Russell Mittermeier

Population, Health and Environment (PHE) Approaches
and Links to Climate Change Mitigation and Adaptation
Theme Editor: Karen Hardee
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In This Issue
Lv#Wkhuh#d#Olqn#Ehwzhhq#Srsxodwlrq/#Khdowk#dqg#Hqylurqphqw#
+SKH,#dqg#Folpdwh#Fkdqjh#DgdswdwlrqB#
Karen Hardee, Visiting Senior Fellow, Population Reference
Bureau and President, Hardee Associates LLC
Jason Bremner, Director, Population and Environment
Program, Population Reference Bureau
Kathleen Mogelgaard, Senior Advisor, Population, Gender and
Climate Change Program, Population Action International

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Fkdqjh#Dgdswdwlrq#
Terri Lukas, Manager, Population, Health and
Environment, World Wildlife Fund
Judy Oglethorpe, Managing Director for People
and Conservation, World Wildlife Fund

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Elin Torell, James Tobey, Jairos Mahenge,
Wilbard Mkama, and Donald Robadue, Jr.

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Elizabeth L. Malone, Senior Research Scientist, Joint Global
Change Research Institute, Battelle Memorial Institute.
(continued on next page)

Population, Health and Environment (PHE) and Climate Change

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In This Issue

9ムホラマヌ# #||#,ユユラヌ# #||# 6#'(&(0%(5#
(continued)

Wkh#Frqwulexwlrq#ri#d#SKH#Dssurdfk#wr#Folpdwh#Fkdqjh#
Dgdswlrq#lq#Hwklrsld#
Adapted from a December 2009 blog post by Karen
Hardee, formerly with Population Action International, with
contributions from Shewaye Deribe, Ethio-Wetlands and
Natural Resources Association; Negash Teklu, Executive
Director, PHE Ethiopia Consortium; and Janet Edmond,
Population Environment Director, Conservation International.


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Olqnlqj#Glvhdvh#Suhyhqwlrq#wr#Folpdwh#Fkdqjh#Dgdswdwlrq#
Hiiruwv#lq#Uxudo#Frorpeld#
PHE CHAMPIONS

BALANCED is:
Building Actors and Leaders
for Community Excellence in Development

About The Newsletter:
The newsletter is published twice per year as a PDF
document on the BALANCED website http://balanced.crc.
uri.edu. Each issue has a theme and we are interested in
garnering suggestions for future issue themes.

Newsletter Team:
Janet Edmond, Bob Bowen, Don Robadue and
Lesley Squillante

PHE Toolkit:

Population, Health, and Environment (PHE) approaches
strive to simultaneously improve access to health services
and assist communities to manage their natural resources
in ways that improve their health and livelihoods and to
conserve the critical ecosystems upon which they depend.
For more information on a wide range of PHE resources,
please visit the USAID-supported PHE toolkit at:
http://www.k4health.org/toolkits/phe
You can reach us at:
balanced.newsletter@crc.uri.edu
Funding for the BALANCED Project Newsletter is made possible by the
generous support of the American people through the United States Agency
for International Development (USAID) under the Cooperative Agreement No.
GPO-A-00-08-0002-00. The contents of the newsletter are the responsibility
of the authors and do not necessarily relect the views of USAID or the United
States Government.



Population, Health and Environment (PHE) and Climate Change


IS THERE A LINK BETWEEN POPULATION,
HEALTH AND ENVIRONMENT (PHE) AND
CLIMATE CHANGE ADAPTATION?
Karen Hardee, Visiting Senior Fellow, Population Reference Bureau and
President, Hardee Associates LLC
Jason Bremner, Director, Population and Environment Program, Population
Reference Bureau
Kathleen Mogelgaard, Senior Advisor, Population, Gender and Climate
Change Program, Population Action International

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9ムホラマヌ# #||#,ユユラヌ# #||# 6#'(&(0%(5#



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Background
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#kwws=22zzz1lsff1fk2sgi2jorvvdu|2du70zj61sgi#

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Freshwater pond in Kitonga village in Tanzania is susceptible to
climate change impacts

© TCMP

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Population, Health and Environment (PHE) and Climate Change

