This presentation outlines a tri-sectoral collaboration model in the Philippines designed to strengthen local health leadership and improve health outcomes. It highlights how the Zuellig Family Foundation (ZFF), in partnership with academic institutions and the Department of Health, supports Local Chief Executives and Municipal Health Officers through leadership development, experiential learning, and evidence-based interventions.

ZFF shared these insights at the 18th Association of Pacific Rim Universities Global Health Conference, held at Universiti Malaya in Kuala Lumpur, Malaysia, from October 28–31, 2025, showcasing practical strategies for capacitating local health leaders through tri-sectoral partnerships.

ZFF_APRU ZFFI

Health leaders from Aklan and Baguio City joined a two-day strategic planning workshop on November 13–24, 2025, under Zuellig Family Foundation’s Bayang Malusog Community of Practice. 

The session introduced an outcomes-based and data-driven approach to improving health systems, with hypertension prevention and control as the main example. This method supports the goals of Universal Health Care (UHC) by showing how program design, resource allocation, and stakeholder engagement can directly contribute to better health outcomes.

Related articles:

• Bayang Malusog Community of Practice Holds Learning Visit in Laguna
• Bayang Malusog Community of Practice: Advancing Health Care Provider Networks for Universal Health Care
• Insights from the 2024 Bayang Malusog Community of Practice Sessions

The workshop came at an important time. With the ongoing strategic pause in the Health Care Provider Network implementation for demonstration sites, local government units (LGUs) now have space to revisit their plans and budgets. This pause allows them to shift their focus from system integration to the results they want to achieve.

Dr. Carlo Panelo, healthcare economics expert and Professor at the University of the Philippines Manila College of Medicine, reminded participants that, even with the pause, LGUs must stay proactive. He encouraged them to think about health financing with outcomes in mind and to use the hypertension control program as a way to bring partners together and drive improvements in service delivery.

Participants engaged in hands-on exercises to review program performance, set achievable targets, define essential service packages, and estimate the resources needed. They also identified possible financing sources, drafted financial plans, and outlined governance and monitoring arrangements. 

Both Aklan and Baguio recognized the importance of having complete, reliable data and saw how better data management can support structured planning across different health programs. They also acknowledged common challenges such as limited capacity, incomplete information, and resistance to new planning methods. Still, both areas committed to refining their plans and becoming more proactive so that their health indicators clearly reflect the progress they aim to achieve.

Hypertension served as the workshop’s main health indicator because it remains a major cause of illness and death in the Philippines, especially due to heart disease and stroke. Chronic diseases like hypertension require strong systems that can support long-term care, demand more resources, and affect all levels of service and stages of life. For the participants, hypertension became a practical way to understand how strategic planning can push systems forward.

Aklan appreciated how the process can be applied to other health programs, especially as new program managers come onboard. Their financial analysis even showed a surplus that could support hypertension interventions. “We were reminded how to do planning based on factual data and in a systematic way. Despite workload and the tendency to ‘copy-paste,’ being here allowed us to focus on proper planning,” said Dr. Daystar Sedillo, Medical Officer IV of Aklan.

Baguio valued the clarity and structure of the approach and noted the need to strengthen data gathering and management. “We need to fine-tune the planning process to target root causes and outcomes,” shared Rommel de Guzman, Health Education and Promotions Officer II of Baguio. The city also saw how the Local Health Systems Maturity Level connects with actual implementation and outputs.

For both LGUs, the pause is not a setback but a chance to prepare. Once funds start flowing again, they want to be ready—capable of managing resources well and confident that their plans will lead to healthier communities.

Authors: Shelley Medina, ZFF Bayang Malusog Community of Practice Associate; Krizzia Esperanza, ZFF Corporate Communications Associate

This poster presented at the Evidence and Implementation Summit 2025, held October 27–29, 2025 at the Melbourne Convention and Exhibition Centre, Australia, showcases the First 1,000 Days (F1KD) Nutrition Roadmap. The roadmap guides local governments in strengthening maternal and child nutrition by applying the World Health Organization (WHO)’s health system building blocks and the Zuellig Family Foundation’s Eight Critical Knobs of Nutrition Governance.

