Quarterly Report Mindanaohealth Project

Quarterly Report MindanaoHealth Project

Program Year 4 Quarter 2 (January 1 – March 30, 2016)

Submitted: April 30, 2016

Submitted by: Dolores C. Castillo, MD, MPH, CESO III Chief of Party MindanaoHealth Project E-mail: [email protected] Mobile phone: 0917795430

On the cover:

Top left: Center for Teens Focal Person Nurse Margie Junio talks to 17-year old Garneth Sebial and her mother, Merlina about newborn care, the importance of immunization and the need for family planning counseling in order to delay another pregnancy. (Cossid/Jhpiego)

Bottom left: Male Participants in the Hi5 Caravan and IP summit in Lakewood, Zamboanga del Sur (Jhpiego)

Top right: Male clients gather around the area where Usapan sessions were held by trained facilitators to gain knowledge on their responsibility and involvement on family planning and on maternal and child health/safe motherhood. (Jhpiego)

Bottom right: Brokenshire Hospital Resident-in-Charge of the Program for Teens Dr. Tessa Mae Bonguyan (right) shows USAID Philippines’ Mission Director Susan Brems the Program for Teens Operational Guide. (Cossid/Jhpiego)

This report was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Cooperative Agreement AID-492-A-13-00005. The contents are the responsibility of the Maternal, Neonatal, Child Health/Family Planning (MNCHN/FP) Regional Projects in Luzon, Visayas, and Mindanao and do not necessarily reflect the views of USAID or the United States Government.

Table of Contents

List of Abbreviations...... i

Executive Summary ...... ii

Introduction ...... 1

Progress Against Performance Indicators ...... 2

Analysis of CYP and Current FP Users, Overall and by Region ...... 11

Narrative of Key Achievements by Strategy ...... 14

Strategy 1: Strengthening MNCHN/FP/RH service delivery ...... 14

Strategy 2: Increasing the Demand for MNCHN/FP Services ...... 20

Strategy 3: Removal of policy and systems barriers to service delivery and its utilization ...... 25

Strategy 4: Strengthening the Capabilities of DOH Regional Offices and Provincial Health Offices in Program Development, Management and Oversight ...... 28

Program Management ...... 32

Challenges and Solutions ...... 35

Success Stories and Evolving Initiatives ...... 37

Financial Expenditure and Cost Share ...... 41

Annexes:

Annex A: List of Certified Trained Health Service Providers and Trainers by FP/LAPM/LARC Annex B: List of Trainings and Participants in Q2 PY4

List of Abbreviations

ABC Association of Barangay Captains COP ADNPH Agusan del Norte Provincial Hospital Chief of Party ADPCN Association of Deans of Philippine CPS Clinical Practice Site Colleges of Nursing CRMC Cotabato Regional and Medical Center AJA Adolescent Job Aids CSO Civil Society Organization AMTSL Active Management of the Third CSR Contraceptive Self-Reliance Stage of Labor CTU Contraceptive Technology Update ANC Antenatal Care CYP Couple Year of Protection AOP Annual Operational Plan DCOP Deputy Chief of Party APSOM Association of Philippine Schools of DepEd Department of Education Midwifery DMO Development Management Officer ARMM Autonomous Region of Muslim Mindanao DMPA Depot Medroxyprogesterone Acetate AY Adolescent and Youth DMSF Davao Medical School Foundation, Inc. AYRH Adolescent and Youth Reproductive DO2 Development Objectives 2 Health DOH Department of Health BCS + Balanced Counseling Strategy Plus DOH-AO Department of Health - Administrative BEmONC Basic Emergency and Obstetric Order Newborn Care DOH-CO Department of Health-Central Office BH Birthing Homes DOH-RO Department of Health-Regional Office BHS Barangay Health Station DQC Data Quality Check BHW Barangay Health Worker DRMC Davao Regional Medical Center BMC Butuan Medical Center DSWD Department of Social Welfare and BTL Bilateral Tubal Ligation Development CA Cooperating Agencies EBF Exclusive Breastfeeding CAA Conflict Affected Areas EINC Essential Intrapartum and Newborn Care CCT Conditional Cash Transfer EMTT Electronic Masterlisting and Tracking Tool CDI Cities Development Initiative ENC Essential Newborn Care CDO Cagayan de Oro FDS Family Development Session CDOHO Cagayan de Oro Health Office FHSIS Field Health Service Information System CECAP Cervical Cancer Prevention Program FP Family Planning CEmONC Comprehensive Emergency Obstetric FPCBT Family Planning Competency-Based and Newborn Care Training CHANGE Communication for Health Advancement FPiOP Family Planning Organization of the through Networking and Governance Philippines Enhancement GIDA Geographically Isolated and CHO City Health Office Disadvantaged Area CHT Community Health Team Hi5 High Impact Five Campaign CHT-IS Community Health Team–Information HPDP Health Policy Development Program System HSP Health Service Provider CMNC Caring for Mothers and Newborns in the ICT Information Communications Technology Community COE Center of Excellence ICV Informed Choice and Volunteerism

IEC Information, Education, and PSI Progestin Only Sub-dermal Implant Communication PY Program Year ILHZ Inter-Local Health Zone RHM Rural Health Midwife IPHO Integrated Provincial Health Office RHO Regional Health Office LAM Lactational Amenorrhea Method RPRH Responsible Parenthood and LAPM Long Acting and Permanent Method Reproductive LARC Long Acting Reversible Contraception Health LGUs Local Government Units SDN Service Delivery Network LIPH Local Investment Plan for Health SDP Service Delivery Point LMT Lactation Management Training SKPH Sultan Kudarat Provincial Hospital M&E Monitoring and Evaluation SMRS Supply Management and Recording MCP Maternity Care Package System MH MindanaoHealth SMS Short Message Service MLLA Mini Laparotomy using Local Anesthesia SPMC Southern Philippines Medical Center MNCHN/FP Maternal, Newborn, and Child Health SS Supportive Supervision and Nutrition/Family Planning STTA Short Term Technical Assistance MOA Memorandum of Agreement TA Technical Assistance MSH Marawi Specialist Hospital TB Tuberculosis MSI Marie Stopes International TBA-RHM Traditional Birth Attendant - Rural Health NCP Newborn Care Package Midwife NDP Nurse Deployment Program TOT Training of Trainers NHT National Household Targeting System TRO Temporary Restraining Order NSV No Scalpel Vasectomy TWG Technical Working Group OSCE Objective Structured Competency USAID United States Agency for International Evaluation Development PHO Provincial Health Office WRA Women of Reproductive Age PHN Public Health Nurse ZCMC Zamboanga City Medical Center PMP Performance Monitoring Plan ZDNPH Zamboanga del North Provincial Hospital POPCOM Commission on Population ZFF-MH Zuellig Family Foundation PPFP Postpartum Family Planning PPIUD Postpartum Intrauterine Device

Executive Summary

The five-year (2013–2018) MindanaoHealth (MH) is a United States Agency for International Development (USAID)-funded project, primed by Jhpiego in partnership with RTI International. The project’s goal is to improve family health by dramatically increasing the quality and uptake of integrated maternal, newborn, and child health and nutrition/family planning (MNCHN/FP) services at the household level, in communities, and at public and private facilities, thereby improving child health and nutrition, reducing maternal and infant deaths, and decreasing the unmet need for FP services—especially among Mindanao’s lowest wealth quintiles and in conflict-affected areas. The project actively works and collaborates with the Department of Health (DOH)-led scale-up of high-impact services and client-centered information for Mindanao, the southernmost of the three island groups in the Philippines. MH works directly with five DOH-regional health offices (RHOs) of Zamboanga Peninsula, Northern Mindanao, Davao Region, SOCCSKSARGEN, and CARAGA as well as the DOH for the Autonomous Region of Muslim Mindanao (ARMM). The MH partnership covers local government units (LGUs) (provincial/municipal/city/barangays) in 19 provinces, two cities, and 366 municipalities/component cities. Building on the commitment of the DOH, MH made key achievements in this reporting period covering January 1, 2016 to March 31, 2016: • Accomplished a promising increase in couple years of protection (CYP) from previous quarters; however, acceleration to reach the Program Year (PY) 4 target is still needed. • Increased family planning (FP) current users from the previous quarter, with the exception of Davao region. Data Quality Checks have been intensified in Davao Region during the quarter. • Grew network of service delivery points (SDPs) providing FP/reproductive health (RH) services from 509 to 524, resulting in 69% coverage to date of the PY4 target. • Achieved a slight increase in the number of women provided information on exclusive breastfeeding (EBF). • Scaled up implementation of data quality checks (DQCs) to an additional 45 LGUs, resulting in 22% coverage to date of the PY4 target. • Expanded the number of SDPs providing adolescent and youth reproductive health (AYRH) services from 8 to 19. The appreciation received and the learnings gained from the visit of the Philippines USAID Mission Director, Dr. Susan Brems at the Brokenshire Hospital Program for Teens have greatly influenced the improvement and expansion of the Program to other facilities with potentials. • Reduced stock-outs on FP commodities almost universally, from 8% to 1%. Strong collaboration with PopCom field teams have helped in the tracking of commodity status in every facilities. • Attained 73% (266/366) of LGUs utilizing PhilHealth reimbursements per guidelines. MH’s priority advocacy to and engagement of LGUs who have finished the Health Leadership and Governance Program led by another CA, the

Zuellig Family Foundation with facilitation of the DOH Reps in the localities have contributed to the accomplishment. There were several key challenges affecting implementation, most notably: the limited number of LAPM outreach activities conducted in conflict affected areas; the ready availability of trainers to do supportive supervision brought about by security threats not only in ARMM but also in some Provinces in other regions like SOCCSKSARGEN, CARAGA, Northern Mindanao, and Zambo Peninsula, and the moderate scale-up of DQCs. MH will amplify efforts in the remaining two quarters of PY4 with specific strategies to address these challenges.

iii

Introduction

This report covers the period from January 1 to March 31, 2016 of project implementation. During this reporting period, MH focused on following technical priorities: . Accelerate strategies to reach PY4 targets for CYP: . Expand long acting and permanent methods (LAPM) outreach activities, particularly in geographically isolated and disadvantaged areas (GIDA). . Conduct supportive supervision (i.e., post-training follow up) to health providers who have received postpartum family planning (PPFP)/postpartum intrauterine device (PPIUD) and bilateral tubal ligation (BTL) training to ensure application of newly acquired skills and to receive certification as providers from DOH RO. Prioritization of supportive supervision is in response to the challenge that many training recipients (as high as 50% in some provinces) do not practice skills post- training, due to lack of confidence or inadequate demand for services. . Facilitate inclusion of and collect reports among previously non-reporting SDPs, specifically hospitals (public and private) and private clinics. . Expand DQCs to hospitals and the private sector. . Advocate for the increase in the hospital schedules on LAPM/LARC services, while expanding SDPs providing LAPM/LARC services. Engage the private sector to ensure that a wide contraception method mix is available to clients. Following the Temporary Restraining Order (TRO) on implants, MH is strengthening private sector collaboration, including strengthening linkages between the public and private sectors for referrals in the service delivery network (SDN), logistics, reporting and DQCs. Strengthen demand generation activities for LAPM and link with outreach and fixed facility services to provide comprehensible information on wide range of FP services and to address cultural barriers, myths, and misconceptions on FP services. Garner further buy-in from DOH retained hospital officials and regional representatives on the AYRH program and build capacity of hospitals to provide high-quality AYRH services. Sustain support to the establishment of six MH-supported SDNs, while continuing technical assistance to DOH-ROs and PHOs to the other 14 DOH-supported SDNs. This report is organized as follows: a) the “Progress against Performance Indicators” section summarizes achievements in this reporting period against the “MUST” indicators; b) “Analysis of CYP and FP Users, Overall and by Region”, which provides further analysis of progress against the project’s two foremost indicators; c) the “Narrative of Key Achievements by Strategy” describes accomplishments by the three project strategies and objectives against the workplan; d) “Program Management” summarizes progress in Monitoring and Evaluation , Communications . HR, Admin and Financial Management; e) “Challenges and Solutions”; and f) Appendices.

Progress Against Performance Indicators

This section summarizes progress towards the seven of the eight PY4 “MUST” indicators in the Performance Monitoring Plan (PMP), including Current Users and one indicator for Conflict Affected Areas. The indicator on utilization of DOH regional budgets is an annual indicator and will be reported at the end of PY4. The sub-headings of the “MUST” indicators summarize the progress in the reporting period. Indicators that report Field Health Service Information System (FHSIS) data, including CYP, current users, and EBF, present progress from Quarter (Q)1 PY4. Indicators that report using project databases present progress from Q2 PY4.

1. Accomplished a promising increase in CYP from previous quarters, but acceleration to reach PY4 target is still needed Though CYP increased in Figure 1. MindanaoHealth CYP, Q4 PY2 - Q1 PY4 Q1 PY4 from the previous two quarters, the achievement is only 34% of

the reporting period target, or only 17% of annual target (see Table 1). MH will continue amplifying 82,077 80,785 efforts, together with 71,220 68,437 partners, to achieve CYP 67,085 targets, as described in the 59,113 Introduction Section and

Next Steps for Q3.

Progress achieved is Protection Years Couple Total attributable to the considerable increases in reported acceptors of BTL and PPIUD/IUD in the Q4 PY2 Q1 PY3 Q2 PY3 Q3 PY3 Q4 PY3 Q1 PY4 regions of Davao, Northern Mindanao and SOCCSKSARGEN. Also, MH’s expanded private sector partnership, including data generation gradually aimed at integrating private sector reports to FHSIS data, has contributed to the CYP increase. Long acting reversible contraception (LARC)- progestin only sub-dermal implant (PSI), which accounted for 34% of all acceptors in PY3, continued to decline in this reporting period, after the current TRO banning the sale, distribution and provision of services to potential acceptors of implants in the public sector. During this reporting period, MH contributed 21% (2,809) of the total 13,490 LAPM/LARC acceptors, which is lower than the 40% PY3 average. The decline is a result of: a) limited (i.e. only 32) outreach activities conducted in this quarter especially in conflict affected areas. ; and b) the high number of providers trained by MH who are not practicing their newly acquired skills after training.

To address the latter, MH is increasing supportive supervision activities to help increase providers’ confidence and supporting demand creation for services; however, there are challenges with achieving higher coverage of supportive supervision. For instance, despite MH support, only 304 of the total 793 (38%) providers trained in PPIUD have been visited for supportive supervision (including enhanced objective structured clinical examination) to date. The low coverage was due to inadequacy of master trainers within the health system in Mindanao to conduct supportive supervision, dependency on availability of external consultants, the availability of whom are influenced by security threats in Mindanao . and insufficient implementation of an organized supportive supervision schedule brought about in some instances by unplanned activities in the localities. Despite these challenges, MH has mobilized PPIUD trainers in some provinces to mentor and coach trained health service providers, which resulted in 145 providers mentored/supportively supervised in Q2 PY4 alone1. MH will continue to address these challenges in the upcoming quarter, including supporting the DOH ROs to integrate supportive supervision activities into current post-training evaluation activities, and to build capacity of pool of trainers as well as developing existing junior and mid-level trainers as master trainers.

2. Increased number of FP current users from previous quarter, with the exception of Davao region In this reporting period, current FP users Figure 2. Number of current FP Users, Q4 PY2 - Q1 PY4 declined by 1% in comparison to the previous quarter; however, the overall trend from PY2 to this reporting period is an 1,313,746 1,299,782 1,280,581 1,272,655 increase in number of 1,245,836 current users. Progress 1,194,490 against the Q2 target was

95% (see Table 1). All Users Current of No. regions had increases in current FP users in the last four quarters, with the exception of Davao, Q4 PY2 Q1 PY3 Q2 PY3 Q3 PY3 Q4 PY3 Q1 PY4 where DQC activities resulted in a reduction of approximately 33,000. The reduction in Davao was largely attributable to DQC activities where midwives used loose sheets, as opposed to the standardized target client list, for recording clients. It is expected that the figure will rebound when Davao finishes migrating data into the standardized forms. The most common reason for a large variation in FP current users before and after DQC is that

1 ZamboPen (31), NorthMin (59), SOCCSKARGEN (29), and Davao (17) regions, as well as other non-USG sites (9).

3 lactational amenorrhea method (LAM) acceptors are not re-classified as drop-outs after six months2. Approximately 30-60% of new acceptors are LAM; therefore, removing LAM acceptors after six months will affect total FP current users. While Davao region’s number of current FP users declined, there were increases in BTL and IUD/PPIUD cases reported in cities of Cagayan de Oro and Davao, as a result of the facilities cleaning data and including previously unreported cases in year-end reports. MH is also expanding its partnership with the private clinics and hospitals, in close collaboration with LGUs, to expand clients’ access to contraceptive methods, and thus, would include their FP/MNCHN accomplishments3 in FHSIS, the main source of this indicator.

3. Grew network of SDPs providing FP/RH services from 509 to 524, resulting in 69% coverage of the PY4 target During this reporting period, 15 SDPs (10 private and five public) from Davao, CARAGA and SOCCSKSARGEN were added to the network of FP providing facilities, with a trained provider on FP competency-based training (CBT) 1. Coupled with the 14 additional SDPs in the previous quarter (Q1PY4), the total SDPs providing FP services is now 524 (69%) of total 764 targeted SDPs in PY4. MH is confident it will reach the remaining 240 targeted health facilities in PY4. The key supportive factors include: a) the complete buy-in and cost-sharing between MH and DOH-ROs of Davao, SOCCSKSARGEN, NorthernMindanao, Zamboanga Peninsula, and CARAGA; and b) the introduction of four-day staggered FBCBT1/balanced counseling strategy plus (BCS+) training module/design to medical doctors who refrain from attending a five-day FPCBT1 course.

4. Accomplished a slight increase in the number of women provided information on EBF

Data for this indicator is drawn from Figure 3. Number of women provided facility and community-activities where with information on EBF, Q4 PY2 – Q1 PY4 information on EBF is provided: a) at the facility level, the number of women 120,000 delivering in a health facility is used as a 100,000 proxy indicator; and b) at the community 80,000 level, health events, such as Buntis 60,000 Party/Congress and USAPAN sessions 40,000 are reported. Over the last four quarters, the general trend of number of women 20,000 provided information on EBF has been - Q4 PY2 Q1 PY3 Q2 PY3 Q3 PY3 Q4 PY3 Q1 PY4 declining, except in the last quarter, when there has been a slight increase. Overall, Community Level Facility Level MH remains on track to meet the PY4 target, as the cumulative accomplishment for the last two quarters (Q4 PY3 to Q1 PY4) is equivalent to 54% (169,534 out of the 315,384) of the total PY4 target. There are

2 LAM requires three conditions: baby is less than six month old; mothers’ menses has not returned; and baby is fully or nearly fully breastfeeding. 3 EBF, facility-based delivery, skilled birth attendance, fully immunized child, four antenatal visits, and vitamin A supplementation.

reporting challenges with this indicator, particularly in Zamboanga Peninsula and Northern Mindanao, where only annual reports on health facility delivery are available.

5. Scaled up DQCs to an additional 45 LGUs, resulting in 22% coverage to date of the PY4 target Implementation of DQC continues to be a substantial challenge facing MH as follows: 1) non-universal commitment and action by LGUs to conduct DQC at all SDPs down to village level; 2) issues with data quality, resulting from the growing scale of the DQC implementation; and 3) the current DQC methodology, which does not include hospitals and private sector facilities. MH is addressing these challenges by: 1) advocating with municipalities on the benefits of DQC, including mainstreaming the activity so that DQCs are conducted at least each quarter and cover most facilities under each municipality/city 2); supporting LGUs and facilities to better understand the DQC methodology via on-site coaching through LGU Advisors; 3) building capacity and tapping into the Development Management Officers (DMOs) or the DOH Representatives from the DOH Regional Offices to act as resources in DQCs; 4) engaging current non-reporting hospitals and private sector facilities to participate in DQCs; and 5) continue collaborating with the USAID-funded Zuellig Foundation to become another sustained proponent of DQC.

6. Expanded SDPs providing AYRH services from 8 to 19 With an additional 11 AY centers established during the reporting period, the project now has a total of 19 functional hospitals, RHUs, and NGO based-teen centers. These are mostly in CARAGA and NORTHMIN regions where teenage pregnancy rates are highest. Two functional teen centers, General Santos City Hospital and Cotabato City Regional Medical Centers, report having served 124 and 42 teens, respectively. A teen center is considered functional if it meets the following criteria: a) it has a private counseling room; b) trained provider in adolescent job aids (AJA); c) use of HEEADSS forms to early detect risky behaviors, such as engaging in early sex, cigarette smoking, substance abuse or experience of physical or sexual abuse, and bullying; and d) availability of a service record/logbook. While there are 656 health workers trained on AJA in about 110 LGUs, the buy-in of the LGUs to establish youth-friendly services is a gradual process, thus, only 19 were established. Consequently, the 19 SDPs is now the main focus of MH technical support for sustainability purposes. MH has developed a prototype Operational Guide and executive order/policy for the LGU to adapt within the local setting/context. The learnings and inputs from the interaction during the visit of the Philippines USAID Mission Director, Dr. Susan Brems at the Brokenshire Hospital for Teens have been inputted in the improvement of the prototype Operational Guide which are being utilized now by the implementing facilities.

