Advancing Universal Health Coverage in the Philippines

This presentation summarizes early lessons from financial integration in Batangas and Quezon, Philippines, focusing on advancing Universal Health Coverage (UHC) through the establishment of a Special Health Fund (SHF). It highlights the experiences of local government units, national agencies, and partner organizations in operationalizing the SHF, including key processes, enabling factors, challenges, and practical recommendations for sustainable and coordinated health financing. By sharing these insights, the presentation aims to inform strategies that support equitable access to quality health care across provinces.

The Zuellig Family Foundation (ZFF) shared these early lessons at the 18th Association of Pacific Rim Universities (APRU) Global Health Conference, held at Universiti Malaya, Kuala Lumpur, Malaysia, on October 28–31, 2025, contributing to regional dialogue on strengthening health systems and advancing UHC.

Presentation_APRU-LHS

The Zuellig Family Foundation (ZFF), together with the Department of Health-Cordillera Administrative Region (DOH-CAR) and the City Government of Baguio, hosted a two-day City Health System Strengthening Program (CHSSP) workshop on November 20–21, 2025 at Mines View Park Hotel, Baguio City. The activity, part of the Bayang Malusog Leadership and Governance Program, brought the Baguio Local Health Board and health leaders from the City Camp and Irisan District Health Centers into one space to reflect on the city’s health challenges and opportunities.

Baguio’s Health Situation: Key Points

The workshop began with a grounding on Baguio’s 2024 health situation—a clear picture of both progress and continuing gaps. The leading causes of illness (acute respiratory infections, dental cavities, and hypertension) and the main causes of death (vascular diseases, cancer, and heart disease) showed the city’s dual burden of infectious and lifestyle-related conditions.

Dr. Celia Flor Brillantes, City Health Officer, added other important concerns. Maternal deaths remain high; antenatal care and full immunization percentages are still below national targets; and procurement delays have limited the availability of medicines for people with hypertension and diabetes. Partnerships—such as Abbott’s support for viral load testing—continue to enhance HIV services, but mental health cases increased sharply from 241 in 2023 to 525 in 2024, pointing to urgent psychosocial needs.

The city also faces staffing gaps, with 11 more health workers needed across facilities. Accreditation efforts under the Yaman at Kalusugan Para sa Pamilyang Pilipino (YAKAP) Program continue, supported by better population registration. The Mines View Health Center is preparing for accreditation by the end of the year.

Workshop Learning Sessions

Given this context, participants joined sessions on Universal Health Care (UHC), PhilHealth benefits, systems thinking, visioning, and ZFF’s Bridging Leadership Framework. Resource persons from DOH-CAR, PhilHealth, the Baguio Health Services Office (HSO), and ZFF guided the discussions, which helped deepen appreciation for shared leadership and collective action.

Throughout the workshop, health leaders shared reflections that captured the spirit of the program.

“Change does not happen overnight, but we can always start with our own,” said Dr. Vanessa Fagcangan of the Irisan District Health Center.

Dr. Ma. Lourdes Pakoy of the HSO spoke about the need to widen their perspective: “Ang lawak pala ng kailangan naming punan. Even with UHC, the problem of strengthening primary care facilities is still the same today. We really need to step up and unite.”

Meanwhile, Dr. Nelson Hora of the City Camp District Health Center emphasized adaptability in a changing health landscape: “We are in a changing world… you always have to grow your capital. Invest in your expertise. Kung ano ang meron ka, pagyamanin mo para madali mong i-offer.”

The workshop closed with a renewed sense of co-ownership—the third and last phase of ZFF’s Bridging Leadership Framework—between the Baguio Health Services Office and the Local Health Board. Both teams committed to addressing health inequities through coordinated leadership and stronger engagement with communities and partners.

ZFF and its partners continue to nurture health leaders who demonstrate technical skill, grounded leadership, and a shared commitment to strengthen Baguio’s health system—one collaborative step at a time.

Author: Joan Kidatan, ZFF Bayang Malusog Leadership and Governance Program Associate

The province of Benguet renewed its commitment to building an integrated and people-centered local health system during the 2nd Universal Health Care (UHC) Conference held on October 14, 2025, at the Benguet Sports Complex in La Trinidad.

With the theme “All Feathers, One Fly: Integrating Systems for a Healthier Benguet,” the three-day event brought together health leaders and partners to strengthen collaboration and uphold the province’s shared vision of “health for all.”

