Integration of population and environment II: Ecuador case study
Abstract
This report from the Lessons From the Field series presents the findings of a three-year research project by World Neighbours and the Ecuadorian family planning organization CEMOPLAF (Centre for Medical Guidance and Family Planning), comparing the impact of single-focus vs. integrated programming on community health, family planning acceptance, and community perception of service providers. 12 communities form the Bolivar region in Ecuador participated, where six of them were part of a ôhealth onlyö programme and the rest in a broader ôintegratedö programme addressing health, agriculture, and natural resource management. The report presents the methodology used for assessment and evaluation of the two programmes, agricultural aspects of the study (e.g. land use), relations between the communities and the implementing organisations, and health aspects (e.g. fertility, morbidity, mother and infant health, family planning). It is found that participants in the integrated programs increased their use of sustainable agriculture techniques and expressed positive attitudes about the implementing organisations. The results of health aspects of the project were not possible to evaluate after only three years, however, there were differences in family planning knowledge and acceptance rates between the health-only and the integrated communities. It is concluded that integrated service provision can lead to significant increases in family planning knowledge and acceptance in comparison with traditional single-focus approaches, and that further work needs to be done in replicating these findings.