114
Municipality Type
Model Status
Baco M
A C
Occidental Mindoro
Abra de Ilog M
B C
Paluan New N
B C
Looc New N
B C
Lubang New N
A
Bohol
Bien Unido M
A C
Buenavista M
A C
Clarin M
A C
Getafe M
A C
Inabanga M
A C
CP Garcia M
B C
Trinidad M
B C
Talibon M
A C
Tubigon M
A C
Ubay M
A C
Leyte
Bato M
A Hilongos
M B
NC 48 of 51 brgys
Hindang M
B C
Matalom M
A C
Inopacan M
A C
M = Maintenance Sites; N = New Sites; Models A = RHU Supported; Model B = Private Sector; C- CBDs in all barangays; NC=CBDs not in all
of the barangays
Results from Activity 1.3 •
26 municipalities79 covering 712 barangays 99 of all Project barangays have cost- recovery systems80 for community-based distribution of FP supplies established and
functioning.
• Two CBD models documented
1.4 Galvanize LGU and RHU support for PHE and managing CBD systems
79
7 municipalities in the new sites and 19 municipalities in the maintenance sites
80 LGU is counted as having a cost-recovery system when all of its barangays have at least one active CBD, the barangay has a functional CBD supplier that is known to replenish FP supplies and the RHU provides oversight to
the entire CBDAPE system.
115 Since the beginning of the Project we have been building the commitment and capacity of the
LGURHU to support PHE and CBD systems. Toward this end, the BALANCED-Philippines Project implemented the following activities during this reporting period. :
a Strengthening and sustaining the management of the CBD system in Abra de Ilog and
San Juan in VIP and Danajon Bank
In Abra de Ilog Occidental Mindoro, a maintenance site, the LGU partnership with Generic’s pharmacy as the local CBD supplier is working well and making pills and condoms available to
the segment of the community “who can buy FP supplies”. This has enabled the RHU to focus on distributing FP supplies to their indigent clients and to procure other important
medicinessupplies for the community. The RHU in San Juan Batangas, a new site, is currently establishing a PhilHealth accredited FP
clinic. If accredited, this clinic will help to expand access to FPRH services, which will be covered by the national medical health care program. As of June 2013, the RHU has almost
complied with all the requirements for accreditation. They are now sourcing funds for the remaining training requirements as a final pre-requisite of the accreditation. In addition, the
MHO has plans for the RHU to directly supply the CBDs instead of the current private supplier. This will help to simplify CBD supervision, especially as it relates to salesreports and supply
and re-supply of FP commodities.
b Strengthening and sustaining the management of the CBD system
In order to improve the documentation of sales and CBDs’ FP supplies stocks and re-supply, the Project conducted a Financial Management System FMS workshop for RHU personnel who
were assigned as CBD focal personnel in 10 municipalities in Bohol during last quarter. During this reporting period another FMS workshop was held with 54 CBDs in the municipalities of
Clarin and Ubay Bohol by the CBD focal persons81.The objectives of the workshop were to: a explain the attributes of sound FMS internal control guidelines; b evaluate and analyze their
current financial position and results of their CBD operation; c develop appropriate books of accounts; and d explain basic stock inventory requirements. In the municipality of Pres. Carlos
P. Garcia, four CBDs were mentored by the CBD focal person on FMS, particularly on checking current financial position, making book of accounts and basic stock inventory.
c Executive Order for the Creation of PHE RT and Approval of PHE Action Plan in DB
In the municipality of Buenavista Bohol, Dr. Marivic Chua, MHO and a PHE champion, advocated for the creation of their PHE RT. As a result, Mayor Lowel Tirol signed an Executive
Order for the creation of the PHE RT in the municipality and approved the Municipal PHE action plan. Shortly thereafter, the PHE RT presented their approved PHE action plan and a draft
PHE Ordinance to the Legislative body of the LGU. The PHE RT also incorporated a plan to hold an orientation session for all the BHWs on PHE in August 2013.
