Strengthening Family Planning by Raising Community Awareness in Biñan City

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.

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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.

Turning Vision into Action: Naga City’s Bold Steps Toward Zero Teen Pregnancies

Naga City, the ‘Heart of Bicol’, is known for its rich history, deep religious heritage, and a strong sense of community. With a population of 209,170 as of the 2020 Census of Population and Health, it stands as the second most populous city in the Bicol Region. However, like many growing cities in the Philippines, it grapples with significant social challenges, including the rising concern of adolescent pregnancy, which continues to impact the youth and local development efforts.

Based on city reports, Naga’s adolescent birth rate (ABR) surged dramatically in recent years, climbing from 21 per 1,000 live births in 2020 to 106 in 2021, and even higher in 2022 at 110. This prompted local officials to rethink how they addressed adolescent reproductive health. Mayor Nelson Legacion recognized the urgency of the situation, particularly as young people struggled with limited access to reproductive health services and faced social stigma. The COVID-19 pandemic only made things worse by disrupting outreach programs and services.

 

A Strategic Partnership to Drive Change

In 2021, Naga City partnered with The Challenge Initiative (TCI)-Philippines, co-managed by the Zuellig Family Foundation (ZFF) and the Bill and Melinda Gates Institute for Population and Reproductive Health. This partnership led to the creation of a City Leadership Team (CLT), which helped harmonize and scale up family planning (FP) and adolescent and youth sexual and reproductive health (AYSRH) efforts.

“We’ve had adolescent-focused initiatives in the past, but they were not well-coordinated or harmonized,” said Joy Macaraig, Assistant Department Head of the City Population and Nutrition Office (CPNO). With 26 years in public service, she explained how the integration of FP and AYSRH under the CPNO helped streamline both outreach and service delivery. The CLT further empowered various departments to incorporate adolescent health into their work.

The results were striking: by 2023, Naga’s ABR had dropped to 71, and by 2024, it had plummeted to 20—well below the national target of 37 .

From Pilot to Full Coverage: Empowering Barangays

Originally launched in three barangays, TCI’s model was soon expanded to six through the mayor’s initiative, and later to all 27 barangays in the city. The backbone of this local effort was the Barangay Service Point Officers (BSPOs), who not only tracked adolescent mothers but also ensured these young families received critical health and nutrition services.

Healthcare workers were also equipped through TCI University, an online platform offering practical tools and real-world examples. Janet Beloro, a midwife at the City Health Office, noted the improvement in her service delivery. “When clients return and tell me they will practice family planning, that’s when I realize I’ve made a difference—that I’ve been an effective provider. I see their health literacy improving, and for young people especially, I notice their growing awareness.”

Institutionalizing the Vision: Naga’s AYSRH Ordinance

In 2023, Naga passed City Ordinance No. 2023-025, also known as the AYSRH Ordinance. Authored by Councilor Gayle Abonal-Gomez, a member of the CLT, the ordinance institutionalized adolescent health initiatives and created a dedicated local budget to fund them.

One key result was the establishment of an Integrated Service Delivery Network (ISDN), which strengthened referral pathways among barangay health stations, hospitals, schools, and NGOs. This made it easier for adolescents to access the care they need, when and where they need it.

Creating Safe Spaces for Teens

Another major achievement of the ordinance was the rollout of teen hubs in schools and barangays. These safe spaces provide young people—including out-of-school youth—with information, counseling, and support.

At Concepcion Pequena National High School, teacher Dessa Bermejo helps manage their school’s Teen Hub. “With teenage pregnancy remaining a pressing concern, young people need a safe space where they can confide in someone they trust—someone who will listen without judgment and provide the guidance and support they need,” she shared.

Teen hubs have already been set up in Barangays Balatas and Calauag, and the goal is to bring these hubs to every school in the city.

Empowering Youth Through Communication

To support a more holistic approach to adolescent well-being, the Commission on Population and Development Region V launched the ‘Hearts and Minds’ campaign, under Director Joyce Dela Paz-Hilvano. This pre-orientation program focuses on emotional well-being and self-awareness, laying the foundation for more informed decision-making in adolescence.

The result? Naga’s modern contraceptive prevalence rate (mCPR) has remained above national targets, signaling sustained progress in FP and AYSRH initiatives.

Funding the Future

Since joining TCI, Naga has grown its investment in AYSRH from Php 2.2 million in 2023 to Php 5.1 million in 2024. This increase supports teen hubs, healthcare worker training, and the continuous delivery of reproductive health services.

Importantly, the city’s general fund and annual investment plan now include AYSRH—securing financial sustainability beyond political cycles.

Naga City’s experience shows that tackling adolescent pregnancy demands leadership, coordination, and sustained investment. Its journey offers a clear message to other local governments: meaningful change is possible when adolescents are placed at the center of public health and development efforts.

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