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Solutions Panorama

A collection of 100 programs, initiatives, and strategies that were shared at the Women Deliver 2016 Conference.

A collection of 100 programs, initiatives, and strategies that were shared at the Women Deliver 2016 Conference.

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Integrating Community<br />

Health and Agribusiness<br />

to Improve Lives and<br />

Livelihoods<br />

Featuring:<br />

Sustaining Partnerships to<br />

Enhance Rural Enterprise and<br />

Agribusiness Development<br />

(SPREAD)<br />

Where:<br />

Rwanda<br />

Time Frame:<br />

2008-2011<br />

DESCRIPTION<br />

To simultaneously address social and environmental challenges,<br />

population, health, and environment (PHE) strategies link<br />

efforts to improve environment and climate with women’s<br />

health. Specifically aimed at reaching farmers, the Sustaining<br />

Partnerships to Enhance Rural Enterprise and Agribusiness<br />

Development (SPREAD) project in Rwanda incorporated technical<br />

assistance and health education in communities that made their<br />

livelihoods from the coffee sector.<br />

The overall goal of SPREAD was to improve the health of farmers<br />

and their families by increasing access to education and services<br />

for HIV/AIDS prevention, family planning, and maternal and child<br />

health promotion via existing cooperative structures, and by<br />

strengthening connections to local healthcare providers.<br />

Rather than creating new structures, interventions, and materials,<br />

SPREAD’s health program built on existing local and national<br />

resources, such as utilizing training and educational materials<br />

from the Ministry of Health, Population Services International,<br />

and the International Planned Parenthood Federation in Rwanda;<br />

promoting PSI Rwanda’s social marketing campaigns; and linking<br />

farmers to existing community health services.<br />

IMPACT<br />

Preliminary reports indicate that the project has increased support and demand for family planning,<br />

and increased awareness of it’s link to family-wide health and economic benefits. Coffee cooperative<br />

leaders and members mentioned an increased understanding of the importance of family<br />

planning, including family health and economic benefits, and health workers reported an increased<br />

acceptance of family planning and condom use, as well as a decrease in myths and misconceptions<br />

about family planning. The program complemented existing public health efforts with a strong<br />

community-based approach that reached underserved rural communities with quality information<br />

and services in a cost-effective manner.<br />

SPREAD’s health<br />

program built on<br />

existing local<br />

and national<br />

resources.<br />

LEARN MORE<br />

“The Impact of Population, Health, and Environment Projects: A Synthesis of the Evidence,” Rachel Winnik<br />

Yavinsky, et al.<br />

“USAID Sustaining Partnerships to enhance Rural Enterprise and Agribusiness Development (SPREAD) Project:<br />

Integrated Community Health Program Mid-Term Program Evaluation,” Irene Kitzantides<br />

Source: Invest in Women to Tackle Climate Change and Conserve the Environment policy brief<br />

101<br />

WOMEN DELIVER 2016 CONFERENCE: SOLUTIONS PANORAMA

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