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

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.

Iloilo City, lovingly called the ‘City of Love’, has long been known for its cultural richness and educational institutions. But in recent years, it has also emerged as a national model for adolescent health reform. Faced with rising rates of teen pregnancy and weakened service delivery, the city responded with bold leadership, strong partnerships, and deep youth engagement—changing the story for its young population.

A Crisis in Continuity

In 2019, Iloilo City’s Adolescent Health and Development Program (AHDP) was in crisis. A leadership change at the City Health Office and the retirement of key personnel created disruptions in program continuity. At the time, the city had only one Level 2 Adolescent-Friendly Health Facility (AFHF) based in the Arevalo District. Despite support from the Integrated Service Delivery Network (ISDN) and local ordinances, the program remained fragile.

Even before the pandemic, adolescent health was already at risk. The city recorded an adolescent birth rate (ABR) of 36 per 1,000 girls aged 15–19 in 2019. One particularly alarming case involved a 10-year-old girl, the youngest known to give birth in the city—a clear sign of service gaps and unmet needs. By 2022, adolescents made up more than 18% of the city’s total population, amplifying the urgency.

Then COVID-19 struck, stalling what little progress had been made.

 

A Turning Point: Local Action Meets Global Support

Change began in earnest in 2022, when Iloilo City joined The Challenge Initiative (TCI)—a global program that supports local governments in implementing high-impact, sustainable family planning (FP) and adolescent and youth sexual and reproductive health (AYSRH) interventions. Co-managed by the Zuellig Family Foundation and Bill and Melinda Gates Institute for Population and Reproductive Health, TCI helped the city reframe adolescent health as a shared, multisectoral responsibility.

A City Leadership Team (CLT) was formed, expanding the existing Technical Working Group into a powerhouse of cooperation. Members included city government units, the Department of Education (DepEd), the Technical Education and Skills Development Authority (TESDA), local colleges, the Iloilo City Police, the Sangguniang Kabataan (SK) Federation, and community organizations. Using TCI’s assessment tool as a strategic guide, the CLT pinpointed gaps and co-created solutions rooted in local realities.

“Through the Health Leadership and Management Program, our people evolved from support staff into leaders,” said Florence Joy Rubido, AHDP Nurse Coordinator. “We have achieved substantial progress. All district health centers in Iloilo City now have at least one Adolescent-Friendly Health Facility, and all adolescent focal persons from our nine district health centers have been capacitated through the AHDP foundational course in October 2023.”

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Youth Voices at the Center

Iloilo’s new approach centered on empowering adolescents to lead. Programs like KaTEenAran, a teen center at Nabitasan Integrated School, gave marginalized youth a safe, structured space. The NewscasTEENg competition and the AHD Film Advocacy Contest with UP Visayas allowed youth to use media and storytelling as advocacy tools.

The Teen AD Facebook page grew into a vibrant online community, connecting over 2,900 members to health information and services. Meanwhile, the Peer Helpers Training program built a cadre of trained young advocates offering peer-to-peer support.

“Young people were not just reached, they were engaged on their terms, in ways that truly resonate,” said Richard Magullado, Information Officer of Commission on Population and Development (CPD)Region VII. “From film contests and newscasting to vibrant digital platforms, youth voices drove the movement.”

Reaching Every Barangay

The city also strengthened its demand generation workforce. All 224 Barangay Service Point Officers (BSPOs) were re-trained to deliver up-to-date FP information. The city’s grassroots commitment was evident in events like the Adolescent Summits in June and November 2024.

Held in Brgy. Sooc, Mandurriao and Arevalo respectively, these summits reached over 330 adolescents with sessions on teen pregnancy, human immunodeficiency virus (HIV), child labor, and family planning profiling. Parents were also engaged through Parent-Teen Talks and Usapan Sessions, breaking down taboos and building trust.

During Youth Day at Ramon Avanceña National High School, 92 adolescents joined interactive workshops on mental health, HIV, and Violence Against Women and Children (VAWC), reinforcing their agency and access to support.

Policy Backing and Budget Growth

Iloilo’s local policies strengthened these efforts. Ordinance No. 2017-048 institutionalized the ISDN, while Executive Order No. 141 (2021) underscored adolescent pregnancy as a national priority. These enabled a coordinated response, backed by real investment: the city increased its adolescent health budget by 620% from 2024 to 2025.

The results speak volumes. Between 2019 and 2024, ABR dropped from 36 to 24 births per 1,000 girls aged 15–19. Meanwhile, modern contraceptive prevalence rates (mCPR) have consistently exceeded the national benchmark of 30% at 41% in 2024.

A Movement Built to Last

“Iloilo City shows that when local leadership is bold, young people are engaged as partners, and systems are built to last, transformation becomes not just possible but inevitable,” said Magullado.

The city’s journey is far from over—but the foundation is strong. With sustained leadership, empowered communities, and energized youth, Iloilo is not only protecting its adolescents—it is equipping them to thrive.

And in true Iloilo fashion, it is doing so with heart.

Biñan City is proving that local government leadership, when paired with youth empowerment and data-driven strategies, can lead to measurable improvements in reproductive health. Once among the top 20 cities in the Calabarzon region for teenage pregnancies, Biñan has since emerged as a frontrunner in youth-focused family planning (FP) outreach, increasing its modern contraceptive prevalence rate (mCPR) from 71.3% in 2021 to 83.12% in 2024.

