Skip to main content
    • Aa
    • Aa

Providing health care to improve community perceptions of protected areas

  • Colin A. Chapman (a1), Bianca van Bavel (a2), Carl Boodman (a3), Ria R. Ghai (a4), Jan F. Gogarten (a4), Joel Hartter (a5), Lauren E. Mechak (a4), Patrick A. Omeja (a6), Sofia Poonawala (a7), Dan Tuli (a6) and Tony L. Goldberg (a8)...

Impoverished communities often turn to illegal extraction of resources from protected areas to alleviate economic pressures or to make monetary gains. Such practices can cause ecological damage and threaten animal populations. These communities also often face a high disease burden and typically do not have access to affordable health care. Here we argue that these two seemingly separate challenges may have a common solution. In particular, providing health care to communities adjacent to protected areas may be an efficient and effective way to reduce the disease burden while also improving local perceptions about protected areas, potentially reducing illegal extraction. We present a case study of a health centre on the edge of Kibale National Park, Uganda. The centre has provided care to c. 7,200 people since 2008 and its outreach programme extends to c. 4,500 schoolchildren each year. Contrasting the provision of health care to other means of improving community perceptions of protected areas suggests that health clinics have potential as a conservation tool in some situations and should be considered in future efforts to manage protected areas.

Corresponding author
(Corresponding author) E-mail
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

W.M. Adams & M. Infield (2003) Who is on the gorilla's payroll? Claims on tourist revenue from a Ugandan National Park. World Development, 31, 177190.

A. Ahenkan & E. Boon (2011) Improving nutrition and health through non-timber forest products in Ghana. Journal of Health, Population and Nutrition, 29, 141148.

K. Archabald & L. Naughton-Treves (2001) Tourism revenue-sharing around national parks in western Uganda: early efforts to identify and reward local communities. Environmental Conservation, 28, 135149.

C.B. Barrett , A.J. Travis & P. Dasgupta (2011) On biodiversity conservation and poverty traps. Proceedings of the National Academy of Sciences of the United States of America, 108, 1390713912.

S. Blower , E. Bodine , J. Khan & W. McFarland (2005) The antiretroviral rollout and drug-resistant HIV in Africa: insights from empirical data and theoretical models. AIDS, 19, 114.

M.P. Bookbinder , E. Dinerstein , A. Rijal , H. Cauley & A. Rajouria (1998) Ecotourism's support of biodiversity conservation. Conservation Biology, 12, 13991404.

C.J.A. Bradshaw , N.S. Sodhi & B.W. Brook (2009) Tropical turmoil: a biodiversity tragedy in progress. Frontiers in Ecology and the Environment, 7, 7987.

A.G. Bruner , R.E. Gullison , R.E. Rice & G.A.B. da Fonseca (2001) Effectiveness of parks in protecting tropical biodiversity. Science, 291, 125128.

C.A. Chapman , A. Gautier-Hion , J.F. Oates & D.A. Onderdonk (1999) African primate communities: determinants of structure and threats to survival. In Primate Communities (eds J. Fleagle , C. Janson & K.E. Reed ), pp. 137. Cambridge University Press, Cambridge, UK.

C.A. Chapman & J.E. Lambert (2000) Habitat alteration and the conservation of African primates: case study of Kibale National Park, Uganda. American Journal of Primatology, 50, 169185.

C.A. Chapman & C.A. Peres (2001) Primate conservation in the new millennium: the role of scientists. Evolutionary Anthropology, 10, 1633.

C.A. Chapman , T.T. Struhsaker & J.E. Lambert (2005) Thirty years of research in Kibale National Park, Uganda, reveals a complex picture for conservation. International Journal of Primatology, 26, 539555.

J. Coria & E. Calfucura (2012) Ecotourism and the development of indigenous communities: the good, the bad, and the ugly. Ecological Economics, 73, 4755.

A. de Sherbinin (2008) Is poverty more acute near parks? An assessment of infant mortality rates around protected areas in developing countries. Oryx, 42, 2635.

R. Dirzo & P.H. Raven (2003) Global state of biodiversity and loss. Annual Review of Environment and Resources, 28, 137167.

P.J. Ferraro , M.M. Hanauer & K.R.E. Sims (2011) Conditions associated with protected area success in conservation and poverty reduction. Proceedings of the National Academy of Sciences of the United States of America, 108, 1391313918.

G. Fink , I. Günther & K. Hill (2011) The effect of water and sanitation on child health: evidence from the demographic and health surveys 1986–2007. International Journal of Epidemiology, 40, 11961204.

E.H. Geng , D.R. Bangsberg , M. Musinguzi , N. Emenyonu , M. Bosco-Bwana , C.T. Yiannoutsos (2010) Understanding reasons for and outcomes of patients lost to follow-up in antiretroviral therapy programs in Africa through a sampling-based approach. Journal of Acquired Immune Deficiency Syndromes, 53, 405411.