From 2019–2022, the roadmap improved governance, planning, financing, data use, and service delivery across five priority provinces under the Philippine Plan of Action for Nutrition (PPAN) through a structured systems review and adaptive learning tools. It enabled local governments to act more cohesively, use evidence effectively, and integrate stronger strategies into their Provincial Nutrition Action Plans (PNAPs). While the country reduced stunting rates nationally, ongoing malnutrition and food insecurity underscore the need to further strengthen multisectoral and locally driven nutrition systems.

Read more:

• From Evidence to Action: Strengthening Nutrition Governance through the First 1,000 Days Roadmap

ZFF Poster_F1KD Nutrition Roadmap

When our team boarded the flight to Bogotá for the 2025 The Challenge Initiative (TCI) Annual Meeting and the International Conference on Family Planning (ICFP), we carried more than presentations and data sets. We carried the stories of 24 Philippine cities that have chosen to lead boldly in family planning (FP) and adolescent sexual and reproductive health (ASRH). As a relatively young hub in the global TCI network, the Philippines has always been both a learner and a contributor. This year, however, felt different. For the first time, we arrived not merely to listen but to help shape the direction of the Initiative.

Related articles:

• Nine Cities Recognized as Global Self-Reliant Cities in Reproductive Health
• Eight Cities Share Success in Family Planning and Adolescent Health

A Gathering Shaped by Urgency and Imagination

The theme of the Annual Meeting, “Lead from the Future,” captured the spirit of the meeting. Representatives from six TCI hubs across 13 countries came together, each navigating shrinking donor resources, political transitions, and data challenges. Yet despite these pressures, the mood was determined and forward-looking.

In his opening message, TCI Executive Director Kojo Lokko reminded us that the Initiative’s evolution—from Good to Great and Growth Mindset to Reaching New Heights—has always pointed toward long-term sustainability. Leading from the future, he explained, requires clarity about what we hope to achieve and the discipline to act today in ways that bring that vision closer to reality.

Listening to him, I saw how closely this reflects the Philippine journey. In five years, we moved from launching a hub at the height of a lockdown to establishing governance, leadership development, data use, and sustainable financing as the backbone of city programs. Our experience has been a constant cycle of learning, adapting, and improving—often under constraints but always grounded in the belief that cities can lead the change themselves.

Local Leadership at the Center

Our delegation brought this story to the global stage through five scientific presentations at ICFP and through the voices of two city partners: Dr. Benson Panaguiton, City Health Officer of Dipolog City, and Judith Catalan Janiola, City Population Officer of General Santos (GenSan) City.

Judith’s presentation on GenSan’s experience captured attention. She described how local leaders use data not only to monitor performance but also to solve problems, realign priorities, and motivate teams. She highlighted practical actions driven by partnerships with youth organizations, faith leaders, barangay officials, and civil society groups. These efforts helped reduce teenage pregnancies and strengthened community ownership.

A Shifting Global Landscape

Across sessions—from Bayer’s keynote to discussions on domestic financing—a consistent message emerged: the global environment for FP is changing rapidly. Donor funding is tighter, pronatalist and anti-rights movements are gaining momentum, and climate disruptions are affecting service delivery. Health systems must now be more resilient, adaptable, and grounded in local ownership.

During a flash-oral presentation, I shared how Philippine cities are beginning to tap PhilHealth reimbursements to finance FP services. This drew interest, especially from teams exploring sustainable financing models. The idea that a national insurance system can support FP programs illustrates the potential of strengthening and fully utilizing local systems.

Our Monitoring, Evaluation, and Learning Manager, John David, also shared how standardized data presentations transformed city leadership meetings. Data became easier to understand and discuss, encouraging more leaders—from mayors to youth representatives—to use evidence as the basis for decisions.

Expanding the Philippine Contribution Through Posters

The delegation also presented three posters highlighting how TCI-Philippines strengthens city systems:

• Deputy Chief of Party Pamela Mangilin showcased the Leadership for Adolescent and Youth-Friendly Cities (LAYFC) youth engagement model, demonstrating how trained young leaders create safe spaces and support adolescent reproductive health.
• City Team Leader Teresa Ferrolino presented how inclusive leadership, multisector collaboration, and community involvement enable cities to integrate FP and ASRH into development plans.
• John David examined inconsistencies between local and national FP data and recommended improvements in data governance.

