Biodiversity conservation work can be challenging but rewarding, and both aspects have potential consequences for conservationists' mental health. Yet, little is known about patterns of mental health among conservationists and its associated workplace protective and risk factors. A better understanding might help improve working conditions, supporting conservationists' job satisfaction, productivity, and engagement, while reducing costs from staff turnover, absenteeism, and presenteeism. We surveyed 2311 conservation professionals working in 122 countries through an internet survey shared via mailing lists, social media, and other channels. We asked them about experiences of psychological distress, working conditions, and personal characteristics. Over half were from and worked in Europe and North America, and most had a university-level education, were in desk-based academic and practitioner roles, and responded in English. Heavy workload, job demands, and organizational instability were linked to higher distress, but job stability and satisfaction with one's contributions to conservation were associated with lower distress. Respondents with low dispositional and conservation-specific optimism, poor physical health, and limited social support, women, and early-career professionals were most at risk of distress in our sample. Our results flag important risk factors that employers could consider, although further research is needed among groups underrepresented in our sample. Drawing on evidence-based occupational health interventions, we suggest measures that could promote better working conditions and thus may improve conservationists' mental health and abilities to protect nature.

Biodiversity conservation work can be challenging but rewarding, with potential consequences for conservationists’ mental health. Yet, little is known about patterns of mental health among conservationists and its associated protective and risk factors. A better understanding can help improve working conditions, supporting conservationists’ job satisfaction, productivity, and engagement, while reducing costs from staff turnover, absenteeism, and presenteeism. We surveyed 2311 conservationists across 143 countries, asking about experiences of psychological distress, personal characteristics, and workplace conditions. Moderate or severe distress was reported by 27.8%. Respondents with low dispositional and conservation-specific optimism, poor physical health, limited social support, women, and early-career professionals were most at risk. Heavy workload, job demands, and organisational instability were linked to higher distress, but job stability and satisfaction with one’s contributions to conservation were associated with lower distress. We suggest ways employers and others could support conservationists’ mental health and ability to tackle the global ecological crisis.

Abstract Biodiversity conservation work can be challenging but rewarding, with potential consequences for conservationists’ mental health. Yet, little is known about patterns of mental health among conservationists and its associated protective and risk factors. A better understanding may help improve working conditions, supporting conservationists’ job satisfaction, productivity, and engagement, while reducing costs from staff turnover, absenteeism, and presenteeism. We surveyed 2311 conservation professionals working across 122 countries, asking about experiences of psychological distress, personal characteristics, and workplace conditions. Over half were from and worked in Europe and North America, and most had university-level education, were in desk-based academic and practitioner roles, and responded in English. Moderate or severe distress was reported by 27.8% (Kessler Psychological Distress Scale scores over 24). Respondents with low dispositional and conservation-specific optimism, poor physical health, limited social support, women, and early-career professionals were most at risk in our sample. Heavy workload, job demands, and organisational instability were linked to higher distress, but job stability and satisfaction with one’s contributions to conservation were associated with lower distress. We suggest ways employers and others might ‘promote the positives’ and manage the risks of working in the sector, potentially supporting conservationists’ mental health and abilities to protect nature.

Blue Ventures (BV) works holistically with communities in Madagascar, developing transformative approaches to catalyse and sustain locally led marine conservation. In response to the coronavirus disease 2019 (COVID-19) pandemic, BV's priority was to safeguard the immediate wellbeing and livelihoods of as many communities as possible, recognising that livelihoods are integral to broader well-being. This article describes in detail BV's health response and the perceptions of BV's Madagascar team regarding the successes and challenges of this effort. As a result of the combined efforts of BV teams across Madagascar and in the United Kingdom, the existing healthcare services at BV's sites were maintained, and messages about recognising and dealing with COVID-19 and the importance of vaccination were conveyed to communities that might otherwise not have received comprehensive information. Data were also collected on suspected cases in areas where testing was not available, and outbreaks of suspected COVID-19 cases were managed. Because BV's teams are embedded within the communities where they work, they maintain strong relationships with communities and conveyed important messages around reducing the spread of COVID-19, not only via activities in response to the pandemic but also through activities for other programmes such as fisheries and livelihoods. Blue Ventures' holistic approach ensured that the organisation had a multidimensional understanding of the impacts of the pandemic on communities, facilitating the development of more relevant messaging that considered both safety and the need for continued income-generating activities. Staff felt that an effective public health response was facilitated by strong in-country partnerships and BV's long-standing presence in communities. Contribution: The challenges in responding to the pandemic and in implementing and maintaining effective behaviour change are discussed. Although not an objective study of the effectiveness of the response or a comparison with other approaches, the lessons learned from this process are shared in the hope that they may inform responses to future shocks in low-income countries.

