CONSERVATION THROUGH PUBLIC HEALTH
541 Country Lane, Holly Springs, NC 27540 www.ctph.org

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Organizations Filed Purposes: Conservation Through Public Health (CTPH) promotes biodiversity conservation by enabling people, wildlife and livestock to coexist through improving their health and livelihoods in and around Africa's protected areas. CTPH has three integrated programs: wildlife health and conservation, community health and alternative livelihoods implemented through service delivery, education and behavior change communication, research, advocacy, social enterprises and information, communication and technology (ICT). CTPH champions a "One Health" and conservation or integrated Population, Health and Environment (PHE) approach that addresses human, animal and ecosystem health together. CTPH's work primarily focuses on endangered gorillas at Bwindi Impenetrable National Park and other protected areas in Africa where gorillas naturally occur. We also train and influence other organisations to adopt our One Health model in savannah, mountain and fresh water ecosystems through advocacy.

WILDLIFE HEALTH MONITORING: With support from Tusk Trust, we equipped the second block of the Gorilla Health and Community Conservation Centre to conduct comparative analysis of pathogens in gorillas, people and livestock. These include bacteria (Salmonella and Shigella) and protozoa (Cryptosporidium and Giardia) that are prevalent in the Bwindi local community. 800 samples were collected to test for parasites, of which 329 were from the gorilla census. 72 livestock samples, 28 water samples and 100 human samples were collected from 5 different villages to test for Salmonella and Shigella. With support from Primate Conservation Inc, 30 gorilla, 30 human and 30 livestock samples were analyzed before installing cattle water troughs using immunocard STAT assay to detect protozoan parasites, Cryptosporidium and Giardia. 30 gorilla, 30 human and 21 livestock samples were analyzed afterwards to compare differences in the two parasites. These results indicate that human health and gorilla health are improving in the area where three gorilla groups range, but infections in livestock are undermining efforts to break the cycle of infection. With support from Rangiora Vet Center and Tusk Trust, we trained park staff in a ranger's refresher training workshop in gorilla health monitoring and management of tourists during visits to the gorillas. With support from CEPF and Rangiora Vet Center, 119 Human and Gorilla Conflict Resolution Team (HUGO) were trained to monitor gorilla health through recording of clinical signs and collection of fecal samples when gorillas range in community land as well as safe chasing of gorillas back to the park. CTPH advocated to UWA and ten new HUGOs were recruited to address the new human and gorilla conflict in the eastern sector of Bwindi in Mpungu Subcounty, with Habinyanja and Oruzogo gorilla groups beginning to range in community land. With support from the Forix Foundation we made preparations to conduct comparative disease surveys in cape buffalo and cattle in and around Queen Elizabeth National Park.

COMMUNITY HEALTH AND CONSERVATION: 186 Village Health Teams supported by the Ministry of Health were integrated into Conservation Through Public Health's Village Health and Conservation Team network to capture health and conservation data collectively to add to the existing 84 VHCTs making a total of 270. 270 new logs books and referrals were developed and given to all VHCTs for monthly data compilation, an upgraded and more standardized system from the existing one where they wrote in their note books and summarized the data on forms and at the next VHCT quarterly meetings there was a review on how they collect the data. CTPH held the first workshop where information on tourism revenue sharing benefits was shared at the household level through UWA training 270 VHCTs. Tusk Trust enabled CTPH to start a new project to engage reformed poachers in more meaningful livelihoods that prevent them from returning to the forest for food and fuelwood. 127 reformed poachers from Mpungu Sub-county were registered through Uganda Wildlife Authority (UWA). CTPH provided them with group livestock projects to improve their livelihoods. CTPH worked with UWA wardens (law enforcement, research and monitoring and community conservation) to evaluate the livelihood needs of the reformed poachers, who asked for sheep as a group livestock project, 32 sheep were given out to reformed poachers in four parishes, Buremba, Mpungu, Muramba and Ngaara. Of these reformed poachers, 17 (20%) were Arabica coffee farmers, who in the next quarter will be enrolled as farmers in the Bwindi Coffee Growers Cooperative that provide premium and specialty coffee to Gorilla Conservation Coffee, a social enterprise of CTPH that is developing a global coffee brand to support gorilla conservation.

SOCIAL IMPACT EVALUATION OF CTPH MODEL: We completed a research to policy project funded by the Darwin Initiative, together with Oxford University, International Institute of Environment and Development (IIED), Uganda Wildlife Authority (UWA) and the Jane Goodall Institute (JGI) entitled "Can Health Investments Benefit Conservation and Sustainable Development?" Recommendations from the research were used to strengthen CTPH programs at Bwindi and to scale the model to Budongo Forest with JGI taking the lead and to Mount Elgon National Park with UWA taking the lead. An end of project workshop was held with project implementers and a research to policy workshop held with the Uganda Poverty and Learning Group (UPCLG) to review research findings where CTPH One Health model was seen to have brought about benefits for conservation. Additional action-oriented research measuring the ability of the VHCT model to bring about behaviour change as a self-evaluation of this component of the CTPH model was completed with funding from the Mulago Foundation. A UPCLG policy brief was developed about the benefits of CTPH's health investments to conservation and sustainable development and disseminated among stakeholders.

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