The Provincial Health Office (PHO) led the activity, with participants from the Department of Health-Cordillera Administrative Region (DOH-CAR), Provincial DOH Office (PDOHO) Benguet, PhilHealth, Department of the Interior and Local Government (DILG), Philippine Information Agency (PIA) Benguet, and the Provincial Local Government Unit (PLGU) of Benguet. The Zuellig Family Foundation (ZFF) joined as a development partner supporting Benguet’s ongoing leadership journey in implementing Universal Health Care.

Related articles:

• Moving Forward with Health Reforms in Benguet
• Making Health a Shared Mission in Benguet

Reaffirming Commitment and Shared Responsibility

The conference served as a space for Benguet’s municipal mayors to reaffirm their commitment to UHC integration and to strengthen their collective resolve to deliver accessible, equitable, and sustainable health services to their communities.

In her opening remarks, Provincial Health Officer II Dr. Meliarazon Dulay emphasized that the strength of the Health Care Provider Network (HCPN) lies in teamwork, “one cannot function alone.” She reminded everyone that UHC is not just a policy but a promise to ensure that no one is left behind, urging all partners to sustain their shared purpose and collaboration.

Leadership and Partnership for Sustainable Health Systems

Governor Melchor Diclas, a graduate of ZFF’s Provincial Leadership and Governance Program (PLGP), highlighted the continuing partnerships that strengthen Benguet’s UHC initiatives. He shared the province’s ongoing efforts to enhance health facilities and reiterated the importance of cooperation among municipalities and partners while awaiting the release of the Special Health Fund (SHF).

Governor Diclas said that Benguet’s health progress continues because of strong collaboration and shared ownership among leaders—proof that collective action drives a healthier province.

“Uray Bassit Basta Agtultuloy” (Continuing the Journey Together)

In her keynote address, DOH-CAR Regional Director Dr. Amelita Pangilinan, a graduate of ZFF’s Regional Leadership and Governance Program (RLGP), praised Benguet’s leaders for “choosing collaboration over isolation.” She noted that nine of the province’s 13 mayors are newly elected and have pledged their full support to continue the integration efforts started by their predecessors.

“Uray bassit basta agtultuloy. No matter how small the steps, what’s important is that we continue,” Dr. Pangilinan encouraged.

She shared three key messages inspired by ZFF’s Bridging Leadership approach:

• Health integration works best when it is people-centered. Systems must serve communities, not the other way around.
• Partnerships are our greatest resource. When stakeholders move in harmony, the impact multiplies.
• Sustainability begins with shared ownership. Real change happens when leaders co-own and co-integrate their health goals.

Dr. Pangilinan reminded everyone that UHC is not a distant goal but a shared journey, built one step, one partnership, and one act of service at a time.

Showcasing Local Good Practices

Rural Health Units (RHUs) from Atok, Bokod, Buguias, Mankayan, and Tuba also shared local good practices and innovations that contribute to Benguet’s Province-Wide Health System (PWHS). These stories show how each municipality contributes to a stronger, more responsive health system for Benguet.

Bridging Leadership in Benguet’s Health Journey

For Benguet, the 2nd UHC Conference was more than just an event, but a renewal of trust, partnership, and shared ownership among provincial and municipal leaders. It reflected how Benguet continues to apply the Bridging Leadership framework, a core principle of ZFF’s leadership programs that helps leaders recognize interconnectedness, build trust, and co-own health outcomes.

Both CAR and the Benguet Provincial Health Team, including Governor Diclas and Dr. Dulay, are graduates of ZFF’s leadership and governance programs. As UHC champions, they continue to show that sustainable health systems are built not by individual institutions, but by leaders and communities moving forward together.

Benguet’s UHC journey stands as a testament to the power of partnerships, perseverance, and shared responsibility, proving that meaningful change begins when everyone works hand in hand.

“Uray bassit basta agtultuloy.” Small steps, strong partnerships, and a shared vision for a healthier Benguet and a healthier Cordillera.

Author: Ayeza De Mesa, ZFF Bayang Malusog Leadership and Governance Program Associate

Tacloban City — Local government leaders from Samar and Southern Leyte gathered for a two-day workshop last September 16–17, 2025, that focused on a shared goal: making the most of PhilHealth resources to support adolescent health.

The Zuellig Family Foundation (ZFF) organized the activity under its Expanded Youth Leadership and Governance Program (EYLGP). The workshop formed part of the Joint Programme on Accelerating the Reduction of Adolescent Pregnancy (JPARAP) supported by the United Nations Population Fund (UNFPA), and funded by the Korea International Cooperation Agency (KOICA).

