“Is there a way of digitizing preventive care?” Dr. Manuel M. Dayrit, Chair of the Zuellig Family Foundation, asks during the Provincial Leadership and Development Program (PLDP) Colloquium in Eastern Visayas on July 3, 2025. He continued, “Because if you can get a big picture, bring the spectrum—of clinical care and preventive care—together, then you have a total approach to UHC (Universal Health Care).”

The colloquium marked the completion of the Bayang Malusog PLDP (2022–2024) run in Eastern Visayas, a partnership between the Department of Health (DOH) Eastern Visayas, University of the Philippines Manila School of Health Sciences, and Zuellig Family Foundation. The program supported provincial leaders in all six provinces—Leyte, Southern Leyte, Northern Samar, Samar, Eastern Samar, and Biliran—to lead local health reforms as part of their push for UHC. Each province made its own progress, with efforts focused on improving nutrition, and adolescent and youth sexual and reproductive health (AYSRH).

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Among the gains celebrated were integrated provincial UHCroadmaps, 70% achievement of organizational targets, and progress in qualifying nearly all provinces for Health Care Provider Network (HCPN) contracting. Dr. Dayrit pointed out that the program’s strength lies in developing both political and technical leadership—a combination essential to navigating demographic, economic, and system-level challenges.

Keynote speaker Dr. Alvin Marcelo, Professor, Lecturer, and Program Lead for the Standards and Interoperability Lab (SILab), noted that achieving UHC requires seamless interoperability of health information systems. He stressed the need to address governance, technical, and programmatic gaps through a structured framework: teaming, tooling, training, testing, and transfer.

Local leaders also shared real results. Southern Leyte Vice Governor Rosa Emilia Mercado highlighted how an immersion activity, the Deep Dive, inspired policy changes. After meeting a 15-year-old mother, Governor Damian Mercado and his team passed ordinances that funded AYSRH programs and strengthened pregnancy prevention.

Leyte Governor Carlos Petilla introduced the Quick Medical Record (QMeR) system, which connects patient records, referral services, and PhilHealth claims in one digital platform. This system now powers efficient healthcare across multiple facilities, with potential for wider rollout.

Despite these successes, DOH Eastern Visayas Regional Director Dr. Exuperia Sabalberino reminded participants that more work lies ahead. She called for scaling up innovations, deepening partnerships, and ensuring equitable access to health services for every Eastern Visayan. With strong foundations laid, the region’s leaders are now tasked with turning the full promise of UHC into reality.

Authors: Rio Fe Del Valle ZFF Nutrition Monitoring, Evalutation and Learning Expert; Krizzia Esperanza, ZFF Corporate Communications Associate

Once marked by conflict and instability, the Province of Basilan is now making progress in improving health and nutrition outcomes for young children. 

Through strong local leadership and a decade of partnership with the Zuellig Family Foundation (ZFF), Basilan has strengthened systems for maternal and child health, food security, and early childhood care—especially during the critical First 1,000 Days (F1KD) of life.

ZFF shared this experience during the Asia-Pacific Regional Network for Early Childhood (ARNEC) Conference 2025. Speaking on a panel hosted by the Tanoto Foundation, ZFF presented how their work in Basilan has transformed early childhood outcomes through governance-focused approaches. Using the Foundation’s Bridging Leadership approach and Health Change Model, ZFF helped local leaders address gaps in health and nutrition despite the province’s complex and fragile context.

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• Municipal Leaders in Basilan Enhance Nutrition Governance through Zuellig Family Foundation Training

The Basilan Assistance Program (BAP), which built on earlier gains from the Provincial Nutrition Governance Program, trained governors and mayors to co-create local solutions, increase community participation, and strengthen service delivery. As part of the program, 255 barangays deployed community health workers to monitor and support pregnant women and malnourished children. Ten of the thirteen mayors underwent leadership and technical training further embedding nutrition priorities in local governance.

Between 2023 and 2024, stunting among children aged 0–2 dropped by 6.26 percentage points—from 16.74% to 10.48%. Wasting rates also declined, reflecting better capacity to prevent and manage acute malnutrition. Nutrition funding rose nearly fourfold, from 7.2 million pesos in 2021 to 27 million pesos in 2024. These improvements directly support brain development, emotional regulation, and school readiness—giving Basilan’s children a stronger start in life.

