As the Philippines advances the implementation of Universal Health Care (UHC), we must stay focused on what truly matters: achieving equity for all. 

The Association of Pacific Rim Universities (APRU) Global Health Conference 2025, held at Universiti Malaya in Kuala Lumpur, Malaysia, strongly echoed this call. With the theme “Towards Planetary Health Equity: A Global Call for Shared Solutions,” the conference gathered more than 400 participants from 20 countries, including the Philippines, who shared a common goal: to reimagine health systems that are inclusive, resilient, and sustainable.

Key Insights

The pre-conference session on Delivery of Health Systems with Innovation and Inclusivity emphasized that health equity demands bold and context-specific innovations that address social and environmental determinants of health. Despite ongoing efforts to strengthen primary and preventive care, many systems still face structural inequities and planetary health challenges that slow progress toward UHC.

Speakers during the main conference highlighted innovation as a powerful driver of transformation. They showcased implementation science, telemedicine, mobile medical clinics, and artificial intelligence as tools that expand access, remove barriers, and empower the health workforce. These innovations can only succeed when we pair them with adaptive learning, process improvements, and strong community ownership.

By integrating planetary health into the discussions, participants reinforced that human well-being and environmental sustainability are inseparable. Achieving equitable health outcomes therefore requires not only technical innovation but also ethical stewardship and responsible governance that ensure health systems remain inclusive, fair, and environmentally sound.

Reflections

The conference emphasized a critical insight: while we design many strategies, frameworks, and programs, health systems—including ours—often fail to confront the root causes of inequity.

Conceptual Model for Community-Based Solutions to Promote Health Equity. Adapted from National Academies of Sciences, Engineering, and Medicine (2017). Redesigned by the Zuellig Family Foundation.

This figure reminds us to ground solutions in community realities and co-create them with those most affected by inequities.

This reflection challenges us to ask: Do we fully understand the structural drivers that sustain inequities? Do our UHC efforts respond effectively to them? And do we integrate planetary health principles to strengthen our systems for the long term?

The Philippines must go beyond expanding access to truly achieve UHC. We must transform our systems to confront inequities at their source. Policies and programs should draw from evidence, engage communities, and align with the broader vision of planetary health equity.

The Zuellig Family Foundation (ZFF) advances this vision through its local health system initiatives. ZFF empowers health leaders, strengthens governance, and fosters collaboration across sectors. Lessons from the APRU Global Health Conference 2025 affirm that the path toward UHC must remain people-centered and planet-conscious, ensuring that no one—and no community—is left behind.

View the full presentation here

Author: Dr. Catherine Chung, ZFF Local Health Systems Director

The Zuellig Family Foundation (ZFF) continues to promote shared learning and collaboration through the Pook Malusog Community of Practice (CoP), a platform that enables local government units (LGUs) to exchange experiences, innovations, and lessons on nutrition leadership and governance. 

Held on October 7, 2025, this year’s conference, themed “Healthy Beginnings, Stronger Tomorrows: Advancing Nutrition Resilience from the First 2,000 Days and Beyond,” gathered local chief executives, local legislative council members, health and nutrition action workers, volunteers, private sector partners, representatives from the academe, and national government agencies, including Regional Nutrition Program Coordinators of the National Nutrition Council.

Participants from the five alumni provinces of the Pook Malusog Provincial Nutrition Governance Program (PNGP), Siargao Islands, and Manila shared how leadership and governance can build sustainable nutrition systems that remain strong despite political changes and crises.