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Community-Based Adaptation
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fdsdflw|/#dqg#lq#dgglwlrq#surylghv#FED#surmhfw#pdqdjhuv#wkh#
delolw|#wr#txdolwdwlyho|#dqg#txdqwlwdwlyho|#phdvxuh#wkh#lpsdfw#
ri#wkhlu#hiiruwv1#

v#
PHE Provider outlet promotes messages encouraging healthy behaviors
for a healthy environment

© EWNRA

FDUH#kdv#dovr#ghyhorshg#d#iudphzrun#iru#FED#dqg#surgxfhg#
wkh#Folpdwh#Yxoqhudelolw|#dqg#Fdsdflw|#Dvvhvvphqw#+FYFD,#
kdqgerrn1#FDUHᄊv#FED#dssurdfk#lqfoxghv#uhgxflqj#wkh#ulvn#
ri#glvdvwhuv/#pdnlqj#olyholkrrgv#pruh#uhvlolhqw/#vwuhqjwkhqlqj#
orfdo#fdsdflw|#lq#dgdswlyh#pdqdjhphqw#dqg#vxssruwlqj#vrfldo#
prelol}dwlrq#dqg#srolf|#hqjdjhphqw1#FDUHᄊv#dgyrfdf|#hiiruwv#

Population, Health and Environment (PHE) and Climate Change

irfxv#rq#hpsrzhulqj#zrphq#dqg#rq#hqdeolqj#yxoqhudeoh#jurxsv#wr#
sduwlflsdwh#lq#orfdo#ghflvlrq0pdnlqj#dqg#jryhuqdqfh#dqg#hqvxulqj#
htxlwdeoh#dffhvv#wr#uhvrxufhv#dqg#vhuylfhv#ylwdo#wr#dgdswdwlrq1#
Vwxglhv#lqglfdwh#wkdw#zrphq#dqg#jluov#idfh#wkh#juhdwhvw#
yxoqhudelolw|#wr#wkh#lpsdfwv#ri#folpdwh#fkdqjh#ehfdxvh#zrphqᄊv#
olyhv#whqg#wr#eh#pruh#lqwlpdwho|#wlhg#wr#wkh#hqylurqphqw#wkdq#
phqᄊv#olyhv#vlqfh#zrphq#pdnh#xs#wkh#pdmrulw|#ri#wkh#zruogᄊv#
iduphuv#dqg#wkh|#duh#wkh#sulpdu|#vrxufh#ri#zdwhu#iru#wkhlu#idplolhv1#
Zrphq#duh#pruh#olnho|#wkdq#phq#wr#olyh#lq#sryhuw|#+XQISD#
533<,1#Dw#wkh#vdph#wlph/#zrphq#duh#uhfrjql}hg#dv#nh|#djhqwv#ri#
fkdqjh#lq#ghyhorslqj#dgdswlyh#phfkdqlvpv#lq#yxoqhudeoh#duhdv1#
Dv#vxfk/#XQGSᄊv#Jhqghu#Whdp#kdv#ghyhorshg#d#jxlgherrn#wr#
hqvxuh#wkdw#qhz#FED#surmhfwv#lqwhjudwh#d#jhqghu#shuvshfwlyh#
dqg#surprwh#jhqghu#htxdolw|#dqg#zrphqᄊv#hpsrzhuphqw#lq#doo#
dvshfwv#ri#surmhfw#sodqqlqj/#lpsohphqwdwlrq/#dqg#prqlwrulqj1#Wkh#
jxlgherrn#jrhv#dv#idu#dv#vshfl﾿fdoo|#lqfoxglqj#txhvwlrqv#zlwklq#
wkh#frppxqlw|#YUD#wkdw#lqwhjudwh#jhqghu#dzduhqhvv1#

