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Notably, many of the challenges that influenced an individual sector also posed a challenge for the integrated governance of food security and biodiversity conservation, often in a more pronounced way. Based on our findings, we argue that governance in our case study area requires a more integrated and collaborative approach that pays attention to institutional interplay in order to ensure institutional fit and consistency across policy goals.In 2008 a vulval clinic was established at the University Clinic of Schleswig Holstein, Campus L