The program featured three main plenary discussions and breakout learning sessions:

• Generating Sustained Political Commitment for Nutrition. Shared experiences from the PNGP cohort (Northern Samar, Samar, Basilan, Zamboanga del Norte, and Sarangani) on translating political will into institutionalized systems. This panel discussion highlighted key leadership acts that established institutional arrangements, policies, and plans and budgets that enabled these provinces to reduce malnutrition prevalence and strengthen mechanisms to sustain these improvements on the ground.
• Building Resilient Nutrition Systems, the TRANSFORM (Transdisciplinary Approach for Resilient and Sustainable Communities) Experience. Showcased how leaders in Siargao Islands, Surigao del Norte and the Caraga Region strengthened resilience through people-centered, data-driven approaches, noting that resilience is a continuous process of transformation.
• Beyond the First 1,000 Days, Seamless Pathways to the First 2,000 Days. Featured the municipality of Malungon, Sarangani and the provinces of Basilan and Sarangani, responding to what’s next after F1KD efforts, centering on Early Childhood Care and Development (ECCD) in ensuring continuity of care and support for children beyond infancy.

• Breakout Sessions: Scaling Innovation, Strengthening Systems. Focused on ZFF’s key programs—Pook Malusog Dashboard, ZFF’s health and nutrition information system (HNIS), and the Family Stunting Reduction (FaStR) program, a family-centered approach to addressing malnutrition. LGU implementers sat on the panel and responded to questions from participants, sharing ongoing learnings and best practices from pilot implementations, as well as their priority actions moving forward.

Discussions showed that political will is critical—it sets direction, drives the right systems, and ensures that budgets are allocated for nutrition. But political will must be backed by more support. It needs to evolve into strong, institutionalized systems that can sustain progress across political terms.

Provincial leaders shared how creating permanent positions for nutrition officers, integrating nutrition into local development plans, and mobilizing diverse sectors can embed accountability and continuity. Municipalities, on the other hand, demonstrated how community co-ownership, data utilization, and frontline worker empowerment ensure that nutrition efforts reach even the most vulnerable families.

Nutrition expert, Dr. Cecilia Acuin, in her synthesis, said that nutrition resilience requires long-term, systemic investment. Improving nutrition outcomes must focus on, quoting Mayor Alfredo Coro II of Del Carmen, Siargao Islands, “the least, the last, and the lost”—families and communities that remain hardest to reach. Dr. Acuin pointed out that while political commitment is vital, equally important are strong governance systems, responsive service delivery, and community ownership. “Our focus should be on building systems, not one-time solutions,” she said, calling for convergence among LGUs and partners.

In his keynote message, Dr. Manuel Dayrit, ZFF Chairman, reminded attendees that the CoP represents “a microcosm of what needs to happen nationally: leaders listening, learning, and acting together.” The conference ended with a hopeful call: when leaders and communities work together, every Filipino child can have a healthy beginning and a stronger tomorrow.

The City Health Services Office of Baguio, led by Dr. Celia Flor Brillantes, is taking meaningful steps to strengthen and make health care more inclusive for the city. On September 24–25, 2025, 23 medical officers and staff completed Module 1 of the Bayang Malusog Leadership and Governance Program (BMLGP).

BMLGP, a partnership between the City of Baguio and the Zuellig Family Foundation (ZFF), aims to build the knowledge, skills, and values of local health leaders so they can champion Universal Health Care (UHC) and address long-standing gaps in access to quality services.

During the two-day training, participants reflected on the health inequities in Baguio and studied the Bridging Leadership Framework, which highlights ownership, co-ownership, and co-creation in solving complex health challenges. They also learned practical approaches such as systems thinking, multi-sector collaboration, building and sustaining trust, and dialogue-based planning—tools essential for effective health leadership and governance.

Related article:

• Baguio City Advance Universal Health Plans

Moving forward, the city has identified key activities to strengthen collaboration in support of its Health Care Provider Network (HCPN), including:

• Stakeholder mapping and analysis to better understand the roles and needs of different partners;
• Training workshops to build the capacity of local health teams;
• Technical working group meetings to align efforts and monitor progress; and
• Crafting of a special health fund manual to guide resource use and sustainability.

These activities are aligned with the city’s UHC Roadmap, advancing its vision of becoming a “livable, inclusive, and creative city.”