Basilan’s transformation shows that inclusive, equity-driven, and locally led programs can thrive even in post-conflict settings. “When we had peace, we now have the mental space to plan beyond the day after tomorrow,” said former Basilan Governor, now Vice Governor, Jim Hataman Salliman. 

“We can now be more strategic and focus our investment in health and nutrition, which was not prioritized before.”

The Zuellig Family Foundation (ZFF) continues to strengthen local nutrition governance through its flagship initiative, Pook Malusog, which empowers provincial leaders to lead multisectoral efforts in addressing malnutrition. 

With its long-standing belief that health and nutrition outcomes improve when local chief executives take ownership, ZFF works closely with governors, mayors, and frontline workers to ensure that leadership, planning, and systems are aligned to support families, especially during the First 1,000 Days (F1KD) of a child’s life.

ZFF shared its experiences and insights during the Webinar on a Weekday  (WoW!) session organized by the Philippine Stakeholders for Nutrition and Dietetics, Inc. (PSND) last July 11, 2025. The webinar, titled “Make or Break! How Will Your Newly Elected Officials Impact Nutrition in Your Community?” aimed to raise awareness on nutrition as a governance issue and encourage stronger local leadership in prioritizing nutrition.

Cecilio Adorna, Senior Fellow at Stratan LLC, opened the session by sharing national-level trends in child wasting and stunting. He pointed out that recent gains—such as the decline of stunting from 33.4% in 2015 to 23.6% in 2023—were driven by increased local government unit (LGU) engagement and policy support. “We should celebrate,” he said, “but also determine what was done right. The giant in the room is the LGU. The more we mobilize and support them, the more we can intensify progress.”

Dr. Joyce Ann Viar, ZFF’s Nutrition Director, stressed the governance gaps that continue to hinder progress: “Malnutrition remains a serious issue. Mataas pa rin po ang stunting and wasting sa bansa. One of the key reasons is the lack of coordination and accountability at the local level.” She shared how ZFF’s Provincial Nutrition Governance Program (PNGP) helps address these gaps by building the capacity of governors and their teams through coaching, training, and Deep Dive—a guided community immersion activity.

Austere Panadero, ZFF President and Executive Director, added, “What nutrition governance really requires is clear leadership. Kung hindi malinaw sa LGU, mahihirapan ang programa.” He urged continued investment in nutrition, citing that visible gains must be sustained and scaled by empowering more LGUs.

Through its Eight Critical Knobs of Nutrition Governance, ZFF promotes a comprehensive, system-wide approach to improving maternal and child nutrition. In Sarangani and Samar, stronger local leadership has led to improved nutrition policies, increased investments, better coordination across departments, and more empowered communities.

“We saw consistent improvement in nutrition outcomes in provinces that prioritized and strengthened these knobs,” said Dr. Viar. “Sana mapalago pa. More LGUs will be inspired or interested to enroll in the program.”

“Relentless follow-through is the name of the game,” said Zuellig Family Foundation (ZFF) President and Executive Director Austere Panadero as he addressed graduates of the Municipal Leadership and Governance Program (MLGP) Cycle 4 in Western Visayas. He challenged them to go beyond planning and focus on execution—encouraging collaboration, innovation, and long-term thinking in addressing persistent health issues, including teenage pregnancy and malnutrition.

Seventeen local government units (LGUs) from across Western Visayas completed the 18-month MLGP journey during the Colloquium held on July 10 in Iloilo City. These included 1 LGU from Guimaras, 2 from Antique, 3 from Iloilo, and 7 from Negros Occidental. The graduates included local chief executives (LCEs), municipal health officers, and designated “third leaders”, mostly municipal planning and development officers.

Led by the Department of Health (DOH)-Western Visayas, in partnership with the University of the Philippines (UP)-Visayas and ZFF, MLGP builds the leadership and governance skills of local health leaders using ZFF’s Bridging Leadership framework. Since 2014, more than 250 health leaders in the region have completed the program.

Dr. Philip Ian Padilla, MLGP Project Leader from UP Visayas, proudly noted that this cycle reached a 100% graduation rate—a first in the program. “This reflects the strong commitment of local leaders to improve their health systems,” he said.

DOH-Western Visayas Regional Director Dr. Annabelle Yumang shared that MLGP shifted the health governance mindset among LGUs. “Health is not for the health sector alone, but truly the responsibility of our LCEs to own the health of the people,” she said, drawing from her past experience as a municipal health officer.

