Effective health services take into account the environment and external forces that influence populations and how their health services are delivered. Conflict and natural disasters create emergency situations that often require immediate humanitarian relief followed by a transition to more long-term, sustainable development. People living in deserts and areas of drought have particular public health and food security needs. Urban areas require different approaches than rural communities.

JSI understands the complexities of delivering health services in different contexts. As with all JSI's programs, our approaches and activities are designed to meet the needs of given populations in their specific environments: