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Health

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Health

The Philippines is challenged by high rates of maternal and neonatal mortality and tuberculosis (TB). The annual population growth rate, estimated at 1.6 percent in 2016, remains one of the highest in Southeast Asia. The documented gap between actual total fertility (2.7 children per woman) versus desired fertility (2 children per woman) signals that many Filipino women want to space or limit their pregnancy but do not receive adequate family planning information, commodities and services. It is estimated that one million Filipinos have TB and they may or may not know it. One in 15 TB deaths worldwide happens in the Philippines, and one in 20 new drug-resistant TB cases is found in the country. TB kills at least 60 Filipinos every day.

USAID's assistance enhances the capacity of the Philippines Department of Health, local governments (provinces, municipalities and cities) and the private sector to provide quality health services. All USAID activities support the Philippine government’s health care agenda and are implemented through a bilateral assistance agreement with the Department of Health. USAID-supported programs strengthen health systems while increasing the demand for and access to family planning and maternal and child health services and TB prevention, treatment and control.

PROJECTS

Bangsamoro Autonomous Region in Muslim Mindanao for Health (BARMMHealth)

The Bangsamoro Autonomous Region in Muslim Mindanao (BARMM) is the most economically challenged region in the country with limited and inequitable access to quality health care, resulting to poor health service utilization and health outcomes. The region continues to face several challenges that put pressure on, and limit the ability of, the local health system to ensure quality health services are available. BARMMHealth supports the region to achieve a self-reliant health system by catalyzing commitment and strengthening the capacity of the government, civil society and communities to develop, implement and finance solutions to improve health in BARMM. This project is part of USAID's strategy in conflict-affected regions in Mindanao to build confidence in the local government's ability to deliver vital social services including health. Over the next five years, this activity will work to improve the demand for and supply of quality family planning and maternal and child health services for underserved Filipinos in BARMM.

Collaborating, Monitoring, Evaluation, Research, Learning and Adapting for Improved Health (CLAimDev-Health)

To improve the health of underserved Filipinos, USAID needs to strategically collaborate with partners, scale up good practices and adapt programs based on data-driven recommendations. To do this, CLAimDev-Health provides technical assistance, advisory services, capacity-building and related logistical support to the USAID/Philippines Office of Health to carry out its collaborating, monitoring and evaluation, research, learning and adaptive management of its health portfolio.

Health Equity and Financial Protection Platform (ProtectHealth)

The Health Equity and Financial Protection project is improving financial protection and equitable access to essential health services to maximize tuberculosis, family planning and reproductive health outcomes. The project strengthens and institutionalizes effective approaches and practices that will support the Department of Health and PhilHealth to address operational bottlenecks that impede effective implementation of health financing policies. The project also improves the institutional capacity of the two agencies to collect and use information to improve financing of tuberculosis, family planning and reproductive health programs.

Medicine Technology and Pharmaceutical System Project (MTaPS)

Numerous studies have shown that a major barrier to improving health outcomes is the inefficient and fragmented supply chain management system at all levels of the health system. The Philippines’ Department of Health (DOH) has demonstrated its commitment to a more integrated supply management system. The project assists DOH in establishing a fully functional supply chain management system from demand and supply planning to distribution and use at the point of care. The project also provides technical assistance to implement these changes while also building on existing work to facilitate reliable and timely supply of family planning and tuberculosis drugs and commodities to health facilities.

Family Planning and Maternal and Neonatal Health Innovations and Capacity Building Platforms (ReachHealth)

ReachHealth strengthens and improves access to critical health services for Filipino families. The project aids Philippine communities to reduce unmet need for family planning services and 21 decrease teen pregnancy and newborn morbidity and mortality. To address these challenges, ReachHealth improves individual, household and community knowledge and behaviors of family planning and maternal and neonatal health (FP/MNH); increases access to comprehensive quality care, including lifesaving maternal and newborn services, and increases the capacity of providers to deliver this care; and strengthens functionality of health systems across governance, finance, human resources, commodity availability and data. Additionally, ReachHealth generates demand for FP/MNH services and helps women, men and adolescents overcome gender barriers. The project supports Philippine counterparts – primarily the Department of Health, Commission on Population and Development, Philippine Health Insurance Corporation, civil society, and the private sector – to identify and respond to local root causes of poor FP/MNH outcomes.

