Percent of communities in target/project areas receiving all three PHE elements

All three elements means that a community receives at least one service from each of the population, health, and environment (PHE) sectors from the same project in the same municipality or township over a defined period of time (generally quarterly or annually).  Examples of services include: distribution of insecticide-treated bed nets, provision of family planning (FP) services, administration of the tetanus toxoid vaccine, skilled birth attendant training, enforcement of environment protection laws, planting of trees, etc.


This indicator is calculated as:


(Total number of communities that receive at least one service each from the PHE sectors/ Total number of communities where the program is implementing activities) x 100

Verification of number of communities that have received all three PHE elements.  Data should be disaggregated by target or project areas.

Project records

This is meant to capture those projects that are integrating aspects of the project by providing FP, health, and conservation-related activities in one community. This encourages the community to learn about the linkages between human behavior and the environment, as well as the health of the environment as integral to human health.


Projects should determine in advance which activities fall under which category (population, health, or environment). If the services and activities are provided

on a regional or country level, the denominator (the total number of communities where the integrated project is working) should remain constant to provide a baseline. This means that this indicator should be measured after the project has started implementation in all of the target communities and then measured over time to account for the degree to which each community is receiving all three elements.

This indicator does not measure the quality of services provided or whether the services provided for each sector are consistent across all communities. In some cases, where there is a community-driven response for selection of activities, the ability of the project to provide at least one activity from all three sectors may be limited (according to community priorities and desires for services).

population-health-environment (PHE), integration, communication

Finn T. “A Guide for Monitoring and Evaluating Population-Health-Environment Programs.” USAID and MEASURE Evaluation, 2007.