81 CBD focal persons were trained on financial management systems by the PFPI Finance team to be able to manage their CBDs supply system
116 d
Offering a broad range of FP services to eligible clients in DB Dr. Bob Batausa, the MHO of Tubigon and a long time PHE champion, participated in a training
on non-scalpel vasectomy NSV. During the opening remarks at the third SSMM meeting, Dr Batausa exclaimed, “This is to affirm my support for providing clients with a broad range of FP
methods in the municipality as what was advocated during the informed choice and voluntarism orientation.” He plans to advocate for NSV during the Family Development Session of the
Pantawid Pilipinong Pamilya Program conditional cash transfer beneficiaries, during pre- marriage counseling, and at bench conferences during immunization day, etc. The municipality
has planned to implement its PHE action plan and has scheduled CBD and adult PE training for August 2013. The trainings are an effort to build the number of CBDs in the larger barangays
with more than 5 sub-villages sitios and in far flung subvillages and to help replace CBD drop- outs.
Meanwhile, Dr. Mayzadel Mante, MHO in Inabanga Bohol, scheduled a series of bilateral tubal ligations BTL for clients to have access to long acting and permanent methods LAPM
which are usually done in Tagbilaran City. These will commence in August 2013 after the Nutrition month activities in coordination with the district hospital located within the
municipality.
e Wednesday - PHE Day in Clarin in DB
In Clarin Bohol, the municipal mayor, Hon. Allen Ray Piezas, recognized that for the LGU to address malnutrition, infant and maternal mortality and related issues, they need to sustain the
PHE approach beyond the Project. Given that the Project was ending, the LCE directed the RHU, Nutrition, Agriculture and Social welfare agencies as well as the district hospital to learn about
the PHE approach and educate the community, including post-partum patients, on PHE linkages. This led to the nurse supervisor of the Clarin District Hospital to attend the third SSMM so that
she could be oriented on the PHE CBD system. As part of the LGU’s commitment, when the RHU was burned along with the FP commodities,
they procured Php 50,000.00 worth of FP commodities to prevent FP supply shortage. The LGU also designated every Wednesday as a day for PHE linkages orientation in the municipality led
by the municipality’s FP coordinator. Reports gathered in twenty-five municipalities showed a total of 6,399 new FP acceptors and
38,706 current FP users from both the RHUs and CBDs. Three municipalities in Bohol Buenavista, Getafe and Inabanga were not able to finalize their FP reports due to other
competing activities that they have in their municipalities. Of the new FP acceptors, 50 percent are using Lactational Amenorrhea Method LAM while 25 percent are using pills and 21
percent use condoms. With current users, 50 percent are using LAM, 25 percent are using pills, eight percent are using injectables, five per cent use condom, five per cent use an IUDs and two
percent have undergone BTL.
117 Of the women counseled and referred to RHUs for family planning 1,521 became new pill
acceptors. A total of 3,987 16.18 percent FP acceptorsusers obtained FP supplies from the CBDs.
During this reporting period, copies of the VIP and DB Convergence Meeting proceedings were shared to USAID and other key project stakeholders and collaborators as well as participants.
Results from Activity 1.4:
• VIP Convergence meeting proceedings distributed to USAID, local stakeholders and
collaborators •
16 percent of FP acceptors obtaining supplies from CBDs •
18,496 couple years protection Indicator 1.3 •
28 RHUs in targeted municipalities 100 of all Project municipalities engaged in monitoring CBDs, in terms of collecting reports, tracking inventory, providing resupply
of FP methods, etc.
Status of PMP Results for IR 1 INDICATOR
April to June Accomplishment
1.2 Contraceptive Prevalence Rate USAIDOH standard indicator 382
No available report from RHU during
this quarter
1.3 Number of couple years protection USAIDOH standard indicator 3
18,496 1.5 Number of participants who received BALANCED training andor
mentoring that are now providing training or TA to others on PHE BALANCED core indicator
62
1.6 Percent of FP users of modern methods obtaining supplies and services from private sectors sources CBDs, etc. Surrogate
BALANCED field indicator 16
1.7 Number of USG-assisted service delivery points providing FP services BALANCED field indicator
762 CBDs 3.3 Number of nationalregional forums where PHE approach is
highlighted 1
IR 2: Increased community awareness and support of family planning and conservation as a means to improve health, food security and natural resources OH
82 CPR was not an indicator for Year 1
118
2.1 Strengthen the PHE Peer Educator system
