At the 4th International Conference on Nursing and Women’s Healthcare in Bangkok, Thailand, from November 4-6, 2024, Zuellig Family Foundation’s Standards and Academic Partnerships Manager, Philip Jerome Flores, presented research on the Nurses-Led Municipal Leadership and Governance Program (MLGP). The study, published in the Belitung Nursing Journal, highlights the experiences of Local Chief Executives (LCEs) in Central Visayas.

The research, conducted in partnership with Silliman University, Cebu Normal University, and funded by the Department of Health (DOH)-Central Visayas, focuses on how the MLGP enhances leadership competencies of LCEs. Flores shared insights on how nurses and governance experts have played a key role in transforming local health leadership, especially in underserved communities. This is part of ZFF’s ongoing effort to improve healthcare delivery through strong local leadership.

Read the full paper here

View the full presentation here:

ZFF Presentation_Scientex

Two provinces in Eastern Visayas reflected on how young people and local leaders can work side by side to address adolescent health. 

Through the Expanded Youth Leadership and Governance Program (EYLGP) of the Zuellig Family Foundation in partnership with the United Nations Population Fund, Southern Leyte and Samar shared lessons, successes, and remaining challenges during their colloquiums held in August 2025.

In less than two years, our program cohort in Southern Leyte cut its adolescent birth rate by 29%, with the municipalities of Liloan and Tomas Oppus reporting zero teen births in 2024. Samar also moved forward, lowering its adolescent birth rate in partner municipalities by 5% and doubling contraceptive use among teens. Both provinces strengthened adolescent-friendly health facilities, supported peer education, and created local committees that regularly meet to tackle youth concerns.

Despite progress, both provinces face similar challenges. Births among very young girls aged 10 to 14 years old increased, often tied to gender-based violence and exposure to harmful online content. In Samar, education completion rates are also declining, while poverty continues to put many adolescents at risk. These issues show that reducing teen pregnancies is not only a health concern but also a matter of child protection, education, and community support.

Related articles:

• Youth and Local Leaders Join Forces to Prevent Teen Pregnancies in Samar
• Southern Leyte Shows Progress in Reducing Teen Pregnancies

Key Insights

Dr. Ramir Blanco, public health specialist, synthesized the insights from both colloquiums, and noted that while each province has a unique context, some common lessons stand out:

• Partnership works best when youth are seen as equal partners. Adolescents bring energy and ideas that make health programs more effective.
• Local governments need to back policies with real budgets. Commitments become meaningful only when resources follow.
• Health services must be accessible and friendly to teens. Both provinces showed that when facilities are welcoming, more adolescents use them.
• The challenge of early adolescent pregnancies requires stronger systems. This goes beyond health and must involve education, social welfare, and community protection.

As the colloquiums showed, the most powerful change comes when young people and leaders share responsibility. When adolescents are given a voice and communities stand behind them, reducing teen pregnancies becomes not just a goal, but a shared achievement for healthier, brighter futures.

On August 15, 2025, Samar leaders, health workers, youth representatives, and development partners came together for the Expanded Youth Leadership and Governance Program (EYLGP) Colloquium. 

Implemented by the Zuellig Family Foundation (ZFF) with support from the United Nations Population Fund (UNFPA) and the Korea International Cooperation Agency (KOICA), the EYLGP builds the leadership of both young people and local governments. The program was first piloted in Mindanao and has since expanded to Samar and Southern Leyte, where it is showing promising results.

Samar’s EYLGP journey began in April 2023 when Governor Sharee Ann Tan, together with mayors and municipal health officers, met with the Zuellig Family Foundation (ZFF) to tackle the province’s high rate of teen pregnancies. At this meeting, the mayors and health officers signed learning contracts to affirm their commitment to the program.

Two years later, in Samar, EYLGP has trained 81 municipal leaders, along with youth leaders and representatives from the Department of Health (DOH), Department of Education, and Department of the Interior and Local Government. Together, they improved local governance systems that directly affect adolescent health.

Related article:

• Southern Leyte Shows Progress in Reducing Teen Pregnancies

The results are encouraging. In partner cities and municipalities, the adolescent birth rate (ABR) went down by 5% from 2022 to 2024: from an ABR of 38.1 per 1,000 girls aged 15 to 19 in 2022 to 36.1 in 2024. The use of modern contraceptives among adolescents also more than doubled in the same period. These numbers mean more young people are getting the right information and services to protect their health and future.