7. Reduced stock-outs on FP commodities from 8% in the previous quarter to 1% The total number of SDPs with stock-outs reduced from 58 to 9 (out of 764), or 8% to 1% -- near universal. The few stock-outs that occurred were observed in provinces of Agusan del Norte (6 SDPs), Davao del Sur (1 SDP) and Compostela Valley (1 SDP), and City of Davao (1 SDP). The strengthened implementation of demand generation and

tracking of commodities by PopCom at the ground have played a role in this accomplishment. MH supported the LGU by informing the PHOand Population Offices regarding the menu of options to sustained reduction or avoidance of commodity stock- out occurrence.

8. Attained 73 % (266/366) of LGUs utilizing PhilHealth reimbursements per guidelines An additional two LGUs in North Cotabato passed an ordinance adopting Philhealth reimbursement guidelines, resulting in a total of 266, or 73% of the PY4 target. All the midwives interviewed in 57 facilities in NorthernMindanao expressed satisfaction on the share received from the Philhealth capitation fund. Close follow up and advocacy to the ZFF MLGP LGU graduates were helpful.

9. Limited implementation of LAPM outreach activities conducted in conflict affected areas During the reporting period, the DOH ARMM issued Memorandum Order 2016 s 10004884-Moratorium restricting activities other than supporting the Tetanus Elimination campaign from January to March 2016. Outreach activities to provide LAPM and REACH (++) initiatives were constrained as a result of the issuance of the Memorandum, coupled with the election campaign onset, and heightened security issues within ARMM. Only two LAPM outreach services or a cumulative total of 15 out of more than 200 planned for the quarter were conducted in Maguindanao and Sulu, reaching only 17 BTL and 7 LARC/PSI by the private sector. This is in addition to six outreach services conducted in Basilan and Maguindanao during Q1PY4, reaching eight BTL and 150 LARC/PSI. UNYPHIL and Arches are key private partners. Since limited outreach activities deprive basic MNCHN/FP services to GIDAs and conflict affected areas in ARMM, MH will continue to address this challenge in the upcoming quarter.

Table 1. Progress against indicators, as of Q2 PY4

Percent FY 2015 TARGET Y4 Accomplishments of Q2Y4 IND. Indicator Baseline Performan Target REMARKS REF. ce Target for Accomplis 2016 Q1Y4 Q2y4 Q2Y4 hed FP 1 Current Users of Modern 1,070,486 99% Reported figure is Q1Y4 data as per FP 1,244,594 1,369,053 1,306,824 1,299,782 M&E Technical Working Group (TWG) agreements. PPR INDICATORS FP 2 Couple Years Protection in 228,438 279,334 472,767 236,384 80,785 34% Reported figure is Q1 PY4 data. BTL USG supported programs acceptors are at their highest levels, (CYP) due to the collection of reports from partner hospitals and private providers that have not been included in the FHSIS reports (particularly in Davao City, Cotabato City, and Cagayan de Oro City). In Misamis Oriental, part of the data cleaning process resulted in the inclusion during the quarter of previously missed LAPM cases. PPIUD/IUD acceptors are also at their highest. LARC-PSI, which accounts for a third of acceptors, continued to decline due to the TRO. Overall, there is also a significantly lower number of BTL and PPIUD acceptors although project contribution of LAPM supported activities increased from average of 36% in PY3 to 60% in the quarter.

FP 3 Percent of USG-assisted 24% 42% 4% 4% 9% 1% 29% Facilities with reported stock-out, SDPs that experience a such as Davao, are mostly private stock-out at any time facilities. Two facilities in during the defined Maguindanao not previously in DOH reporting period of any distribution list were accommodated. contraceptive method that the SDP is expected to

Percent FY 2015 TARGET Y4 Accomplishments of Q2Y4 IND. Indicator Baseline Performan Target REMARKS REF. ce Target for Accomplis 2016 Q1Y4 Q2y4 Q2Y4 hed provide

Numerator 302 532 31 31 58 9

Denominator 1,270 1,270 764 764 764 764

FP 4 Percent of USG-assisted 25% 64% 85% 75% 67% 69% 92% Accomplishment is cumulative. service delivery points Additional 15 SDPs: two from DAVAO, (SDPs) providing FP six from CARAGA and seven from counseling and services SOCCSKARGEN. Numerator 198 494 649 572 509 524 Denominator 777 777 764 764 764 764

MCH Number of women reached 280,851 315,384 157,692 85,874 54% There are incomplete reports from 3 with education on exclusive Zamboanga Peninsula and Northmin, breastfeeding as natality data is reported only at year-end. NEW Percent of USG-assisted 0% 15% 8% 1% 2% 33% An additional 11 SDPs during the SDPs providing FP/RH period. Figure is cumulative. services for adolescents and youth Numerator 1 115 58 8 19 Denominator 836 764 764 764 764 NEW Percent of budget in DOH 74% 74% 80% Annual Annual Annual For reporting at year-end. regional offices utilized for indicator indicator indicator FP/MCH NEW Percent of LGUs utilizing 92% Only two additional LGUs (North 72% 72% 85% 79% 72% 73% PhilHealth reimbursements Cotabato) with policy and utilizing per guidelines PhilHealth reimbursements per Numerator 264 264 311 288 264 266 guidelines. Q1 PY4 figure is baseline. Denominator 366 366 366 366 366 366

Percent FY 2015 TARGET Y4 Accomplishments of Q2Y4 IND. Indicator Baseline Performan Target REMARKS REF. ce Target for Accomplis 2016 Q1Y4 Q2y4 Q2Y4 hed NEW Percent of LGUs conducting Additional 30 LGUs conducting DQC. 73% 73% 79% 40% 9% 22% 56% data quality checks (DQC) Accomplishment is cumulative. annually Numerator 268 268 290 145 33 81 Denominator 366 366 366 366 366 366 CAA INDICATORS CAA1 Number of health outreach 336 134 410 205 13 15 7% Accomplishment is cumulative. conducted No REACH activities were conducted during the period. Accomplishment is two additional LAPM outreach activities for Q2 PY4 in Sulu and Maguindanao. Memorandum Order 2016 s 10004884-Moratorium issued by DOH ARMM restricting field activities to prioritize only the Tetanus Elimination campaign was in effect January to March 2016. Availability of partners and STTA schedules needed to be negotiated and arranged; conflicting schedules of host provinces in the conduct of LAPM. In Tawi, the only OB practitioner at provincial hospital transferred to nearby city hospital outside region. CAA2 Number of civil society 0 1 8 1 0 0 0% No additional CSOs were engaged for organizations trained to the period. Five civil society effectively engage with organizations (Regional Darul Ifta local governments ARMM, Assembly of Darul Ifta, Noroossalam, Tarbilang Foundation and Likhaan) were engaged in the previous period. Capacity building activities will follow as per agreements and plan during the consultation meetings.

Percent FY 2015 TARGET Y4 Accomplishments of Q2Y4 IND. Indicator Baseline Performan Target REMARKS REF. ce Target for Accomplis 2016 Q1Y4 Q2y4 Q2Y4 hed CAA3 Number of youth trained 0 37 150 75 0 0 0% MH is focusing on capacitating SDPs as peer educators on AJA to make these facilities youth- friendly. CAA4 Number of clients reached 53,448 11,035 38,500 19,250.0 136 182 1% Accomplishment is cumulative. during health outreach Additional 97 clients served for Q2y4 activities from LAPM outreach. Given the situation on election related concerns (failed assassination of Bongao-Tawi Tawi and Pangutaran-Sulu mayors and most specially on the continuing operations by AFP against BIFF (Datu Piang, Maguindanao), ASG (Al-Barka, Basilan) and lost command groups of MILF (e.g. Butig, LDS) - peace and order is highly volatile pursuing travels to hard-to-reach areas are too risky.

Analysis of CYP and Current FP Users, Overall and by Region

This section provides further analysis of the project’s top-line indicators: current FP users; and CYP. Data from this reporting period suggests that the combined action of MH, DOH, and LGUs have led to a general improvement in both key indicators over time. FHSIS for the Q1 PY4 period reports a total of 13,490 acceptors of LAPM and LARC, broken down as follows: BTL (3,865); NSV (182); PPIUD/IUD (7956) and LARC/PSI (1487). This is equivalent to a CYP of 80,785, the highest figure achieved in the last five quarters. However, as previously described, MH will continue accelerating efforts to ensure that contraception methods are available and accessible to clients. Table 2 summarizes FP clients served from among trained providers and outreach activities directly assisted by MH. Due to TRO on PSI and reduced outreach services, Q1 PY4 and Q2 PY4, LARC/LAPM clients were lower, in comparison to the same quarters in PY3. Despite reduction the project contributed 21% to total 13, 490 LAPM/LARC clients in Q1P4.

Table 2: FP services provided, by quarter and method

ACCEPTORS COUPLE YEARS PROTECTION (CYP) FP Methods Provided by PY 4 Total PY 4 Type of Total Acceptor Provision PY 2 PY 3 PY 2 PY 3 CYP PY 2 Q1-Q2 s PY2 to Q1 Q2 Q1 Q2 TOTAL to Date TOTAL Date Total Clients Provided 11,736 22,527 2,809 2,970 5,779 40,042 57,520 88,010 17,788 18,715 36,503 182,034 LAPM and LARC Fixed 5,916 14,185 2,480 2,309 4,789 24,890 23,742 58,117 15,126 13,340 28,466 110,325 Facility

BTL 91 1,310 710 568 1,278 2,679 910 13,100 7,100 5,680 12,780 26,790

NSV 17 27 17 16 33 77 170 270 170 160 330 770

PPFP/PPIUD 3,865 5,907 1,567 1,275 2,842 12,614 17,779 27,172 7,208 5,865 13,073 58,024

IUD 12 106 87 243 330 448 55 488 400 1,118 1,518 2,061

LARC-PSI 1,931 6,835 99 207 306 9,072 4,828 17,088 248 518 765 22,680

Outreach 5,820 8,342 329 661 990 15,152 33,779 29,893 2,662 5,375 8,037 71,709

BTL 2,508 1,179 235 482 717 4,404 25,080 11,790 2,350 4,820 7,170 44,040

NSV 11 23 5 - 5 39 110 230 50 - 50 390

PPFP/PPIUD 15 - - 2 2 17 69 - - 9 9 78

IUD 145 11 19 49 68 224 667 51 87 225 313 1,030

LARC-PSI 3,141 7,129 70 128 198 10,468 7,853 17,823 175 320 495 26,170

Comparing the six regional units (Figure 4), Northmin shows sustained CYP increases in the last four quarters although tapering off in the last quarter. Davao and CARAGA, on the other hand shows high variability in the reported cases across 4 quarters, while

ARMM has even gone down. SOCCKSKARGEN is apparently the highest CYP contributor to the project. Understandably, ARMM has the most number or proportion of non-practicing PPIUD providers. It is reported, for example, that of the 48 MH-trained providers in Basilan and Sulu only seven are practicing. Likewise, in Maguindanao, all 22 PPIUD health service providers need supportive supervision to further reinforce their confidence.

Figure 4: Couple Years Protection (By Region, Accomplishment Q2 PY3-Q1 PY4)

24,903 22,980 23,638

19,473 17,928 17,581 17,726 16,851 16,272 13,658 13,179 12,631 12,854 12,235 10,258 8,419 7,826 6,878 5,884 5,553 4,842 5,353 2,842 2,755

ARMM REGION IX: ZAMBO PEN Region XII: Region XI: Davao Region Region X: Northern Region XIII: CARAGA SOCCSKSARGEN Mindanao Region

Q2 PY3 Q3 PY3 Q4 PY3 Q1 PY4

BTL coverage started to decline in Q3PY3 slowly increases in Q4PY3 with dramatic increase for Regions Davao and SOCCSKSARGEN in Q1PY4, while there is a slow but steady increase in Northern Mindanao Region (Figure 5). Most of BTL-trained providers that are functional and trainers are located in these 3 regions, in addition to MSI support to outreach services. No outreach services conducted due to lack of support to FP programs by the chief executive of one LGU, with only two capable facilities in the region can be factors to the erratic trend in CARAGA Region. Varied accomplishment was also observed in Zamboanga Peninsula, while there is a downward trend in ARMM. It is hope that with a pool of newly trained health service providers in ARMM, coverage will increase in the next quarters.

Figure 5: BTL Acceptors (By Region, Accomplishment Q2 PY3-Q1 PY4)

BTL ACCEPTORS By Region, Accomplishment Q2 PY3-Q1 PY4

1,182 1,159 1,087

629 688 652 738 588 573 530 532 588 383 384 421 467 442 459 363 266 222 156 171 240

ARMM REGION IX: ZAMBO PEN Region XII: Region XI: Davao Region Region X: Northern Region XIII: CARAGA SOCCSKSARGEN Mindanao Region

Q2 PY3 Q3 PY3 Q4 PY3 Q1 PY4

Voluntary PPIUD/IUD acceptors started to increase in all regions in Q1PY4 except Northern Mindanao after some backlash in Q4PY3 (Fig 6). Despite 793 trained on PPIUD and 670 on Interval IUD, the yield is not much, for reasons that there are significant number trained that do not practice their skills after training for lack of confidence and inadequate supportive supervision; and quality of demand generation initiatives needs more strengthening to improve yields.

Figure 6: PPIUD/IUD Acceptors (By Region, Accomplishment Q2 PY3-Q1 PY4)

PPIUD/IUD ACCEPTORS By Region, Accomplishment Q2 PY3-Q1 PY4

2,445

2,109 2,129 2,104 1,846 1,917 1,642 1,528 1,505 1,457 1,377 1,242 1,248

874 855 802 671

243 181 189 139 170 180 148

ARMM REGION IX: ZAMBO PEN Region XII: Region XI: Davao Region Region X: Northern Region XIII: CARAGA SOCCSKSARGEN Mindanao Region

Q2 PY3 Q3 PY3 Q4 PY3 Q1 PY4

Narrative of Key Achievements by Strategy

This section highlights progress made on key milestones by project component and/or strategy. Strategy 1: Strengthening MNCHN/FP/RH service delivery

Strategy 1 Key Achievements:

• Laid the groundwork to establish an integrated FP/AY Programs in 13 hospitals by obtaining total buy-ins from the Chief of Hospitals, Regional Health Directors and Provincial Health Officers. In addition, 8 were provided with anatomical models. • Quality of providing fixed and ambulatory FP/MNCHN services is improving and expanding with DOH certifying additional 4 BTL trainers, 13 interval IUD providers, and 68 PPIUD providers supportively supervised by the project; additional 15 SDPs capacitated to provide FP counseling and services; engagement of 25 master/mid/junior trainers on capacity building initiatives; and additional 59 service providers trained on EINC. • Equipped and built capacity of 11 RHUs and one NGO to provide RH/FP-MCH services sensitive to the needs of adolescents-youths based on the following parameters: a) a private counseling room; b) AJA-trained provider; c) use of HEEADSS form and consent form; and d) service record logbook.

1.1 Lay groundwork for the establishment of an integrated FP/AY program in 13 targeted hospitals

During this reporting period, MH conducted a series of consultations and advocacy meetings, oriented the core hospital teams, and developed materials to build a solid foundation for the FP/AY program. The program will help the DOH operationalize Memo # 2014-0312, which aims to strengthen hospital FP programs to reduce unmet need through improved availability and access to safe, effective, and efficient youth- oriented and gender transformative services. The 13 hospitals listed in Table 3 were identified through a consultative process to model the approach. To date, there is universal buy-in from the Chief of Hospitals and DOH-RO leadership, which is a critical component in the establishment process. Furthermore, a concept note and FP/AY integration framework was developed to outline the strategic approach. Several materials were developed and circulated for review, including: a) advocacy power-point presentation; b) sample hospital order/memo and implementation plan; c) design for a two-day workshop/”writeshop” activity; d) draft outline of “How to write an Operational Guide-Made Simple”; and e) operational guide prototype being enhanced after the insights gained during the visit of the Philippines USAID Mission Director, Dr. Susan Brems at the Brokenshire Hospital Program for Teens early in the quarter.. Initial ground being laid down for the establishment of an integrated FP/AY program in 13 targeted hospitals

Table 3: Hospitals selected for implementation of integrated FP/AY program

Region Province Hospital ARMM Basilan 1. Basilan General Hospital Maguindanao 2. IPHO-Maguindanao Hospital Zamboanga Zamboanga City 3. Zamboanga City Medical Center Peninsula Zamboanga del Sur 4. Zamboanga del Sur Provincial Hospital Northern Cagayan de Oro City 5. Northern Mindanao Medical Center Mindanao (NMMC) CDO City 6. JR Borja Medical Center (JRBMC) Misamis Oriental 7. Misamis Oriental Provincial Hospital (MOPH-Gingoog City Davao Region Davao City 7. Davao Regional Medical Center (DRMC) 8. Southern Philippines Medical Center (SPMC), 9. Brokenshire Memorial Hospital SOCCSKARGEN Cotabato City 10. Cotabato Regional Medical Center (CRMC) South Cotabato 11. South Cotabato Provincial Hospital Sultan Kudarat 12. Sultan Kudarat Provincial Hospital Caraga Surigao City 13. DOH-Caraga Regional Hospital

To date, progress in the targeted hospitals is varied, but encouraging overall. Eleven of the 13 hospitals completed: a three-day training on interpersonal communication and counseling (IPCC) (FPCBT1/BCS+) approaches with updates on contraceptive technology and WHO-Medical Eligibility Criteria (2015 Edition); and an initial hospital readiness assessment to generate baseline per hospital, with support from Jhpiego FP/RH Global Director. Trained staff of Southern Philippines Medical Center (SPMC) and Brokenshire Memorial Hospital in Davao Region, in turn, trained their obstetricians/gynecologists, family medicine and/or pediatrics residents, and staff from the outpatient department, admitting section or ward. These two hospitals were supported by MH in PY3 and now have functional Teen/AY programs. Brokenshire Hospital Center for Teens has reached a total 201 adolescent ages 10-24 years old with different health/FP-MCH services. Six pregnant teens, ages 18-21, accessed antenatal services; 91 were given tetanus toxoid immunization; 166 received risk assessments; 59 availed derma services; and five were provided with FP counseling. Information and education was provided during the check-up, through lectures on romantic relationships and responsible sexuality, with a theme “#AllUNeedisPag-ibig” (“(“all you need is love”).”). In collaboration with DOH-RO SOCCSKSARGEN and Provincial Hospital and Health Office of Sultan Kudarat, MH supported follow-up consultation workshops, resulting in

the creation of a core TWG among key hospital staff, formalization of an operational framework, and drafting of operational guidelines on integrated FP/AY program. Presentation of the draft guide to SKPH stakeholders will be held next quarter for enhancement and finalization. The initial focus of support to Davao Regional Medical Center is towards establishing the Adolescent & Youth Wellness Clinic. A series of MH-supported consultations and a formal workshop involving hospital decision-makers and health providers from different departments resulted in an operational guide that set out the standard procedures in handling AY clients, including: health assessment form; consent form; two-way referral form; management structures; and recording and monitoring mechanisms. The Davao Regional Medical Center Adolescent & Youth Wellness Clinic is scheduled to be formally launched in May.

1.2 Continue support to the provision of LARC/PM+ services of choice

Intensify LAPM through need-based outreach services Only 32 MH-supported outreaches were conducted reaching 661 FP clients, in partnership with the Centers of Excellence, MSI, Jerome Foundation and teams from the provincial hospitals. Limited outreach is a result of several recent incidents. First, the DOH ARMM issued Memorandum Order 2016 s 10004884-Moratorium restricting activities to the Tetanus Elimination campaign from January to March 2016. Second, the onset of the campaign period for national and local elections further constrained implementation. Third, the increasing security-related incidences affected movement. Moving forward, MH will focus on: a) continuing partnerships (e.g. MSI, etc.) to plan and diligently implement LARC/PM+ outreach services, in partnership with LGUs ; b) engaging the private sector/birthing homes to expand FP/LARC/PM services and to share reports/data; c) tapping community volunteers and Nurse Deployment Program (NDPs) in tracking FP unmet needs; d) using couple/individual counseling sessions to address fears, myths/misconception; e) giving assurances on local support system, companion of choice and securing consent (and assent from minors); and f) strengthening collaboration with POPCOM and DSWD on demand generation activities. Institutionalize regular/fixed services To ensure sustainability of LARC/PM+ services in Mindanao, aside from increasing the number of health facilities providing wide range of FP services, MH is advocating for the institutionalization of a regular schedules for LAPM/LARC services in hospital facilities and exploring integration of a regular schedule of services as a requirement for DOH licensing and PhilHealth accreditation. Moving forward, MH will focus on: a) establishing and finalizing the operational guide on integrated FP/AY program for the 13 hospitals; b) sustaining advocacy to increase and standardize the provision of fixed services (i.e., from weekly to twice weekly, etc.); c) conducting advocacy and supporting the expansion of FP services to other strategic health facilities; d)sharing information on “readiness” to clients, volunteers, and local partners; e) ensuring compliance to ICV, not only encouraging written consent; f)

referring clients with companion of choice to attend schedules of fixed providers; g) facilitating supportive supervision of trained health service providers; and h) continuing technical support to establishment of FP/AY programs in 13 hospitals also in close collaboration with ZFF as they have some MNCHN initiatives already in some of these hospitals.

1.3 Increase SDPs and training institutions with capacity on FP/MNCHN services

Ensure quality of care, continuous assurance and sustainability through capacity building MH engaged 14 master trainers, of which 97% 13) are master trainers on PPIUD; six mid-level trainers and 50% are BTL trainers; and four junior trainers , 75% as trainers on BTL to: a) provide guidance on observing clinical standards; b) identify and gradually develop potential trainers from the providers pool; c) supervise candidate- trainers; d) develop tools/ job-aides or learning resource packages; e) transfer technologies through training of health service providers; and f) periodically review quality performance using standards checklists. Build capacity of additional trainers, and health service providers on LARC/LAPM Services Through MH support, an additional 78 service providers were trained on LAPM/LARC, consisting of: 19 on FPCBT2; 15 on PPIUD; and 45 on BTL/MLLA. As a result, 660 health service providers have the knowledge and skills to provide interval IUD services; 793 health service providers on PPIUD; and 186 with capacity to do BTL/MLLA. Supportive supervision is also gaining traction. During the quarter, service providers were supervised and DOH-certified: 36 on interval IUD; 203 on PPIUD; and six on BTL/MLLA. Twelve BTL trainers in Q1 PY4 conducted roll-out trainings, while being supervised by master and mid-level trainers, and reached 45 health service providers. The trainers were recommended for DOH certification; four received certificates and the others are waiting. Based on lessons learned to date, a “how to” guide for conducting supportive supervision has been drafted and will be finalized in consultation with regional partners. Expand SDPs providing FP counseling and services and essential intrapartum and newborn care (EINC) services MH supported the training of 59 service providers on FPCBT1, resulting in a total of 2,519. Importantly, continued MH advocacy led to support from the five DOH regional offices to provide higher cost-share for FPCBT1 training to expand SDPs providing counseling and short-acting FP services. In collaboration with DOH-ROs, MH trained an additional 59 health service providers on EINC, resulting in a total of 1,058 EINC- trained partners. Supportive supervision resulted in 23 EINC-trained health service providers recommended for DOH certification.

Provide anatomical models/kits to certified trainers and skills lab in training institutions For the quarter, in support to continuous quality improvement approaches as agreed with UN agencies, 8 out of the 13 targeted hospitals for integrated FP/AY Programs (5 DOH-retained hospitals, 1 private, and two LGU-managed) and DOH-RO XI were provided with anatomical models, to augment their capacity as training and service institutions. The USAID Mission Director turned-over the models to Zamboanga City Medical Center and Brokenshire Hospital during her visits to Mindanao. Anatomic models provided are Zoe (pelvic) model for BTL and IUD procedures; Mama-Us; Mama- natalies (10 donated by UNICEF) and Neo-natalies with resuscitators (from WHO) for MNH services, among others. The provision of models to the remaining five will be done next quarter. Focus in the next quarter are to: a) fast track supportive supervision of all trained health service providers, especially the non-performers to build their confidence and skills; b)follow-up DOH certification of the recommended service providers/trainers; c) support Philhealth accreditation of DOH-certified trainers and service providers; d)finalize Simple Supportive Supervision Guide through consultation processes; e) sustain support to strengthening the integration of FP/AY Programs in 13 hospitals; and f) coordinate with DOH-RO for the completion of planned training activities on FP/MNCHN services.

1.4 Introduction of Misoprostol as Alternative to Oxytocin in selected GIDAs of Sulu

Global studies showed that misoprostol is safe and effective to prevent postpartum hemorrhage thus can help reduce maternal deaths especially in remote and geographically challenge areas, where there are no cold chain facilities to secure potency of oxytocin, the first drug of choice. ARMM in an effort to address high maternal deaths passed ARMM Reproductive Health Care Act (Muslim Mindanao Act # 292) and recognizes misoprostol as alternative drug to oxytocin. To help ARMM implement the law, MH and DOH-ARMM agreed to conduct an operations/systems research to initially to introduce misoprostol, as alternative when oxytocin is not available, for postpartum prevention in selection GIDA areas of the Province of Sulu in ARMM. To date, research protocol was shared to key FDA personnel and the project was advised to conduct clinical trial instead. Currently, this initiative is faced with daunting operational challenges despite total buy-ins from key officials of the DOH and FDA. Misoprostol is not a registered drug in the Philippines and it does not have counterpart drug in the country. The misoprostol (Cytotec) that was registered before was for ulcer and not for uterine atony. Technically the drug is an investigational new drug. Previous experiences revealed that Ethics Research Committee or Institutional Review Board during the review will look for Safety Monitoring Plan in the protocol, with the presence of qualified persons on the ground. While the proposal is being enhanced and procurement process for misoprostol is being initiated with support from headquarters, the team will again seek audience with key officials of DOH and FDA for their support and guidance; explore potential drug company to help in drug registration; and to guide PHO team to complete the training on Good Clinical Practice (GCP) Course.

1.5 Expand AYRH services

Increase the number of educational / learning institutions and people’s organizations providing FP/RH information and counselling to adolescents-youths In partnership with Department of Education Alternative Learning System, 8 schools, City Population Office of Isabela City, Child Fund Philippine Isabela Foundation, Mindanao University of Science and Technology’s Peer Group Education Society (MUST-PGES) in Misamis Oriental, Rotaract of Cagayan De Oro and concerned LGUs resulted to: . Training of 103 students and guidance teachers in 6 schools in South Cotabato and are now able to facilitate U4U, Usapang Barkadahan, and group peer education sessions. Focus of the training is on participatory interpersonal communications platforms to help build adolescents’ life skills on responsible practice of sexuality and prevention of teenage pregnancy. . Reached 43 out-of-school youths in Isabela City in Basilan with information on responsible practice of sexuality and life skills on risks inherent to early sexual initiation. . 389 in-school youths from two schools in Bukidnon and Misamis Oriental, and 20 out-of-school youths in Cagayan de Oro in Northern Mindanao received reproductive and sexual health education, risk assessment and counseling during the project’s supported Usapang Pangkabataan

Figure 7: 389 in-school youths from two schools in Bukidnon and Misamis Oriental, and 20 out-of-school youths in Cagayan de Oro in Northern Mindanao received reproductive and sexual health education,

Expand access to FP/RH counselling and services in hospital setting In addition to what has been stated in 1.1, 124 adolescents and youths were provided with various FP-RH services through HEEADS psychosocial risks assessment and counseling in General Santos City Hospital -Center for Teens. Of the 124: two of the 89 young mothers accessed PPIUD services after parental consent was secured; 10 accessed STI/HIV counseling and services; 20 were referred to Women & Children Protection Unit (WCPU); and five availed of medical services.

Expand access to FP/RH counseling and services in community- level health facilities (RHUs-BHSs, private midwife clinics, NGO clinics) To date, as a result of project’s technical support, 11 RHUs and one NGO are equipped and capacitated to provide RH/FP-MCH services sensitive to the needs of adolescents- youths based on the following parameters: a) a private counseling room; b) AJA-trained provider; c) use of HEEADSS form and consent form; and d) service record logbook. These facilities include: To expand SDPs with youth-friendly health services, MH supported four batches of training on the use of AJA reaching 138 RHU providers in the provinces of Misamis Oriental and Bukidnon in Northern Mindanao, and 8 district health offices of Davao City. Advocacy in the passage of an Executive Order or Ordinance supporting the establishment of AY friendly facilities for sustainability, and development of operational guide and job aid tools to help the RHUs meet the minimum / basic criteria for a functional AY SDP are on-going. Teen Hotline The use of Information Communications Technology (ICT) on adolescent/youth health care is being piloted. The Brokenshire Hospital’s Teen Hotline started its operation in October 2015 as part of the hospital’s Program for Teens to reach out to teens that are uncomfortable visiting facilities for consultation. As of February 2016, a total of 55 clients consulted the hotline through voice calls, while 72 clients consulted through text messaging, and some called/tested for follow-up or for other concerns. Questions raised by teens include body changes, fertility awareness, breastfeeding, abuses, FP options and what to do during emergency cases, such as deliveries. To address implementation issues identified along the way, such as missed and undocumented calls, MH provided assistance in updating the Teen Hotline phone to capture and record calls, as well as to provide alert to assigned resident when a call is missed and provide a notice to the caller to expect a return call very soon. Moving forward based on lessons learned from this initiative, MindanaoHealth will help develop a Teen Hotline guide to provide support to the residents on answering hotline calls and on documentation protocol. The Teen Hotline will be replicated in four more selected medical centers in Mindanao: Southern Philippines Medical Center; Zamboanga City Medical Center; Cotabato Regional Medical Center; and Northern Mindanao Medical Center.

Strategy 2: Increasing the Demand for MNCHN/FP Services

Strategy 2 key achievements: . Conduct of 230 Usapan Sessions contributed to accomplishing 475 FP acceptors. . Orientation and provision of FP Wallcharts to 4,822 SDPs and various other IEC materials and job-aids (BCS+ job aids, 2015 MEC Wheel, 2014 Clinical Standards Manual, MNCHN posters and MNC2HN brochures). . 4,562 women were provided information on exclusive breastfeeding during

health events and small group education sessions for pregnant women . 39 service providers, public and private, completed training on BCS+, a client- centered counseling approach promoted by Jhpiego. Dr. Ricky Lu, Jhpiego Global Director of Family Planning and Reproductive Health, and Cervical Cancer Prevention (CECAP) Programs, was the lead trainer

2.1 Strengthen conduct of Usapan Session link to fixed and ambulatory LARC/LAPM services

The conduct of MH supported USAPAN sessions directly linked to both fixed and ambulatory LAPM service provision has greatly improved resulting to reaching 584 FP acceptors, which is 20% of the MH contribution 2,970 to the overall acceptors during the quarter.

Table 4: Summary of USAPAN accomplishments

Result for Indicator Q2 PY4 Number of Usapan sessions conducted 230 Total participants in USAPAN sessions 2,822 Total acceptors from USAPAN sessions 475 New acceptors 472 Other acceptors 3 % of acceptors to total USAPAN session participants 17% Women provided with information on EBF from health events and Usapang Buntis 4,562 Adolescents and youth reached 2,995

NorthMin, in the Municipality of Jasaan in Misamis Oriental, MH trained USAPAN facilitators are now regularly conducting it as routine health activities. In Zamboanga Peninsula, the strengthened linkage with Population workers through utilization of their updated database as a way to identify clients with FP unmet needs especially in transitory sites in close collaboration with MSI, DSWD and PopCom before LAPM services which resulted to 73 BTL acceptors. Those not qualified for BTL-MLLA procedure were provided with back-up method and referred to Zamboanga City Medical Center for BTL under general anesthesia. In ARMM region particularly in Sulu Province, MH provided TA in the full implementation of their local initiative to increase demand and access to services dubbed as CATCH TO CHANGE which resulted in the following: a) enhanced identification of beneficiaries by using health use plan (HUP) information thru Electronic Master Listing and Tracking Tool [EMTT]) developed by the project ; b) conduct of on-site counseling using Usapan techniques and materials; c) immediate service provision based on informed choice and need of participants; and d) introduced proper registry, recording and reporting to track clients and new acceptors. In Patikul, Sulu, CATCH to CHANGE FP Assembly was attended by 171 women and

men, where 7 DMPA, 5 were given pills and 4 referred for BTL; eight pregnant women received antenatal care and Iron supplementation; 36 provided with tetanus toxoid immunization; and 33 with oral polio vaccines. The improvement in yield varies according to approaches per area. For instance in While yield is increasing there is a need to further understand the other 80% USAPAN participants, who are with FP unmet needs, but decided not to access FP services for varied reasons. These reasons include the need to still seek consent from husbands/partners; fear of side effects; and not being ready, among others. MH and key partners will continue the discussion on this in the next quarter to address these challenges.

2.2 Strengthen partnerships for demand generation and FP service provision

Public-private partnership to improve demand generation and FP provision has been strengthened resulting to additional private partners like Tarbilang Foundation- ARCHES working with MH to assist the LGUs in Tawi-Tawi and Basilan; UNYPHIL in Maguindanao and DMSF in Davao City. For instance in Davao City, the Davao Medical School Foundation ( DMSF) conducted a community outreach in Marilog District Hospital led by MH-trained Clinical Instructors from the Colleges of Nursing and Midwifery, where Usapan sessions were conducted by student affiliates reaching about 200 plus indigenous peoples. Similarly in Maguindanao , UNYPHIL helped in the conduct of outreach for LARC-PSI. In the public sector, Popcom ARMM, in collaboration with DOH ARMM, DSWD, DepEd, and MH, re-charted their Directional Plan for 2011-2016 specifically integrating AJA training; expanding the conduct of Usapan sessions per province in parallel to FDS among conditional cash transfer members in their 2019 Annual Plan. Inclusion of Support to trained midwives on promptly documenting, registering participants, recording, and reporting of new FP acceptors in the FHSIS, were the identified TA from MH for the next quarter. Likewise in Zambo Sibugay, MH’s meeting with IPHO, DSWD and POPCOM team resulted to an agreement to: a) connect demand generation activity of DSWD and POPCOM to actual services, b) mobilize Usapan-trained health service providers to conduct group education and counseling sessions during FDS; and c) to come up with a common document charting information on trained HSPs on USAPAN and updated list of potential FP clients with unmet needs to facilitate service provision.

2.3 Enhance capabilities of health service providers in conducting interpersonal counseling and communication (IPC/C) through integration of BCS+ into FPCBT1.

In support to the institutionalization of the integrated FP-AYRH Program in the targeted hospitals with the objective of providing a comprehensive service in every point of contact among adolescents and women and men of reproductive age groups, a balanced counseling strategy ( BCS+) has been introduced by Jhpiego and integrated in the FPCBT1 training of hospital doctors and key staff. BCS+ is a counseling strategy on FP involving a series of steps to determine the contraceptive method that best suits

clients according to their reproductive preferences and needs. The “plus” refers to the need for counseling, screening and services for sexually transmitted infections, including HIV and other diseases such as cervical cancer, within the routine FP consultations. An off-shoot of the 3 day BCS+ training led by Dr. Ricky Lu, the training design was re-designed as FPCBT1/BCS+ for hospital staff/private doctors. This is an adaptation of the DOH-required 5-day FPCBT1 for FP providers, but is truncated Figure 8: Dr. Jeana A. Hernandez, a resident physician of the into four days to suit the need of hospital- OBGYN department of Brokenshire Hospital during the based doctors and nurses where they can’t community practicum of BCS+ afford to be out of their station for that long, The first training was conducted in Gen. Santos City where 16 participants from Region XII attended. As a result, an additional 11 SDPs from the private sector (10) and public hospital (1) were capacitated and expected to be able to provide FP counseling and services. They will be followed up by MH in the next quarter.

2.4 Improving the number reached by basic FP/MNCHN messages leading to some extent of behavior change

DOH-led Hi 5 health events - In series of health events led by DOH , MH’s technical assistance provided were helping the regional and LGU health staff in designing the event like Buntis Congress, Usapang Buntis sessions, provision of IEC materials and in social mobilization. The 33 supported Usapang Buntis have reached 4, 577 women informed on exclusive breastfeeding, safe motherhood, birth planning, and the PhilHealth Maternity Package. Pre-testing on the use of SMS for Safe Motherhood completed – The SMS Information System that has been developed earlier has been pre-tested among 20 pregnant and 18 postpartum women – user, system and message in Maramag Municipality and Valencia City all in the province of Bukidnon. The final report is currently being prepared to help guide in the installation of the system in the next quarter. IEC materials and tools on FP/MNCHN reproduced and distributed – In order to expand the reach of information on EBF, an informational poster on breastfeeding was enhanced and printed aimed to be distributed 4,822 SDPs early next quarter. There are other IEC materials/job aids currently in production namely: a) EBF poster (with Jhpiego branding); and b) final DOH/USAID reviewed community health worker tool kit. Other IEC materials reproduced and or for distribution like the ICV Wallcharts drawn from the Global Handbook, and the MNCHN posters and brochures from CHANGE Project had been provided to 4,822 SDPs, and to 200 SDPs, respectively. Other materials from CHANGE like digital copies of FP videos were distributed to SPMC

and Brokenshire Hospital. Also, the FP-expanded program for immunization poster was distributed in Northern Mindanao (43 Health Centers in CDO; 21 in Misamis Oriental). Tools developed by MH like BTL-MLLA Infographic template was also shared to NorthMin partners. CHT Tool Kits are being reproduced and will be distributed to all SDPs after the orientation.The participants in the BCS+ training were provided job aids such as the BCS+ algorithm, BCS cards, methods brochures, trainer’s guides, FP desk charts, 2015 MEC Wheel, and the 2014 clinical standards manual that they can use in the roll outs primarily. Strengthening Mushawara to popularize Fatwa on FP/RH, EBF and early marriage to address cultural barriers in FP/MNCHN in ARMM- Mushawara is an ARMM-specific approach that mobilizes Muslim religious leaders to conduct community-level education on the acceptability of FP in Islam, especially to reach husbands and male leaders. Currently, MRLs are mobilized by LGUs during community assemblies to enrich discussion on FP in Islam and promote male involvement. For instance, in the province of Basilan, particularly in Upper Bato-Bato, Akbar municipality, Mohammad Atal-an, a local ulama mentored by MH during the regional Mushawara with Bureau of Madaris and Dar Al Ifta, discussed FP in Islam during a community assembly. The ulama based his teachings on the fatwas (religious edict) on FP, EBF, and early marriage issued by the Dar-Al-Ifta, a national organization of Islamic scholars in the Philippines. The attendees will be followed up in the next quarter. Similarly, in Sulu province at the Hadji Panglima Tahil municipality, 10 Muslim religious leaders gathered 25 married couples and 25 adolescents to provide teachings on Islamic perspective on responsible parenthood and FP, while RHU and BHS staff provided information on modern contraception and FP/MNCHN services. The fatwahs promote several decrees, namely: . That birth or child spacing is acceptable in Islam. . Muslim families are encouraged to plan their desired family size based on mutual consent and informed choice. . All methods of modern contraception are allowed, including permanent methods for medical and health reasons. . Breastfeeding exclusively for six months and up to two years is supported in the Quran. . Legal opinions on early marriage, forced marriage, and gender-based violence to safeguard the well-being of individuals and society in general for virtual justice and equity, and to rid partiality and discrimination. . Teachings for youth to get married only when necessary conditions are met at a reasonable age (not lower than 18 for female and 20 for male), but take into consideration maturity in mind and intellectual integrity.

Strategy 3: Removal of policy and systems barriers to service delivery and its utilization

Strategy 3 key achievements: For the reporting period, the project was able to achieve the following accomplishments: . A reduction from 67 to 9 SDPs that experienced stock-outs during the FP Commodity monitored using TADR/Supply Monitoring tool during the quarter. MH Health Facility Survey Stock-out results in December were used by POPCOM and HPDP to update their database and to guide in their course of action to address gaps in the distribution system. . Supported 36 additional SDPs that are now MCP/NCP accredited by Philhealth; two additional LGUs in North Cotabato passed an Ordinance adopting Philhealth Reimbursement utilization guidelines. . Received endorsement of MH-developed SDN Operational Guide by six Regional Directors and the Secretary of DOH-ARMM. This is a critical milestone that provided an enabling mechanism to roll-out SDN establishment Mindanao-wide. Also, DOH included SDN initiative in the 2015 RPRH Law Accomplishment Report to Congress. Twenty-two SDNs are being established; of these, two are already in level 3. Lastly, SDN initiative resulted in public-private partnership among DOH-RO XI, Davao City, and the Davao Medical School Foundation, Inc. (DMSF) to revitalize the operation of Marilog District Hospital in the GIDA to serve the needs of 49,659 indigenous people residing in District 3.