DOH Undersecretary Dr. Mary Ann Palermo-Maestral called on the graduates to lead with heart and inclusion: “Let us remain steadfast not just in implementing health programs, but in building a health movement that advances justice, dignity, and hope for every Filipino.”

The graduates presented best practices and results from their MLGP practicum work—tackling health issues such as maternal health, WASH (water, sanitation, and hygiene), teenage pregnancy, malnutrition, tuberculosis, and mental health. Their presentations showcased not just improvements in health indicators but also strengthened community involvement and collaboration.

Mayor Aser Baladjay of Laua-an, Antique, shared how community dialogues helped respond to the needs of an Indigenous Peoples group in a remote area. Mayor Benjie Miranda of Kabankalan City, Negros Occidental, stressed the importance of creating a long-term health roadmap beyond one-time financial assistance. Mayor Adi Lazaro of Pototan, Iloilo, credited MLGP for helping them meet all their health roadmap indicators.

Throughout the event, local leaders expressed appreciation to ZFF for its guidance in applying Bridging Leadership to real-life health challenges.

As Cycle 4 ends, the graduates are equipped not just with knowledge, but with stronger resolve to implement Universal Health Care in their communities—anchored on leadership, systems change, and a commitment to better health for all.

The Province of Kalinga proudly graduated from the Roberto R. Romulo (RRR) Fellowship for Public Health Leadership and Governance last March 2025, joining Aklan, Davao de Oro, and Dinagat Islands in completing a year-long journey of transformative leadership. The program, led by the Zuellig Family Foundation (ZFF) in partnership with the University of the Philippines (UP) College of Public Health and the UP National College of Public Administration and Governance, helped local leaders sharpen their governance skills and tackle real health system challenges.

“Our leadership journey has not been easy—it mirrors the long and winding road of achieving Universal Health Care,” said Kalinga Governor James Edduba. “But along the way, we’ve seen real progress, and we celebrate both the small and big wins.”

Governor Edduba’s fellowship journey focused on three critical areas: reducing maternal deaths, improving emergency response, and strengthening mental health programs. His team finalized a province-wide referral manual and mobilized Community Health Action Teams (CHATs) to serve as on-the-ground health coordinators. “We capacitated our health workers to identify knowledge gaps and improve services where it matters most,” he explained.

To address the rise in road traffic injuries, Kalinga established an emergency response team and developed a province-wide accident reporting system. “Before, reports were fragmented. Now we use standard forms for all vehicular incidents—this allows us to make better, evidence-based decisions,” he said.

For mental health, the province passed an executive order mandating government offices to support mental health initiatives. A technical working group was formed to lead suicide prevention efforts, ensure data privacy, and guide media reporting. “We’re building systems to support the mental wellness of our people,” Gov. Edduba added.

Partnerships have been key to Kalinga’s progress. The province secured over 200 million pesos in medical assistance and signed agreements with apex hospitals to expand access to specialized care. “We engaged nearby provinces, private clinics, and national agencies. Our success is built on collaboration,” said the governor.

Governor Edduba’s commitment to health leadership started long before the RRR Fellowship. “When I was still Mayor, my nephew got sick and was sent to the ICU. I remember praying in the chapel beside him, promising I’d do everything in my power to improve health in our province. That moment changed me,” he shared.

Now, with better systems in place and a stronger network of partners, Kalinga is more equipped than ever to continue its health reform journey. As Governor Edduba said, “No single leader can do it all. But together, we can truly do great things.”

“Health is not just the government’s job—it’s everybody’s concern.” – Hon. Nilo Demerey, Jr., Dinagat Islands Governor

The province of Dinagat Islands graduated from the Roberto R. Romulo (RRR) Fellowship for Public Health Leadership and Governance last March 2025, joining three other provinces—Aklan, Davao de Oro, and Kalinga—in celebrating the end of a year-long journey to improve local health systems. With the support of the Zuellig Family Foundation (ZFF), in partnership with the University of the Philippines (UP) College of Public Health and the UP National College of Public Administration and Governance, the RRR Fellowship equipped local leaders with the tools to transform their health governance and make Universal Health Care (UHC) a reality in their communities.