RenewHealth: Expanding Access to Community-Based Drug Rehabilitation Program

In the Philippines, drug use is a national issue that impacts the health, social, and economic well-being of Filipinos. USAID’s RenewHealth: Expanding Access to Community-Based Drug Rehabilitation project works in partnership with Philippine government agencies to improve the quality of community-based rehabilitation and recovery services (CBDR) and ultimately reduce drug dependence in the Philippines. The project offers proven public health approaches to CBDR services that persons who use drugs and their families can access without fear or prejudice. Working with the Philippine government and local public and private stakeholders, the project will enable healthy behaviors and demand for CBDR services; enhance the quality of patient centered and compassionate CBDR services, and strengthen the policies and systems for sustainable CBDR service delivery.

TB Innovations and Health Systems Strengthening (TB Innovations)

Despite substantial progress in TB control for the past 15 years, TB remains a key public health problem in the country. Gaps in case detection and access to TB care services persist, ranking the Philippines among the countries with high TB burden. TB Innovations supports the Government of the Philippines to end the TB epidemic by expanding the adoption of state-of-the-art technologies and approaches for case detection, appropriate treatment seeking behavior and treatment adherence interventions for vulnerable and high-risk populations. TB Innovations assists the Department of Health to actively identify, develop, test and scale-up innovative technologies and approaches adapted for the Philippines.

TB Local Organization Network

The USAID/Philippines Office of Health supports the Government of the Philippines in involving and engaging communities affected by tuberculosis in the TB response. Currently, TB-affected communities lack the internal capacity to take part in advocating for a people-centered TB response in the country. Harnessing the power of TB survivors and those living with disease to do effective advocacy is envisaged to make a resounding impact in the national initiative to end tuberculosis. TB LON mobilizes and recruits TB civil society organizations and patient support groups into a unified advocacy network and provides them with technical assistance, capacity building, and opportunities to hone and develop their skills in doing effective advocacy. TB LON aims to carry out the goal to strengthen community engagement in the TB response, aligned with the vision of USAID/Philippines and the National Tuberculosis Program to end tuberculosis.

TB Platforms for Sustainable Detection, Care and Treatment (TB Platforms)

The Philippines remains among countries with the highest burden of TB and multidrug-resistant TB (MDR-TB). Healthcare-seeking behavior of people with symptoms suggestive of TB remains low. Approximately 35 percent of TB-affected households face severe financial difficulties. The national efforts to fight TB need to be coupled with local capacity building, system strengthening and community engagement, including the private sector. TB Platforms aims to strengthen essential supportive and cross-cutting TB interventions at the provincial, local government and community levels to increase TB and drug-resistant TB case detection and treatment success rates.

EpiC-HIV

To control one of the fastest growing HIV epidemics in Asia and the Pacific, EpiC works in partnership with the Government of the Philippines and civil society in breaking through the persistent barriers to diagnosing people living with HIV. USAID assistance is working to start and keep people living with HIV on life-saving treatment and ensuring that they are virally 23 suppressed so they cannot pass the virus onto their loved ones. EpiC employs a range of differentiated person-centered testing and treatment services that better respond to the needs of key populations who are disproportionately affected by HIV. It improves access to game-changing prevention and treatment interventions such as HIV pre-exposure prophylaxis or PrEP and the transition to optimized HIV treatment regimens. To ensure a sustainable national HIV response, EpiC provides site-, regional-, and central level support for policy development, continuous quality improvement, and strategic information.

Capacitating Strategic Organizations to Strengthen the Civil Society Organization Sector (CSO2)

Diminishing foreign and local resources available to civil society organizations (CSOs) threaten the CSO sector’s sustainability. CSO2 aims to strengthen the capacity of CSOs using a “wholesale” approach. By working with larger, more influential organizations or CSO networks/ coalitions that can serve as local resource organizations (LROs), CSO2 can support smaller CSOs to improve their organizational capacity and performance. CSO2 will enable local actors to be more self-reliant, able to mobilize local resources, and less dependent on donor funding. CSO2 will strengthen CSO sustainability by supporting local initiatives, resources, and action. It aims to strengthen LRO capacities to support member CSOs in the areas of (a) organizational development, (b) financial housekeeping to improve accountability to their constituents to include other CSOs, partners and donors, and (c) strengthening financial sustainability.

Last updated: September 06, 2022

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