3.1 Monitor SDPs for FP commodity stock-outs

MH’s regular field visits using TADR tool during the quarter showed a decline in the number of SDPs with stock-outs from 67 in Q1 PY4 to only nine 9 SDPs. Similarly, the number of LGUs with stock-outs was reduced by 76% from 17 to 4, namely: Agusan del Norte (six SDPs), Compostela Valley (one SDP) and Davao del Sur (one SDP), and Davao City (one SDP). The improved stock-out status was primarily due to the recent delivery of commodities directly to LGUs by DOH Central Office through a third party management system. It was noted that the stock-outs in six infirmary hospitals in Agusan del Norte were the result of redistribution of FP commodities the PHO team to RHUs before expiration. The provision of FP services in the six infirmaries was suspended due to understaffing and/or resignation of trained staff. The observed overstocking of IUDs in three RHUs in Agusan Del Sur, despite presence of trained IUD providers, was due to: a) inadequate demand generation activities; and b) LGUs are procuring commodities through CSR policy in addition to supplies from DOH. The PHO, with MH support, pulled out excess IUDs and redistributed to Bayugan city to address high demand on IUD, while sustaining support to other LGUs on demand generation. The push strategy by DOH to provide supply support to LGUs and LGU-initiated efforts on the ground are the main factors to the current situation; this should be addressed within the devolved health system.

The health facility survey result in December 2015 was informative to HPDP and PopCom in updating their database and decision-making. For instance, exclusion of Maguindanao province in the initial distribution list, which resulted in to high level stock-out in the previous quarter, was immediately addressed by DOH Central through HPDP.

3.2 Support for maternity care package (MCP)/newborn care package (NCP) accreditation and drafting of policy on use of PhilHealth reimbursements

MH continued support to LGUs resulted in MCP/NCP Philhealth accreditation of an additional 36 SDPs and issuances of policy on Philhealth reimbursement utilization by two LGUs in North Cotabato. To date, MH supported the accreditation of 362 or 57% of total 635 SDPs accredited by Philhealth. As in previous quarters, MH support focused on: the crafting of Ordinance or Executive Order; conducting facility assessment with Philhealth staff; capacity building of health service providers on EINC/CMNC/BEmONC/FPCBT1 and 2, PPIUD; and conducting supportive supervision of trained health service providers. Also, during the quarter, RHMs in 57 health facilities in Northern Mindanao were monitored and all the RHMs interviewed are happy and satisfied with on their share on PhilHealth capitation funds. Specifically in ARMM, through the RHM-TBA partnership/paanakan initiative, traditional birth attendants (TBAs) referring pregnant women to safe birthing facilities also receive a share from Philhealth reimbursement. To expand this practice, the LGUs of Simunul and Languyan of Tawi-Tawi, and Mamasapano in Maguindanao were assisted in forging partnership with 99 TBAs as referral agents and community support network for MNCHN/FP services. This was initiated to enforce the facility-based delivery policy, given the strong cultural preference in ARMM for home deliveries by TBAs. To highlight this initiative, a policy forum-cum Buntis Congress was attended by 411 pregnant women and local leaders. The event provided FP counseling, tetanus toxoid immunization, and health education by Muslim religious leaders in the context of Islamic teachings. Municipality mayors have agreed to formulate an ordinance providing incentives to TBAs out of the PhilHealth reimbursements. The crafting of the ordinance will be done in the next quarter.

3.3 Establishing SDN in Mindanao through partnership with DOH and LGUs.

The six Regional Health Directors in Mindanao endorsed the MH-developed SDN Operational Guide, which complements DOH Central SDN Guidelines4. Also, DOH-ROs in Mindanao are leading the SDN roll-out across the 19 provinces using the operational guide, with corresponding budget and regional SDN Core Teams. MH support was recognized by the Central DOH with its inclusion in the 2015 RPRH Law Accomplishment Report to Congress.

4 Per DOH Memorandum No. 2014-0313: Adoption of the Guidelines in Establishing Service Delivery Network and Section 5 of the IRR of the RPRH Law.

For PY4, six identified DOH Hi-5 priority SDNs were jointly selected by the project and partners to support. To date, two are still in Level 1 Cluster 2 in Zamboanga del Sur and Cluster 5 in Iranun District of Maguindanao), and four are in level 2(SANLAKASS in Lanao del Norte, Davao City and South ILHZ in Davao del Sur, PALMA-PB in North Cotabato, and Bayugan ILHZ in Agusan del Sur). In addition to six focused SDNs, the project provides technical assistance to DOH-RO initiated 16 SDNs across the six regions bringing 22 supported SDNs reaching 68 LGUs in various stages of SDN establishment. Of 16 SDNs, 7 are in Level 1; 7 in Level 2; and 2 in Level 35. Another SDN model has evolved from a public-private partnership aimed at revitalizing Marilog District Hospital to cater to the MNH and FP needs of vulnerable 49,659 indigenous people residing in District 3, a geographically isolated and disadvantaged area. A multi-sectoral coalition/partnership was forged among Davao City, DOH-RO XI and the Davao Medical School Foundation, Inc. (DMSF) through a MOA. To date, constant follow-up by SDN TWG of District 3 stakeholders’ commitments resulted in: a) installation of water and power systems, b) integration of Davao City’s Central 911 services in the network, c) inclusion of IP representation in the structure, d) functional hospital with the augmentation of health service providers from DMSF and DOH-RO, e) provision of community-based transportation from Association of Barangay Captains (ABC), among others. The project is now working with DOH-RO and Davao CHO to help complete requirements for issuance of License to Operate and Philhealth accreditation of the facility, in addition to supporting the training of Marilog health service providers on EINC, FPBCT 1 and 2, and PPIUD.

3.4 Support LGUs to conduct DQCs

A total of 568 HSPs are capacitated to conduct DQC during the reporting quarter. This is addition to 916 HSPs that were trained on Q1P4. To date, a total of 1,773 HSPs in 235 LGUs with working knowledge on DQC, 86% of which were capacitated during the first half of PY4. Review of records revealed that the geographical distribution of DQC trained staff from PY3 to second half of PY4 is skewed to Davao Region, with 889 or 51% of total 1773 DQC trained; yet, only 23 or 61% of 38 LGUs are conducting DQC. The region with the least number of DQC trained staff are from ARMM (5%) and Caraga region (6%). Despite the increased number of LGUs with DQC capacity, only 31%, 74 out of 235 LGUs are conducting DQC. The seemingly low DQC activities at the LGU are: a) non- availability of LGU and DOH-RO cost share to conduct onsite DQC, b) lack of worksheets and TCL forms, c) competing schedules, and d) lack of staff to manage the activities. To sustain and expand DQC activities at the facility level, a PDOHO and PHO point-persons were assigned per municipality to assist RHU team in the conduct of quarterly DQC.

5 Level 1: Organized SDN – presence of the three levels of care (Community, BEmONC, CEmONC); SDN members, the public and private sector partners, are identified and engaged; and presence of SDN Technical Working Group; Level 2: Operational SDN – 60% of the elements of a functional SDN are present inclusive of the three minimum parameters/ elements, and Level 3: Functional SDN – 70% to 100% of the elements are present with policy support and PPP agreements.

The result of DQC activities in Davao City further re-enforced the importance of a validated and credible health data to guide local health managers in their programming and decision making. The recently concluded DQC in all facilities of Davao City Health Office revealed a substantial variance in the data post- DQC. There was a 33,000 reduction in the number of FP current users from 101,000 to 68,000. The reason for the huge discrepancy was due to poor recording (e.g., listing of clients reached in a logbook/regular notebook); failure to update TCLs on FP; and inadequacy of supervisory visits to the facilities. As a result the 33,000 clients not in the TCLs were dropped as a matter of DQC rule. Concerned staff will track current users that were taken out, assess FP needs using FP form 1 and enroll them back to the TCLs to be counted. In the next quarter, the project needs to intensify DQC rollout activities focusing to the eight provinces of Lanao del Sur, Maguindanao, Sulu, Lanao del Norte, Misamis Oriental, North Cotabato, South Cotabato, and Sultan Kudarat, and Isabela City, while working closely with DOH-RO and PHO to put into action the agreement of having PDOHO and PHO point persons per municipality to roll-out DQC on site.

3.5 Sustain partnership with Zuellig Foundation and ENGAGE project

The project continued its partnership with USAID-ENGAGE Project to help implement the health strategic plan of the Tri-People Cluster LGUs for Peace and Development namely Upi, South Upi and Datu Blah Sinsuat in Maguindanao. A Philhealth facility assessment was supported in barangay Rempes, a GIDA dominated by Tedurays. As a result of the assessment, MH will help build the capacity of the RHM, while the ENGAGE-supported maternity waiting home for IP Pregnant women is almost complete. Collaboration with Zuellig Family Foundation through the USAID-Health Leadership Governance Project (HLGP) sessions with LCEs and MHOs, resulted to MH providing technical inputs on Family Planning focusing on (1) FP and its contribution to maternal and child health, (2) FP work planning, (3) critical factors that affect FP implementation, and (4) adaptive leadership in support to implementation of the technical roadmap including the importance of DQC. Also, 14 additional LGUs with their Mayors and MHOs of Basilan (11), Lanao Del Sur (2), and Sulu (1) were enabled to formulate their health action plans especially in increasing their CYPs, mothers reached for EBF, ANC and facility-based deliveries.

Strategy 4: Strengthening the Capabilities of DOH Regional Offices and Provincial Health Offices in Program Development, Management and Oversight

Key Achievements: • Facilitated several DOH-RO level talks to firm up plans to expand SDPs and improve demand for services in all access points.

4.1 Support to Increase DOH-RO utilization of MNCHN/FP funds

Responding to the technical assistance needs of the frontline service providers, DOH-

RO leadership have increased the fund support to a) improve the capabilities of the health service providers so that remaining service delivery points without capabilities to provide FP/MNCHN services can now provide the much needed services especially among the CCT-NHTS beneficiaries; b) to ensure that priority program activities leading towards improving health outcomes for mothers, newborn, children and family, be included in the LGU”s 3-year Investment Plan for Health (LIPH) /Annual Operational plan for 2016 with specific budget allocations; and, c) to ensure that HSPs/health facilities are compliant to ICV related policies. With the objective of increasing further the number of SDPs with capabilities to provide high impact FP/MNCHN interventions/services, in close collaboration with the Project each of the six DOH Regional Health Offices have ensured in their respective 2016 work and financial plans fund support to capability building on FP/MNCHN. For instance in Zambo Peninsula, priority budget allocations were to support training of HSPs in SDPs without trained providers on BTL-MLLA (1 batch) , 3 batches each of FPCBT1 and 2, 10 batches of BEMONC for midwives, 2 batches of EINC, and 1 batch TOT on PPFP/PPIUD. Most of these TA needs have been expressed in the action plans of the LGUs who have just finished the MLGP courses, where they did a thorough analysis of their FP/MNCHN outcomes. Meanwhile in Northern Mindanao, DOH RO level advocacy resulted to increase in LAPM plus activities and promotion of market RHU services, capitalizing on the trained Barangay Population Volunteer/CHTs of POPCOM for community mobilization including tracking of FP commodities stock-out. As a follow through TA in accreditation, MH assisted DOHRO Northern Mindanao in the conduct of a day consultation meeting on MBFHI where all the Lactation Management Coordinators of the 5 provinces of the region were in attendance. This consultation resulted to agreements on The following which MH with the DOHRO have to monitor the implementation in the next quarter: the LM Coordinators will take the lead in in preparing the facilities/hospitals to be Mother-Baby Friendly following the 10 successful steps on breastfeeding, fast tracking accreditation process, develop concept for reward mechanisms for provinces with the most number of accredited facilities while maintaining the quality and qualification for accreditation. DOH RO guidance was also issued to facilities that were pre-assessed and are ready for the accreditation visit and processes including monitoring the compliance of Executive Order 51 and RA 10028- establishment of lactation room in workplaces, among others MH will ensure that that Job Aids and other materials will be provided to all government hospitals and RHUs. In Davao Region, a Coordination Meeting of MH and the WHO with the Local Health System Unit and Health Facility Development Unit of DOHRO Davao resulted to a harmonized 2016 TA plan focusing on the DOH REPs capability building on data analysis, management and utilization ,and provision of TA thru a systems approach which will be supported by the MH in the next quarter. Other Capability building needs of HSPs were also agreed and supported by the DOH RO Davao Region particularly on ToT for FP CBT 1 and 2, 2 batches each for the roll out training on CBT 1 & 2. The presentation of the project on AYRH initiative during the Sectoral Development Meeting resulted to the finalization of the list of focal persons on AY and FP for both regional health office and hospitals including timelines of the establishment of FP and AYRH programs in the DRMC. SOCCSKSARGEN and CARAGA responded to the call through

finalization of its WFP that resulted to funding support on the establishment of FP in the hospitals and scaling up of PPIUD services in facilities where there are none. In CARAGA for instance, PHO of Agusan Del Sur vowed to expand fixed and outreach services for LAPM provision thus resulted to 8 outreach schedules in La Paz Community Hospital, Trento Infirmary hospital and Bayugan Community Hospital with MSI. In ARMM, in collaboration with MindanaoHealth DOH ARMM capacitated 7 new teams of LAPM providers (Maguindanao = 3, Lanao del Sur = 3 with 1 private hospital of Marawi City), which enabled public hospital facilities to perform standardized mini laparotomy using local anesthesia (MLLA) for BTL procedure in Maguindanao namely Maguindanao Provincial Hospital, Dinaig Municipal Hospital and South Upi Municipal Hospital; and in Lanao del Sur’s Tamparan District Hospital, Balindong District hospital and Wao District Hospital including private Mindanalano Specialist Hospital. . As part of skills development, on site practicum for demo-return demo trainer and trainees were able to provide BTL to a total of 18 clients. Further supportive supervision will be provided to these teams in the next quarter until they get their certification. A total of 4 trainers on BTL/MLLA and 79 FP service providers, (13 FPCBT2 and 68 PPFP/PPIUD) were certified by DOH-ROs after they were supportively supervised by the project (Annex A). This is addition to the 46 health service providers that were certified in Q1PY4.

4.2 Improving capacity of LGUs on Local Investment Plan for Health Development

For this quarter, MH closely worked with DOH-ROs Northern Mindanao and SOCCSKSARGEN to assist LGUs in their respective regions to craft their 3-year Investment Plan for Health including Annual Operational Plan for 2016. MH’s technical assistance focused on the provision of local health managers a framework and strategies on horizontal integration of Local Investment Plan for Health to the LGUs local Development Plan and Annual Investment Program (AIP). This is one critical step in ensuring that health plans are mainstreamed in the LGU planning and budget process. The technical assistance enabled the provinces to finalize and submit their 3-year PIPH and 2016 AOP to the 2 DOH-ROs for final review and endorsement to DOH Central.

4.3 Strengthening DOH-ROs Capability in TA provision on Informed Choice and Voluntarism

In Northern Mindanao after the training on ICV for MH staff, a follow-up orientation training at Cabadbaran CHO was conducted reaching 38 staff (PHNs/RHMs/NDPs) the LGUAs will assist the DOH RO in the advocacy to P/CLGUs to organize their Provincial/City ICV Monitoring team and ensure that the PHO/CHO teams will conduct monitoring on ICV compliance of both the private and public health facilities with FP programs to ensure quality including the submission of their ICV reports every quarter to DOH-ROX. ICV compliance monitoring was conducted by our LGUAs for this quarter and will be submitted to Davao MH point person. In CARAGA an orientation on ICV was conducted among the twenty six (26) HSPs including the NDs of Agusan Norte to inform them on DOH policy in the provision of FP

services to their clients. It also served as an update to the providers especially those who were not trained on the basic course. In Agusan del Sur, ICV monitoring was integrated during the facility visits for TADR. Of the fifteen facilities visited, all 3 private clinics and four (4) RHUs were found to be compliant to ICV. Remaining six hospitals do not have FP clinics and FP services yet as of the time visited. These six facilities will be assisted revisited on the next quarter for the implementation of Hospital - based FP services. Armed with the project direction to focus on CYP, all the project teams re-aligned and re-focused interventions to support high impact FP interventions, this sudden U-turn move facilitated several DOH-RO level talks in January 2016 to address expansion of service delivery points and improve demand for services in all access points. Table 5: Number of Facilities Monitored on ICV CARAGA Region Total number of Number of facilities Facilities noted to be compliant to policies Region/Province Monitored Total to Jan Feb Mar Jan Feb date CARAGA Agusan del Norte 8 8 8 Agusan del Sur 14 9 14 Sub-total 22 17 22

Program Management

Program Coordination, Monitoring and Evaluation:

There were several key activities completed in the quarter. First, regional and municipal/city profile sheets were prepared summarizing key MNCHN/FP indicator trends and outputs of project interventions. Sheets were used in the ongoing ZFF-MH advocacy with participating LGUs from ARMM and Zamboanga Peninsula and will be used on a continuing basis as advocacy materials with partners. Second, MH prepared for USAID’s portfolio evaluation. MH met with the evaluation team in the USAID office with discussion focusing on project strategies and approaches within Mindanao context and initial results. The evaluation reviewed: i) effectiveness of USAID strategies (national versus. regional projects; national policy and communications versus localized implementation; and complementary efforts with other development partners); ii) responsiveness of USAID projects as a whole to the local health situation of project sites. and iii) potential areas for support in subsequent rounds of USAID support. As of the end of March, the evaluation team: i) visited the Brokenshire Teen Center; ii) conducted focus group discussions on behavior change communication activities in Valencia, Bukidnon; iii) assessed the NMMC PPIUD/PPFP expansion in NorthMin Region; and iv) conducted key informant interviews with local officials of Misamis Oriental and Davao City. For this activity, concerned project personnel prepared briefing materials, acted as key informants, and coordinated field visits of the evaluation team. Project documents, such as quarterly and annual reports, annual workplans, and descriptions of TA packages were also posted on a common repository in the USAID google drive. Third, to complement central level DQCs for both FHSIS and non-FHSIS reported data, the project undertook DQA in Zamboanga using an instrument prepared by the M&E team. In addition, several batches of DQC-related activities, both training and roll-out, were conducted in the provinces of Agusan del Norte, Davao City, Zamboanga del Sur, Basilan, and Gen. Santos City. Fourth, coordination with PoPCom at the regional level was strengthened with the involvement of MH in the training of field users on the RH online database in Davao City. Similarly, in the regions of NorthMin and Zamboanga Peninsula, discussions were conducted in various venues to strengthen this collaboration. Fifth, developments at the inter-CA and project level affecting performance reporting and other agreements were communicated and operationalized during the regional performance reviews in CARAGA, Davao Region, and Zamboanga City. In addition, tools for tracking AYRH, SDP functionality, and inclusion of private sector/hospital reports that were not reported in the local FHIS were developed. Fifth, appreciation of the project’s progress on PY4 plan implementation, understanding challenges and facilitating factors using a results-based template both during program management meetings and regional program implementation review meetings; initiated simulation exercises among regional team on advocacy meetings with LCEs; and FP Programs in Hospital Framework was finalized through consultation process.

Six, the Chief of Party participated actively to quarterly USAID-wide COP meeting with the Mission Director. Updates from the Embassy and Mission have provided guidance on the ground to improve visibility and sustainability of US Government support, including repositioning of USAID support to potential priorities of the new Philippine leadership and SDGs. It was also an avenue for implementing partners to share lessons learned from the project and how best to strengthen collaboration. Seven, senior management attended the All Mindanao Program Meeting where the Mission Director shared that health sector ranked 3rd in terms of performance among USAID supported projects. The health sector is challenge since there is no reason for low performance because only minimum indicators are being requested from the projects. Other important messages which we discussed with our team are: DQA/DQC should be conducted to ensure reports by September are validated; improve coordination among implementing partners to forward Development Agenda Objectives; and use basic English to communicate. “Writing English clearly and simply is a key to diversity”. Eight, senior management attended 2016 Jhpiego Annual Meeting with a theme: Leadership to Ensure Successful Future; Saving Lives within Global Standard. While Jhpiego ranks 2nd to FHI globally, participants were challenge to: aim for excellence with the team; deliver results/outcomes and communicate/market results using basic English/language; and to take the leap to be problem solvers, drivers of actions, and build leaders among your team and partners. We accepted the challenge and are gradually strengthening the culture of excellence within our team. Lastly, the project hosted inter-CA BCC TWG and inter-CA MNCHN/FP TWG meetings during the quarter where issues were resolved and substantive agreements reached as guide to all implementing partners in accelerating efforts to deliver results, in partnership with government at all levels and the private sector.

