Acknowledging the gravity of maternal health problems in the country, governors where maternal deaths remain serious committed to implement programs that will address the problem. Three of these governors—Sol Matugas of Surigao del Norte, Paul Daza of Northern Samar and Sharee Ann Tan—also forged a partnership with the Zuellig Family Foundation by signing a Memorandum of Understanding (MOU).

The MOU stipulates that ZFF will be giving health leadership and skills training programs to selected municipalities of the region while the regional government provides the necessary financial and logistical support to participating municipalities as well as resources such as medical supplies, health personnel and trainers for frontline health personnel to boost local health reforms.

The signing was part of the “162-52 Summit” held recently at the Philippine International Convention Center. An initiative of a multi-sectoral coalition that was formed after the ZFF’s Third Health Outlook Forum held last December, the health summit was meant to bring to the consciousness of health stakeholders the serious maternal health problems in the country.

The numbers 162 and 52 are the maternal mortality ratios of the country, the former being the 2008 official figure while the latter is the 2015 Millennium Development Goal target which, at the rate things are going, the country might not be able to attain.

Over 200 individuals listened to resource persons from both the private and public sectors. Heading the list of speakers is Health Secretary Enrique Ona who delivered the speech of President Benigno Aquino III.

In his speech, the President reiterated the critical roles of local governments in sustaining the health programs initiated by the national government. “Let me appeal to our friends in the LGUs: facilities established through the national coffers need to be sustainable. We need more equipment; we need more medicines; we need more trained, compassionate, committed people to man our hospitals.”

He also said that private sector participation is very important to give the necessary boost to fast-track health improvements. “We need the private sector to bring us over the threshold, to shorten the final mile that women have to walk or travel to get to the nearest health facility and skilled birth attendant when they need it.”

He added that the innovations that private sector possess are most needed in the poorest municipalities and those considered geographically isolated and disadvantaged areas where most maternal mortalities occur. Accordingly, the government has lined up several opportunities to accommodate the private sector’s “enthusiasm and willingness to help.”

Another speaker, United Nations Population Fund (UNFPA) Country Representative Ugochi Daniels stated that “No Woman should die giving life. And no child should be robbed of his life because of his mother’s death.”

Daniels pointed out the three important elements that women must always have access to: contraception to avoid unwanted pregnancies, skilled birth attendant at the time of delivery, and quality and timely obstetric care. She also called on the expansion of public-private partnerships to maximize resources for exemplary practices and provide effective program models.

The summit also featured a gallery where participants were able to see the latest health statistics of 20 priority provinces with serious maternal health challenges. Also displayed were various public-private partnership models available to address the different existing health issues. Representatives of various organizations were also on hand to further explain their programs to those who signified interest.

More than the discussions, the summit was intended to get firm commitments of support for health from individuals and groups. Apart from that given by the governors, other organizations also signified their intention to do their share in improving maternal health in the country.

The USAID-Private Sector Mobilization for Family Health Project (PRISM) will give technical assistance and capability-building programs to various provinces. A Single Drop for Safe Water will provide water sanitation and hygiene governance courses; Pharmaceutical and Healthcare Association of the Philippines will give pharmaceutical management and good governance courses while Plan Philippines, Health Development Institute, University of the Philippines-Palo and University of Makati are committed to providing mayors and barangay (village) captains governance training programs.

The 162-52 Coalition is headed by the Department of Health. Other members include League of Provinces of the Philippines, Union of Local Authorities of the Philippines, Philippine Business for Social Progress (PBSP), ZFF, Ayala TBI/ACCESS Health Philippines, Sanofi-Adventis Philippines, Unang Yakap through World Health Organization-WPRO, United Nations Population Fund, Smart Communications Inc, Macare Medicals Inc. and Chamber of Mines.

After the summit, the coalition has been compiling and reviewing other expressed commitments submitted by participants. Meetings will soon be held to start gathering the collective efforts meant to improve maternal health.

Different programs of various groups will also be organized and matched with existing gaps found in the different provinces to achieve the necessary collective impact to speed up reforms and attain the MDG on maternal mortality.

Visit thumbAfter six months of practicing what they were taught in the classroom, nine mayors trooped to the office of Philippine Vice President Jejomar Binay to present the significant health improvements in their respective municipalities.