However, challenges remain:

• Provincial ABR is still higher than the national target of 30 at 33.7 per 1,000 in 2024, and the overall trend for Samar shows an increase from 27.33 (2022) to 28.28 (2023) to 33.7 (2024).
• Young adolescents (10 to 14 years old) experienced a 28% rise in births from 2022–2024.
• Education completion rates are declining: Elementary school completion dropped from 99.55% (2022) to 87.6% (2024), and high school completion went from 100% to 51.35% over the same period.
• Poverty remains high at 24.9% in 2023, affecting adolescent risk.

During the Colloquium, participants shared what worked best in Samar:

• Functional local committees that regularly meet to address adolescent health issues.
• Local policies backed by real budgets to support teen pregnancy prevention.
• Adolescent-friendly health facilities and services in communities.
• Active involvement of youth leaders in peer education and information campaigns.
• Supportive mayors who invest in programs that keep young people in school.

To sustain these gains, ZFF and partners will continue coaching local governments until 2026. New initiatives include the Masayang Pamilya Parent-Teen Program in Calbayog and Catbalogan, and helping five LGUs integrate adolescent health and development into their long-term plans.

Zuellig Family Foundation (ZFF) President and Executive Director Austere Panadero challenged Samar to look ahead: “Over the last two years, you have shown remarkable support and commitment, but the question now is whether these efforts are enough to fully address adolescent pregnancy. Sapat na ba? This is an important moment to reflect on our gains and consider how we can move forward faster and more effectively.”

From July 28 to 30, 2025, Planning, Budget, Health, and Nutrition Officers from Lamitan City, and from the second batch of the Municipal Nutrition Governance Program (MNGP) representing five Basilan municipalities of Al-Barka, Hadji Muhtamad, Hadji Mohammad Ajul, Tabuan Lasa, and Ungkaya Pukan gathered in Zamboanga City for a three-day Local Nutrition Action Planning Workshop.

The workshop focused on one goal: helping each municipality invest in its people’s health, especially children. The theme, Investing for my Municipality’s Future, guided participants in shaping practical and evidence-based Local Nutrition Action Plans (LNAPs).

With support from the Zuellig Family Foundation, the sessions covered nutrition data analysis, problem tree exercises, target-setting, activity planning, and funding strategies. By the end of the workshop, LGUs were on track to finalize strong, multisectoral plans that tackle malnutrition and promote child development.

Related article:

• Better Beginnings in Basilan: Investing in the First 1,000 Days

This aims to support the Basilan HELPS program, the flagship initiative of Governor Mujiv Hataman. HELPS stands for Health, Education and Environmental Protection, Livelihood and Economic Development, Public Safety and Security, and Social Cohesion—key pillars of inclusive development in the province.

Throughout the workshop, Nadzwa Sabandal, Provincial Nutrition Action Officer, and Minsara Muarip, OIC-Provincial Planning and Development Officer, provided guidance grounded in local experience. Their involvement helped ensure that the plans were realistic, responsive, and aligned with provincial goals.

The workshop sent a strong message: nutrition is not just a health agenda, but a key part of local development. It is a shared responsibility across all levels of government.

Author: Rio Fe Del Valle, ZFF Nutrition Monitoring, Evaluation and Learning Expert

Aklan proudly marked the end of a transformative journey. Alongside Davao de Oro, Dinagat Islands, and Kalinga, the province graduated from the Zuellig Family Foundation’s (ZFF) Roberto R. Romulo (RRR) Fellowship for Public Health Leadership and Governance in March 2025.

The RRR Fellowship, named after ZFF’s founding chair and in partnership with the University of the Philippines (UP) College of Public Health and the UP National College of Public Administration and Governance, aimed to equip governors and local health leaders with skills to solve real-life health problems.

For Aklan Governor Jose Enrique Miraflores, this was a year of action, collaboration, and meaningful progress for the province. The Fellowship builds on the province’s involvement in ZFF’s other health leadership programs, which helped strengthen the local health system and prepared Aklan’s leaders for deeper, systems-oriented reform.

 

From the start, Governor Miraflores made it clear: implementing Universal Health Care (UHC) was his top priority. As one of the pilot areas for the Healthcare Provider Network (HCPN), Aklan was determined to improve health services for every Aklanon. All 18 primary care facilities in the province are now fully licensed by the Department of Health (DOH)—a first in Western Visayas.

This success came from strong local unity. “All the mayors of the 17 municipalities, kahit ‘kalaban’ pa namin na mayors, they grasped what we need to do,” he remarked. “It’s not only my job to implement UHC. Dapat sama-sama kaming lahat.”