In her closing remarks, Dr. Catherine Chung, Director of the Local Health Systems of ZFF, recognized the participants’ active involvement and highlighted the value of shared effort. “In the complexity of public health and UHC, no one person holds the answer, but together as Bridging Leaders, we create solutions,” she said.

For Dr. Brillantes and her team, more than just a training, the program is a call to action. By practicing shared leadership, they are reaffirming their commitment to transform health in Baguio with compassion, innovation, and collaboration, ensuring a healthier future for every resident.

Authors: Joan Kidatan, ZFF LHS Provincial Associate for Baguio City; Krizzia Esperanza, ZFF Corporate Communications Associate

Surigao City — Surigao del Norte leaders reinforced their commitment to protect communities during disasters by aligning strategies for Sexual and Reproductive Health (SRH) in emergencies.

The Zuellig Family Foundation (ZFF), in partnership with the United Nations Population Fund (UNFPA) and with support from Australian Aid, led a two-day Project Alignment and Technical Roadmapping Workshop on September 11–12, 2025 at the Provincial Conference Hall in Surigao City. The event brought together provincial officials, health leaders, and development partners to craft a unified roadmap for implementing the Minimum Initial Service Package for SRH (MISP-SRH).

Provincial leaders signaled their commitment by joining the sessions. Atty. Rise Faith Recabo, Provincial Administrator, represented Governor Robert Lyndon Barbers. Dr. Maria Isabel Makinano, Provincial Health Officer, and Fe Saumat, Provincial Social Welfare and Development Officer, also joined, along with other department heads and staff. Their presence showed the province’s determination to strengthen SRH services in its disaster response plans.

During the alignment session, Emmanuelle Pabalate, OIC-Project Manager for MISP-SRH at ZFF, urged stakeholders to set measurable milestones and align local efforts with national frameworks. She urged participants to:

• Set measurable milestones, strengthen governance, and mobilize resources; and 
• Build lasting partnerships with civil society organizations to sustain reforms and ensure that provincial strategies remain aligned with national frameworks.

In the technical session, ZFF MISP-SRH staff, Elaine Joyce Diaz and Loriegrace Mindoro, guided participants through a structured process of reviewing achievements, identifying gaps, and mapping out strategies with timelines. Diaz underscored that:

• Evidence-based planning strengthens accountability;
• Proper monitoring helps track progress and sustain services; and
• Aligning actions with the DRRM framework ensures readiness during emergencies.

The workshop ended with an actionable roadmap and renewed partnerships among provincial stakeholders. While challenges remain, Surigao del Norte signaled its readiness to institutionalize reforms, mobilize resources, and strengthen governance systems.

These efforts aim to build a resilient and inclusive SRH system that protects families, especially women and girls, during disasters.

Authors:  Loriegrace Mindoro, ZFF Provincial Account Officer for Catanduanes and Surigao del Norte; Krizzia Esperanza, ZFF Corporate Communications Associate

Tacloban City — Local leaders from Samar and Southern Leyte closed a three-day workshop on September 19, 2025, with a firm pledge to put people at the center of their development plans. The release of the 2022 Community-Based Monitoring System (CBMS) data prompted the workshop, revealing serious gaps in education, food security, jobs, and health across eight municipalities in Eastern Visayas.

Participants admitted that despite years of government investments, fragmented programs and infrastructure-heavy spending left many services underfunded. During the workshop, they treated the CBMS data not only as a report but as a wake-up call.

Troubling Gaps in Human Development

The CBMS numbers highlighted urgent challenges which contribute to local human capital development:

• Education: In San Jose de Buan, half of adults in unions had not completed elementary school. Calbiga, Catbalogan, and Maasin also showed large education gaps that continue to trap families in poverty.
• Food Security: Hunger persists in many areas. Calbiga reported the highest food insecurity at 56.88%, with Macrohon, Tomas Oppus, and Catbalogan also recording alarming rates.
• Health: Illness rates reached 62.2% in Tomas Oppus and 43% in San Jose de Buan. Yet PhilHealth coverage stayed critically low, with no municipality surpassing 12% and San Jose de Buan reporting only 1.75%.