 
Governor Nilo Demerey, Jr. led the province’s efforts with bold ideas and concrete actions. “Our province, though small, has faced significant challenges,” he said. “But with the right leadership, collaboration, and innovative strategies, we have made great progress in ensuring better health care for our people.”

Dinagat tackled major health concerns, including malnutrition, maternal deaths, low immunization coverage, and lack of access to hospital services. In 2024, stunting stood at 11.6% and wasting at 2.5%. There were also three maternal deaths recorded in the first quarter of 2025. In response, Governor Demerey’s team introduced several programs—most notably, a zero-billing policy on health services.

Under the fellowship program, the province launched the Remedy Aksyon Center to handle emergencies across all 100 barangays. They also expanded the Provincial Health Board and rolled out the Senior Citizen Health and Wellness Caravan, door-to-door healthcare services, and weekend medical missions. The province also distributed Remedy Cards—smart IDs with QR codes—to track every resident’s health history and services received. “We realized that those who need health care most are the ones who can’t reach hospitals,” Governor Demerey shared. 

Dinagat also invested in nutrition-sensitive policies, making backyard gardening a requirement for government aid. The province is also enrolled in ZFF’s Nutrition Leadership and Equity Acceleration Program (NutriLEAP) to further improve its nutrition governance and address malnutrition more effectively. 

Thanks to the RRR Fellowship, Governor Demerey said Dinagat’s health governance matured significantly. “This program helped us implement evidence-based policies that are practical and impactful,” he said. “We’ve moved from being a 4th class to a 2nd class province.”

“The public health tradition is not just about policies and programs,” Governor Demerey said in closing. “It is about commitment, collaboration, and compassion.”

In 2020, Santiago City faced a serious problem. Its adolescent birth rate was the highest in Region II—47 births per 1,000 girls aged 15–19. That meant too many young lives were being disrupted by unplanned pregnancies. For Population Program Officer Johanna Gabriel, these were not just numbers. She saw dreams put on hold and young futures changed overnight. This crisis unfolded during the COVID-19 pandemic, despite the city having a modern contraceptive prevalence rate (mCPR) of 39%, which was already above the national average of 30%.

 

A Unified Response: Empowering the Whole Community

Mayor Sheena Tan knew that stopping adolescent pregnancy meant involving the whole city. She reached out to The Challenge Initiative (TCI)-Philippines, co-managed by the Zuellig Family Foundation and the Bill and Melinda Gates Institute for Population and Reproductive Health. The first step was creating a City Leadership Team (CLT)—not just made up of health officials, but also representatives from education, planning, youth sectors, and even young people themselves.

The city’s response fit perfectly with its KAISAKA Development Strategies, which focuses on four pillars:

• Kabuhayan (Livelihood)
• Kalusugan (Health)
• Karunungan (Education)
• Kaayusan (Good Governance)

This meant adolescent and youth sexual and reproductive health (AYSRH) was addressed alongside other core priorities, and not treated as a separate issue.

Making Healthcare Youth-Friendly

Before the intervention, adolescents often felt judged or misunderstood at health centers. There was a lack of privacy, and services were not designed for youth. Santiago City changed this by building 37 community-based and 22 school-based teen centers—safe, respectful spaces designed with and for young people.

Importantly, these centers are now run by trained youth facilitators with guidance from adult mentors. This gives young people ownership and confidence. In 2023, Ordinance No. 11THCC-089 institutionalized the Information Service Delivery Network (ISDN)—a system to make sure youth services remain accessible, consistent, and effective across the city.

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Training and Expanding Youth Reach

One of Santiago’s biggest challenges was the limited number of trained service providers in family planning. The city responded by using TCI tools to identify root causes of high adolescent pregnancy. It also adopted ZFF’s Bridging Leadership approach, empowering local leaders to work with young people in shaping policy.

The results were powerful:

• 638 Teen Facilitators were trained as peer leaders.
• Health workers received essential training in Family Planning Competency-Based Training (FPCBT 1 and 2), Adolescent Health Education (ADEPT), and Healthy Young Ones (HEYO).

At the same time, the city upgraded all Barangay Health Centers and teen centers to Adolescent-Friendly Health Facilities (AFHFs). These were linked to the broader public health system and supported by the Santiago City Youth Code and the Local Youth Development Plan.

