In remote areas of high biodiversity where communities depend on natural resources for their livelihoods, human well-being and the conservation of ecosystems are closely linked. Population-Health-Environment (PHE) is a multifaceted approach to sustainable development, combining health education and services with natural resource management and biodiversity conservation.
Madagascar has a rich history of integrated conservation and development initiatives. This report provides an overview of the evolution of the integrated PHE approach in Madagascar from the late 1980s through until the present day, along with a summary of opportunities and challenges relating to the scale up of this approach moving forward. It draws heavily on several excellent reports published during the mid-late 2000s, supplemented by grey literature and personal communications. This report is organised chronologically, with overlapping phases reflecting key developments in policy and practice. Major projects and players are highlighted at each stage, in addition to important approaches and lessons learned.