DOH Regional Office V

FAMILY PLANNING PROGRAM 2017

DAVE ISIDORE E. PLOPINIO, RM, RN, PHD
Family Health Cluster, Local Health Support Division
DOH Regional Office V
OUTLINE
1. A Briefer: Family Planning Program and the
Regions FP Status
2. Informed Choice and Voluntarism: Effective
Access to Information on Reproductive Choices
and Counseling Services
3. Framework for Collaboration for the National FP
Program (DOH and POPCOM)
4. Administrative Order No. 2017-0005 and other
guidelines
5. #FP2017CPRChallenge
GOAL
To provide universal access to FP
information and services whenever
and wherever these are needed.
OBJECTIVES
1. To help couples and individuals achieve their
desired family size within the context of
responsible parenthood and improve their RH
to attain sustainable development.
2. To ensure quality FP services are available in
DOH-retained hospitals, LGU-managed health
facilities, NGOs, and the private sector.
THE 4 PILLARS (GUIDING PRINCIPLES)
1. Respect for the sanctity of life
2. Respect for human rights
3. The freedom of choice and
voluntary decision
4. Respect for the rights of
clients to determine their
desired family size
AGREE OR DISAGREE
Family planning should be available for
married couples only.
Use of an FP method is advisable only for
women who have given birth.
A woman can use an FP method of her choice
even without the consent of her husband.
A devout catholic should only use a natural
family planning method.
The service provider is the best person to
decide which method a woman should use.
 THE PHILIPPINE
CLINICAL
STANDARDS
MANUAL ON FAMILY
PLANNING
2014 Edition
 50.65%
39.35%

54.58%

Legend:

81.35% 45.29%

2016
43.33%

BICOL
CONTRACEPTIVE
PREVALENCE 54.06%

RATE (CPR)
2016 BICOL CONTRACEPTIVE PREVALENCE RATE (CPR)
Total Eligible Total Current CPR
REGION 5
Population Population Users End 46.76%
Albay
including 1,328,302 163,713 74,144 45.29%
Legazpi City
Camarines
591,956 72,959 36,952 50.65%
Norte
Camarines Sur
including Iriga 1,807,109 222,726 87,647 39.35%
City
Catanduanes 267,140 32,925 17,970 54.58%

Masbate 922,603 113,711 61,474 54.06%

Sorsogon 801,222 98,751 42,785 43.33%

Naga City 202,146 24,914 20,269 81.35%

Source: DOH RO V FHSIS

INFORMED CHOICE AND VOLUNTARISM:
EFFECTIVE ACCESS TO INFORMATION ON
REPRODUCTIVE CHOICES AND
COUNSELING SERVICES
INFORMED CHOICE
Involves effective access to information on
reproductive choices and counselling services to help
clients choose and use appropriate FP methods, as
well as health care facilities and supplies.
Requires full information about the risks and benefits
of the methods available.
Refers to making a decision without coercion, undue
influence, or fraud.
Helps couples choose the FP method deemed most
suitable to them.
VOLUNTARISM
Decision-making on choice of FP method is
based on free choice and not obtained through
any special inducements or forms of coercion.
THE PRINCIPLE OF INFORMED
CHOICE AND VOLUNTARISM
Broad range of modern FP methods should be
made available at the clinic with referral system
for methods not available at the clinic.
Service providers and Barangay Health Workers
(BHWs) should not be subjected to quotas or
targets.
There will be no payment of incentives, bribes,
gratuities or financial rewards to (1) any client for
becoming an FP acceptor, or (2) service providers
for achieving a quota or target.
ANSWER YES IF THERE IS ICV
COMPLIANCE; NO IF THERE IS NO
ICV COMPLIANCE.
An RHU health care provider is required to perform/assist
three PSI insertion and five IUD insertions each month for
a good performance evaluation and PhilHealth
reimbursement.
A PhilHealth-accredited LGU birthing facility provides a
weeks worth of rice to new FP acceptors.
An RHU Lying-in requires clients to immediately subscribe
to use a method of FP in order to avail No Balance Billing.
There are no educational posters on the walls, no
brochures available, and no health talks given.
Telling a 27-year old mother that she cannot
undergo BTL because is she too young.
IMPORTANCE OF ICV
Informed choice and voluntary decisions
leads to:
Better method use
Client compliance
Continued method use
Promote clients satisfaction
Access to a range of contraceptive
use, thus leading to high rate of
contraceptive use
FRAMEWORK FOR COLLABORATION
FOR THE NATIONAL FP PROGRAM
 Administrative Order No. 2017-0005
Guidelines in Achieving Desired Family Size
through Accelerated and Sustained Reduction in
Unmet Need for Modern Family Planning Methods

UNMET NEED DEFINED:

Couples and individuals with unmet need are those
who are fecund and sexually active, and report not
wanting any more children or wanting to delay the next
pregnancy but are not using any modern method of
contraception (natural of artificial methods). This also
includes couples and individuals who expressed their
desire to shift from traditional method to modern FP.
 Administrative Order No. 2017-0005
Guidelines in Achieving Desired Family Size
through Accelerated and Sustained Reduction in
Unmet Need for Modern Family Planning Methods
INDICATORS
IMPACT Wanted Fertility Rate VS. Total Fertility Rate
Contraceptive Prevalence Rate
OUTCOME (Modern Methods)
Unmet Need for Family Planning
Percentage of RHUs with no stock-out of
contraceptives in the last six months
OUTPUT (Pills, IUD, DMPA, Condom)
No. of new Modern FP Acceptors
PRIORITY
Poor families and other marginalized groups
POPULATION
PRIORITY AREAS
#