M. Grosspietsch (2006) Perceived and projected images of Rwanda: visitor and international tour operator perspectives. Tourism Management, 27, 225234.

J. Hartter (2009) Attitudes of rural communities toward wetlands and forest fragments around Kibale National Park, Uganda. Human Dimensions of Wildlife, 14, 433447.

J. Hartter , A. Goldman & J. Southworth (2011) Responses by households to resource scarcity and human–wildlife conflict: issues of fortress conservation and the surrounding agricultural landscape. Journal for Nature Conservation, 19, 7986.

J. Ito , A. Ghosh , L.A. Moreira , E.A. Wimmer & M. Jacobs-Lorena (2002) Transgenic anopheline mosquitoes impaired in transmission of a malaria parasite. Nature, 417, 452455.

S.K. Jacobson (2010) Effective primate conservation education: gaps and opportunities. American Journal of Primatology, 72, 414419.

O. Krüger (2005) The role of ecotourism in conservation: panacea or Pandora's box? Biodiversity and Conservation, 14, 579600.

C.W. Kuhar , T.L. Bettinger , K. Lehnhardt , O. Tracy & D. Cox (2010) Evaluating for long-term impact of an environmental education program at the Kalinzu Forest Reserve, Uganda. American Journal of Primatology, 72, 407413.

W.F. Laurance (1999) Reflections on the tropical deforestation crisis. Biological Conservation, 91, 109117.

W.F. Laurance , D.C. Useche , J. Rendeiro , M. Kalka , C.J.A. Bradshaw , S.P. Sloan (2012) Averting biodiversity collapse in tropical forest protected areas. Nature, 489, 290294.

A. Lepp (2008) Tourism and dependency: an analysis of Bigodi village, Uganda. Tourism Management, 29, 12061214.

P.A. Lindsey , S.S. Romanach , C.J. Tambling , K. Chartier & R. Groom (2011) Ecological and financial impacts of illegal bushmeat trade in Zimbabwe. Oryx, 45, 96111.

C.A. MacKenzie (2012) Accruing benefit or loss from a protected area: location matters. Ecological Economics, 76, 119129.

L. Naughton-Treves , J. Alix-Garcia & C.A. Chapman (2011) Lessons about parks and poverty from a decade of forest loss and economic growth around Kibale National Park, Uganda. Proceedings of the National Academy of Sciences of the United States of America, 108, 1391913924.

P.A. Omeja , J. Obua , A. Rwetsiba & C.A. Chapman (2012) Biomass accumulation in tropical lands with different disturbance histories: contrasts within one landscape and across regions. Forest Ecology and Management, 269, 293300.

S.M. Padua (2010) Primate conservation: integrating communities through environmental education programs. American Journal of Primatology, 72, 450453.

S.J. Ryan & J. Hartter (2012) Beyond ecological success of corridors: integrating land use history and demographic change to provide a whole landscape perspective. Ecological Restoration, 30, 320328.

J. Sachs & P. Malaney (2002) The economic and social burden of malaria. Nature, 415, 680685.

C. Sandbrook (2010) Local economic impact of different forms of nature-based tourism. Conservation Letters, 3, 2128.

C. Sandbrook & W.M. Adams (2012) Accessing the impenetrable: the nature and distribution of tourism benefits at a Ugandan National Park. Society and Natural Resources, 25, 915932.

A. Savage , R. Guillen , I. Lamilla & L. Soto (2010) Developing an effective community conservation program for cotton-top tamarins (Saguinus oedipus) in Colombia. American Journal of Primatology, 72, 379390.

R. Sharpley (2000) Tourism and sustainable development: exploring the theoretical divide. Journal of Sustainable Tourism, 8, 119.

R.W. Snow , C.A. Guerra , A.M. Noor , H.Y. Myint & S.I. Hay (2005) The global distribution of clinical episodes of Plasmodium falciparum malaria. Nature, 434, 214217.

T.T. Struhsaker , P.J. Struhsaker & K.S. Siex (2005) Conserving Africa's rain forests: problems in protected areas and possible solutions. Biological Conservation, 123, 4554.

P. West , J. Igoe & D. Brockington (2006) Parks and peoples: the social impact of protected areas. Annual Review of Anthropology, 35, 251277.

R. Wrangham & E. Ross (eds) (2008) Science and Conservation in African Forests: The Benefits of Long-term Research. Cambridge University Press, Cambridge, UK.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

  • ISSN: 0030-6053
  • EISSN: 1365-3008
  • URL: /core/journals/oryx
Please enter your name
Please enter a valid email address
Who would you like to send this to? *



Altmetric attention score

Full text views

Total number of HTML views: 3
Total number of PDF views: 19 *
Loading metrics...

Abstract views

Total abstract views: 364 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 26th June 2017. This data will be updated every 24 hours.