This progress did not happen overnight. Between 2016 and 2020, the Commission on Population and Development (CPD)-Calabarzon recorded 4,896 cases of teenage pregnancy in Biñan. In 2021 alone, there were 945 cases, with an Adolescent Birth Rate (ABR) of 47 per 1,000 girls aged 15 to 19—well above the national target of 30. These figures alarmed local leaders, prompting a full-scale response that combined service delivery improvements with strong demand generation.

 

Strategic Shift through Partnership

This urgent situation prompted Mayor Atty. Walfredo “Arman” Dimaguila Jr. and the local government to pursue a bolder, more integrated approach to reproductive health. A staunch advocate of youth development and a consistent champion for health equity, Mayor Dimaguila led the city in forming a partnership with the Zuellig Family Foundation (ZFF) under The Challenge Initiative (TCI)-Philippines in 2021. Through a formal Memorandum of Understanding, Biñan established a City Leadership Team (CLT) composed of representatives from the City Population Office, Department of Health (DOH), CPD, and ZFF. The CLT broke down previously fragmented programming and created a coordinated structure for adolescent health planning and implementation.

A key part of Biñan’s approach was the deliberate combination of supply-side improvements with demand generation strategies. The city knew that simply offering services was not enough—people needed to understand and trust them. To create demand, Biñan mobilized community actors, trained peer educators, and conducted sustained information campaigns. This was particularly important for youth, whose needs are often overlooked or misunderstood in reproductive health programming.

Engaging the Youth as Partners

Recognizing young people as equal partners rather than passive recipients, Biñan prioritized their active involvement. Through partnerships with the Department of Education, school leaders, and parents, the city supported peer education, values formation, and comprehensive sexuality education. Atty. Nora Pangan, Acting Department Head of the City Population Office, shared that the team began with school administrators to earn their trust, gradually involving parents and students in the process. 

Despite the onset of the COVID-19 pandemic, the city quickly pivoted to virtual platforms, ensuring continuity through online activities such as teenage pregnancy symposiums and adolescent health film dissemination. Once in-person activities resumed, Biñan organized blended, community-based events including the Pinsenya and Bunti’s Party, which used interactive learning to deliver maternal and reproductive health messages.

Teen centers became a cornerstone of the city’s youth strategy. School-based and community-based centers were designed to be safe, non-judgmental spaces for young people to access services, information, and mental health support. Formalized through Memoranda of Agreement with CPD-Calabarzon and educational institutions, three school-based teen centers were established across public and private schools. These centers also served as referral hubs under the Information Service Delivery Network (ISDN), linking adolescents to health providers and social support systems. Mental health, in particular, emerged as a recurring concern. Population Program Officer Hilario Pantua Jr. noted that the centers helped change how youth viewed mental health services, moving away from punitive associations with guidance offices and toward a model grounded in care and trust.

To expand reach and reinforce behavior change, Biñan trained peer facilitators and implemented youth-led sessions such as Breaking the Barrier Sessions (BTBS), Bunteens, Teenzania, U4U Teen Trail, and Parent-Teen Talks. These initiatives supported conversations on responsible parenthood, gender equality, and family planning—meeting adolescents where they were and speaking their language.

Related articles:

• Eight Cities Share Success in Family Planning and Adolescent Health
• Cities Lead the Way in Family Planning and Adolescent Health—Webinar Series to Spotlight Local Innovations

Building Demand, Strengthening Systems

Alongside youth engagement, Biñan strengthened its health service delivery system. Barangay health stations were upgraded and certified as Level 1 adolescent-friendly health facilities, while City Health Office I and II attained Level 2 certification. These facilities were staffed by adolescent health specialists and peer educators, ensuring services were accessible, inclusive, and age-appropriate.

At the core of these improvements was a commitment to data-driven planning. Through the Field Health Service and Information System (FHSIS) and the e-Plano platform, Biñan monitored service quality, contraceptive uptake, and teen pregnancy rates across all barangays. This digital infrastructure allowed for real-time tracking and responsive strategy adjustments, making program management more precise and impactful.

Complementing these efforts was the Serbisyong Arman Caravan, a mobile initiative delivering family planning and health services directly to barangays. The Caravan advanced the city’s rights-based FP messaging, promoting informed choice and correcting misconceptions about contraceptives. Rooted in grassroots engagement, the Caravan was instrumental in building community trust and addressing barriers to FP access.

Results and Sustainability

The results have been significant. City reports revealed that from an ABR of 47 per 1,000 in 2021, Biñan saw a sharp and steady decline: 22 in 2022, 16 in 2023, and 15 in 2024. This drop demonstrates the impact of the city’s combined efforts to build awareness, improve access, and nurture community support. Moreover, the rise in mCPR from 71.3 percent in 2021 to 83.12 percent in 2024 reflects not just improved availability of contraceptives, but also growing public confidence in family planning services.

To support this sustained progress, Biñan significantly increased its local investment in adolescent health. The city’s AYSRH budget rose from 625 thousand pesos in 2023 to 3.3 million pesos in 2024, and then more than doubled to 6.5 million pesos in 2025. These figures reflect the strong political will of Mayor Dimaguila and the City Council to institutionalize AYSRH programs and ensure that adolescent-friendly services are adequately funded across all barangays.

Biñan’s transformation is a testament to what is possible when leadership, data, and community action converge. Through its youth-led, multi-sectoral, and evidence-based approach, Biñan is building a future where every young person can access the services, information, and support they need to thrive—today and in the years to come.

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