Project Communications

To communicate project gains in the last two years, the MH Annual Report Magazine was developed and distributed to key partners and leaders, with an emphasis in Mindanao regional, provincial, city and municipal areas covered by the project. Jhpiego Headquarters’ Global Engagement and Communications Office provided technical assistance in polishing and packaging the magazine. Within the reporting period, USAID Philippines featured and published the following write-ups for the Weekly Highlights: a) Expanding Range of Family Planning Services of Gregorio T. Lluch Memorial Hospital in Iligan City, Davao del Norte (Week of 18 January 2016); b) Revival of a Key Health Facility in the Geographically Isolated Area of Marilog in Davao City through Public-Private Partnership (Week of 22 February 2016); and the c) Turn-over of Health Training Models to Brokenshire Memorial Hospital and Department of Health Davao Region by USAID Mission Director Dr. Susan K. Brems. (Week of 22 February 2016). Jhpiego also featured on its Facebook page a photo and caption that the project submitted about a satisfied family planning method acceptor from Cagayan de Oro City. The post earned 339 likes and 21 shares. In Mission Director Brem’s recent visit to Zamboanga City, USAID Philippines released

33 an article on its Facebook page about her meeting with key health providers in Zamboanga City Medical Center especially those assisted and trained by USAID to discuss their successes and challenges in delivering health services particularly family planning. The write up also talked about the hand-over of training models for the hospital to promote

Challenges and Solutions

Table 6. Challenges faced by MindanaoHealth this quarter and solutions (implemented and/or planned)

Challenge Solution

IMPROVING THE SUPPLY OF MNCHN/FP SERVICES

Increasing supportive Implemented: During the regional consultations held in April and early march, concrete supervision visits and plans to increase SS activity includes the following agreements: certification of providers 1. Develop a system to track status of trainee’s practice and certification status to be discussed with DOH ROs for the planning of supportive supervision visits. 2. ATTLs were assigned to lead this activity and work with DOH ROs to facilitate the issuance of certifications. There are pending MH endorsements in the regions of Davao and SOCCSKARGEN

Planned: For BTL, Dr. Floresca will be engaged to undertake supportive supervision for BTL

trainees in SOCCSKARGEN and ARMM. For PPIUD, schedules for the conduct of SS will be firmed up with COEs and Trainors. A training information management system will be introduced initially in SOCCSKARGEN to help the DOH RO track and conduct more systematic and regular SS visits. At the DOH RO level, MH will work to integrate supportive supervision activities into current post-training evaluation activities

Increasing the frequency of Implemented: Agreements with MSI on a tentative schedule of outreach activities have outreach activities been disseminated to LGU Advisors in the previous period. While many have been conducted as planned a similar number have also been re-scheduled or did not push through.

Planned: Discussions with key partners particularly MSI, Jerome Foundation, FriendlyCare, etc. to firm up schedules of outreach. On the ground, LGU Advisors will improve support for social preparation activities through assistance in linking information from POPCOM, EMTT, and USAPAN sessions to LAPM activities; improving the screening of clients through the use of standard eligibility criteria checklists

Increasing the number of Implemented: Action plans and reporting mechanisms at the project level to include private facilities that are reports from the private sector have been thoroughly discussed with ATTLs and LGU reporting or are Advisors. This has been agreed upon as a key strategy to increase CYP. In Davao City, Misamis Oriental, Lanao del Norte and Cagayan de Oro where this has happened, included in the FHIS reports remarkable increases have been observed.

Planned: The current DQC methodology has been improved to include a process whereby reports from hospitals, private clinics are reconciled with midwives service records. In SOCCKSARGEN, this will be mainstreamed by working with DOH ROs. Project will also document contributions of private sector to be used as advocacy to other LGUs and

Challenge Solution

regions in the need to institutionalize private sector reports in the FHIS.

FDA approval on Implemented: Redraft protocol of public health program intervention to actual research. Misoprostol for local implementation in Sulu. Planned: Continue the recommended and prescribed regulatory processes of FDA on drug importation

Tapping private sector Implemented: 11 Health Facilities and 15 HSPs have been oriented on FPCBT1 and BCS+. LGU Advisors have already identified the specific private providers and hospitals that will be targeted for technical assistance.

Planned: Additional FPCBT1 trainings have been identified in the next quarter. TA will include assisting the providers in linking with the public sector for logistics. Additional TA will be provided in the areas of reporting and recording and orientation on ICV.

INCREASING THE DEMAND FOR MNCHN/FP SERVICES

Increasing the yield of Implemented: Efficiency of demand generation activities are closely monitored. LGU demand generation Advisors have already been given guidance on how to increase yield. activities [79% of USAPAN participants, who are with Planned: Field personnel have been directed to coordinate with POPCOM field officers to FP unmet needs do not make use of the RH Online databases of CCT/4P with unmet needs and bring this access FP services] information at the facility level for the conduct of USAPAN sessions. Other models with better efficiency have been disseminated during the regional PIRs (eg. using TCLs as the source for identifying women with unmet need including those from EMTT). Specific areas with workable EMTT in Basilan, Sulu, Maguindanao, and Bukidnon will be visited to enhance the use of EMTT information. In addition, the IEC for ARMM will be enhanced to include more culturally sensitive messages. Talking points for Ulamas have also been identified as a possible TA for ARMM with specific focus on delivering FP oriented messages in the Fatwah.

REMOVING POLICY/FINANCING/ AND SYSTEMS BARRIERS TO ACCESS

Mainstreaming of DQC Implemented: Capacity building of nurses, midwives, and even DMOs at the DOH RO have Activities been completed in most project sites/regions. 20% of LGUs are already conducting roll-out activities with or without project support.

Planned: DQC activities will be accelerated in provinces/cities that have not conducted DQC to date. In Zamboanga Pen, MH personnel will work closely with HLGP to put DQC into the agenda of the LGUs participating in the program. MH will document DQC results from other provinces/cities that have conducted province-wide DQC and use it as an advocacy tool to gain more support in other areas.

Success Stories and Evolving Initiatives

Family Planning: Protecting My Family, Protecting My Future

“I did not have any apprehensions or fear about the procedure and about the side effects. I just wanted to protect myself and my family,” said Joan Romanal, a 23 year old mother of three, during the group counseling in February 2015 at Northern Mindanao Medical Center, a MH-supported Center of Excellence facility on LAPM/LARC, in Cagayan de Oro City. After one-on-one counseling on the following day, Joan received long acting reversible contraceptive method of her choice free. Jaon and her partner Jason, a part-time laborer, realized that they need to plan ahead to prevent unintended pregnancies, for life is becoming difficult, with no additional and steady source of income. The opportunity came when a village health worker visited Joan’s community, where she was able to learn, together with other women, family planning and the different methods available. Eager to learn more about the long-acting subdermal implant called Implanon, Joan went for counseling to a trained nurse at the health center. At this time, despite being a little uneasy and embarrassed, Joan answered questions truthfully, in order to be sure Joan is making the right choice. Joan remains satisfied using SDI for more than a year now and her biggest fear of getting pregnant is gone. She said, “I am no longer anxious. I don’t have to think about anything; just my children, caring for them and planning to have a better life and a better future for them.”

Joan Ramonal beams with the thought of being able to care for her family without the worries of unplanned pregnancy after voluntarily accepting a family planning method. (Cossid/Jhpiego)

Photo (to appear in the cover)

USAID Mission Director Lauded 2 Mindanao hospitals efforts on Family Planning and Adolescent-youth Reproductive Health

Dr. Susan Brems, USAID Mission Director for the Philippines, visited Zamboanga City Medical Center and Brokenshire Memorial Hospital during her official visits to Mindanao, where she interacted with partners from DOH-ROs, core hospital staff, LGUs and MH staff, and turned-over training models to the 2 hospitals and DOH-RO XI for training and supportive supervision activities. She lauded the dedication of teams from Zamboanga City Medical Center building the capacities of health providers within and outside Zamboanga Peninsula regions to deliver quality FP/MNCHN services to all, including the youths. The hospital has been a recipient of USAID support since 2012 to the present through 2012-2015 USAID- Maternal and Child Health Integrated Project (MCHIP) and 5-year (2013-2018) MindanaoHealth Project. ZCMC is the first provider of postpartum family planning in the region and now a regional training hub and provider of family planning, and MNCHN. Overall, as one of the Department of Health’s Center of Excellence for Family Planning, ZCMC has trained 183 providers and served 2,955 clients from the region, and ARMM provinces namely Basilan, Sulu, and Tawi-Tawi. Mission Director Brems also visited Brokenshire Memorial Hospital, first private hospital with a program for teens. She was impressed on how the different departments are working together to address health and non-health concerns of adolescents/youths. She interacted with hospital health service providers and highlighted the value of working together to reach adolescents and youths with various health needs; the importance of working with young people; and the need to stress the value of life aspirations or goals, as well as the high cost of early pregnancy. The Brokenshire Hospital Program for Teens was supported by the project and was launched on September 2nd 2015. To date, the center has served more than 200 youths, mostly with issues related to fertility awareness, unintended pregnancies, breastfeeding, abuses, FP options and what to do during emergency cases, such as deliveries.

Brokenshire Hospital Resident-in-Charge of the Program for Teens Dr. Tessa Mae Bonguyan (right) shows USAID Philippines’ Mission Director Susan Brems the Program for Teens Operational Guide. (Photos: Cossid/Jhpiego)

Public Hospital-based Center for Teens offers adolescent-friendly space for teen mothers

Where there were parties…where other young people meet, Garneth would be there, along with her friends. Despite having many friends, no one informed her of the dangers of risky behaviours and does not know whom to reach out to get correct information on sexuality and reproductive health. At 14, innocent as she was and trustful to her boyfriend’s assurance of not being pregnant since it is a first time, had her first sexual experience. While engaging in risky behavior, she is also shy and discreet and never confide to her mother. At age 17, while in Grade 10, she became pregnant and thus has to stop and delivered her son at Dr. Jorge P. Royeca Hospital (formerly General Santos City Hospital). She obviously had to stop. Garneth is lucky because she accessed services to a hospital with capacity to provide youth friendly RH services with the establishment of Center for Teens, supported by USAID’s MindanaoHealth Project/ Jhpiego. Out- patients are offered with psychosocial assessment prior to providing health services, while in-patients like Garneth will be provided with counseling services especially tackling the need to delay next pregnancy through family planning. Since its launch in September 2015, the Center for Teens has already catered to about 150 patients, majority (70 percent) are teen mothers. The focal person of the center, Margie Junio who is also the Head Nurse in the Delivery Room, devotes much of her time to assist young patients at the center for teens. Her good-natured and amiable personality complements her skills in counseling young people, strengthened by the knowledge she acquired from the Training on Adolescent Job Aid (AJA) supported by the MindanaoHealth Project, along with 15 other nurses in the hospital. Fortunately, Nurse Margie has also been trained on family planning. By practice, 45 days after delivery, teen mothers are asked to come back to the center for family planning counseling and all patients age 15-24 years old are referred to the center for psychosocial assessment and counseling through in-bound and out-bound referral forms. Garneth, together with her mother Merlina, had her family planning counseling in June 2016 with Margie. Garneth vowed to be more responsible and to plan her life by adopting a family planning method of her choice to delay her next pregnancy. She wanted to go to school and in the future get herself a job. She is more fortunate that such a Center for Teens in the hospital is now available where adolescents could seek help and access information and services from trained Center for Teens Focal Person Nurse Margie Junio talks to 17-year old Garneth Sebial and her mother, providers. Garneth said, “I will really come Merlina about newborn care, the importance of back to the center and seek help from Mam immunization and the need for family planning counseling in order to delay another pregnancy. Margie. I am more careful now that I am (Cossid/Jhpiego) more aware.”

Supportive supervision and training certification builds up quality family planning services provision

Supportive supervision is a critical part of capacity building initiative supported by the US Agency for International Development (USAID). During supportive supervision, trainers helps build further the confidence of trained service providers; and ensures the correct application of acquired knowledge and skills by reinforcing strengths of the provider while mentoring them to address weaknesses in the clinical skills. In collaboration with USAID-supported Centers of Excellence, the number of trainers on LAPM/LARC has expanded to include qualified trained service providers at Rural Health Units (RHUs). Dr. Violeta Capacio, Municipal Health Officer (MHO) of Bansalan in Davao del Sur, completed training on postpartum intrauterine device (PPIUD) insertion and removal and now can provide focused mentoring and coaching to her PPIUD-trained midwives. Dr. Capacio said, “Trained midwives in facilities are more confident in performing procedures such as PPIUD if the one supervising them is also a trained doctor.” She continued, “Initially, trained RHU midwives had reservations every time they perform the procedure for lack of supervision.” Later, trained midwives confided to Dr. Capacio that they would be more confident and comfortable performing PPID insertions if she, as their supervisor and being a doctor, was trained. This supported her plan and thus attended one of MH-supported training on PPIUD. Skills of midwives continued to improve in providing PPIUD services, with Dr. Capacio’s focused mentoring and supportive supervision. Bansalan Rural Health Unit record showed a dramatic increase of PPIUD acceptors from 37 in 2013 to 317in 2016. Dr. Capacio believes that she will focus supportive supervision within her own facility first to ensure quality service provision before reaching out to other facilities needing the same. “I encourage other MHOs to maximize training opportunities to be better equipped not only as service providers but also as mentor and coach to other health providers to help them improve the quality of their services,” Dr. Capacio said.

Bansalan Municipal Health Officer Dr. Violeta Capacio demonstrates correct procedure of PPIUD insertion to health service providers participating in the training. (Wood/Jhpiego)

Financial Expenditure and Cost Share

Jhpiego Corporation PRIME: Jhpiego Corporation Award Name: Integrated MNCHN/FP in Mindanao (MindanaoHealth) Award No.: CA-AID-492-A-13-00005 Period of Expenditure: 1 January 2016 to 31 March 2016

Itemized Project Expenditures All figures are in US$ Cumulative Expenses of Expenditure in this quarter Cumulative Obligated % of Expenses Based Cost Items Previous Annuals to 31 Expenditure at End amount on Obligated Amount December'15 Jan-16 Feb-16 Mar-16 of March'16

Personnel including Fringe 7,222,155.11 5,090,318.67 163,782.99 159,897.13 127,272.18 5,541,270.97 77% Travel and Transportation 2,896,771.47 2,504,920.46 64,061.08 113,129.97 4,749.96 2,686,861.47 93% Equipment and Supplies 1,165,045.90 854,054.24 6,411.52 9,987.99 18,098.50 888,552.25 76% Sub-grantees/ sub-contractors 1,265,692.79 1,030,563.90 26,019.95 86,557.74 43,035.94 1,186,177.53 94% Other Direct Costs 2,974,380.43 1,863,693.59 40,133.59 54,060.97 29,227.41 1,987,115.56 67% Indirect Costs 2,935,199.39 2,276,667.19 64,403.98 88,743.00 37,662.98 2,467,477.15 84% TOTAL 18,459,245.09 13,620,218.05 364,813.11 512,376.80 260,046.97 14,757,454.93 80%

Cost Share Summary as of: 31 March'16 Cost Share Requirement (5% of total expenditure) $ 737,873 Total Cost Share Contributed $ 1,032,651 Remaining Cost Share Requirement / Over (Under) $ 294,778 Total % of Cost Share Contributed 140%

Jhpiego Corporation PRIME: Jhpiego Corporation Award Name: Integrated MNCHN/FP in Mindanao (MindanaoHealth) Award No.: CA-AID-492-A-13-00005 Period of Expenditure: 1 January 2016 to 31 March 2016

Mindanao Working Group site Expenditure (In-country only) Cost of Activities per Provinces

Activities Training Logistics Technical_Assist Others Grand Total ance ARMM 10,240 6,602 25,325 14,356 56,523 Maguindanao 3,352 861 18,763 3,413 26,390 Sulu 1,226 1,157 3,037 3,927 9,347 Tawi-Tawi 45 631 3,517 4,193 Basilan/Isabela 964 878 1,420 3,499 6,760 Lanao del Sur 4,653 3,076 2,105 9,833 Marawi City - IX__Zamboanga_Peninsula - - 202 1,394 1,596 Zamboanga City 202 1,394 1,596 XII SOCCSKSARGEN 365 1,980 772 3,945 7,062 Cotabato City 365 1,980 772 3,945 7,062 Grand Total 10,604 8,582 26,300 19,695 65,181

Provincial/City Expenditures (In-Country Only) (All figures are in US$) Costs of activities Per Province Technical Region/Provinces Training Logistics Others Grand Total Assistance ARMM 25,382 12,528 32,598 53,828 124,337 Maguindanao 3,352 861 18,763 3,413 26,390 Cross-Cutting 15,142 5,926 7,273 39,473 67,814 Sulu 1,226 1,157 3,037 3,927 9,347 Lanao del Sur 4,653 3,076 2,105 9,833 Basilan/Isabela 964 878 1,420 3,499 6,760 Tawi-Tawi 45 631 3,517 4,193 Marawi City - Central Office Expenses 18,068 28,337 46,268 204,584 297,257 Cross-Cutting 18,068 28,337 46,268 204,584 297,257 IX: Zamboanga Peninsula 21,478 3,745 26,350 33,735 85,308 Zambonaga del Norte 397 9,457 3,755 13,610 Cross-Cutting 4,544 3,023 3,624 21,524 32,714 Zamboanga City 202 1,394 1,596 Zamboanga Sibugay 9,896 340 8,260 3,427 21,923 Zamboanga del Sur 6,641 383 4,807 3,635 15,465 X: Northern Mindanao 13,736 7,541 11,414 35,346 68,037 Cross-Cutting 4,915 4,965 1,371 20,546 31,797 Misamis Oriental 594 506 1,695 3,086 5,881 Lanao del Norte 1,757 786 4,986 4,866 12,395 Bukidnon 2,142 1,096 1,174 3,414 7,826 Cagayan De Oro City 4,329 188 2,188 3,434 10,139 XI: Davao Region 55,795 6,396 22,698 34,783 119,672 Davao City 23,549 460 7,614 4,842 36,465 Cross-Cutting 20,007 1,600 7,641 19,132 48,380 Compostela Valley 4,619 1,559 1,557 3,500 11,235 Davao Del Sur 3,654 1,518 3,591 3,904 12,667 Davao Oriental 3,966 1,260 2,295 3,405 10,926 XII: SOCCSKSARGEN 12,078 12,032 19,878 30,359 74,347

Sultan Kudrat 2,524 623 6,875 3,659 13,680 Cotabato City 365 1,980 772 3,945 7,062 Cross-Cutting 6,128 7,760 9,170 14,310 37,367 North Cotabato 1,616 641 1,216 3,414 6,887 South Cotabato 1,446 1,028 1,844 5,032 9,351 XIII: CARAGA 20,884 9,373 3,708 17,876 51,841 Cross-Cutting 12,994 5,267 869 13,716 32,846 Agusan del Sur 5,396 1,222 1,598 4,079 12,296 Agusan del Norte 2,494 2,884 1,241 81 6,700 Grand Total 167,421 79,953 162,914 410,512 820,801

Annex A: List of Certified Trained Health Service Providers and Trainers by FP/LAPM/LARC

A.1 BTL MLLA (Trainers)

Name Designation Place of Assignment Status 1. Dr. Gay Emerald B. MS I OB-GYN SPMC Issued Oribello Consultant April 2. Dr. Mary Jean L. Bergonia OB-GYN Consultant SPMC Issued April 3. Dr. Cherry Jay C. Tabora OB-GYN Consultant SPMC Issued April 4. Dr. Gina Bacol OB-GYN Consultant SPMC Issued April

A.2 FPCBT2 (Providers)

Name Designation Place of Assignment Status 1. Sherly N. Mahusay Midwife II RHU Bansalan Issued April 2. Ruth Sherwin G. Balawag RHM RHU Malita Issued April 3. Joanne J. Laranjo RHM Davao del Sur, Digos City Issued April 4. Gloria P. Golimlim Midwife Davao del Sur, Padada Issued April 5. Ana P Marie Sayun RHM Davao del Sur, Bansalan Issued April 6. Sherry Ann Orcajada Midwife RHU Malalag Issued April 7. Jean Mizy J. Gipulan Midwife RHU Malalag Issued April 8. Thelma M. Tubat Nurse RHU Sta. Maria Issued April 9. Wilma P. Ordaneza Midwife III RHU Kiblawan Issued April 10. Dolores B. Lopez MHO RHU Padada Issued April 11. Artemio E. Senoy Midwife Kiblawan, Davao del Sur Issued April 12. Cicilia C. Cabillon Midwife Digos City, Davao del Sur Issued April 13. Precious A. Tajoda Midwife Sulop, Davao del Sur Issued April

