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Health

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

Collaborating, Learning and Adapting for Improved Health (CLAimHealth)

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

Community Maternal Neonatal Child Health and Nutrition Scale Up Follow-on (CMSU2)

As the frontliners in health care, midwives must play a stronger role in the maternal and child health and family planning services. The quality of midwifery care should benefit from continuous improvement. The CMSU2 enhances midwives’ proficiency in crucial maternal and child health skills. Its predecessor, CMSU1, developed the clinical, mentoring and organizational capacities of the Integrated Midwives Association of the Philippines, enabling the group to develop leaders, trainers and mentors. Building on the gains of CMSU1, the CMSU2 institutionalizes the peer mentoring approach and expands the roles of midwives in improving access to family planning services. The project also optimizes opportunities for midwives to provide family planning services to the underserved and strengthen public-private collaboration for a synergized health service delivery system.

Human Resources for Health 2030 in the Philippines (HRH2030/Philippines)

In the Philippines, only 10 percent of the country's health workers serve in rural areas, leaving some municipalities without an adequate health workforce. Significant variations in the availability of and access to quality health services, and deficiencies in supervision and mentoring result in inequities in health outcomes. HRH2030/Philippines builds the capacity of the Philippine government to strengthen the development, deployment, training and management of the health workforce to improve equity, access and quality of family planning, maternal and child health, and tuberculosis control services for vulnerable populations.

Institutionalization of the Health Leadership and Governance Program (IHLGP)

Throughout the Philippines, leadership and governance capabilities of local chief executives and health officers affect people’s access to health services, especially for vulnerable populations who rely on government facilities for family planning, maternal and child health and tuberculosis services. IHLGP institutionalizes leadership and governance capacity building in central and regional health management systems. It bolsters the Department of Health’s regional offices’ leadership capacity to strengthen health systems at the regional and local levels.

Integrated Maternal, Neonatal, Child Health and Nutrition Regional Project in Luzon (LuzonHealth)

USAID's assistance in Luzon aligns with the Philippine government’s health care agenda that scales up high-impact services and client-centered information to reduce maternal and infant deaths and addresses unmet need for family planning services and high teenage pregnancy. LuzonHealth works with the Department of Health and its regional offices in Luzon, local governments, private sector and other partners to enhance and sustain provision of quality and patient-centered care programs at the household level, in communities, and in public and private facilities.

Integrated FP-MCH Program – Visayas (VisayasHealth)

In the Visayas region, misconceptions and provider bias are among the top barriers for women and men to seek family planning services. For those wanting to achieve their desired family size, access is often limited and quality is often low. VisayasHealth works with national and local government partners, the private sector, civil society organizations, academic institutions and health professional associations to promote health, provide high-impact family planning and and maternal and child health counseling and services, remove local policy and health systems barriers and improve data management. VisayasHealth works with the Department of Health and its regional offices in the Visayas, local governments, private sector and other partners to enhance and sustain provision of quality and patient-centered care programs at the household level, in communities, and in public and private facilities.

Integrated FP-MCH Program – Mindanao (MindanaoHealth)

Decades of poverty and internal conflict in certain parts of Mindanao have imposed tremendous economic costs, often leaving local governments unable to adequately serve people. The Autonomous Region in Muslim Mindanao is marked by the worst health indicators in the country, especially in maternal and infant deaths. MindanaoHealth supports the Department of Health-led scale up of high-impact services and client-centered information to improve child health and nutrition, to reduce maternal and infant deaths and to decrease the number of unmet need for family planning services, especially among the lowest wealth quintiles, and conflict-affected areas in Mindanao. MindanaoHealth helps the Department of Health to strengthen health systems, sustain health service improvement and reach people living in rural areas. It also provides humanitarian assistance in conflict-affected areas, including Marawi City and its environs.

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 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.

Technical, Research, Education, and Technical Assistance for Tuberculosis (TREAT-TB) (field support)

Tuberculosis is a major public health problem in the Philippines and is also of concern for other nations to which the disease may spread. MDR-TB is a particular challenge, with an estimated 15,000 cases in 2015. To address the burden of MDR-TB, the Philippines National TB Program has introduced the shorter treatment regimen (SSTR). TREAT TB is assists with the programmatic implementation of the standard shorter treatment regimen for MDR TB. TREAT TB offers technical assistance for clinicians and program managers to help them respond to clinical and programmatic challenges in the national scale up of the SSTR.

World Health Organization Consolidated Grant / World Health Organization/Philippines Tuberculosis Medical Officer

Since 2010, USAID/Philippines has funded the World Health Organization (WHO) Country Office Medical Officer to support the government of the Philippines' Tuberculosis Control Program. The WHO Medical Officer works with the Philippines Department of Health, Lung Center of the Philippines and the National TB Reference Laboratory to develop national policies and strategies on tuberculosis. The officer provides technical leadership; assists in shaping the research agenda and stimulating the generation, translation and dissemination of valuable knowledge; sets norms and standards; promotes and monitors implementation of these standards; and articulates ethical and evidence-based policy options.

Last updated: September 17, 2018

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