Governor Miraflores also shared the province’s top health challenges. These included:

• Delays in PhilHealth contracting: Even with all the preparation and local budget support, national delays in PhilHealth’s processes held back fund releases and service contracting.

• Slow first patient encounter (FPE) rates: Although 400,000 Aklanons are registered with PhilHealth, only 12% have completed their first patient encounter—still far from the target of 50%.

• Digital health systems: While many primary care facilities now use electronic medical records (EMRs), Aklan’s hospitals still lack full digital systems.

• Lack of health workers: Aklan needs more doctors, nurses, and midwives. The province is now drafting a plan to address this.
• Rising mental health cases: Aklan has the highest suicide rate in Western Visayas. Mental health became Governor Miraflores’ focus during his Deep Dive, a guided community immersion, under the Fellowship.

Despite the challenges, Aklan has achieved impressive results:

• Successfully negotiated with PhilHealth to become an HCPN demonstration site.
• All LGUs contribute 1% of their development fund to the Special Health Fund.
• Six district health managers hired to lead health services in identified clusters.
• Strong partnership with the Sangguniang Panlalawigan, which passed the Aklan HCPN ordinance.
• Digital health partnerships that led to an increase in PhilHealth reimbursements—from Php 104,000 in 2022 to Php 66 million in 2024.
• For mental health, Aklan passed a provincial ordinance and encouraged municipalities to adopt it. In one inspiring case, a troubled child received help and is now serving as a barangay health worker.

Governor Miraflores emphasized the value of data in decision-making: “Kailangan talaga data-driven. Before we decide on things, we need to see the data first so we can learn what we need to do.”

He also credited his training under ZFF’s Bridging Leadership approach, which focuses on personal ownership, co-ownership with stakeholders, and co-creation of solutions. “Hindi ako doktor, but I have to understand what’s happening in our health issues. I shared this mindset with our mayors. That’s why it wasn’t hard to convince them to collaborate.”

As he closed his RRR Fellowship journey, Governor Miraflores reflected on the long-term impact of their work: “Since I became a leader, this is what I always say: ‘What we do in life echoes in eternity.’ This is not only about legacy. It’s about what we do now that will benefit future generations.”

Padre Burgos, Southern Leyte — Local leaders from the pilot barangays of Cantutang, Santa Sofia, and Poblacion presented their efforts to address adolescent pregnancy during the rollout of Module 2 of the Barangay Expanded Youth Leadership and Governance Program (BEYLGP) held on May 20–21, 2025. The two-day training involved workshops and peer-sharing sessions for 30 barangay and youth leaders to strengthen their roles as advocates for adolescent health.

Medeline Razon, a Barangay Health Worker from Santa Sofia, shared her community’s initiatives to raise reproductive health awareness during a gallery walk that featured outputs from the three barangays. Leaders highlighted both achievements and ongoing challenges in their local campaigns.

Since the program’s launch in 2023, Cantutang recorded a rise in adolescent pregnancy cases from one in 2023 to four in 2024, including a 12-year-old. Santa Sofia also saw an increase, while Poblacion reported its first case in two years. In 2025, however, all three barangays reported no new cases in recent months, which leaders view as a sign of progress.

Cantutang is the only barangay where adolescents have accessed contraceptives from the Barangay Health Station, though the number remains low. Leaders consider this a positive development and a step toward improving access to reproductive health services.

Mayor Hermenegildo C. Culpa, in his message of support, stressed the importance of preventing early pregnancies to secure a bright future for young people. He called for stricter curfew enforcement, a joint intervention with adolescents’ parents. He encouraged more inclusive consultations with parents, schools, out-of-school youth and community members. He also highlighted the need for comprehensive reproductive health education.

Santa Sofia’s Sangguniang Kabataan Chairperson Razel Rose Iballa presented their redesigned Behavior-Centered Design (BCD) plan, “Session for Kumustahan: Sama-sama ang mga Kabataan”, which uses peer education to connect with at-risk youth and discourage early sexual activity.

The BEYLGP is implemented by the Zuellig Family Foundation (ZFF) under the Joint Program on Accelerating the Reduction of Adolescent Pregnancy (JPARAP), in partnership with the Provincial Government of Southern Leyte and the Municipal Government of Padre Burgos, with support from the United Nations Population Fund (UNFPA) and the Korea International Cooperation Agency (KOICA).

Stakeholders emphasized the importance of sustained community involvement and local leadership in creating long-term solutions to adolescent reproductive health issues. The Municipal Guiding Coalition reaffirmed its support for barangay-led initiatives to sustain and scale the progress made.

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