Dr. Ofelia Alcantara, a public health advocate and former mayor of Tolosa, Leyte, facilitated the sessions. Over 20 participants from nine municipalities joined:

• Southern Leyte: Sogod, Libagon, Bontoc, Liloan, Malitbog
• Samar: Marabut, Basey, Sta. Rita, Villareal

A Shared Vision for Young People’s Health

The gathering highlighted the commitment of local government units (LGUs) to reduce adolescent pregnancy and promote youth leadership in health governance. The discussions built on the Universal Health Care (UHC) Act of 2019, which guarantees access to quality and affordable health services.

Dr. Alcantara encouraged LGUs to view PhilHealth funds as a lifeline. “PhilHealth reimbursements are not just numbers, they’re lifelines for our communities. We need to ensure that every peso translates into better care, especially for our youth,” she said.

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

Strengthening Local Capacity

The UNFPA-ZFFproject  in  partnership with the Department of Health (DOH), Philhealth, and provincial governments of Samar and So. Leyte has already helped several LGUs secure Maternity Care Package (MCP) and accreditation, and ensure Primary Care Facilities (PCFs) are licensed. Despite these gains, LGUs still face challenges in managing funds, navigating PhilHealth’s online portal, and aligning reimbursements with their local health priorities.

To address these issues, the workshop introduced a four-part strategy:

1. Assess current practices and barriers in PhilHealth income use;
2. Develop a local fund management framework linked to UHC and adolescent health;
3. Deliver tailored mentoring and technical tools for LGUs; and
4. Produce a monograph to guide expansion and institutionalization.

The workshop opened a series of capacity-building activities for Samar and Southern Leyte. Municipal Health Officers, PhilHealth focal persons, and Provincial Development Management Officers actively joined the discussions. Partners from UNFPA and KOICA also expressed support.

LGUs in Samar and Southern Leyte now move forward with a stronger plan to maximize PhilHealth financing. Together with ZFF and its partners, they aim to turn adolescent reproductive health from a policy promise into a lived reality for young people in their communities.

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

Baguio City is moving closer to making Universal Health Care (UHC) a reality. 

Dr. Catherine Chung, Local Health Systems Director at Zuellig Family Foundation (ZFF), noted that the city has nearly completed the accreditation of all its district health centers under PhilHealth’s Yaman ng Kalusugan Program (YAKAP). Only two centers remain, while the city is also improving its electronic medical records and preparing to operationalize contracts with three private hospitals. These steps, she said, put Baguio in a strong position to shift toward a mixed health provider network that uses both public and private facilities.

These insights came during the Executive Session for Mayor Benjamin “Benjie” Magalong on August 12, 2025, organized by ZFF through its Bayang Malusog Leadership and Governance Program. 

City Health Officer Dr. Celia Flor Brillantes laid out Baguio’s roadmap to UHC. PhilHealth President and CEO Dr. Edwin Mercado shared updates on YAKAP and advised the city to prepare solid contracting rules, clear fund-sharing arrangements, and even explore public-private partnership models. Austere Panadero, ZFF President and Executive Director, reminded the group of the urgency of their shared task, stressing: “We need to reach more, serve more. We need to prepare the system.” The Department of Health (DOH)-CAR also committed its full support.

Dr. Chung underscored that while Baguio is ahead, the transition will not be easy. Building a mixed-provider network demands strong governance, especially in handling contracts and finances. There is a need for local accountability systems to ensure that health funds are used properly and transparently. At the same time, she affirmed that Baguio has the right building blocks—committed leadership, technical support from PhilHealth and DOH, and active collaboration with partners.

With these efforts, Baguio City is showing that local governments can lead the way in building a health system that truly works for every resident.

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.

“We commit again that we will continue prioritizing health. Tuloy-tuloy tayo dito.” – Hon. Melchor Diclas, Benguet Governor

In local governments, health often competes with other urgent needs. For health officers, one big question remains: How can we make sure that political leaders keep prioritizing health—now and in the future? For the Provincial Health Office (PHO) of Benguet, the answer lies in co-creation of solutions and pathways.

A Shared Journey for Health

Benguet, led by Governor Melchor Diclas and Dr. Meliarazon Dulay, is part of the Bayang Malusog Leadership and Governance Program (BMLGP). The program is supported by the Zuellig Family Foundation (ZFF) and the Department of Health-Cordillera Administrative Region (DOH-CAR).

