$2.3M in expenses

Indonesia: since 2007, health in harmony has collaborated with asri, an indonesian affiliate organization, and communities around gunung palung national park, to create and implement community-designed programs that support human health, alternative livelihoods, and environmental conservation. Hih, asri and the indonesian ministry of health began working together to design a way to scale the hih and asri model of investment in community-designed solutions across indonesia. In 2024, scaling of the planetary health model in indonesia has started in tambrauw nature reserve and gunung leuser where radical listening sessions were conducted, setting the stage for a 2025 program implementation, including mobile clinics, healthcare training and conservation investments.

$2.0M in expenses

Madagascar: in fall 2019, hih began working alongside communities around manombo rainforest to realize their solutions to protect and restore the rainforest including, programs to address food security, alternative livelihoods, reforestation, and education. This protected area in southeast madagascar is home to nine endangered lemur species, as well as other threatened species. In 2023, hih signed a partnership agreement with mdecins sans frontires/ doctors without borders and malagasy NGO NY tanintsika (NT) to begin an interdisciplinary pilot project in ikongo, madagascar. This new partnership combines hihs radical listening and planetary health approach with MSFS medical expertise and NTS local systems and practice knowledge to protect and expand madagascars ambositra-vondrozo forest corridor and improve the health and socio-economic well-being of people. Through this new partnership, the fanimbgna project was initiated by communities for the implementation of community-driven planetary health solutions in the ikongo district.

$1.8M in expenses

Brazil: in 2020, hih began working directly with communities to protect 1.6 million hectares, with an indirect impact on 9.1 million hectares in the xingu basin. Amazonian communities have been shown to be effective buffers against forest loss, and their presence in forests is a major deterrent to land encroachment. To stay on this land and defend the amazon rainforest against degradation, xingu communities designed solutions focused on accessible healthcare, livelihood, and territorial governance support. After three years of working alongside indigenous and riverine communities hih started strategically expanding community-designed healthcare and forest economy into new territories within the xingu basin. In 2024, sama health in harmony achieved official incorporation in brazil, marking a significant milestone in its evolution as a leading planetary health entity. The apyterewa indigenous territory has been at the forefront of hihs scale efforts in 2024, where indigenous communities designed solutions to address the dual challenges of illegal occupation and environmental degradation. Hih also expanded its efforts to other territories, including cachoeira seca, where communities mapped key species and revitalized traditional cultural practices, and xipaya, where investments in the forest economy tied sustainable livelihoods to rainforest conservation. Araraiboia was selected as a fifth site, emphasizing the importance of indigenous leadership in planetary health.panama: in 2024, health in harmony, funded by idb labs, advanced a three-year initiative to boost community-designed, nature-based business models by developing indigenous-led businesses across four communities in panamas darien region, integrating knowledge with advanced tolls to promote biodiversity conservation and ecological resilience. Nearly 2,500 indigenous communities are protecting tropical rainforest through eco-tourism and reforestation, conservation efforts while addressing challenges of regional migration.