Cagayan
Abra #

Pangasinan #

Pampanga #

Manila #

Quezon
#

Camarines Sur

Leyte
Negros Occidental #

Cebu

Palawan #

Agusan del Sur

#
#

Bukidnon
#
#

#
North Cotabato
Zamboanga del Sur #

Basilan #

Davao del Sur

#

Sulu Maguindanao
Tawi-Tawi Lanao del Sur
How do we achieve an accelerated and sustained reduction in unmet
need for modern family planning methods?

Locate the Poor Clients Per Barangay, per zona, per purok, per household
(Couples/Individuals) NHTS-PR, PhilHealth Indigent List, 4Ps, LGU Identified, etc.

Identify who among the Family Development Sessions

located Clients have Community-Based Usapan series
Unmet Need

Provide FP Counselling and Immediate provision of FP service with ICV

Services within the principle Referral within the Service Delivery Network
of Informed Choice and FP outreach missions, TSEKAP
Voluntarism Post-partum FP counseling and service

TCL, FP Form 1, M1 for FP

Proper recording and POPCOM Forms (which will be registered online)
reporting Commodity Utilization Reports
Health Sector Performance Monitoring and Evaluation (PHA)
FAMILY PLANNING INDICATORS for
Health Sector Performance Monitoring and Evaluation
(2017-2022)

LGU indicators to reported MONTHLY:

1. Total number of women of reproductive age

(15-49 years old) with unmet need for
modern family planning methods

2. Total number of WRA who are current users

of modern FP method
FAMILY PLANNING INDICATORS
1. Total number of women of reproductive
age (15-49 years old) with unmet need for
modern family planning methods
FORMULA:
Numerator: Total number of women of reproductive age (15-49 years
old) with unmet need for modern family planning methods during a
given period
Denominator: Total number of estimated WRA population (12.325% of
projected population)
Multiplier: 100
Baseline 2022
(National)
2017 2018 2019 2020 2021 National
Target

35% 29% 23% 17% 11% 5% Less

(2013,NDHS) (6%) (6%) (6%) (6%) (6%) than 5%
FAMILY PLANNING INDICATORS
2. Total number of WRA who are current users
of modern FP method
FORMULA:
Numerator: Total number of WRA who are current users of modern FP
method during a given period
Denominator: Total number of estimated WRA population (12.325% of
projected population)
Multiplier: 100

Baseline 2022
(National)
2017 2018 2019 2020 2021 National
Target

41.13% 45% 49% 53% 57% 61% 65%

(2014, FHSIS) (4%) (4%) (4%) (4%) (4%)
 Regional Memorandum No. 2017-0024
Accomplishment and Submission of
FP Recording and Reporting Forms
Starting 2017 Onwards
Public and
RHUs of the Private Lying-
Municipality ins
Pharmacies

PHO consolidates all M1 and

Hospitals
within the other accomplished forms of
Municipality municipalities to be
submitted to DOH ROV
Municipal
Health
Clinics/Health
Practitioners Office
Municipal Health Office consolidates all
M1 Reports and others accomplished
forms, then submits them to PHO
Health
Centers
PhilHealth Reimbursements for FP
1. IUD at Php 2,000.00
(PhilHealth Circular No. 025-2015)

2. NSV at Php 4,000.00

(PhilHealth Circulars No. 025-2015 and No. 16 series of 2008)

3. BTL at Php 4,000.00

(PhilHealth Circular No. 16 series of 2008)

4. Implant at Php 3,000.00

(PhilHealth Circular No. 038-2015)
2017 BICOL CPR CHALLENGE!
2016 CPR 2017 Total 2017 Elig. #FP2017CPRChallenge
REGION 5
46.76% Population Population INCREASE BY 4% or more
Albay
including 45.29% 1,404,477 173,102 49.29% / 85,322 CU End
Legazpi City
Camarines
50.65% 629,884 77,633 54.65% / 42,427 CU End
Norte
Camarines
Sur including 39.35% 1,907,473 235,096 43.35% / 101,914 CU End
Iriga City
Catanduanes 54.58% 287,041 35,378 58.58% / 20,724 CU End

Masbate 54.06% 958,009 118,075 58.06% / 68,554 CU End

Sorsogon 43.33% 866,924 106,848 47.33% / 50,571 CU End

81.35% / 21,341 CU End
Naga City 81.35% 212,845 26,233
(Maintain)

#FP2017CPRChallenge
TRUE OR FALSE
During client interaction, handwashing is necessary
even if the client does not require an examination or
treatment. TRUE
Counseling for postpartum contraception should be
performed during labor and reinforced after
delivery. FALSE
Setting targets for the purpose of determining
logistical requirements is a violation of informed
choice and voluntarism. FALSE
Provision of a broad range of FP methods means
that all the methods are available in the facility,
including voluntary surgical services. FALSE