Healthier communities leading local marine conservation efforts

We work with some of the world’s most isolated coastal communities to increase their access to vital health services, enabling them to become healthier and more engaged in managing their marine resources.

Isolated communities in the coastal tropics are some of the most under-served populations in the world when it comes to healthcare. Around a quarter of women in the regions where we work report an unmet need for family planning: they would like to space or limit their births but are not currently using modern contraception. Poor health can restrict the ability of communities to engage in marine resource management and is often a pressing priority that communities would like to address.

In response to this important challenge, we collaborate with respected health partners to increase access to services and develop health promotion initiatives tailored to meet the needs expressed by coastal communities across a variety of different contexts.

Our community health programme in Madagascar is known locally as Safidy, which means “choice” and reflects our commitment to advancing reproductive rights. Launched over ten years ago, it now covers all four of our conservation sites along the island’s west coast and serves more than 45,000 people.

In close collaboration with partners including USAID Mikolo and Mahefa Miaraka, we train and support local women to offer community-based family planning and other health services within the Madagascar Ministry of Public Health’s national health system. These community health workers offer counselling and products including condoms, contraceptive pills and injections as well as mosquito nets, water purifying solution and oral rehydration salts for diarrhoea. They are also trained in the management of childhood illnesses, how to refer women for maternity care, and in the promotion of simple health-enhancing behaviours including exclusive breastfeeding. Long-acting reversible contraceptives (implants and intra-uterine devices) are offered by Marie Stopes Madagascar, whose outreach teams visit our sites on a regular basis.

In the Comoros, Mozambique, Tanzania, Kenya, Indonesia and Timor-Leste, our technicians support our marine conservation partners to assess the unmet health needs of coastal communities and identify appropriate health agencies with whom they can collaborate to address these needs.

Explore our service area

Nurturing health-enabling social environments

We facilitate diverse peer-led community outreach activities that encourage critical thinking about health-related behaviours and help to foster health-enabling social norms. Interactive theatre workshops, storytelling sessions and small group discussions engage men, women and young people in topics ranging from maternal health to seaweed farming and fisheries management.

Our holistic approach encourages broad community participation, for example, opening up discussions about family planning with men by relating food security concerns to reproductive rights.

Empowering women and building resilience

We enable people to make their own family planning choices, increasing their access to vital health services while equipping them with the skills they need to manage their natural resources sustainably.

Gaining access to family planning services improves maternal and child health, allows girls to delay their first pregnancy until after they have completed their education, and affords women more opportunities to be economically active.

Couples are empowered to plan and better provide for their families; improving food security, allowing women to play a more active role in fisheries management, and bolstering local conservation efforts. Coastal communities are able to live more healthily and sustainably with their marine environment, building social and ecological resilience to climate change.

communityhealth1

The proportion of women using contraceptives in Velondriake increased from 10% in 2007 to

10%

in 2016

0

people served by BV’s community health programme

0

unintended pregnancies averted to date

Looking back over a decade of community health work in Madagascar

Working across sectors for real change

This community health programme is a key component of our PHE approach; a holistic way of working which reflects the connections between People, their Health and the Environment. PHE entails the integration of family planning and other community health services with natural resource management, biodiversity conservation and alternative livelihood initiatives.

Having demonstrated the value of this approach, we are now sharing our experiences with like-minded organisations in the Comoros, Mozambique, Tanzania, Kenya, Indonesia, Timor-Leste and beyond.

We are also advancing the development of a national PHE network in Madagascar, bringing together health and environmental organisations to facilitate cross-sector partnerships. We offer technical advice and mentoring to marine conservation organisations embarking on collaborative PHE initiatives with health agencies, proposing learning exchanges and training workshops, convening meetings to share experiences, producing technical resources, and collating both quantitative and qualitative results data to communicate to a variety of stakeholders.

Our community health partners

Meet our community health team

Medical Director
Exeter, UK
Health-Environment Partnerships Technical Lead
Antananarivo, Madagascar
National Community Health Programme Lead
Antananarivo, Madagascar
Community Health Programme Coordinator - Velondriake
Andavadoaka, Madagascar
Community Health Technician
Andavadoaka, Madagascar
Community Health Technician
Andavadoaka, Madagascar
Community Health Logistics Assistant & Peer Educator
Andavadoaka, Madagascar
Community Health Peer Educator & Boat Captain
Andavadoaka, Madagascar
Community Health Programme Coordinator - Belo sur Mer
Belo sur Mer, Madagascar
Community Health Technician
Belo sur Mer, Madagascar
Community Health Technician
Maintirano, Madagascar
Community Health Programme Coordinator - Ambanja
Ambanja, Madagascar
PHE Support Officer
Mozambique
PHE Support Officer
Tanzania
PHE Support Officer
Indonesia

Latest news & blogs

25
Oct

Blog: Visiting Andavadoaka: a community health learning exchange

After making the five day journey from Maintirano, Toalidy spent a month with Blue Ventures’ Safidy team in Andavadoaka learning new ways to support remote coastal communities.
20
Oct

New resolutions for PHE in East Africa

The 2017 East African Population-Health-Environment Symposium in Uganda was a valuable opportunity for practitioners of this approach to share learning and plan for the future.
10
Oct

Blog: All in the same boat: integrating conservation and health in Kaledupa

A workshop was recently hosted by our partner organisation Forkani with the aim of fostering cross-sector partnerships between health and conservation groups in Kaledupa.
23
Aug

Blog: Ten years of providing communities with the freedom to choose

Our Medical Director reflects on ten years of integrating community health services into local marine management efforts in Madagascar.

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