A.3 PPFP/PPIUD

Name Designation Place of Assignment Status NORTHERN MINDANAO MEDICAL 1. Orimaco, Caroline V. MD CENTER DOH Certified NORTHERN MINDANAO MEDICAL 2. Pingol, Ciara Chloe MD CENTER DOH Certified NORTHERN MINDANAO MEDICAL 3. Labis, Flora B. RN CENTER DOH Certified NORTHERN MINDANAO MEDICAL 4. Gallago, Eileen RM CENTER DOH Certified NORTHERN MINDANAO MEDICAL 5. Usman, Cecile J. RM CENTER DOH Certified NORTHERN MINDANAO MEDICAL 6. Judith Montero MD CENTER DOH Certified NORTHERN MINDANAO MEDICAL 7. Espra, Ma Louiela MD CENTER DOH Certified NORTHERN MINDANAO MEDICAL 8. Estavilla, Flora CENTER DOH Certified 9. Brioso, Maria Leotina MD NORTHERN MINDANAO MEDICAL DOH Certified

Name Designation Place of Assignment Status Amparo CENTER NORTHERN MINDANAO MEDICAL 10. Brioso, Ronald Mr. CENTER DOH Certified NORTHERN MINDANAO MEDICAL 11. Tamano, Heidi Mr. CENTER DOH Certified NORTHERN MINDANAO MEDICAL 12. Cuenco, Karil Mr. CENTER DOH Certified NORTHERN MINDANAO MEDICAL 13. Lacdawin, Dante Mr. CENTER DOH Certified NORTHERN MINDANAO MEDICAL 14. Sharon Jane Galagnara MD CENTER DOH Certified NORTHERN MINDANAO MEDICAL 15. Anadel Tordos RM CENTER DOH Certified NORTHERN MINDANAO MEDICAL 16. Dequeros, Grace A. RM CENTER DOH Certified BUKIDNON PROVINCIAL MEDICAL 17. De Asis, Marichu L. RN CENTER DOH Certified BUKIDNON PROVINCIAL MEDICAL 18. Gamo, Mary Grace C. RM CENTER DOH Certified 19. Mangadang, Marianita RN CAMIGUIN GENERAL HOSPITAL DOH Certified 20. Magangcong, Asnairah MD CAMIGUIN GENERAL HOSPITAL DOH Certified 21. Dumalayan, Cristita A. MD MOPH - OROQUITA CITY DOH Certified 22. Cutab, Pauline Tchaiya MD CAMIGUIN GENERAL HOSPITAL DOH Certified GREGORIO T. LLUCH MEMORIAL 23. Reponte, Teresa MD HOSPITAL (GTLMH) DOH Certified 24. Nepomoceno, Manuela CHO - ILIGAN CITY DOH Certified 25. Ramos, Mercy M. RM CHO - ILIGAN CITY DOH Certified 26. Elona, Rebecca U. RM CHO - ILIGAN CITY DOH Certified 27. Ungab, Helen RM CHO - ILIGAN CITY DOH Certified 28. Viloria, Myrtle M. RM CHO - CAGAYAN DE ORO CITY DOH Certified 29. Abrogar, Virgie RM CHO - CAGAYAN DE ORO CITY DOH Certified 30. Cabacungan, Clarina C. RM CHO - CAGAYAN DE ORO CITY DOH Certified 31. Mercurio, Gene RM CHO - CAGAYAN DE ORO CITY DOH Certified 32. Miso, Vivian Ms. RM CHO - CAGAYAN DE ORO CITY DOH Certified 33. Escalante, Esterlita T. RM CHO - CAGAYAN DE ORO CITY DOH Certified 34. Lapinig, Edeliza B. Ms. CHO - OZAMIS CITY DOH Certified 35. Recoplacion, Epifania RHU - KAUSWAGAN, LANAO DEL A. RM NORTE DOH Certified RHU - KAPATAGAN, LANAO DEL 36. Babanto, Maribeth RM NORTE DOH Certified 37. Clerigo, Lorena R. RM RHU - LALA, LANAO DEL NORTE DOH Certified 38. Dablio, Leonila B. RM RHU - OPOL, MISAMIS ORIENTAL DOH Certified 39. Anora, Marivic E. RM RHU - OPOL, MISAMIS ORIENTAL DOH Certified

Name Designation Place of Assignment Status 40. Raiz, Merlyn M. RM RHU - OPOL, MISAMIS ORIENTAL DOH Certified RHU - CLAVERIA, MISAMIS 41. Dela Cruz, Ziegred D. RM ORIENTAL DOH Certified RHU - CLAVERIA, MISAMIS 42. Nagangdang, Rosela RM ORIENTAL DOH Certified RHU - CLAVERIA, MISAMIS 43. Escoro, Blanca Joy RM ORIENTAL DOH Certified RHU - CLAVERIA, MISAMIS 44. Pines, Juliet M. RM ORIENTAL DOH Certified RHU - CLAVERIA, MISAMIS 45. Blanco, Elda Ms. ORIENTAL DOH Certified 46. Waga, Lydia A RM RHU - INITAO, MISAMIS ORIENTAL DOH Certified 47. Bade, Luzminda RM RHU - JASAAN, MISAMIS ORIENTAL DOH Certified 48. Justo, Diesybel RM HAPPY FAMILY MIDWIFE CLINIC DOH Certified RHU - LAGONGLONG, MISAMIS 49. Fabro, Daisy J RM ORIENTAL DOH Certified RHU - ALUBIJID, MISAMIS 50. Buray, Julieta T. RM ORIENTAL DOH Certified RHU - TAGOLOAN, MISAMIS 51. Gabatan, Othelia RM ORIENTAL DOH Certified RHU - TAGOLOAN, MISAMIS 52. Emata, Dorie E. MS RM ORIENTAL DOH Certified RHU - TAGOLOAN, MISAMIS 53. Llido, Maria Gina RM ORIENTAL DOH Certified RHU - TAGOLOAN, MISAMIS 54. Lim, Ana Rica RM ORIENTAL DOH Certified RHU - TAGOLOAN, MISAMIS 55. Solis, Shirley RM ORIENTAL DOH Certified RHU - TAGOLOAN, MISAMIS 56. Vale, Jennifer T. RM ORIENTAL DOH Certified RHU - TAGOLOAN, MISAMIS 57. Bueno, Marites RM ORIENTAL DOH Certified RHU - TAGOLOAN, MISAMIS 58. Quilang, Anna Grethel RN ORIENTAL DOH Certified 59. Requino, Rogersita RM RHU - KADINGILAN, BUKIDNON DOH Certified 60. Revilla, Evangeline C. MD RHU - MARAMAG, BUKIDNON DOH Certified 61. Yosores, Magdalena D. RM RHU - MARAMAG, BUKIDNON DOH Certified 62. Jolampong, Julieta B. RM RHU - PANGANTUCAN, BUKIDNON DOH Certified 63. Ponce, Merlita C. RM RHU - PANGANTUCAN, BUKIDNON DOH Certified 64. Mahayag, Blandina D. RM RHU - QUEZON, BUKIDNON DOH Certified 65. Marines, Lilibeth E. RN RHU - CATARMAN DOH Certified 66. Timene, Maria Fe E. RN RHU - CATARMAN DOH Certified 67. Prenio, Jerlyn R. RM RHU - CLARIN DOH Certified 68. Dapitan, Marivic G. RM RHU - CLARIN DOH Certified

Annex B: List of Trainings and Participants in Q2 PY4

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name AJA Autonomous Lanao del Sur Mapupuno Amerah Others CHO - Marawi City Marawi City TRAINING Region of Lanao del Sur Aminoden Maimona Nurse RHU - PICONG Picong Muslim Mindanao Lanao del Sur Matuan Alliah Nurse PHO - Lanao del Sur Marawi City (ARMM) RHU - KAPATAGAN, Lanao Lanao del Sur RAYMUNDO JULIETA Nurse del Sur Kapatagan Lanao del Sur SARIGIDAN OLINANG Midwife RHU - POONA BAYABAO Poona Bayabao Lanao del Sur MARUHOMSALIK Rashida Midwife RHU - MADALUM Madalum Lanao del Sur CAPISTRANO NATIVIDAD Midwife BHS - PAGALONGAN Ganassi Lanao del Sur PANDACE CADIDIE Midwife RHU - MARANTAO Marantao Lanao del Sur PENDAROLA ROCAYA Midwife PHO - Lanao del Sur Marawi City Lanao del Sur PETILAN FAISAH Midwife CHO - Marawi City Marawi City Maguindanao Gamit Jacqueline Midwife RHU - Datu Piang Datu Piang Maguindanao Collado Luvisminda Midwife BHS - KUYA South Upi Maguindanao Manindo Rowena Midwife BHS - PANDAN South Upi Maguindanao Bueno Maura Nurse PHO - Maguindanao Shariff Aguak RHU - Gen. Salipada K. Maguindanao DR. MASUKAT RENALYN Doctor Pendatun Gen. S. K. Pendatun Maguindanao DR. Esberto Carmelo Doctor RHU - UPI Upi Maguindanao Kadatuan Karen Others PHO - Maguindanao Shariff Aguak Maguindanao Mamison Noraida Midwife RHU - SHARIFF AGUAK Shariff Aguak BHS - MAGASLONG Maguindanao Edza Farida Midwife HEALTH CENTER Datu Piang Maguindanao Kadayunan Jennet Midwife BHS - TUMBAO Buluan Maguindanao Salendab Omolhair Midwife BHS - KAYUPO Buluan Maguindanao LICUS JOSEPHINE Midwife BHS - BUNGCOG Upi Maguindanao ALVIOR MELCHORITA Doctor RHU - Ampatuan Ampatuan Maguindanao HISO FRANCISCA Midwife BHS - TOMICOR Ampatuan RO ALI MUALIM Others DOH - ARMM COTABATO RO GOMONSANG BAI AREEZ Others DOH - ARMM COTABATO Davao Region Davao City DR. Rabang Laredo Doctor CHO - Calinan District DAVAO CITY

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name (Region XI) Davao City Ms. ANTEPASADO REBECCA Others CHO - DISTRICT D JACINTO DAVAO CITY Davao City Ms. GAID ALMA Others CHO - TALOMO CENTRAL DAVAO CITY Davao City Ms. MORALES CEASARA Nurse CHO - DISTRICT D JACINTO DAVAO CITY CHO - District A TOMAS Davao City Ms. PAREDES JINKY Others CLAUDIO DAVAO CITY Davao City Ms. SENOY ROSITA Midwife CHO - DISTRICT D JACINTO DAVAO CITY Davao City Ms. VICTORIANO EMMA Nurse CHO - Calinan District DAVAO CITY CHO - District A TOMAS Davao City DR. SOSIPING LUDY Doctor CLAUDIO DAVAO CITY CHO - District A TOMAS Davao City Carongay Gemma Midwife CLAUDIO DAVAO CITY Davao City DR. Acosta Julinda Doctor CHO - Sasa Health Center DAVAO CITY CHO - Toril District Health Davao City Gomez Mary Lyn Nurse Center DAVAO CITY Davao City SagpaNG Ma. Angelina Nurse CHO - TALOMO CENTRAL DAVAO CITY CHO - District A TOMAS Davao City Gonzales Corazon Nurse CLAUDIO DAVAO CITY Davao City Wong Geraldine Midwife CHO - Sasa Health Center DAVAO CITY Davao City Sombilon Eldy Nurse CHO - Sasa Health Center DAVAO CITY Davao City DR. Braganza Isagani Raul Doctor CHO - DISTRICT D JACINTO DAVAO CITY Davao City JOPSON MA. LIANA PAZ Others CHO - Davao City DAVAO CITY CHO - Toril District Health Davao City Mamites Maria Others Center DAVAO CITY Davao City Namoc Alicia Others CHO - Calinan District DAVAO CITY Davao City Avancena Sheila Rose Others CHO - Calinan District DAVAO CITY Davao City Gauce Ma. Corazon Others CHO - TALOMO CENTRAL DAVAO CITY Davao City Derecho Marcial Others CHO - DISTRICT D JACINTO DAVAO CITY CHO - Toril District Health Davao City Webon Ana Liza Others Center DAVAO CITY Davao City LAGAPA LUMIZA DOCTOR CHO - TALOMO CENTRAL DAVAO CITY CHO - Toril District Health Davao City MS MUEGO ALMA Midwife Center DAVAO CITY CHO - Toril District Health Davao City BUELIS LEA OTHERS Center DAVAO CITY

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name CHO - Toril District Health Davao City BORNILLO PERLA OTHERS Center DAVAO CITY CHO - Toril District Health Davao City DR. RUBIO MARGIE Doctor Center DAVAO CITY Davao City Ramos Marites Midwife CHO - TALOMO CENTRAL DAVAO CITY F. BANGOY NATIONAL Davao City MARCOS JOSEPHINE OTHERS HIGH SCHOOL DAVAO CITY Davao City LABADO JOSEPH Others DEPED - DAVAO CITY DAVAO CITY CHO - District A TOMAS Davao City NIDEA MARIETTA Others CLAUDIO DAVAO CITY Davao City ABING FERDINAND OTHERS DEPED - DAVAO CITY DAVAO CITY CHO - District A TOMAS Davao City CANEDO ROLYN OTHERS CLAUDIO DAVAO CITY Davao City PINO MARIA ROSARIO OTHERS CHO - Sasa Health Center DAVAO CITY Davao City DEIPARINE MARYLOU Others DEPED - DAVAO CITY DAVAO CITY CHO - District A TOMAS Davao City ALCONERA ARLEEN OTHERS CLAUDIO DAVAO CITY Davao City PEPINO REBBIE ANNE OTHERS CHO - DISTRICT D JACINTO DAVAO CITY Davao City GORDO MARIA AIDA Others CHO - Sasa Health Center DAVAO CITY CALINAN NATIONAL HIGH DAVAO CITY MECHOR ROSENDA OTHERS SCHOOL DAVAO CITY Davao City SANCHEZ URSULA Others DEPED - DAVAO CITY DAVAO CITY Davao City CALAMBUHAY PIAVINA NURSE CHO - Sasa Health Center DAVAO CITY Davao City SABAY RHODA PILAR OTHERS CHO - TALOMO CENTRAL DAVAO CITY CROSSING BAYABAS DAVAO CITY FANUGAO LESLIE OTHERS NATIONAL HIGH SCHOOL DAVAO CITY Davao City DUMANDAN JONATHAN NURSE CHO - Sasa Health Center DAVAO CITY Davao City BALODO YVETTE OTHERS CHO - TALOMO CENTRAL DAVAO CITY J. SORIANO NATIONAL DAVAO CITY JEWELL MARIA TERESITA OTHERS HIGH SCHOOL DAVAO CITY DAVAO CITY NATIONAL Davao City HUEVOS GINA OTHERS HIGH SCHOOL DAVAO CITY Northern RHU - San Fernando, Mindanao Bukidnon Arquilos Lostina Midwife BUKIDNON San Fernando (Region X) Bukidnon Quiacao Merlyn Midwife RHU - San Fernando, San Fernando 49

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name BUKIDNON RHU - San Fernando, Bukidnon Espares Susan Midwife BUKIDNON San Fernando RHU - San Fernando, Bukidnon Milagrosa Geraldine Marie Midwife BUKIDNON San Fernando RHU - San Fernando, Bukidnon Orillo Arlene Midwife BUKIDNON San Fernando RHU - San Fernando, Bukidnon Albaraccin III Francisco Nurse BUKIDNON San Fernando RHU - San Fernando, Bukidnon Estrada Marme Others BUKIDNON San Fernando RHU - San Fernando, Bukidnon DR. Edma Ma. Algerina Doctor BUKIDNON San Fernando RHU - San Fernando, Bukidnon CANCAMO LYDIA Midwife BUKIDNON San Fernando RHU - San Fernando, Bukidnon MS MABOLOC IRISH Nurse BUKIDNON San Fernando RHU - San Fernando, Bukidnon ALLABA SAMUEL BUKIDNON San Fernando RHU - San Fernando, Bukidnon BACALSO LEODELEN BUKIDNON San Fernando Bukidnon BALASE NINIAN DepEd - Bukidnon MALAYBALAY CITY RHU - San Fernando, Bukidnon BELLEZA FLORDELIZA BUKIDNON San Fernando Bukidnon ENTERINA JOFEL DepEd - Bukidnon MALAYBALAY CITY RHU - San Fernando, Bukidnon ESPARES BERNIEBERT BUKIDNON San Fernando RHU - San Fernando, Bukidnon FERNANDEZ ROSE MARIE BUKIDNON San Fernando Bukidnon GONZAGA RHEY JAY DepEd - Bukidnon MALAYBALAY CITY RHU - San Fernando, Bukidnon ILOGON LARA PHIL BUKIDNON San Fernando RHU - San Fernando, Bukidnon INSO MICHELLE BUKIDNON San Fernando RHU - San Fernando, Bukidnon LORENZO KISSAH JANE BUKIDNON San Fernando Bukidnon SAMBAYON ELQUIEM RHU - San Fernando, San Fernando 50

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name BUKIDNON RHU - San Fernando, Bukidnon SEGURA ARSE BUKIDNON San Fernando RHU - San Fernando, Bukidnon TAGARDA HILMIE BUKIDNON San Fernando RHU - San Fernando, Bukidnon VERSALIO JESELA BUKIDNON San Fernando RHU - INITAO, MISAMIS Misamis Oriental Batalla Maita Midwife ORIENTAL Initao RHU - Tagoloan, Misamis Misamis Oriental MS Emata Dorie Midwife Oriental Tagoloan RHU - Tagoloan, Misamis Misamis Oriental Agbu Yulibelle Others Oriental Tagoloan RHU - Jasaan, MISAMIS Misamis Oriental Salcedo Lalane Bena Others ORIENTAL Jasaan Misamis Oriental Pajamutan Agnes Nurse CHO - Gingoog City Gingoog City RHU - Villanueva, Misamis Oriental DR. Linog Marybelle Doctor MISAMIS ORIENTAL Villanueva RHU - TALISAYAN, Misamis Oriental DR. Ardanas Gay Doctor MISAMIS ORIENTAL Talisayan RHU - Jasaan, MISAMIS Misamis Oriental DR. CABELTES GLADYS GRACE Doctor ORIENTAL Jasaan RHU - TALISAYAN, Misamis Oriental Initan Liezl Nurse MISAMIS ORIENTAL Talisayan RHU - MAGSAYSAY, Misamis Oriental Babaylan Terecia Nurse Misamis Oriental Magsaysay RHU - BINUANGAN, Misamis Oriental Agudong Mary Ann Nurse MISAMIS ORIENTAL Binuangan RHU - LIBERTAD, MISAMIS Misamis Oriental LORENA NERISSA Midwife ORIENTAL Libertad RHU - KINOGUITAN, Misamis Oriental MILLADO MARY RUTH Others MISAMIS ORIENTAL Kinoguitan RHU - BALINGOAN, Misamis Oriental Dr. Duhaylungsod Cresen Doctor MISAMIS ORIENTAL Balingoan RHU - MANTICAO, Misamis Oriental Roxas Rowena Midwife MISAMIS ORIENTAL Manticao RHU - Lugait, MISAMIS Misamis Oriental Sacay Dorcas Midwife ORIENTAL Lugait 51

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name Misamis Oriental Ambar Shally Pamela Nurse CHO - Gingoog City Gingoog City Misamis Oriental Aturo Archelle Nurse PHO - Misamis Oriental RHU - SALAY, MISAMIS Misamis Oriental Babia Jualaing Nurse ORIENTAL Salay RHU - OPOL, MISAMIS Misamis Oriental Banal Emily Grace Doctor ORIENTAL Opol RHU - MEDINA, MISAMIS Misamis Oriental Boter Erlene Grace Doctor ORIENTAL Medina RHU - OPOL, MISAMIS Misamis Oriental Hallasgo Frenil Mia Others ORIENTAL Opol RHU - LAGUINDINGAN, Misamis Oriental Mercado Dian Rae Midwife MISAMIS ORIENTAL Laguindingan Misamis Oriental Ocay Jorey Others CHO - El Salvador City El Salvador City RHU - Balingasag, Misamis Oriental Romualdo Maria Helen Doctor MISAMIS ORIENTAL Balingasag RHU - CLAVERIA, MISAMIS Misamis Oriental Rosales Christy Marie Doctor ORIENTAL Claveria RHU - LAGONGLONG, Misamis Oriental Salvani Ma. Rosario Doctor MISAMIS ORIENTAL Lagonglong RHU - BALINGOAN, Misamis Oriental Santos Emmahelene Midwife MISAMIS ORIENTAL Balingoan RHU - Gitagum, MISAMIS Misamis Oriental Sarile Arlyn Nurse ORIENTAL Gitagum RHU - SUGBONGCOGON, Misamis Oriental Sumaylo Tessie Midwife MISAMIS ORIENTAL Sugbongcogon RO Mofar Esther Nurse DOH - RO X RO Panulaya Richard Nurse DOH - RO X RO Cebedo Tessie Nurse DOH - RO X RO Bacoy Anita Nurse DOH - RO X RO Evangelista Esther Nurse DOH - RO X RO XXX Lubguban Carmencita Nurse DOH - RO X RO Viloria Jorina Krista Doctor DOH - RO X SOCCSKSARGEN COTABATO CITY (Region XII) NATIONAL HIGH SCHOOL - COTABATO CITY Moreno Maria Myla Nurse MAIN CAMPUS COTABATO CITY Cotabato City UNLAYAO LEONA MARIE Nurse CHO - Cotabato City COTABATO CITY 52