Related articles:

• Learning and Working Together: Insights from the Youth Leadership Colloquiums in Southern Leyte and Samar
• Youth and Local Leaders Join Forces to Prevent Teen Pregnancies in Samar
• Southern Leyte Shows Progress in Reducing Teen Pregnancies

Turning Data Into Action

The Zuellig Family Foundation (ZFF) organized the workshop under the Joint Programme on Accelerating the Reduction of Adolescent Pregnancy (JPARAP) with support from the United Nations Population Fund (UNFPA). ZFF guided participants in aligning their development priorities with the Philippine Population and Development Plan of Action (PPD-POA) and measuring their success thru a developed local human development index

Health, planning, budget, nutrition, and population officers reviewed their draft Municipal Population and Development Plans of Action through focused sessions. Participants committed to carry forward people-centered priorities in their respective local government unit (LGU)’s planning cycles.

A Call for People-Centered Governance

By the end of the workshop, participants were united in one message: CBMS data must not gather dust in filing cabinets. It should serve as a mirror, reflecting the real needs of communities. Progress, they said, should no longer be measured by the number of buildings or roads completed, but by how many lives are improved.

The challenge now lies with LGUs: to show that governance is not about scattered projects or token budgets, but about truly putting people first.

Author: Floro Acaba Jr., ZFF EYLGP Provincial Account Officer for Samar

This case study analyzes the factors that contributed to the improvement of Sarangani Province’s nutritional outcomes from 2018 to 2022, describing changes in nutritional outcomes, identifying effective strategies and mechanisms, and examining the influence of leadership and governance interventions as well as lessons learned in planning, implementing, and monitoring nutrition programs.

ZFF Case Study_Nutrition-Sarangani

On September 18, 2025, the Zuellig Family Foundation, through its The Challenge Initiative (TCI)-Philippines team, met with the Lapu-Lapu City government to discuss family planning and adolescent health. Joining the meeting were City Administrator Atty. Almendras and the City Health Office team, led by nurses Ivy Amistad, Jovy Alonzo, and Leizel Lagtapon. The conversation served as a chance to reflect on the city’s progress, identify ongoing challenges, and consider ways to strengthen impact and sustainability.

Recovery and Resilience after COVID-19 

Like many local government units, Lapu-Lapu City experienced major disruptions in reproductive health services during the COVID-19 pandemic. Health workers were diverted to pandemic response, service delivery slowed, and demand for family planning dropped. Now, the City is steadily regaining momentum. With health staff back on the ground, there has been recovery in the uptake of short-acting methods such as pills, injectables, and condoms. Encouragingly, long-acting and permanent methods (LAPMs) like implants, intrauterine devices (IUDs), and sterilization are also increasing in demand. 

One area where Lapu-Lapu has exceeded expectations is in postpartum family planning (PPFP). Through sustained training and outreach activities, the city has exceeded its TCI commitment of ensuring that targeted providers are trained on PPFP–demonstrating that with political will and operational focus, service delivery can quickly regain strength. 

Related article:

• Eight Cities Share Success in Family Planning and Adolescent Health

Addressing the Data Gap 

Reliable data is critical for decision-making, yet the city continues to face difficulties in capturing a complete picture of family planning performance. Public facilities generally provide regular reports, though private birthing centers and hospitals show variable compliance rates. An ordinance requires reporting, but enforcement is limited without established legal penalties. The City Health Office is considering connecting compliance requirements to business permit processes and incorporating maternal death review procedures as accountability measures.

Another challenge lies in the transition to new Department of Health (DOH) performance indicators. Health staff are still adjusting from measuring modern contraceptive prevalence rate (mCPR) to tracking “demand satisfied”, which looks at the percentage of women with demand for family planning and who are actually using modern methods. Lapu-Lapu currently reports a demand satisfied rate of only 46%, far below the 70% national target. Continued coaching and capacity building will be essential to ensure that data is not only accurate but also used strategically for planning and advocacy. 