The nine mayors, along with their municipal health officers (MHOs), belong to the first batch of local health leaders who enrolled last September in the Certificate Course in Public Health Governance, a joint program of the University of Makati and the Zuellig Family Foundation.
When the course was launched last June, the Vice President was present to show his support for the program’s objective which is to help mayors and MHOs develop their leadership capacities in order to achieve the health Millennium Development Goals in their areas.

A long time mayor prior to becoming the second-in-command of the Philippines, Binay commended the mayors for initiating reforms such as re-activating their local health boards, institutionalizing health policies and implementing innovative programs that have all led to better health indicators.
Binay said that “all maternal and child mortality should be preventable” and shared that when he was mayor of Makati City, he partnered with barangay (village) captains to improve pregnancy tracking and referral systems in the city.

During the visit, the mayors were also able to discuss with the Vice President other health issues that still need to be resolved in their municipalities such as lack of health facilities and equipment.

Mayors and MHOs who complete the two-module, 18-month certificate course can also earn academic units from the University of Makati. The training curriculum consists of eight days of classroom interaction divided into two modules, with six months of on-site practicum interspersed with classroom sessions.

The nine mayors are from the municipalities of Cervantes in Ilocos Sur, Ragay in Camarines Sur, Looc and San Andres in Romblon, Ivisan in Capiz, Calbiga and Motiong in Samar, Llorente in Eastern Samar and St. Bernard in Southern Leyte.

Currently, the University and ZFF are preparing for a new batch of ten municipality mayors and MHOs who will take the course this year.

It is a region mired in poverty, where quality health services for the poor remain elusive while “ghost teachers” abound though there are still over 2,000 teaching positions waiting to be filled-up. The dire health and education situation in the Autonomous Region in Muslim Mindanao led the Zuellig Family Foundation (ZFF) and Synergeia Foundation to work together, starting with a summit to discuss opportunities for improvements in the region.

According to guest presenter, ARMM Health Secretary Kadil Sinolinding, poverty incidence in the region is 54-percent. He said that, “When people are poor, they would have less access to quality health services.” The region’s maternal mortality ratio (MMR) as of 2008 is 245 while national average for the same year is 162. In the same year, infant mortality rate (IMR) in the ARMM is 56 while country average is 24.9.

The ZFF has been partnering with ARMM municipalities since late 2008. For its third set of partner-municipalities, the Foundation chose in 2011 eight towns all from the ARMM. That partnership, which started last year, has helped drastically reduce their collective MMR from 180 in 2010 to 64 in 2011.

Among ZFF’s partner-municipality is Balindong, Lanao del Sur. The town’s mayor, Raysalam Mangondato, was present during the summit and talked about how one year’s worth of actively engaging local health stakeholders like the municipal health officer, village and religious leaders, rural health workers and local health board helped improve her municipality’s maternal and infant health situation. Balindong’s MMR last year dropped to zero from 648 in 2010 while its IMR fell to 2.16 in 2011 from 8.64 in 2010.

Currently, Mangondato is working to make formal arrangements with village leaders to establish a community-based health campaign in her locality.

On the problems in education, ARMM Education Secretary Jamar Kulayan called for reforms to address the issues of “ghost schools, ghost pupils, and ghost teachers.” According to Kulayan, the problem deprives the region, where 2,000 plantilla positions remain vacant, of much needed resources to improve educational outcomes.

For Mayor Hussin Amin of Jolo (Sulu), investing time and the local government’s financial resources to address school system issues can urge locals to respond better to reform efforts. He also mentioned about how training programs for teachers and an active local school board can improve the educational system.

The ARMM Education and Health Summit, held last March 21 in Zamboanga City, was attended by 27 mayors from the provinces of Basilan, Sulu and Tawi-Tawi. It was a venue to assist the regional government in improving health and educational systems in the local government units (LGUs).

During the summit, ARMM Governor Mujiv Hataman discussed how mayors can gain access to funding by practicing transparency. According to Hataman, his administration will be making information about government spending available to the public. LGUs that follow this example will then be able to obtain financial resources from the regional government’s stimulus fund for health and savings from operations in education for the past months.

Mayors in attendance then had the opportunity to discuss their priority health and education programs for the next 14 months during a workshop in the summit. Outputs of the workshop will be consolidated with those of another summit to be held for mayors of Maguindanao and Lanao del Sur. The combined outputs will then be presented to the regional governor for his action.