1. Health for Juan and Juana: Can local government make a difference?
Ernesto D. Garilao
President
Zuellig Family Foundation
Health For Juan and Juana: Moving Forward with the Philippine Health Agenda
Asian Institute of Management (AIM), Fuller Hall
May 4, 2016

2. Philippine Health Status in 2008
Devolution of the Philippine healthcare system (1991)
Fragmentation of health services
Inequities in health outcomes
Rich urban
Poor rural
Life Expectancy
Over 80 years
Less than 60 years
Maternal Mortality Ratio
Less than 15
More than 150
Infant Mortality Rate
Less than 10
Over 90
Skilled Birth Attendant
92.4%
25.1%
Source: Sec. Alberto Romualdez, MD, State of the Nation’s Health, Centennial Lecture, 2008

4. The Bridging Leadership Process The Bridging Leadership Process
Multi-Stakeholder Processes/ Convening and Trust-Building Dialogue
OWNERSHIP
CO-OWNERSHIP
CO-CREATION
Responsive
Programs and Services/ Social Innovations
Collaborative Response
Engagement
Mechanisms
Shared
Vision &
Mission
New Relationships
Among
Stakeholders
Empowered
Citizenry
Transformed
Institutions
New Institutional Arrangements
Health Equity
Bridging
Leader
Health
Inequity/Divide
and
Personal
Personal Response
Source: AIM-TeaM Energy Center

5. The Bridging Leadership Process ZFF partner municipalities
ZFF partner LGUs
(as of end-December 2015)
ZFF CHPP
ZFF-USAID,UNICEF, UNFPA, MSD for Mothers
ZFF-DOH 72
189
379
Total
640 5

6. Maternal Health Challenge6

7. Addressing Three-Delays at the Local Health Level
Delay in deciding to seek medical care
DELAY 3
Delay in receiving appropriate and adequate care in the facility
Unwanted pregnancies,
Poor health seeking behavior of mothers, medical misconception of the mother/family members,
High regard for traditional birth attendants,
Expensive transportation fare,
Previous negative experience in the health facility
Improper management of cases at the hospital
Lack of hospital equipment and medical supplies
Unavailability of blood
Long waiting time
Gaps in continuity of care
Hospital understaffing
DELAY 2
Delay in identifying and reaching appropriate health facility
Lack of appropriate transportation
Long travel time to the health facility 7

8. Learnings from the Community Health Partnership Program (CHPP)

9. The Role of the Mayors and Health Leadership Teams
Chart 2. Initial Health Scorecard of Lapuyan, 2010

10. The Role of the Mayors and Health Leadership Teams
Chart 3. Health Scorecard of Lapuyan, 2012

11. The Role of the Mayors and Health Leadership Teams
Chart 4. Health Scorecard of Lapuyan, 2015

12. Performance of the 72 CHPP municipalities

13. GIDA video

14. GIDA municipalities: Addressing 1st & 2nd Delays

15. GIDA municipalities: Addressing 1st & 2nd Delays

16. GIDA municipalities: Addressing 1st & 2nd Delays

17. Performance of the GIDA municipalities

18. Partnership with DOH

19. Partnership with DOH

20. Deaths in hospitals: The Third Delay

21. Deaths in hospitals: The Third Delay

22. Deaths in hospitals: The Third Delay

23. Systems Approach in Addressing TB

24. Systems Approach in Addressing TB

25. Performance of 175 ZFF-USAID,UNICEF and UNFPA partner cities and municipalities

26. Health for Juan and Juana: Can local government make a difference?
Ernesto D. Garilao
President
Zuellig Family Foundation
Health For Juan and Juana: Moving Forward with the Philippine Health Agenda
Asian Institute of Management (AIM), Fuller Hall
May 4, 2016