This report summarizes progress from 1999-201 in planning and implementing an activity in Madagascar that integrates population, health, and the environment (PHE). The Environmental Health Project (EHP) strove to “demonstrate in several rural settings the effectiveness of linking community-based natural resources management with interventions to improve health, including potential for scale-up involving both [nongovernmental] and governmental organizations.” In 2000 EHP held a workshop with the partners working in Madagascar on integrating health, population, and environment activities. With emphasis on household food security, livelihoods, and community-centered PHE interventions the EHP completed three key achievements. One is the development of Voahary Salama, a Malagasy organization intended to promote success among organizations working in Madagascar. The EHP can boast accomplishing effective results in communities demonstrating integration.