Brief Description of Program
A national mandated priority public health program to attain the country's national health development: a health intervention program and an important tool for the improvement of the health and welfare of mothers, children and other members of the family. It also provides information and services for the couples of reproductive age to plan their family according to their beliefs and circumstances through legally and medically acceptable family planning methods.
The program is anchored on the following basic principles.
- Responsible Parenthood which means that each family has the right and duty to determine the desired number of children they might have and when they might have them. And beyond responsible parenthood is Responsible Parenting which is the proper ubringing and education of chidren so that they grow up to be upright, productive and civic-minded citizens.
- Respect for Life. The 1987 Constitution states that the government protects the sanctity of life. Abortion is NOT a FP method:
- Birth Spacing refers to interval between pregnancies (which is ideally 3 years). It enables women to recover their health improves women's potential to be more productive and to realize their personal aspirations and allows more time to care for children and spouse/husband, and;
- Informed Choice that is upholding and ensuring the rights of couples to determin the number and spacing of their children according to their life's aspirations and reminding couples that planning size of their families have a direct bearing on the quality of their children's and their own lives.
Men and women of reproductive age (15-49) years old) including adolescents
Area of Coverage:
EO 119 and EO 102
Empowered men and women living healthy, productive and fulfilling lives and exercising the right to regulate their own fertility through legally and acceptable family planning services.
The DOH in partnership with LGUs, NGOs, the private sectors and communities ensures the availability of FP information and services to men and women who need them.
To provide universal access to FP information, education and services whenever and wherever these are needed.
To help couples, individuals achieve their desired family size within the context of responsible parenthood and improve their reproductive health. Specifically, by the end of 2004:
- MMR from 172 deaths 100,000 LB in 1998 to less than 100 deaths/100,000 LB
- IMR from 35.3 deaths/1000 livebirths in 1998 to less than 30 deaths/1000 live births
- TFR from 3.7 children per woman in 1998 to 2.7 chidren per woman
- Contraceptive Prevalence Rate from 45.6% in 1998 to 57%
- Proportion of modern FP methods use from 28>2% to 50.5%
Key Result Areas
- Policy, guidelines and plans formulation
- Standard setting
- Technical assistance to CHDs/LGUs and other partner agencies
- Advocacy, social mobilization
- Information, education and counselling
- Capability building for trainers of CHDs/LGUs
- Logistics management
- Monitoring and evaluation
- Research and development
- Frontline participation of DOH-retained hospitals
- Family Planning for the urban and rural poor
- Demand Generation through Community-Based Management Information System
- Mainstreaming Natural Family Planning in the public and NGO health facilities
- Strengthening FP in the regions with high unmet need for FP: CAR, CHD 5, 8, NCR, ARMM
- Contraceptive Interdependence Initiative
I. Frontline participation of DOH-retained hospitals
- Establishment of FP Itinerant team by each hospital to respond to the unmet needs for permanent FP methods and to bring the FP services nearer to our urban and rural poor communities
- FP services as part of medical and surgical missions of the hospital
- Provide budget to support operations of the itenerant teams inclduing the drugs and medical supplies needed for voluntary surgical sterilization (VS) services
- Partnership with LGU hospitals which serve as the VS site
II. Family Planning for the urban and rural poor
- Expanded role of Volunteer Health Workers (VHWs) in FP provision
- Partnership of itenerant team and LGU hospitals
- Provision of FP services
III. Demand Generation through Community-Based Management Information System
- Identification and masterlisting of potential FP clients and users in need of PF services (permanent or temporary methods)
- Segmentation of potential clients and users as to what method is preferred or used by clients
IV. Mainstreaming Natural Family Planning in the public and NGO health facilities
- Orientation of CHD staff and creation of Regional NFP Management Committee
- Diacon with stakeholders
- Information, Education and counseling activities
- Advocacy and social mobilization efforts
- Production of NFP IEC materials
- Monitoring and evaluation activities
V. Strengthening FP in the regions with high unmet need for FP: CAR, CHD 5, 8, NCR, ARMM
- Field of itinerant teams by retained hospitals to provide VS services nearer to the community
- Installation of COmmunity Based Management Information System
- Provision of augmentation funds for CBMIS activities
VI. Contraceptive Interdependence Initiative
- Expansion of PhilHealth coverage to include health centers providing No Scalpel Vasectomy and FP Itenerant Teams
- Expansion of Philhealth benefit package to include pills, injectables and IUD
- Social Marketing of contraceptives and FP services by the partner NGOs
- National Funding/Subsidy
VIII. Development /Updating of FP CLinical Standards
IX. Formulation of FP related policies/guidelines. E.g. Creation of VS Outreach team by retained hospitals and its operationalization, GUidelines on the Provision of VS services, etc.
X. Production and reproduction of FP advocacy and IEC materials
XI. Provision of logistics support such as FP commodities and VS drugs and medical supplies
1. Funding Agencies
- United States Agency for International Development (USAID)
- United Nations Funds for Population Activities (UNFPA)
- Management Sciences for Health (MSH)
- Engender Health
- The Futures Group
- Reachout foundation
- Philippine Federation for Natual Family Planning (PFNFP)
- John Snow Inc. - Well Family Clinic
- Phlippine Legislators Committee on Population Development (PLPCD)
- Remedios Foundation
- Family Planning Organization of the Philippines (FPOP)
- Institute of Maternal and Child Health (IMCH)
- Integrated Maternal and Child Care Services and Development, Inc.
- Friendly Care Foundation, Inc.
- Institute of Reproductive Health
3. Other GOs
- Commission on Population
Initiation of family planning at the time of birth is opportune, since few women in low-resource settings who give birth in a facility return for further care. Postpartum family planning (PPFP) and postpartum intrauterine device (PPIUD) services were integrated into maternal care in six low- and middle-income countries, applying an insertion technique developed in Paraguay. Facilities with high delivery volume were selected to integrate PPFP/PPIUD services into routine care. Effective PPFP/PPIUD integration requires training and mentoring those providers assisting women at the time of birth. Ongoing monitoring generated data for advocacy. The percentages of PPIUD acceptors ranged from 2.3% of women counseled in Pakistan to 5.8% in the Philippines. Rates of complications among women returning for follow-up were low. Expulsion rates were 3.7% in Pakistan, 3.6% in Ethiopia, and 1.7% in Guinea and the Philippines. Infection rates did not exceed 1.3%, and three countries recorded no cases. Offering PPFP/PPIUD at birth improves access to contraception.