Strengthening Health Resilience through Multisectoral Population, Health, and Environment (PHE) Programming in Tanzania

This publication was developed using project information and data from MOMENTUM Integrated Health and Resilience (MIHR), funded by the United States Agency for International Development. Between May 22, 2020 and May 21, 2025, MIHR was led by IMA World Health, in partnership with Pathfinder International. This publication does not include project information or data from the ongoing MIHR project.

Globally, population, health, and environment (PHE) has proven to be a successful multisectoral approach to meeting the diverse needs of communities impacted by climate change and environmental fragility, which also impact livelihoods, food security, and health outcomes. Since 2021, MOMENTUM has been implementing a PHE project in Tanzania, building on the successes of other long-standing programming in the country, including USAID’s Evidence to Action (E2A) project, and the active engagement of communities themselves.

Specifically, MOMENTUM’s community-oriented PHE efforts in Tanzania tap into non-health-related partnerships with conservation nongovernmental organizations for the implementation of an integrated, multisectoral approach that includes maternal, newborn, and child health; sexual and reproductive health and rights (SRHR); conservation; and livelihoods programming. While there is solid existing evidence on the benefits of PHE programming and some initial research demonstrating associations between PHE programming and strengthened resilience, there is still more to be learned about how this type of programming can contribute to strengthened health resilience capacities at individual, household, and community levels (Hardee, et al., 2018). MOMENTUM seeks to build this evidence based on project experiences in the three geographic areas in Tanzania noted above.