Collectively, these posters highlighted how the Philippine hub advances youth leadership, governance, and data quality to support sustainable FP programs.

Leading From the Future in the Philippine Context

Some of the most meaningful exchanges happened outside formal sessions. Colleagues from other countries asked how a small Philippine team expanded to 24 cities while maintaining cost-efficiency. They inquired about City Leadership Teams, budget protection, and governance reforms aligned with national systems.

These conversations confirmed that the Philippines is becoming a source of global learning. Our strength lies in combining leadership development, system integration, and practical governance tools—elements that help cities continue performing even in uncertain environments.

To lead from the future in the Philippine context means focusing on what works: building strong leaders, institutionalizing coaching and onboarding, optimizing PhilHealth financing, integrating routine data use, partnering with youth and communities, and preparing FP systems to withstand political and environmental change. It means trusting local governments to lead while providing the right support and accountability mechanisms.

A Future Already Emerging

As our delegation left Bogotá, I felt a renewed sense of direction. The future that TCI envisions is already visible in Dipolog, General Santos, Iligan, and across the other 21 partner cities. These local governments are proving that FP does not survive because of projects; it thrives because leaders take responsibility for it.

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

The Zuellig Family Foundation (ZFF) and the Department of Health (DOH)-Eastern Visayas formalized its continuing collaboration to strengthen family health and nutrition in the region. On October 29, 2025, ZFF President and Executive Director Austere Panadero and DOH-Eastern Visayas Regional Director Dr. Exuperia Sabalberino signed a Memorandum of Understanding (MOU) for the implementation of the Pook Malusog Family Stunting Reduction (FaStR) Program. 

The Pook Malusog FaStR Program focuses on supporting families during the first 1,000 days (F1KD) of life—a crucial period for a child’s growth and development. It seeks to strengthen the knowledge and practices of families in preventing stunting, while enhancing the leadership and technical capacity of health and nutrition frontliners.

Through this partnership, the Pook Malusog FaStR Program will be piloted in four municipalities of Eastern Visayas: Gandara and San Jose De Buan in Samar Province, and Mapanas and Lope De Vega in Northern Samar Province from 2025 to 2026.

Under the agreement, ZFF will provide coaching, mentoring, and technical assistance to DOH-Eastern Visayas and the pilot municipalities to guide them in effectively implementing the Pook Malusog FaStR model. By working together to localize the Pook Malusog approach, both institutions aim to build lasting systems of care that empower families, strengthen local leadership, and sustain progress in reducing child stunting across Eastern Visayas.

The Department of Health-Cordillera Administrative Region (DOH-Cordillera) honored the Zuellig Family Foundation (ZFF) with the Gawad Kalusugan Award for its contribution to advancing Universal Health Care (UHC) in the region. The recognition took place during the Am-among for Health and Gawad Kalusugan on October 28–29, 2025, in Baguio City.

DOH-CAR recognized ZFF for its partnership in implementing the Bayang Malusog Leadership and Development Program (BMLDP), a joint initiative that builds the capacity of local leaders to strengthen health systems and improve health outcomes. The Bayang Malusog program continues to make an impact in its Community of Practice member areas, including Apayao, Mountain Province, Kalinga, Ifugao, and current Bayang Malusog Leadership and Governance Program sites Benguet and Baguio City, where empowered leaders sustain health reforms and deliver better services for their communities.

In her message, DOH-Cordillera Regional Director Amelita Pangilinan commended the efforts of partners like ZFF in empowering local government units (LGUs), saying, “The LGU is the lifeline of reform.” She encouraged continued collaboration to strengthen primary health care, improve facilities, and invest in the health workforce.

Related articles:

• Bridging Leadership in Action: Benguet’s Mayors Reaffirm Commitment to Universal Health Care Integration
• ZFF Bayang Malusog Community of Practice in 2025: A Renewed Commitment to UHC Learning

DOH Undersecretary Glenn Mathew Baggao urged participants to view UHC “not merely as a law, but as a commitment to collective effort for better health access.” He added that a ‘Healthier Cordillera’ requires building an inclusive, accessible, and resilient health system.