Community Programs and Campaigns

The city knew awareness was just as important as access. It launched a range of youth-centered initiatives including:

• Samahang Teenage Nanay na Dakila (STAND) Project – for adolescent mothers
• Kalalakihang Tapat sa Responsibilidad at Obligasyon sa Pamilya (KATROPA) Program – to involve young men
• Project Developing a Responsive Environment for AYSRH Movement (DREAM)

Outreach strategies included house-to-house campaigns, social media content, and tailored Social and Behavior Change Communication (SBCC) materials to bring the right messages directly to young people and their families.

A Brighter, Healthier Future

Santiago City’s bold moves produced real results:

• Adolescent birth rate dropped from 47 in 2020 to 30 in 2024
• The city’s mCPR stayed strong at 36% in 2024, continuing to exceed the national standard of 30%
• More adolescents are confidently seeking care from health providers and peer facilitators

“KAISAKA namin kayo” (“we are with you”) is the heartbeat of Santiago City’s movement. From teen centers to city ordinances, from peer facilitators to youth awards, every initiative is rooted in a belief that adolescents deserve to be supported, informed, and empowered.

As Gabriel shared, it is about building a future where health-seeking behavior is a way of life, and where every young person has the tools and support they need to thrive. Santiago City’s journey continues—with commitment, compassion, and the confidence that change is not only possible, but is already happening.

Las Piñas City has come a long way from its humble beginnings as a fishing village. Now a bustling urban center in southern Metro Manila, the city’s population reached 628,652 by 2025, according to the Department of Health. Among these, 107,113 adolescents aged 10 to 19—or 17% of the population—represent both a major opportunity and a growing challenge for the city.

Las Piñas has built a strong infrastructure for adolescent health: 30 health centers, all accredited as Level 1 Adolescent Friendly Health Facilities, three Teen Centers, a social hygiene clinic, and a birthing clinic. But behind this network was a serious problem: services for young people were often uncoordinated.

Programs from health, education, and social welfare sectors operated in silos. This meant young people often had to navigate confusing or disconnected services—leaving many without the help they needed.

 

A Closer Look at the Numbers

City records show the adolescent birth rate (ABR) rose from 16 births per 1,000 among girls aged 15 to 19 in 2021 to 18 in 2022. But what was more alarming was the gap between reported pregnancies and actual deliveries. Dr. Justine Hernandez from the City’s Adolescent Health and Development Program explained, “Many pregnant adolescents, fearing stigma and judgment, sought to give birth outside the city or concealed their pregnancies entirely, often delivering in distant provinces.”

This trend distorted data and revealed that many young mothers did not feel safe or supported locally. The modern contraceptive prevalence rate (mCPR) stood at just 12% in 2022.

Without a system that connects services, the city risked letting more adolescents face health issues, early pregnancy, and long-term social difficulties.

Why the System Was Not Working

Three key gaps held the city back:

1. No unifying policy to align different sectors and prioritize adolescent welfare.
2. No clear leader or champion for coordinated action.
3. No referral system to guide adolescents from one service to another when needed.

These missing pieces led to duplication, confusion, and many young people falling through the cracks.

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A Turning Point: The Challenge Initiative

In 2023, Las Piñas joined The Challenge Initiative (TCI)-Philippines, a global program co-managed by the Zuellig Family Foundation, the Bill and Melinda Gates Institute for Population and Reproductive Health, and Bayer, with technical support from the John Hopkins Bloomberg School of Public Health.

This partnership gave Las Piñas not just funding, but a framework and technical support to fix the system.

Led by Mayor Imelda Aguilar and City Health Officer Dr. Juliana Gonzalez, the city formed a City Leadership Team (CLT). This brought together the City Health Office, Social Welfare Office, Local Youth Development Office, Public Employment Service Office, the Department of Education, the Philippine National Police, and the Sangguniang Kabataan (SK)—all committed to working together for adolescent health.

Creating the Information and Service Delivery Network (ISDN)

To connect fragmented services for adolescents, Las Piñas created the Information and Service Delivery Network (ISDN)—a system that links health, education, social welfare, and security services into one coordinated referral network.

By 2023, the city developed a referral algorithm and began drafting protocols to ensure that adolescents could easily access the right services, regardless of where they first sought help. Frontline workers were trained to screen adolescent concerns and refer cases—such as mental health issues or adolescent pregnancy—quickly and appropriately.