Entry Points for Population or Reproductive Health in CBA?
Ghvslwh#wkh#vshfldo#dwwhqwlrq#sdlg#wr#lqwhjudwlqj#jhqghu#lqwr#
FED/#dvshfwv#ri#yxoqhudelolw|#uhodwhg#wr#uhsurgxfwlyh#khdowk/#
fklogehdulqj/#dqg#fkloguhdulqj#gr#qrw#uhfhlyh#dq|#sduwlfxodu#
dwwhqwlrq#zlwklq#wkh#XQGSᄊv#jhqghu#jxlgherrn1#Srsxodwlrq#dqg#
uhsurgxfwlyh#khdowk#lvvxhv#duh#dovr#plvvlqj#iurp#FDUHᄊv#FYFD#
kdqgerrn1#Ixuwkhupruh/#qrqh#ri#wkh#FED#surmhfwv#lpsohphqwhg#
wkurxjk#XQGS#lqfoxgh#frpsrqhqwv#uhodwhg#wr#khdowk#dqg#
uhsurgxfwlyh#khdowk>#qru#gr#wkh|#dgguhvv#xqghuo|lqj#lvvxhv#
ri#srsxodwlrq#jurzwk#wkdw#pd|#frqwulexwh#wr#yxoqhudelolw|#ru#
dgdswlyh#fdsdflw|#dqg#wkdw#duh#d#uhvxow#ri#xqlqwhqghg#suhjqdqflhv#
dqg#xqphw#qhhg#iru#idplo|#sodqqlqj1#Wdeoh#4#vkrzv#wkh#shufhqw#
ri#pduulhg#zrphq#zkr#duh#ihfxqg#dqg#zkr#ghvluh#wr#srvwsrqh#
fklogehdulqj/#exw#zkr#duh#qrw#fxuuhqwo|#xvlqj#d#frqwudfhswlyh#
phwkrg#lq#wkh#43#frxqwulhv#lq#zklfk#XQGS#lv#lpsohphqwlqj#
FED#dfwlylwlhv1#Wkh#wdeoh#looxvwudwhv#wkdw#lq#vhyhudo#frxqwulhv#
zkhuh#FED#surmhfwv#duh#ehlqj#lpsohphqwhg/#zrphq#idfh#
fkdoohqjhv#uhodwhg#wr#idplo|#sodqqlqj1#
Irxu#lqwhuqdwlrqdo#frqihuhqfhv#kdyh#ehhq#khog#rq#FED#vlqfh#
53381#Doo#irxu#frqihuhqfhv#kdyh#kljkoljkwhg#wkh#srwhqwldo#
lpsdfwv#ri#folpdwh#fkdqjh#rq#frppxqlwlhv#dqg#krz#wr#hqdeoh#
frppxqlwlhv/#lqfoxglqj#wkh#prvw#yxoqhudeoh#jurxsv#vxfk#dv#
zrphq#dqg#fkloguhq/#wr#vwuhqjwkhq#wkhlu#uhvlolhqfh#lq#wkh#idfh#
ri#folpdwh#yduldelolw|#dqg#fkdqjh1#Djdlq/#devhqw#iurp#wkhvh#

9ムホラマヌ# #||#,ユユラヌ# #||# 6#'(&(0%(5#



Table 1: Unmet Need for Contraception
in 10 Countries with CBA Projects
Frxqwu|#
Edqjodghvk#

Xqphw#Qhhg#Dprqj
#Pduulhg#Zrphq#
+Shufhqw,#
4:14#

\hdu#
533:#

Jxdwhpdod#

5:19#

5335#

Erolyld#

Mdpdlfd#

5315#

533;#

441:#

533526#

43#

533627#

Qljhu#

481;#

5339#

Ylhwqdp#

71;#

Nd}dnkvwdq#
Prurffr#
Qdpleld#
Vdprd#

;1:#

91:#

7819#

Vrxufh=#Qdwlrqdo#vxuyh|v/#ydulrxv#|hduv1#

4<<<#

53392:#
533<#

5335#

frqihuhqfhv#kdv#ehhq#gldorjxh#rq#krz#srsxodwlrq#wuhqgv#vkrxog#
eh#lqfrusrudwhg#lqwr#yxoqhudelolw|#dvvhvvphqwv/#zkhwkhu#wkhvh#
wuhqgv#lpsdfw#yxoqhudelolw|#dqg#dgdswlyh#fdsdflw|/#dqg#li#vr#
zkhwkhu#FED#vkrxog#lqfoxgh#yroxqwdu|#idplo|#sodqqlqj#dv#d#
phdqv#ri#dgguhvvlqj#srsxodwlrq#jurzwk1#