Through the Gawad Kalusugan, DOH-Cordillera also recognized outstanding LGUs, national agencies, civil society organizations, and private partners who help advance UHC in the region.

The recognition affirms ZFF’s commitment to work with DOH and LGUs in strengthening leadership and governance for health toward the shared goal of ensuring equitable and quality health care for every Filipino.

Main photo from: DOH-Cordillera

Author: Joan Kidatan, ZFF Local Health Systems Provincial Associate for Baguio City

What role do public-private partnerships play in improving health systems?

From November 18-22, 2024, Zuellig Family Foundation (ZFF) joined in the 8th Global Symposium on Health Systems Research (HSR 2024) in Nagasaki, Japan. Dr. Catherine Chung, ZFF Local Health Systems Portfolio Director, shared a compelling presentation on ZFF’s LHS project, “Provincial Leadership and Governance Program: A Public-Private Collaboration Model for Local Health Systems Strengthening Towards Universal Health Coverage in the Philippines.”

The study, co-authored by Fiona Norada and Dr. Anthony Faraon from ZFF, Arian Loreche and Veincent Pepito from the Ateneo School of Medicine and Public Health led by Dr. Manuel Dayrit, focused on the vital role of partnerships in strengthening health systems for better outcomes.

HSR 2024 gathered over 1,000 global participants, themed “Building Just and Sustainable Health Systems: Centering People and Protecting the Planet.” It was an excellent opportunity for ZFF to share knowledge, exchange ideas, and learn from global best practices on building people-centered health systems.

View the full presentation here:

ZFF Presentation_HSR

Benguet is making progress in its journey toward Universal Health Care, but much work still lies ahead. 

During the August 12, 2025 review of the province’s Health Care Provider Network (HCPN) and Special Health Fund (SHF), the Provincial Government of Benguet under Governor Melchor Diclas met with PhilHealth, the Department of Health (DOH), and the Zuellig Family Foundation (ZFF) to assess progress and challenges. PhilHealth President and CEO Dr. Edwin Mercado, PhilHealth-CAR Regional Vice President Dr. Dominga Gadgad, and DOH Provincial Health Team Leader Dr. Mercedes Calpito all reaffirmed support for the province.

Dr. Catherine Chung, Local Health Systems Director at Zuellig Family Foundation, shared key insights on where Benguet stands and what still needs to be done. 

The province has already formed an SHF Technical Working Group and engaged local finance committees, an important step in operationalizing the SHF. The Provincial Health Office also began discussions with municipalities and is planning to expand the Provincial Health Board, especially with new local leaders now in place. However, unfinished tasks such as completing the SHF manual, updating the patient navigation manual, and finalizing operational guidelines continue to hold back the full roll-out.

Related articles:

• Making Health a Shared Mission in Benguet
• Benguet Charts Path to Stronger Health Governance
• Building a Healthier Benguet: Integrating Health Information, Financing, and Service Delivery to Achieving Universal Health Care

Digital health adoption is also growing. Seven out of 13 municipalities are now using the eMed electronic medical record (EMR) system, but with hospitals still relying on multiple other EMR systems, patient tracking and financial monitoring remain fragmented. Dr. Chung stressed the need to standardize EMRs so that data can be integrated and patients can be tracked across facilities—critical for monitoring the SHF.

On the financing side, PhilHealth’s updates on claims pre-validation, expanded Konsulta benefits, and more accredited primary care facilities show positive momentum. But Dr. Chung noted that clearer roles between DOH and PhilHealth must be established, especially on who should lead technical support to local government units (LGUs) for SHF operations.

In summary, Benguet is moving forward but must accelerate its efforts: finalize SHF guidelines, set rules on health provider costs and pricing, integrate district hospitals as an entry point, and strengthen financial management in preparation for prospective payments in 2026.

For Dr. Chung, these next steps will be crucial:

• Without a strong financial system, the SHF cannot be sustained.
• Data integration through standard EMRs will make patient care and fund monitoring possible.
• Collaboration between PhilHealth, DOH, and LGUs must be clearer if reforms are to succeed.

With these insights, Benguet has a clear path: strengthen its financial and digital systems, clarify institutional roles, and continue building a health system that delivers accessible and sustainable care to its people.