The process started with mapping all adolescent-serving agencies and assessing service gaps. Then, in December 2023, a three-day workshop facilitated by the Commission on Population and Development (CPD) helped align partners and establish shared referral processes and data-sharing agreements.

With a clear system in place, the city empowered frontliners and introduced monitoring tools to track referrals, improve service delivery, and ensure accountability across the network.

Strengthening Coordination and Passing Policies

To further institutionalize the work, Las Piñas aligned ISDN with the Department of Health’s Key Assistance for Developing Adolescents (KADA) Network. In September 2024, a local ordinance officially created the KADA Network, ensuring long-term policy support.

The networks were launched on December 6, 2024, complete with service catalogs, referral guides, directories, and resource maps.

Las Piñas did not stop at planning. The city rolled out activities to make the system effective and responsive:

• Regular Adolescent Case Management Conferences help network members jointly solve difficult cases like cyberbullying and sexual exploitation.
• Enhanced Usapan sessions improved counseling, contributing to a steady rise in mCPR.
• Dedicated Family Planning Implementers were deployed to barangays, reaching more adolescents and families directly.

A Model Worth Replicating

Las Piñas backed its reforms with dedicated budgets, policies, and leadership structures. The referral system is now embedded in how the city works—simplifying workflows and ensuring adolescents can get help wherever they first seek it, whether in school, a clinic, or a barangay hall.

Monitoring is led by the Health Promotion Unit, and the CLT regularly reviews progress and listens to feedback from the youth themselves. “These gains translated into better access,” said Dr. Hernandez, “as more families were able to choose and obtain their preferred contraceptive methods at the right time.”

And the results are starting to show. By 2024, ABR had dropped to 13 per 1,000 births among girls aged 15 to 19. Meanwhile, mCPR rose to 19%.

More than just improving services, the city built a model that centers adolescents, builds community trust, and connects systems. From policy to practice, and planning to grassroots action, Las Piñas has become a leading example of how local governments can transform health systems for the next generation.

Davao de Oro joined Aklan, Dinagat Islands, and Kalinga in celebrating a key achievement last March 2025—the successful completion of the Roberto R. Romulo (RRR) Fellowship for Public Health Leadership and Governance, a program led by the Zuellig Family Foundation (ZFF) in partnership with the University of the Philippines (UP) College of Public Health and the UP National College of Public Administration and Governance.

For Davao de Oro Governor Dorothy Gonzaga, the year-long fellowship was a transformational journey. “Coming from the judiciary and only entering politics in 2022, I never imagined how complex the health system really is,” she said. “This program helped me understand the power of leadership in turning health challenges into opportunities.”

Davao de Oro faced five key health concerns:

1. Child immunization coverage remains critically low. Only 63% of children were fully immunized in 2024—far below the national target of 95%. This gap leaves many children vulnerable to preventable diseases.
2. Teenage pregnancy continues to rise. In 2024, the rate reached 51 per 1,000 adolescents, which is significantly higher than both national and global benchmarks. 
3. The province’s hospitals are overwhelmed. The four provincial hospitals have a 315% occupancy rate, far above the ideal 80–85%, putting strain on both patients and health workers.
4. The province struggles with limited funding to properly manage its hospital system. To address this, the provincial government has proposed the renationalization of one hospital to improve funding and governance. 
5. Enrollment in the PhilHealth Konsulta program is still low. Only 8.4% of residents have had their first patient encounter, showing the need for stronger public awareness and engagement.

Despite the gaps, the province has made important strides. It tapped Barangay Volunteer Sanitation Inspectors to improve sanitation monitoring and prevent disease outbreaks at the community level. An information system was also developed that profiles and helps track Barangay Health Workers. 

The KoboCollect digital tool is being used to collect and manage data on water, sanitation, and hygiene. A provincial communication plan was also rolled out to improve field registration for primary health services.

In terms of services, the province exceeded national targets in prenatal care coverage, skilled birth attendance, and family planning. “These wins give us confidence that we’re on the right path,” she said.

The RRR Fellowship emphasized Bridging Leadership—the idea that real change happens when leaders bring people together. “I learned I can’t do it alone,” Governor Gonzaga reflected. “We need our mayors, health workers, and citizens to co-create solutions.”

Governor Gonzaga credits the Fellowship for sharpening her sense of purpose as a public servant. “I now see health not just as a service, but as a platform for empowerment and equity.”