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The Philippines, with USAID support, is aggressively pursuing the sustainable delivery of quality family planning and maternal child health care (FP-MCH) services and products to meet the needs of its burgeoning population. Given its limited government resources and pressing family health needs, the country has been piloting different initiatives to mobilize public and private sector resources to meet family health needs, particularly for younger women and families living in remote, underserved area.

The Private Sector Mobilization for Family Health Project – Phase 2 (PRISM2) is part of USAID’s continuing initiative to build enduring public-private partnerships that would assure Filipinos the availability of and access to quality FP-MCH products and services. Specifically, PRISM2 provides support to the Department of Health, Department of Labor and Employment, local government units (LGUs) and other national and local partners in their provision of technical assistance to the private sector to strengthen its role in the delivery of FP-MCH products and services. It is implemented in 36 provinces/independent cities nationwide from 2009 to 2014.

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Photo Stories

Photo Stories

In the Philippines, 54 percent of women who use family planning methods obtain their supplies from private sector sources (2011 Family Health Survey). These sources include private hospitals, chains of independent pharmacies, and non-traditional outlets such as village pharmacies and birthing homes. Non-traditional, community-based distribution outlets located in far-flung communities with little access to public hospitals and clinics address the growing demand for family planning and maternal and child health (FP-MCH) products, particularly by underprivileged women. To support the initiatives of these outlets, USAID trained over 200 community-based distribution outlet operators from eight provinces around the country. The initiative is geared towards ensuring sustainability of these social enterprises with better understanding on business operations. An additional 550 operators will be trained this year to contribute to bridging supply gaps and increasing access to affordable and wider array of FP-MCH products, especially in hard-to-reach areas. (Photo: Cino/USAID/PRISM2)

Women from the three upland villages in Manjuyod, a small town in Negros Oriental, have to travel an hour or two by foot to reach the town center. The communities are deprived of public utility vehicles due to unpaved, dirt roads. About 1,430 pregnant women (estimate from 2008 Field Health Service Information System) find themselves delivering their babies at home assisted by a traditional birth attendant, or worse, on the road on their way to the town's rural health center. In response, USAID forged a public-private partnership with the village council and the Integrated Midwives Association of the Philippines (IMAP) in establishing a lying-in clinic in Manjuyod. USAID-trained midwives of the clinic will provide family planning and maternal and child health (FP-MCH) information, services, and products to upland villages of Bantolinao, Candabong, and Salvacion. The government accredited lying-in clinic will provide greater access to FP-MCH information, services, and products to over 5,000 women of reproductive ages in these hard-to-reach villages. (Photos: Hernandez and Thelmo/USAID/PRISM2)

PRISM2 expert trains doctors from the Bicol Regional Training and Teaching Hospital in Legazpi, Albay on Bilateral Tubal Ligation using Mini-Laparotomy under Local Anesthesia (BTL-MLLA). PRISM2 upgrades the skills of health service providers in private hospitals in performing BTL-MLLA, a standard technique mandated by the Department of Health (DOH) to all public hospitals, which provides women who no longer want to have children a safer, highly effective, and flexible technique that may be performed on an outpatient basis at a minimal cost. As of December 2012, PRISM2 has trained 30 surgeons from four (4) private hospitals and 12 DOH-retained hospitals. (Photo: Hisanan/USAID/PRISM2)

A private practicing midwife educates a family planning (FP) client about the different types of modern contraceptive methods. PRISM2 helps private practicing midwives enhance their skills by training them on basic family planning methods, administration of intrauterine device, recording and reporting, clinical care, clinic operation standards, youth-friendly and gender-sensitive services, and retail of FP and maternal and child health (MCH) products, among others. PRISM2 also assists midwives qualify for accreditation by the Philippine Health Insurance Corporation (Philhealth) as providers of quality FP-MCH services. As of December 2012, PRISM2 has been working with 818 private practicing midwives. (Photo: Hisanan/USAID/PRISM2)

In Metro Manila, a PRISM2-trained private practicing midwife demonstrates the Standard Days Method (SDM) to participants of Usapan (conversation) session, a group counseling method on family planning that provides opportunities for interaction between service providers and clients. In compliance with the principle of informed choice and voluntarism, PRISM2 and project grantees Institute of Reproductive Health Philippines Foundation and Beracah Pharma Philippines provide men and women of reproductive age information about natural and modern family planning methods. (Photo: Hisanan/USAID/PRISM2)

Four district hospitals receive Php100,000 each and a community-based hospital Php50,000 from the Provincial Health Office for the establishment of their maternal, newborn, child health and nutrition pharmacies. PRISM2 leverages its partnership with the Center for Health Development and local government units to increase access of poor communities to quality and affordable family planning and maternal and child health products by developing alternative distribution outlets. (Photo: Hisanan/USAID/PRISM2)

Family planning clients from the Autonomous Region of Muslim Mindanao huddle at the booth of pharmaceutical company Alphamed for more information about available family planning supplies. PRISM2 engaged Alphamed in a grants project from May 2011 to August 2012. Through this grants project, a total of 1,048 distribution outlets for family planning (FP) products and 406 distribution outlets for maternal and child health (MCH) products were supplied. PRISM2 helps build linkages between local government units and FP-MCH products distributors to ensure sustainability of FP-MCH supply for the less privileged and hard-to-reach communities. PRISM2 encourages pharmaceutical companies to actively participate in public health events to provide more information on FP-MCH. (Photo: Cossid/USAID/PRISM2)

Youth leaders participate in a group workshop during the training of trainers on KWENTUHANG BARKADAHAN (Adolescent and Youth Reproductive Health Peer Education) in Iloilo City. To help the Department of Health and local health offices prevent unplanned pregnancies and pregnancy-related complications, PRISM2 trains health service providers on youth-friendly family planning and maternal and child health services delivery and youth leaders on peer education. As of December 2012, PRISM2 has trained 34 providers and student peer educators from 10 private schools and one (1) state university with an average of 5,000 enrolled students from the cities of Batangas, Cagayan de Oro, and Iloilo. (Photo: Tapere/USAID/PRISM2)

PRISM2 specialist trains private practicing midwives and hospital staff from the province of Leyte on recording, reporting and referral of gender-based violence (GBV) cases. PRISM2 works with the local government units to strengthen GBV case referral system and network. As of December 2012, PRISM2 has trained 183 health service providers on GBV who have provided GBV services to 201 clients. (Photo: Tapere/ USAID/PRISM2)

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