Lessons From the Field: Integration of Population and Environment II: Ecuador Case Study
In an effort to compare the benefits of an integrated project with a singe-sector one, World Neighbors started a partnership with CEMOPLAF (Center for Medical Guidance and Family Planning) to implement two different delivery strategies in 12 communities in Bolivar Province, Ecuador. Half of the communities participated in “health only” projects, while the other half in “integrated” approaches. The health only approaches mostly focused on oral contraceptive and condom use through community-based distributors. In the next couple years the project expanded its scope to incorporate health requests from the community, such as nutrition, breast feeding, treatment for diarrhea, and reproductive health services. The integrated communities have a broader scope offering agricultural resources, soil and water conservation, and community health education. Preliminary results indicate that integrated service provision can lead to significant increases in family planning acceptance and use.