SummaryPopulation, health and environment (PHE) projects are an increasingly popular strategy for addressing lack of access to healthcare and livelihood opportunities in settings with threats to biodiversity loss. PHE projects integrate services and messaging from different development sectors, including health (particularly family planning), conservation and livelihoods. However, a question remains: do such projects produce value-added outcomes; that is, synergistic effects as a result of integration across sectors? Using qualitative data to explore value-added outcomes resulting from a PHE project serving communities along Lake Victoria in Kenya and Uganda, this study explores several theories about why this integrated project may be generating value-added outcomes, including changes in established gender roles, as well as substitution of time and investment of new income into sustainable livelihood activities, particularly among women. Integration led to several value-added benefits, particularly for women, although long-term sustainability of project outcomes remains a key concern.

中文翻译：

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做得越多就一定会做得更好吗？探索东非人口、健康和环境综合项目的协同作用

摘要人口、健康和环境 (PHE) 项目是一项日益流行的战略，旨在解决生物多样性丧失威胁的环境中缺乏医疗保健和生计机会的问题。PHE 项目整合了来自不同发展部门的服务和信息，包括健康（特别是计划生育）、保护和生计。然而，仍然存在一个问题：此类项目能否产生增值成果？即跨部门整合带来的协同效应？本研究利用定性数据来探索为肯尼亚和乌干达维多利亚湖沿岸社区提供服务的 PHE 项目所产生的增值成果，探讨了关于为什么该综合项目可能产生增值成果的几种理论，包括既定性别角色的变化，例如以及将时间和新收入投资替代到可持续生计活动中，特别是对妇女而言。尽管项目成果的长期可持续性仍然是一个关键问题，但一体化带来了一些增值效益，特别是对妇女而言。