Investing in Young People 

Adolescent health remains a priority in Lapu-Lapu. Several health workers have been trained on adolescent-friendly health services (AFHS), and facilities are starting to offer confidential, youth-centered care. While formal DOH accreditation is still in development for most facilities, efforts are underway to address infrastructure needs, including the establishment of appropriate counseling spaces.

Despite these challenges, peer education is emerging as a promising practice. By mobilizing young people themselves to reach their peers, the city is creating more relatable and effective pathways to information and services. Plans are underway to expand peer education networks through collaboration with the Sangguniang Kabataan (SK) Federation and barangay-level initiatives. For sustainability, the city will need to determine the right peer-to-population ratio to ensure meaningful coverage across communities. 

Governance, Financing, and Sustainability 

Lapu-Lapu has demonstrated strong commitment to financing reproductive health, earmarking four million pesos in 2024 and five million pesos in 2025 for FP and adolescent health. 

Budget execution has been gradual, with 22% of funds utilized by mid 2025, indicating opportunities to accelerate implementation timelines to maintain program momentum. This highlights the potential for strengthening alignment between program objectives and financial planning. For example, advancing demand satisfied rates from 46% to 60% would involve specific resource requirements for peer educators, supplies, and community outreach activities, each with defined costs. Developing such costing frameworks could support city leadership, including the mayor and city council, in making strategic resource allocation decisions for optimal program impact.

In May 2025, the City completed a self-reliance assessment using TCI’s Reflection and Action to Improve Self-reliance and Effectiveness (RAISE) Tool. The results showed strong performance in data management (100%) and leadership (85%). However, areas needing improvement include formalizing policies, ensuring specific line-item allocations for FP and adolescent health, and strengthening supportive supervision systems. These gaps highlight where technical assistance and local leadership need to converge to ensure sustainability. 

Moving Ahead 

The meeting underscored both the progress and the unfinished work in Lapu-Lapu City’s reproductive health journey. On the one hand, the city has demonstrated resilience, ownership, and momentum—recovering service delivery, expanding postpartum FP, and investing in adolescent-friendly health services. On the other hand, challenges remain: persistent gaps in data reporting, budget execution, and demand satisfied rates reveal the need for stronger systems and sharper strategies. 

With committed leadership, available resources, and the support of partners like ZFF and TCI, Lapu-Lapu City is well-positioned to transform these challenges into breakthroughs. By enforcing policies, scaling up peer-led youth programs, and aligning financial investments with program outcomes, the city can not only close its current gaps but also emerge as a model for sustainable, locally-owned family planning and adolescent health programs in the Philippines. 

Author: Dr. Anthony Faraon, ZFF TCI-Philippines Chief of Party

Ilocos Region’s Universal Health Care (UHC) provincial health teams gathered in La Union last July 4 to 6 for training activities under the BayangMalusog Provincial Leadership Development Program. BayangMalusog is a health leadership development program to accelerate UHC implementation in partner provinces.

The sessions were implemented by the Department of Health – Ilocos Center for Health Development in partnership with the University of the Philippines – College of Public Health (UP-CPH) and the Zuellig Family Foundation (ZFF).

The training focused on helping provincial health teams become adaptive leaders to improve the region’s health outcomes in line with UHC’s implementation. The sessions included sharing experiences, good practices, and challenges of the areas in their UHC progress and workshops on team dynamics and developing team synergy. The event ended with the development of action plans for the region’s #JumpSTART in UHC for BayangMalusog.

The UP-CPH facilitated the executive session for Governors Jerry Singson of Ilocos Sur and Rafy Ortega-David of La Union, focusing on the governors’ learnings from the deep dive sessions, action plans, and leadership strategies in leading the UHC Implementation. Both governors expressed their strong support for the upcoming activities of their region to implement UHC.