Now in its second cycle, the PHO has gone beyond workshops. They have built a strong shared vision, aligned their values, and created a clear plan for the next three years. They call it the Healthier Benguet Roadmap.

In one key session, ZFF facilitated a reflective activity based on ikigai—a Japanese concept about purpose. It helped the Benguet health team reconnect with why they chose public health in the first place. “What I love about being in public health service is knowing people, their story, and being able to help them,” said one participant.

Governor Diclas: Leading with Purpose

On July 21, 2025, the Benguet health team presented the roadmap to Governor Diclas. He responded with clear and strong support. 

He stressed the need for alignment with Benguet’s mayors. “Kung iba-iba ang priorities natin, hindi tayo makakapagtulong-tulungan,” he said, “Let us convince everyone to prioritize health.” He also suggested enrolling all newly elected mayors, and those who missed the first round, in the Bayong Malusog Municipal Leadership and Development Program.

Now on his third term, Governor Diclas’ commitment turns the roadmap into a legacy plan, one that could shape health governance in Benguet for years to come.

Related articles:

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

The Healthier Benguet Roadmap

The roadmap is both bold and practical. More than just a static plan, the roadmap is a shared promise to make health services better for every resident of Benguet. Among its pillars are:

• Institutionalizing the Healthier Benguet Caravan and SHAYAW (Stellar Health Achievement Yearly Awards), bringing services directly to communities,
• Establishing an integrated Health Care Provider Network (HCPN),
• Strengthening data-driven decision-making at all levels,
• Ensuring sustainable health financing, and
• Expanding community participation and Human Resources for Health (HRH) capacity-building.

Support that Makes a Difference

DOH-CAR continues to give technical support and push for clearer alignment with the national office. PhilHealth helps by sharing data that supports equity and better program decisions. 

ZFF, aside from its leadership training, also provides mentoring, coaching, technical sessions, and grants. It is now working on building an executive dashboard to help local leaders make smarter, data-informed choices.

A Call to Co-Create

Benguet is moving forward, and they are inviting everyone to join. Health cannot be improved by the government alone. It takes a whole-of-society effort: national agencies, local leaders, civil society, private organizations, and citizens, all working together.

The roadmap is ready. The leaders are committed. And the people are hopeful.

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

Health leaders and partners from Benguet gathered in Baguio City for a Program Implementation Planning Workshop under the Zuellig Family Foundation (ZFF)’s Bayang Malusog Leadership and Governance Program (BMLGP) last May 28-29, 2025. The workshop brought together stakeholders to assess Benguet’s current health landscape, agree on strategic interventions, and build a shared commitment to health leadership and accountability.

One of the major outcomes of the workshop was the identification of two critical focus areas: health data management and health financing. Participants noted the importance of improving how health data is collected, analyzed, and used. A stronger health information system would allow for more accurate monitoring of health indicators, better resource distribution, and faster responses to health concerns. Alongside this, the group highlighted the need for sustainable and equitable health financing. This involves making the most of existing budgets, exploring innovative ways to fund health programs, and enhancing the financial management skills of local health offices.

Twenty health leaders and staff from various agencies and local government units attended the two-day workshop. From the Benguet Provincial Health Office, Provincial Health Officer II Dr. Meliarazon Dulay, Provincial Health Officer I Dr. Jocelyn Legaspi, and Senior Health Program Officer Rubelyn Tomas joined the discussions. Benguet General Hospital was represented by Chief of Hospital Dr. Maria Imelda Ulep.

From the Department of Health (DOH), Dr. Mercedes Calpito, Melanie June Pucay and Sunshine Pisando attended. Sarah Jane Binaked represented the DOH Center for Health Development-Cordillera Administrative Region (CHD-CAR).

Representatives from the two pilot municipalities also played an active role in the workshop. From Kibungan, attendees included Dr. Hydre Nga-ew (Municipal Health Officer), Ivy Pasigon, and Letty Calawa. From Kapangan, Dr. Mary Joy Fermin (Municipal Health Officer), Charmaine Patil-ao, and Olivia Pantalone joined the group. Dr. Fabiola Gabriel, President of the Benguet Association of Municipal Health Officers of the Philippines (AMHOP), and Noland Sabling, Acting Chief Social Insurance Officer of PhilHealth Benguet, also took part.

With the implementation plan now in development, BMLGP is set to support stronger leadership, more effective governance, and improved primary care services in Benguet. The program will start with a focused approach in Kibungan and Kapangan supporting their health leadership and governance needs, with the goal of eventually expanding benefits to families across the entire province.