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name COTABATO CITY NATIONAL HIGH SCHOOL - Cotabato City Yap Karon OTHERS LR SEBASTIAN Cotabato City COTABATO CITY NATIONAL HIGH SCHOOL - Cotabato City Billanes Elias OTHERS LR SEBASTIAN Cotabato City DATU AYUNAN NATIONAL Cotabato City Aguila Lourdes OTHERS HIGH SCHOOL Cotabato City COTABATO CITY NATIONAL HIGH SCHOOL - Cotabato City Macaraan Liezl OTHERS PC HILL Cotabato City COTABATO CITY COTABATO City Bautista Zendie Others INSTITUTE Cotabato City COTABATO CITY NATIONAL HIGH SCHOOL - COTABATO CITY Nacario Warren OTHERS MAIN CAMPUS COTABATO CITY J MARQUEZ NATIONAL Cotabato City Mascardo Jr. Orencio OTHERS HIGH SCHOOL Cotabato City J MARQUEZ NATIONAL Cotabato City Robles Aljon Ric OTHERS HIGH SCHOOL Cotabato City COTABATO CITY STATE POLYTECHNIQUE COLLEGE - LABORATORY HIGH Cotabato City Alonzo Jean Marie Nurse SCHOOL (CCSPC-LHS) Cotabato City DATU AYUNAN NATIONAL Cotabato City Reyes Cecilia OTHERS HIGH SCHOOL Cotabato City Antonio R. Pacheco Cotabato City Macabanding Bai Fatima OTHERS College, Inc. Cotabato City COTABATO CITY Aray Elpidia OTHERS De La Vida College COTABATO CITY COTABATO CITY Compania Ivy Joy OTHERS De La Vida College COTABATO CITY Antonio R. Pacheco Cotabato City Maulana Mhae Marhaffy Nurse College, Inc. Cotabato City Pilot Provincial Sciences and Technology High COTABATO CITY Balderosa Elena OTHERS School COTABATO CITY J MARQUEZ NATIONAL Cotabato City Mastura Maribel OTHERS HIGH SCHOOL Cotabato City RO Nawal Racma Nurse DOH - RO XII RO 53

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name RO Angot Cheryl Grace Nurse DOH - RO XII RO DEPARTMENT OF South Cotabato Jayag Marilou Nurse EDUCATION - RO XII Koronadal City BCS PLUS Autonomous RO Shia Carmelita Midwife DOH - ARMM COTABATO Region of Muslim Mindanao (ARMM) RO Sinarimbo Mardy Nurse DOH - ARMM COTABATO Caraga (Region RO Ms. Portillano Aloncita Midwife DOH - RO XIII XIII) Caraga Regional Hospital Surigao del Norte Peñanueva Maxima Chuchi Nurse (CRH) Surigao City Davao Region Davao City DR. HERNANDEZ JEANA MARIE Doctor BROKENSHIRE HOSPITAL DAVAO CITY (Region XI) Davao City Catajay Jannus Midwife BROKENSHIRE HOSPITAL DAVAO CITY Southern Philippines Davao City MS PASTOLERO ANGELINA Nurse Medical Center DAVAO CITY Davao City DR ESTANERO NADINE Doctor BROKENSHIRE HOSPITAL DAVAO CITY DAVAO REGIONAL Davao del Norte Jabines Ma. Elena Nurse MEDICAL CENTER Tagum City Davao Occidental Ms. Doromal Indira Christine Nurse RHU - Malita Malita RO Dinalo Fairuz Others DOH - RO XI Northern Cagayan de Oro Northern Mindanao CAGAYAN DE ORO Mindanao City Labis Flora Nurse Medical Center CITY (Region X) Cagayan de Oro CAGAYAN DE ORO City Navales Ruby Nurse JR Borja Hospital CITY Misamis Oriental Provincial Hospital - Misamis Oriental Ocampo Marichy Nurse Gingoog City Gingoog City SOCCSKSARGEN Cotabato Regional and (Region XII) Cotabato City DR. Peralta Ruth Doctor Medical Center COTABATO CITY South Cotabato Provincial South Cotabato Rosario Janet Nurse Hospital KORONADAL CITY South Cotabato Provincial South Cotabato Gonio Lilien Nurse Hospital KORONADAL CITY South Cotabato Provincial South Cotabato Magalona Gloricel Others Hospital KORONADAL CITY South Cotabato Provincial South Cotabato MS SARIO JOAN MILDRED Nurse Hospital KORONADAL CITY 54

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name Zamboanga ZAMBOANGA CITY Peninsula Zamboanga City Hermosa Susana Nurse MEDICAL CENTER ZAMBOANGA CITY (Region IX) Zamboanga del ZAMBOANGA DEL SUR Sur Siyluy Zefanie Nurse MEDICAL CENTER Pagadian City BTL-MLLA Autonomous Lanao del Sur Mapupuno Amerah Others CHO - Marawi City Marawi City TRAINING Region of TAMPARAN MEDICAL Muslim FOUNDATION INC., Mindanao Lanao del Sur Mascara Alemrah Nurse HOSPITAL Tamparan (ARMM) TAMPARAN MEDICAL FOUNDATION INC., Lanao del Sur Macaradi Minamboa Nurse HOSPITAL Tamparan BALINDONG MUNICIPAL Lanao del Sur Macarampot Jasmin Nurse HOSPITAL Balindong Lanao del Sur Clavel Mary Ann Doctor Wao District Hospital Wao Lanao del Sur Janayon Charito Nurse Wao District Hospital Wao BALINDONG MUNICIPAL Lanao del Sur Onos II Abdul Mothalib Doctor HOSPITAL Balindong MINDALANO SPECIALIST Lanao del Sur Mapandi Khadafi Doctor HOSPITAL, INC. Marawi City Lanao del Sur Alawiya Jamal Tango Nurse CHO - Marawi City Marawi City Lanao del Sur Lucman Janemah Nurse CHO - Marawi City Marawi City Lanao del Sur Tominaman Abdul Hakim Nurse CHO - Marawi City Marawi City Lanao del Sur Manalundong Rashid Nurse CHO - Marawi City Marawi City Lanao del Sur Macaantol Sarah Nurse CHO - Marawi City Marawi City Lanao del Sur Mambuay Jalilah Nurse CHO - Marawi City Marawi City Lanao del Sur Sani Zarina Nurse CHO - Marawi City Marawi City Lanao del Sur Noor Norhata Nurse CHO - Marawi City Marawi City Lanao del Sur Amanoddin Waffah Nurse CHO - Marawi City Marawi City Lanao del Sur Macalanggan Aisa Nurse CHO - Marawi City Marawi City TAMPARAN MEDICAL FOUNDATION INC., Lanao del Sur PANDI SITTIE NAYMAH Doctor HOSPITAL Tamparan Maguindanao NAKAN SITTIE SARAH DOCTOR RHU - SULTAN KUDARAT Sultan Kudarat Maguindanao USMAN AMIREL DOCTOR PHO - Maguindanao Shariff Aguak

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name SHEENA RIZZAH RO ALLUDEN ROWEIDAH Nurse DOH - ARMM COTABATO Caraga (Region Agusan del Norte XIII) Provincial Hospital Agusan del Norte DR. Ledesma Pilardo Doctor (ADNPH) Butuan City Agusan del Norte Provincial Hospital Agusan del Norte Devocion Angel Antonette Doctor (ADNPH) Butuan City SAN FRANCISCO DOCTOR'S HOSPITAL, Inc. Agusan del Sur Catipon Ma Louisa Doctor (SFDHI) San Francisco D.O. Plaza Memorial Agusan del Sur Lumpay Elmore Doctor Hospital (DOPMH) Prosperidad D.O. Plaza Memorial Agusan del Sur Remellete Dysebel Doctor Hospital (DOPMH) Prosperidad Caraga Regional Hospital Surigao del Norte ASUMEN AMOR LIZETTE Doctor (CRH) Surigao City SOCCSKSARGEN Cotabato Provincial (Region XII) Cotabato DR. Deleña Mary Ann Doctor Hospital Kidapawan City Dr. Amado Diaz Provincial Cotabato Pader Rosario Isabel Doctor Foundation Hospital Midsayap Dr. Amado Diaz Provincial Cotabato SARA RENA Doctor Foundation Hospital Midsayap Cotabato Regional and Cotabato City DR. Silvestre Chrislen Lee Doctor Medical Center COTABATO CITY Cotabato Regional and Cotabato City Tagadaya Melinda Nurse Medical Center COTABATO CITY Cotabato Regional and Cotabato City Caldea Maylene Nurse Medical Center COTABATO CITY Cotabato Regional and Cotabato City CANDAO JUNAIRAH Nurse Medical Center COTABATO CITY Cotabato Regional and Cotabato City ALA MINAH Doctor Medical Center COTABATO CITY Cotabato Regional and Cotabato City GRANDE ZENAB Doctor Medical Center COTABATO CITY Cotabato Regional and Cotabato City MONDALO RUBIE Doctor Medical Center COTABATO CITY Cotabato City DR SABIO CHERYL Doctor Cotabato Regional and COTABATO CITY 56

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name Medical Center Cotabato Regional and Cotabato City SALIK-OMAR NOR-AYIN Doctor Medical Center COTABATO CITY Cotabato Regional and Cotabato City BALIGO AIZA NURSE Medical Center COTABATO CITY RO ABUBAKAR HALIMA DOCTOR DOH - RO XII RO South Cotabato Provincial South Cotabato DR. Tamaño Mary Grace S. Doctor Hospital KORONADAL CITY UPPER VALLEY South Cotabato ABLANIDA APRYL Doctor COMMUNITY HOSPITAL Surallah UPPER VALLEY South Cotabato FILIPINAS MARYLIN Doctor COMMUNITY HOSPITAL Surallah Sultan Kudarat TELLO MA VICENTA DOCTOR COTABATO SANITARIUM Sultan Kudarat DQC Caraga (Region RHU - Las Nieves, Agusan TRAINING XIII) Agusan del Norte Hewe Abraham Nurse del Norte Las Nieves RHU - Jabonga, Agusan del Agusan del Norte Galido Neil James Nurse Norte Jabonga RHU - Kitcharao, Agusan Agusan del Norte MS Archinue Ingrid Nurse del Norte Kitcharao RHU - Carmen, Agusan del Agusan del Norte Jabillo Ariene Midwife Norte Carmen RHU - Kitcharao, Agusan Agusan del Norte MS Alegria Catalina Midwife del Norte Kitcharao RHU - NASIPIT, Agusan del Agusan del Norte Ruiz Adelfa Midwife Norte Nasipit RHU - Buenavista, Agusan Agusan del Norte Omac Jacqueline Midwife del Norte Buenavista RHU - Remedios T. Romualdez, Agusan del Remedios T. Agusan del Norte Badiang Daisy Mae Nurse Norte Romualdez RHU - Santiago, Agusan Agusan del Norte Juntilla Carin Grace Nurse del Norte Santiago RHU - Las Nieves, Agusan Agusan del Norte DR. Dulnuan Mary Ann Doctor del Norte Las Nieves RHU - Buenavista, Agusan Agusan del Norte Lim Elizabeth Nurse del Norte Buenavista Agusan del Norte De Vera Elaine Mary Others RHU - Remedios T. Remedios T.

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name Romualdez, Agusan del Romualdez Norte RHU - Carmen, Agusan del Agusan del Norte Nakila RALPH LLYOD YVES Nurse Norte Carmen RHU - Jabonga, Agusan del Agusan del Norte MS LodRIPAS Jocelyn Midwife Norte Jabonga RHU - NASIPIT, Agusan del Agusan del Norte DR Castillo Aaelle Mara Leu Doctor Norte Nasipit RHU - Carmen, Agusan del Agusan del Norte Mr. Cayra Anbert Jr. Nurse Norte Carmen RHU - MAGALLANES, Agusan del Norte Ms. Cumaban Lorma Nurse Agusan del Norte Magallanes RHU - MAGALLANES, Agusan del Norte Ms. Lumaban Lorna Nurse Agusan del Norte Magallanes RHU - Las Nieves, Agusan Agusan del Norte Ms. Nonan Glenna Rose Others del Norte Las Nieves Agusan del Norte Ms. Sanchez Midale Nurse CHO - Cabadbaran City Cabadbaran City EINC Davao Region COMPOSTELA TRAINING (Region XI) VALLEY Apal Florence Midwife RHU - Compostela Compostela COMPOSTELA VALLEY Lastimado RiTchel Nurse PHO - Compostela Valley COMPOSTELA VALLEY MS CUMAD SUSAN Midwife RHU - Compostela Compostela COMPOSTELA VALLEY MS RASONABE DESIREE Nurse PHO - Compostela Valley COMPOSTELA VALLEY BASA EMILDA Midwife RHU - Maragusan Maragusan COMPOSTELA VALLEY Loquillano Evelyn Midwife RHU - Laak Laak COMPOSTELA VALLEY Masocol Nancy Midwife RHU - Laak Laak Davao del Norte Agcopra Audrey Midwife CHO - Panabo City PANABO CITY Davao del Norte Ganotise Jean Midwife RHU - Kapalong KAPALONG Davao del Norte Inggatan Leonora Midwife RHU - TALAINGOD Talaingod Davao del Norte MS BETONIO CHERYL Midwife RHU - TALAINGOD Talaingod Davao del Norte Bejarin Rosanie Midwife CHO - Tagum City Tagum City

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name Davao del Norte Coronado Whelma Midwife RHU - Kapalong KAPALONG Davao Oriental Oxillo Marilyn Nurse RHU - LUPON Lupon Davao Oriental Sumile Xyra Nurse RHU - LUPON Lupon RHU - SAN ISIDRO, DAVAO Davao Oriental Lerin Marycres Doctor ORIENTAL San Isidro Davao Oriental Roflo Mary Lobelle Nurse RHU - LUPON Lupon Davao Oriental Buladaco Analiza Midwife RHU - BanayBanay Banaybanay Davao Oriental MS AMARO DIVINA Midwife RHU - LUPON Lupon Davao Oriental Castro Mary grace Midwife RHU - TARRAGONA Tarragona Davao Oriental Bernal Maricel Midwife RHU - LUPON Lupon Davao Oriental LEE VILMA Midwife RHU - LUPON Lupon RHU - GOVERNOR Davao Oriental MS Palma Gil Teodora Midwife GENEROSO Governor Generoso Davao Oriental Banoy Delia Midwife RHU - Manay Manay Davao Oriental Tomas Mylene Midwife RHU - LUPON Lupon Davao Oriental Patricio Charito Midwife RHU - LUPON Lupon Northern RHU - San Fernando, Mindanao Bukidnon Uy Epefania Midwife BUKIDNON San Fernando (Region X) Bukidnon Abella Rowena Midwife CHO - Valencia City Valencia City Bukidnon Bansag Lorna Midwife CHO - Malaybalay City Malaybalay City RHU - CABANGLASAN, Bukidnon Cabahug Marina Nurse BUKIDNON Cabanglasan RHU - MANOLO FORTICH, Bukidnon Corpuz Virginia Midwife BUKIDNON Manolo Fortich RHU - KITAOTAO, Bukidnon Domingo Elvira Midwife BUKIDNON Kitaotao RHU - MANOLO FORTICH, Bukidnon Bailo Lotis Midwife BUKIDNON Manolo Fortich RHU - MANOLO FORTICH, Bukidnon Cabang Regina Midwife BUKIDNON Manolo Fortich Bukidnon Peñaflor Merlina Midwife CHO - Malaybalay City Malaybalay City Bukidnon Jardinero Wilfreda Midwife CHO - Malaybalay City Malaybalay City RHU - DON CARLOS, Bukidnon Pacaldo Benedicta Midwife BUKIDNON Don Carlos

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name RHU - DON CARLOS, Bukidnon Pelpinosas Liezel Midwife BUKIDNON Don Carlos RHU - KITAOTAO, Bukidnon Austria Maria Cleofe Nurse BUKIDNON Kitaotao RHU - DON CARLOS, Bukidnon Alosid Elsa BUKIDNON Don Carlos RHU - San Fernando, Bukidnon Arries Gilma BUKIDNON San Fernando Bukidnon Auguis Nadie RHU - Quezon, BUKIDNON Quezon Bukidnon Bontuyan Praxedes CHO - Valencia City Valencia City RHU - KITAOTAO, Bukidnon Cabatao Lanie BUKIDNON Kitaotao RHU - DON CARLOS, Bukidnon Casino Grace BUKIDNON Don Carlos Bukidnon Dapar Rea Antonette nurse CHO - Valencia City Valencia City Bukidnon Guiritan Melva RHU - Quezon, BUKIDNON Quezon Bukidnon Ihong Babie RHU - Quezon, BUKIDNON Quezon RHU - CABANGLASAN, Bukidnon Jorquia Ruth BUKIDNON Cabanglasan Bukidnon Lagaras Ernalyn RHU - Quezon, BUKIDNON Quezon RHU - San Fernando, Bukidnon Macara Lesley BUKIDNON San Fernando RHU - KITAOTAO, Bukidnon Mendez Maria Ana BUKIDNON Kitaotao RHU - DON CARLOS, Bukidnon Montenejo Adelfa BUKIDNON Don Carlos RHU - DON CARLOS, Bukidnon Montenejo Cristine Mae BUKIDNON Don Carlos RHU - San Fernando, Bukidnon Neang Louella BUKIDNON San Fernando Bukidnon Pajares Margie RHU - Quezon, BUKIDNON Quezon Bukidnon Sabedoca Riza CHO - Valencia City Valencia City Cagayan de Oro Liceo de Cagayan CAGAYAN DE ORO City Celestial Arlyn University CITY Cagayan de Oro Liceo de Cagayan CAGAYAN DE ORO City Oledan Socorro University CITY

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name Misamis Occidental Baluran Agnes Cherie CHO - Ozamis City Ozamis City FPCBT1 TOT Caraga (Region RHU - Talacogon, AGUSAN XIII) Agusan del Sur Madelo Nila Midwife DEL SUR Talacogon RHU - PROSPERIDAD, Agusan del Sur Estores Nanelisa Midwife AGUSAN DEL SUR Prosperidad RHU - PROSPERIDAD, Agusan del Sur Bonggot Nelfa Midwife AGUSAN DEL SUR Prosperidad RHU - Talacogon, AGUSAN Agusan del Sur Olivarez Myrna Midwife DEL SUR Talacogon RHU - Talacogon, AGUSAN Agusan del Sur Baldos Rina Midwife DEL SUR Talacogon RHU - San Luis, AGUSAN Agusan del Sur Odayao Chloe Jayne Midwife DEL SUR San Luis RHU - LA PAZ, AGUSAN Agusan del Sur Urdanilla Haidefem Midwife DEL SUR La Paz Surigao del Norte Abao Leonora Midwife CHO - Bislig City Bislig City Surigao del Norte Batausa Marife Midwife CHO - Bislig City Bislig City Surigao del Norte Dorilag Cheryl Midwife CHO - Bislig City Bislig City Surigao del Norte Sajulga Lucila Midwife CHO - Bislig City Bislig City Surigao del Sur Astudillo Madeline Midwife CHO - Tandag City Tandag City Surigao del Sur Mollaneda Irenita Midwife CHO - Tandag City Tandag City Surigao del Sur Jabagat Rorafel Nurse PHO - Surigao del Sur Surigao del Sur Milloren Emary -Ruth Nurse PHO - Surigao del Sur Davao Region COMPOSTELA (Region XI) VALLEY ALCARAZ ELISA Nurse RHU - Montevista Montevista COMPOSTELA VALLEY Ms. Gonzaga Ruchile Kristie Nurse PHO - Compostela Valley COMPOSTELA VALLEY MS RASONABE DESIREE Nurse PHO - Compostela Valley Berato WFMC Branch 2, Davao City Ms Badiang Julieta Midwife Magallanes DAVAO CITY CHO - Talomo South Davao City Ms. Fuellas Amalia Nurse District Health Center DAVAO CITY LAMSEN FAMILY Davao City LAMSEN EDELISA Midwife REFERRAL DAVAO CITY