At the end of the activity, DOH CHD Director Dr. Paula Paz Sydiongco and DOH CHD Assistant Director Dr. Rodolfo Antonio M. Albornoz reaffirmed their support to the governors towards the progress and implementation of UHC in the Ilocos Region.

The Zuellig Family Foundation (ZFF) is honored to share its on-the-ground experience and knowledge while learning from others in the independent advisory board created by the Department of Health (DOH) to fast-track Universal Health Care (UHC) reforms, with the appointment of Austere A. Panadero, executive director of the ZFF as a member.

DOH officer in charge Rosario Vergeire formed the Strategic Advisory Group of Experts for UHC Implementation (UHC SAGE) to build on the gains from the public-private, multi-sectoral participation
for COVID-19 response.

Other members of the board are ZFF trustee Dr. Esperanza I. Cabral representing the Philippine Heart
Center, University of the Philippines (UP) professor Antonio Dans, M.D., UP Professor Emeritus Ernesto
Domingo, M.D., Medical City consultant and former UP professor Mary Ann Lansang, M.D., Dr. Edwin
Mercado of the DMMC Institute of Health Sciences, UP Manila Chancellor Carmencita Padilla, M.D.,
and former UP School of Economics Dean Orville Solon, Ph.D.

Based on the DOH personnel order 2022-4852 creating the group, the responsibilities of the members include the provision of technical assessments and review of documents on the following:

• Nationwide adoption of the Philippine Health Facility Development Plan as an investment plan for health
• Implementation of fiscal streamlining in public hospitals
• Implementation of the Diagnosis Related Group-Based Global Budget and the Comprehensive Outpatient Benefit Package
• Reconciliation of the databases of the Philippine Statistics Authority and PhilHealth, and the conduct of a primary care census
• Creation of a Central Medicine Store for pooled procurement

• Development of a Pharmacy Benefits package that allows PhilHealth to accredit and pay for retail pharmacies
• Streamlining of accreditation and licensing for primary care facilities
• Implementation of healthy schools, communities, and workplaces

• Establishment of the DOH Action Center and hospital fast lanes for health care workers’ concerns and benefit compensation processing
• Creation of health scholarship opportunities and the Medical Reserve Corps

ZFF’s UHC program

By the time Universal Health Care became law in 2019, ZFF had designed a program to assist three provinces—Agusan del Sur, Aklan, and Bataan— in the UHC transition. ZFF’s earlier work with provinces prompted governors to establish a functional service delivery network involving both provincial and municipal health facilities. The gains during the program provided a backbone for the three provinces’ work on UHC and response to the COVID-19 pandemic.

Provincial health boards (PHBs), whose memberships expanded, were fully activated under ZFF’s pre-UHC program. During the pandemic, the PHBs quickened the pace in localizing policies, pushing for local health reforms, and engaging various stakeholders. These provinces increased health care capacities, upgraded medical equipment and laboratories, and kept their people informed.

With ZFF guidance, the provinces remained deliberate in meeting the government-set key result areas (KRAs) for UHC maturity during the pandemic. The three fulfilled all 12 KRAs under the preparatory level six months before the government’s end-2022 target.

The developments in ZFF’s provinces prompted then Health Undersecretary Myrna Cabotaje to ask ZFF for a similar program for regional health officials. The resulting partnerships for northern Luzon officials introduced the Leadership Development Program, which improved the capacities of regional officers in mentoring and coaching local chief executives and health officials. As a result, provinces and cities moved faster in meeting targeted KRAs. In three months, the partnerships expanded to have governors enroll in the ZFF program. Before 2022 ended, ZFF had partnerships with four regional offices of the DOH: Ilocos Region, Cagayan Valley, Cordillera Administrative Region, and Eastern Visayas. These involve 15 provinces: Ilocos Norte, Ilocos Sur, La Union, Pangasinan, Apayao, Kalinga, Mt. Province, Ifugao, Benguet, Northern Samar, Samar, Eastern Samar, Biliran, Leyte, Southern Leyte.

(Published March 2, 2023)