We report on how the COVID-19 pandemic is affecting Indigenous peoples and local communities (IPLCs), especially those who govern, manage and conserve their lands and waters. We explore the themes of access and use of natural resources, solidarity, decision-making, the role of governments and IPLCs in managing COVID-19, and the uptake of traditional medicine. These themes are explored through a global online survey in English, Spanish and French. We collected and analysed 133 surveys from 40 countries, using SenseMaker®, a software that enables analysis of micronarratives based on how respondents classify their own stories. We explore the themes further through case studies from Benin, Fiji, France, Gabon, Guyana, Guatemala, India and Madagascar, highlighting challenges and opportunities in how IPLCs responded to COVID-19. Our study underscores the importance of selfempowerment and recognition of IPLC rights, which allows them to use traditional medicines, meet subsistence requirements during lockdowns, help community members and neighbours to sustain livelihoods, and to govern, defend and conserve their territories. We propose key actions to support IPLCs navigate future pandemics while protecting their lands and waters.

This paper explores the role of decentralised community-based care systems in achieving sustainable healthcare in resource-poor areas. Based on case studies from Sierra Leone, Madagascar, Uganda and Ethiopia, the paper argues that a community-based system of healthcare is more effective in the prevention, early diagnosis, and primary care in response to the zoonotic and infectious diseases associated with extreme weather events as well as their direct health impacts. Community-based systems of care have a more holistic view of the determinants of health and can integrate responses to health challenges, social wellbeing, ecological and economic viability. The case studies profiled in this paper reveal the importance of expanding notions of health to encompass the whole environment (physical and social, across time and space) in which people live, including the explicit recognition of ecological interests and their interconnections with health. While much work still needs to be done in defining and measuring successful community responses to health and other crises, we identify two potentially core criteria: the inclusion and integration of local knowledge in response planning and actions, and the involvement of researchers and practitioners, e.g., community-embedded health workers and NGO staff, as trusted key interlocuters in brokering knowledge and devising sustainable community systems of care.

In the light of the opportunities presented by the Sustainable Development Goals (SDGs) debate is being reignited to understand the connections between human population dynamics (including rapid population growth) and sustainable development. Sustainable development is seriously affected by human population dynamics yet programme planners too often fail to consider them in development programming, casting doubt on the sustainability of such programming. Some innovative initiatives are attempting to cross sector boundaries once again, such as the Population Health and Environment (PHE) programmes, which are integrated programmes encompassing family planning service provision with broader public health services and environmental conservation activities. These initiatives take on greater prominence in the context of the SDGs since they explicitly seek to provide cross-sector programming and governance to improve both human and planetary wellbeing. Yet such initiatives remain under-researched and under promoted.

This study assessed changes in contraceptive use and fertility between 2009 and 2013 in the Velondriake locally managed marine area of southwest Madagascar where marine conservation organization Blue Ventures began implementing an integrated health-environment program in 2007. The proportion of sexually active women aged 15 to 49 years using hormonal contraception and/or condoms during last intercourse increased more than twofold from 25 percent in 2009 to 59 percent in 2013. The number of births in the last 12 months per 1,000 women of reproductive age declined by 20 percent over the same period from 178 in 2009 to 143 in 2013. This program increased access to family planning for previously under-served communities, leading to uptake of modern contraceptives with an associated decline in fertility. These results suggest that this program has enabled couples to avoid unintended pregnancies, thereby bolstering local marine conservation initiatives.

Population-Health-Environment (PHE) is an interdisciplinary model of programme design which recognises the complex interconnections between people, their health and their environment. PHE responds holistically to the challenges faced by ecosystems and the communities dependent on them, with thematically distinct but interconnected work strands sharing the same infrastructure, resources and goals. This has been shown to achieve better outcomes than tackling health and environmental issues in isolation. This paper shows how PHE programme design has been used by Blue Ventures for providing family planning services in a remote, biodiverse coastal region in southwest Madagascar. The PHE programme has integrated family planning services into a pre-existing, community-based conservation programme, aided by the established infrastructure and good community relations developed by the conservation workers. Implementation of the programme has led to a strong uptake of family planning services, and couples in the region are now able to make their own family planning choices. Successes and challenges of the programme are discussed.

Human population growth is one of the primary drivers of biodiversity loss. Throughout much of the developing world growth of human populations is occurring in part as a result of a lack of access to sexual and reproductive health services, and this is having profoundly negative impacts on biodiversity and natural resource-dependent livelihoods. We present experiences of the incorporation of sexual and reproductive health services within a pre-existing community-based marine conservation initiative in Madagascar as part of an integrated population, health and environment (PHE) programme. Our results demonstrate the considerable demand for, and lack of social barriers to, the introduction of sexual and reproductive health services in this region. These findings emphasize the mutually beneficial synergies, supporting both public health and conservation objectives, which can be created by integrating sexual and reproductive health services into more conventional biodiversity conservation activities. This PHE approach demonstrates the inextricable link between reproductive health and resource use by providing practical, immediate and lasting benefits to public health, gender equity, food security and biodiversity conservation.