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Table 5 Summary of findings in-depth interview with key informants from different sectors

From: Effectiveness of the population health and environment approach in improving family planning outcomes in the Gurage, Zone South Ethiopia

Issues

PHE Woreda

Non-PHE Woreda

Integration of Population, Health and environment issues during implementation

Family planning issues are better integrated with health and environmental issues at level of frontline workers of various sectors.

Networking of sectors at Woreda level in co-planning; however at the level of frontline workers of the different sectors interventions are vertical. There is no interaction of population health and environment issues

Main focus of interventions

Family planning, Reproductive Health (HIV and other communicable disease prevention and support of OVC) and environmental protection

Family planning and reproductive (HIV and other communicable disease prevention and support of OVC)

Income generating schemes

Are more diversified and customized to the environmental protection and food security eg. Beekeeping, banana plantation, Energy saving stove production, animal fattening, handcrafts, Corn farms of women’s groups. They are also targeted to women.

Limited although they are customized to environmental protection and targeted to women.

Information éducation & communication (IEC/BCC)

Integrated focusing on the interplay of population, health and environment.

Given vertically targeting mostly family palling with minimal/no focus on the inter play between population health and environment.

Strategies used for implementation

School clubs and students as a medium of reach out parents and as cadres of population health environment issues and community mobilization using Voluntary community Health workers(CBRHA)

More based on community mobilization using voluntary community health workers (CBRH agents).

Networking and communication between different sectors

PHE has a facilitation and capacity building role at Woreda and frontline level. Sectors have an implementation role. At the frontline workers level VCHWs have a mobilization role, while health extension (HEW) and development agents (DA) have an implementation role. They network very well at grassroots level.

GPSDO has a facilitation and capacity building role at Woreda and front line level. Sectors have an implementation role at Woreda level. At the frontline workers level VCHW have a mobilization role, while HEW and DA have an implementation role theoretically. But, in practice, networking is under built at the grassroots level. However, at the woreda level, the sectors have better network as they meet every month as Woreda Advisory Committee members (WAC).

A forestation activities

A total of 1,103,00 trees were planted during the previous fiscal year of which 75–80 % have survived

A total of 15,240 trees planted during the previous fiscal year. The status of survivors is not determined yet.

Percent of leadership positions held by the Natural resource management committee

10–15 %

10–15 %