Ghvslwh#wkh#devhqfh#ri#srsxodwlrq/#uhsurgxfwlyh#khdowk/#dqg#
idplo|#sodqqlqj#+IS,#lq#wkh#FED#surfhvv#dqg#FED#surmhfwv/#wkh#
wkhruhwlfdo#frqqhfwlrqv#ehwzhhq#dgguhvvlqj#xqphw#qhhg#iru#IS#dqg#
uhgxflqj#yxoqhudelolw|#duh#fohdu1#Wkh#lpsdfwv#ri#hduo|#fklogehdulqj#
rq#jluovᄊ#hgxfdwlrq#frxog#eh#d#nh|#idfwru#olqnhg#wr#zrphqᄊv#
juhdwhu#yxoqhudelolw|1#Lq#dgglwlrq/#odfn#ri#dffhvv#wr#IS#fdq#uhvxow#lq#
iuhtxhqw#dqg#forvho|0vsdfhg#eluwkv#wkdw#qhjdwlyho|#diihfw#wkh#khdowk#
dqg#zhoo0ehlqj#ri#prwkhuv#dqg#fkloguhq/#ixuwkhu#h{dfhuedwlqj#
yxoqhudelolw|1#Xqlqwhqghg#suhjqdqflhv#dqg#odujhu0wkdq0ghvluhg#
idplo|#vl}h#dovr#olnho|#diihfw#erwk#zrphqᄊv#delolw|#wr#sduwlflsdwh#lq#
wkh#oderu#irufh#dqg#wkhlu#delolw|#wr#sduwlflsdwh#lq#FED#surmhfwv1#
Ilqdoo|/#srsxodwlrq#jurzwk#gxh#wr#kljk#ihuwlolw|#lqfuhdvhv#
srsxodwlrq#ghqvlw|#dqg#wkhuhiruh#wkh#qxpehu#ri#shrsoh#h{srvhg#
wr#folpdwh#ulvn#lq#yxoqhudeoh#duhdv/#lqfoxglqj#￀rrgsodlqv#dqg#
frdvwdo#}rqhv1#Udslg#srsxodwlrq#jurzwk#lv#olqnhg#lq#vrph#
frqwh{wv#wr#ghiruhvwdwlrq/#ghfolqlqj#﾿vkhulhv/#dqg#odqg#vkruwdjhv#

Population, Health and Environment (PHE) and Climate Change

iru#iduplqj#dqg#jud}lqj/#doo#ri#zklfk#pd|#diihfw#frppxqlwlhvᄊ#
delolw|#wr#frsh#zlwk#folpdwh#fkdqjh1#Wkhvh#srsxodwlrq#jurzwk#
dqg#dgdswdwlrq#frqqhfwlrqv#duh#fohduo|#lghqwl﾿hg#lq#Qdwlrqdo#
Dgdswdwlrq#Surjudpv#ri#Dfwlrq#+QDSDv,/#zklfk#kdyh#ehhq#
ghyhorshg#e|#Ohdvw#Ghyhorshg#Frxqwulhv#dqg#Vpdoo#Lvodqg#
Vwdwhv#xqghu#wkh#XQ#Iudphzrun#Frqyhqwlrq#rq#Folpdwh#
Fkdqjh#+XQIFFF,1#Dqdo|vlv#ri#QDSDv#irxqg#wkdw#6:#rxw#ri#74#
lghqwl﾿hg#srsxodwlrq#jurzwk#dv#d#idfwru#h{dfhuedwlqj#wkh#hiihfwv#
ri#folpdwh#fkdqjh#+Pxwxqjd#dqg#Kdughh#533<,1#

v#
Members of the “Save for Change” women’s group in Ethiopia

© EWNRA

Wkhuh#duh#yhu|#ihz#vwxglhv/#krzhyhu/#wkdw#hpslulfdoo|#
h{dplqh#srsxodwlrq/#idplo|#sodqqlqj/#dqg#folpdwh#dgdswdwlrq#
uhodwlrqvklsv1#Rqh#fdvh#vwxg|#iurp#Hwklrsld#+Nlgdqx#hw#do1#533<,#
grhv#h{soruh#wkhvh#olqnv#dw#wkh#frppxqlw|#ohyho#dqg#uhyhdov#
wkdw#shrsoh#gr#uhodwh#ihuwlolw|#dqg#uhsurgxfwlyh#khdowk#wr#folpdwh#
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