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name CENTER/MATERNITY CLINIC FRIENDLY CARE CLINIC, Davao City Golosino Maureen Nurse DAVAO CITY DAVAO CITY TECARRO COLLEGE FOUNDATION INC., Davao City Ms Ramoga Rebecca Midwife BIRTHING CENTER /TCFI DAVAO CITY CHO - District A TOMAS Davao City MS CANDONES ROSE MARIE Midwife CLAUDIO DAVAO CITY CHO - DISTRICT C MINI- Davao City Palma Gil Laura Midwife FOREST DAVAO CITY Davao del Norte Ms Doria Perlita Midwife RHU - DUJALI Braulio E. Dujali DAVAO REGIONAL Davao del Norte Ms Salomon Marites Midwife MEDICAL CENTER Tagum City DAVAO REGIONAL Davao del Norte Ducducan January Doctor MEDICAL CENTER Tagum City Davao del Norte Paraguya Jonalyn Midwife RHU - DUJALI Braulio E. Dujali Davao del Norte Dumaluan Jovelyn Nurse RHU - DUJALI Braulio E. Dujali DAVAO REGIONAL Davao del Norte JABINES MARIA ELENA NURSE MEDICAL CENTER Tagum City Davao del Sur Tajoda Precious Midwife RHU - Sulop Sulop Davao Oriental Baño Melodie Nurse PHO - DAVAO ORIENTAL FPCBT1 Caraga (Region RHU - Las Nieves, Agusan TRAINING XIII) Agusan del Norte Salado Kristy Midwife del Norte Las Nieves RHU - Las Nieves, Agusan Agusan del Norte Sulla Rosalie Midwife del Norte Las Nieves RHU - Las Nieves, Agusan Agusan del Norte Japitana Basiliza Midwife del Norte Las Nieves Agusan del Norte Provincial Hospital Agusan del Norte ECHAVIA NYMPHA Midwife (ADNPH) Butuan City Agusan del Norte BESA ELAINE Nurse Butuan Medical Center Butuan City BHS - MHC ARSENIA M. Agusan del Norte Abanil Mildred Midwife CENTENO Santiago IMAP Birthing Lying - in Agusan del Norte Borromeo Nonita Midwife Clinic Butuan City Agusan del Norte Rabila Cheryll Midwife CABADBARAN CITY Cabadbaran City 62

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name PUERICULTURE CENTER INC. RHU - LORETO, AGUSAN Agusan del Sur Luib Estela Berna Nurse DEL SUR Loreto RHU - LA PAZ, AGUSAN Agusan del Sur Pablo Rosalia Midwife DEL SUR La Paz ESPERANZA MEDICARE Agusan del Sur Baluca Gloria Nurse COMMUNITY HOSPITAL Esperanza BAYUGAN COMMUNITY Agusan del Sur Arpillada Charisse Melody Nurse HOSPITAL SIBAGAT LA PAZ MUNICIPAL Agusan del Sur Jumonong Jamaica Midwife HOSPITAL La Paz D.O. Plaza Memorial Agusan del Sur Bonono Cristita Nurse Hospital (DOPMH) Prosperidad TALACOGON DISTRICT Agusan del Sur Devenancio Quennie Nurse HOSPITAL Talacogon BUNAWAN DISTRICT Agusan del Sur Teñoso Cherry Pie Nurse HOSPITAL Bunawan RHU - SAN JOSE, DINAGAT Dinagat Islands De la Torre Gonzalita Midwife ISLAND San Jose RHU - SAN JOSE, DINAGAT Dinagat Islands Elligue Perlie Midwife ISLAND San Jose Surigao del Norte Mendoza Kristina Marie Nurse PHO - Surigao del Norte Surigao del Norte Ballesteros Richell Nurse PHO - Surigao del Norte Surigao del Norte Balmatero Chona Midwife PHO - Surigao del Norte Surigao del Norte Cahilog Marilyn Midwife PHO - Surigao del Norte Surigao del Norte Canda Erlyn Midwife PHO - Surigao del Norte Surigao del Norte Llena Lorein Midwife PHO - Surigao del Norte Surigao del Norte Mante Demie Grace Nurse PHO - Surigao del Norte Surigao del Norte Tiodianco Gemma Midwife CHO - Bislig City Bislig City Surigao del Sur Salomon Nerie Midwife CHO - Tandag City Tandag City Surigao del Sur Dapar Rea Antonette nurse CHO - Tandag City Tandag City Davao Region COMPOSTELA (Region XI) VALLEY GAMAYO GARCHITA Midwife RHU - Pantukan Pantukan COMPOSTELA VALLEY Ms. Gonzaga Ruchile Kristie Nurse PHO - Compostela Valley 63

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name COMPOSTELA VALLEY MS RASONABE DESIREE Nurse PHO - Compostela Valley COMPOSTELA VALLEY VILLAMERO PERLA Midwife RHU - Pantukan Pantukan COMPOSTELA VALLEY Cabreros Karen Iris Midwife RHU - Mawab Mawab APEX MINING COMPANY Compostela Valley Sosas Mary Jo Nurse CLINIC Maco FLORDELIZ MEDICAL Compostela Valley Robles Jennisa Midwife CLINIC & HOSPITAL Mawab APEX MINING COMPANY Compostela Valley Miraflor Edith Nurse CLINIC Maco COMPOSTELA VALLEY Calantoc Roger Nurse RHU - Montevista Montevista COMPOSTELA VALLEY Cruda Josel Ann Midwife RHU - Mawab Mawab FRIENDLY CARE CLINIC, Davao City LADESMA KARLYNN Nurse DAVAO CITY DAVAO CITY FRIENDLY CARE CLINIC, Davao City Enardecido Liezl Nurse DAVAO CITY DAVAO CITY Davao City Sangarios Sharnine Midwife DACIA MATERNITY CLINIC DAVAO CITY DAVAO REGIONAL Davao del Norte MERCADO ALYNE Nurse MEDICAL CENTER Tagum City Davao del Norte Ms. Rosos Marichu Midwife CHO - Tagum City Tagum City Davao del Norte Inggatan Leonora Midwife RHU - TALAINGOD Talaingod Davao del Norte Sarmiento Jeramie Midwife RHU - TALAINGOD Talaingod Davao del Norte Agustin Makita Nurse La Filipina BH - Tagum City Tagum City Davao del Norte Biteng Llewellyn Nurse CHO - Tagum City Tagum City Davao del Norte Villano Harold John Nurse RHU - ASUNCION Asuncion Intong Maternity Clinic - Davao del Norte Talde Amalia Nurse HELEN ENDRINA New Corella DAVAO REGIONAL Davao del Norte Ducducan January Doctor MEDICAL CENTER Tagum City Davao del Norte Salusad Josephine Midwife RHU - TALAINGOD Talaingod Davao del Norte Corpuz Apple grace Nurse RHU - Kapalong KAPALONG Davao del Norte Magalasin Rullaybee Midwife RHU - Kapalong KAPALONG 64

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name Davao del Norte Duran Gemma Midwife RHU - Sto. Tomas Santo Tomas Davao del Norte Partoril Jenny Midwife RHU - Sto. Tomas Santo Tomas Davao del Norte Dumaluan Juvelyn Nurse RHU - DUJALI Braulio E. Dujali Provincial Rehabilitation Davao del Norte Fronteras Jason Nurse Center, Tagum City Tagum City SOCCSKSARGEN KIDAPAWAN DOCTORS (Region XII) Cotabato BERNADAS ROSALINDA MIDWIFE HOSPITAL Kidapawan City MADONNA GENERAL Cotabato ABONADO MARY SHANE MIDWIFE HOSPITAL Kidapawan City Springside Medical Cotabato Esmeralda Agnes Midwife Services Kidapawan City Mlang Specialist Medical Cotabato Porras Myra Lynn Nurse Center M'Lang Sorilla Medical Maternity Cotabato Facunla Valerie Nurse Clinic and Hospital Tulunan KIDAPAWAN MEDICAL Cotabato Baa Angela Nurse SPECIALIST CENTER, INC. Kidapawan City KIDAPAWAN MEDICAL Cotabato Calayla Lina Nurse SPECIALIST CENTER, INC. Kidapawan City MADONNA GENERAL Cotabato Sebastian Caridel Nurse HOSPITAL Kidapawan City General Santos FPOP-COMMUNITY GENERAL SANTOS City Panes Emerlita Nurse HEALTH CARE CLINIC CITY General Santos FPOP-COMMUNITY GENERAL SANTOS City Mercado Veronica Leilani DOCTOR HEALTH CARE CLINIC CITY South Cotabato Provincial South Cotabato Tamaño Mary Grace DOCTOR Hospital KORONADAL CITY QUIJANO CLINIC AND Sultan Kudarat Barroquillo Yvonne DOCTOR HOSPITAL INC Tacurong City Dr. Domingo B. Tamondong Memoriial clinic and Hospital Sultan Kudarat Gevieso Norben DOCTOR Foundation Incorporated Esperanza QUIJANO CLINIC AND Sultan Kudarat Quiambao Gemalyn Nurse HOSPITAL INC Tacurong City FPCBT2 TOT Davao Region COMPOSTELA (Region XI) VALLEY ALCARAZ ELISA Nurse RHU - Montevista Montevista

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name COMPOSTELA VALLEY Ms. Gonzaga Ruchile Kristie Nurse PHO - Compostela Valley COMPOSTELA VALLEY MS RASONABE DESIREE Nurse PHO - Compostela Valley Berato WFMC Branch 2, Davao City Ms Badiang Julieta Midwife Magallanes DAVAO CITY CHO - Talomo South Davao City Ms. Fuellas Amalia Nurse District Health Center DAVAO CITY LAMSEN FAMILY REFERRAL CENTER/MATERNITY Davao City LAMSEN EDELISA Midwife CLINIC DAVAO CITY FRIENDLY CARE CLINIC, Davao City Golosino Maureen Nurse DAVAO CITY DAVAO CITY TECARRO COLLEGE FOUNDATION INC., Davao City Ms Ramoga Rebecca Midwife BIRTHING CENTER /TCFI DAVAO CITY CHO - District A TOMAS Davao City MS CANDONES ROSE MARIE Midwife CLAUDIO DAVAO CITY CHO - DISTRICT C MINI- Davao City Palma Gil Laura Midwife FOREST DAVAO CITY Davao del Norte Ms Doria Perlita Midwife RHU - DUJALI Braulio E. Dujali DAVAO REGIONAL Davao del Norte Ms Salomon Marites Midwife MEDICAL CENTER Tagum City DAVAO REGIONAL Davao del Norte Ducducan January Doctor MEDICAL CENTER Tagum City Davao del Norte Paraguya Jonalyn Midwife RHU - DUJALI Braulio E. Dujali Davao del Norte Dumaluan Jovelyn Nurse RHU - DUJALI Braulio E. Dujali DAVAO REGIONAL Davao del Norte JABINES MARIA ELENA NURSE MEDICAL CENTER Tagum City Davao del Sur Tajoda Precious Midwife RHU - Sulop Sulop Davao Oriental Baño Melodie Nurse PHO - DAVAO ORIENTAL FPCBT2 SOCCSKSARGEN TRAINING (Region XII) Cotabato Ms. PERALTA SOLEDAD Midwife RHU - M'lang M'lang Cotabato Doton Lyn Midwife RHU - Midsayap Midsayap Cotabato Alcalde Lea Midwife RHU - M'lang M'lang 66

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name Cotabato Pregunta Shiela Midwife RHU - President Roxas President Roxas Cotabato Pantao Sarah Nurse RHU - CARMEN, Cotabato Carmen Cotabato Ms. Ajero Marry Jane Nurse CHO - Kidapawan City Kidapawan City Cotabato Abdulah Parida Midwife RHU - Pikit Pikit Cotabato Semillano Flordeliza Midwife CHO - Kidapawan City Kidapawan City Cotabato Baureg Rosemarie Midwife RHU - Kabacan Kabacan Cotabato Abellera Frezlyn Midwife CHO - Kidapawan City Kidapawan City Cotabato Fernandez Gloria Others RHU - MATALAM Matalam Cotabato CONSOLACION Jeanne Midwife RHU - Magpet Magpet Cotabato MANGACUY KATHLEEN ROSE NURSE RHU - LIBUNGAN Libungan Cotabato CORALES LEAH Midwife RHU - Makilala Makilala COTABATO CASTILLO MARICEL MIDWIFE RHU - ALAMADA ALAMADA Cotabato PASTRANA MYLA MIDWIFE RHU - Pigkawayan PIGKAWAYAN Cotabato CALIBAYAN AVELINA MIDWIFE RHU - Tulunan Tulunan Cotabato CAMBEL GERALDINE MIDWIFE RHU - ALEOSAN Aleosan Cotabato OMAÑA CYNTHIA OTHERS PHO - COTABATO KIDAPAWAN CITY PEER SOCCSKSARGEN RHU - TUPI LYING-IN EDUCATOR (Region XII) South Cotabato Ms. Dionisio Kimberly Midwife CLINIC Tupi TRAINING Koronadal National Comprehensive South Cotabato Reyes Rainleen OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Zapata Maria Athena OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Galice Kylah OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Coronel Lixee Lyka OTHERS Highschool Koronadal City Koronadal National Ma. Angelica Comprehensive South Cotabato Navarro Jhane OTHERS Highschool Koronadal City South Cotabato Seromines Janika Mae OTHERS Koronadal National Koronadal City 67

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name Comprehensive Highschool Koronadal National Comprehensive South Cotabato Leano Philip Jay OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato De Ocampo Jerry Carl OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Agraza mendez Rens OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Magpayo Romadine OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Legandin April Ann OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Mogollado Rica Riz OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Gilay Cherian Angel OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Sales Jose Andy OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Padayao Marie Chris OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Suyo Jan Inah Pave OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Matibag Sunshine OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Panes Kerlynn Jade OTHERS Highschool Koronadal City

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name Koronadal National Comprehensive South Cotabato Camid Abdul Azis OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Rivera Khrishna OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Tuburan Rotchelle OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Solis Sheila OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Ting Patrick Jay OTHERS Highschool Koronadal City Koronadal National Comprehensive South Cotabato Jorin Kent OTHERS Highschool Koronadal City LAKE SEBU NATIONAL South Cotabato Panerio Angeline apple OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Somido John Lloyd OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Aquino Adrian Kier OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Capunong Elrich Vince OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Baludio Maureen Lyka OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Cejis Kevin Sam OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Baguios Jay-ar OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Aquino Arian Keith OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Balasa Meryl Kate OTHERS HIGH SCHOOL Lake Sebu SANTA CRUZ MISSION South Cotabato Celajes Sherkey OTHERS SCHOOL, INC - LEM-EHEK Lake Sebu

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name SANTA CRUZ MISSION South Cotabato Mamudal Fujiko OTHERS SCHOOL, INC - LEM-EHEK Lake Sebu SANTA CRUZ MISSION South Cotabato Timbang Meryl Joy OTHERS SCHOOL, INC - LEM-EHEK Lake Sebu SANTA CRUZ MISSION South Cotabato Tabidad Jance Paula OTHERS SCHOOL, INC - LEM-EHEK Lake Sebu SANTA CRUZ MISSION South Cotabato Tuan Ryan Christian OTHERS SCHOOL, INC - DEKOLON Lake Sebu SANTA CRUZ MISSION South Cotabato Boclaras Lyka OTHERS SCHOOL, INC - DEKOLON Lake Sebu SANTA CRUZ MISSION South Cotabato Paniza Jr. Juven OTHERS SCHOOL, INC - DEKOLON Lake Sebu SANTA CRUZ MISSION South Cotabato Amfit Sheila Mae OTHERS SCHOOL, INC - DEKOLON Lake Sebu LAKE SEBU NATIONAL South Cotabato Cutillas Mary Rose OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Italia Irsih Claire OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Andres Princess Shienne OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Trinidad Ariane OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Deposa Ailyssha OTHERS HIGH SCHOOL Lake Sebu SANTA CRUZ MISSION South Cotabato Molina Landrefa Others SCHOOL, INC - LEM-EHEK Lake Sebu SANTA CRUZ MISSION South Cotabato Caungan Anady Others SCHOOL, INC - DEKOLON Lake Sebu LAKE SEBU NATIONAL South Cotabato Clavecillar Ritchell Others HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Parcon Leonisa OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Andres Ruby OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Cosadio Jose OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Patricio Ma. Amelia OTHERS HIGH SCHOOL Lake Sebu

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name LAKE SEBU NATIONAL South Cotabato Mones Rosalyn OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Illustrisimo Jessa OTHERS HIGH SCHOOL Lake Sebu LAKE SEBU NATIONAL South Cotabato Magbalot Gina OTHERS HIGH SCHOOL Lake Sebu TOPLAND NATIONAL HIGH South Cotabato Sual Princess Jane Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Aguilar Mtchline Laline Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Dajay Slay Mark Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Pelino Marriane Joyce Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Apostol Cristy Mae Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Bornales Allysa Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Manton Jayna Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Articuna Kim Julius Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Are Celso Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Blancada Atrey Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Carbon Krisdin Kaye Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Calague Chrystantino Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Padernal Geleen Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Bobias Angel Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Alaba Aizy Joy Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Barluado Vladimir Others SCHOOL Koronadal City

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name TOPLAND NATIONAL HIGH South Cotabato Cahapay Nhea Mhar Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Manansala Beverly Kate Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Carreon Christine Joy Others SCHOOL Koronadal City TOPLAND NATIONAL HIGH South Cotabato Caday Dinn Glea Marie Others SCHOOL Koronadal City GENERAL P. SANTOS South Cotabato Barrios Roselyn Grace Others MEMORIAL INSTITUTE Tupi GENERAL P. SANTOS South Cotabato Balbiran Keziah Bea Others MEMORIAL INSTITUTE Tupi GENERAL P. SANTOS South Cotabato Cruz Aeje Grace Others MEMORIAL INSTITUTE Tupi Emiliano P. Baquial South Cotabato Limpuac Marvelyn Others National High School Tupi Emiliano P. Baquial South Cotabato Baran Evelin Others National High School Tupi Emiliano P. Baquial South Cotabato Malayang Lovero Others National High School Tupi Emiliano P. Baquial South Cotabato Dela Cruz Kish Others National High School Tupi TUPI NATIONAL HIGH South Cotabato Palarca Xyrise Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Balanon Ramil Jr. Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Belaza Joshua Shau Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Gerodias Fitzroy Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Tasane Therese Ann Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Cea Jay Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Dingal Cherry Lou Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Gundayao Jessa Mae Others SCHOOL Tupi

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name TUPI NATIONAL HIGH South Cotabato Agang Dazhelle Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Co Christian Joseph Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Arrieta Aubrey mae Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Acosta Febbie Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Cornejo Margaret Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Gundayao Jessa Mae Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Cantero John Paul Others SCHOOL Tupi RHU - TUPI LYING-IN South Cotabato Maldepena Gemma MIDWIFE CLINIC Tupi Emiliano P. Baquial South Cotabato Villaruel Lorna Others National High School Tupi TUPI NATIONAL HIGH South Cotabato Simpao Riva Others SCHOOL Tupi DEPARTMENT OF South Cotabato Sinforoso Josephine Others EDUCATION - TUPI Tupi RHU - TUPI LYING-IN South Cotabato Lejisma Khloe Belle MIDWIFE CLINIC Tupi TUPI NATIONAL HIGH South Cotabato Abogar Manilyn Others SCHOOL Tupi TUPI NATIONAL HIGH South Cotabato Abogar Jessie Others SCHOOL Tupi Northern MARAMAG MEDICLINIC Mindanao HOSPITAL AND (Region X) Bukidnon Dr. Roque Cynthia Doctor LABORATORY Maramag Cagayan de Oro CAGAYAN DE ORO City DR. CELESTE EFREN Doctor CHO - Cagayan de Oro City CITY Cagayan de Oro CAGAYAN DE ORO City DR. Cuachon Rene Von Doctor CHO - Cagayan de Oro City CITY Cagayan de Oro CAGAYAN DE ORO City DR. Sani- Racman Ameerah Doctor CHO - Cagayan de Oro City CITY Cagayan de Oro DR. De Guia Liova Doctor JR Borja Hospital CAGAYAN DE ORO 73

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name City CITY Cagayan de Oro CAGAYAN DE ORO City DR. Chiu Ina Grace Doctor CHO - Cagayan de Oro City CITY Cagayan de Oro CAGAYAN DE ORO City DR. Ragudo Shiela Doctor CHO - Cagayan de Oro City CITY Cagayan de Oro CAGAYAN DE ORO City Navales Ruby Nurse JR Borja Hospital CITY Cagayan de Oro CAGAYAN DE ORO City Macugar Sittie Doctor CHO - Cagayan de Oro City CITY Kapatagan Provincial Lanao del Norte DR. Reponte Teresa Doctor Hospital Kapatagan Kolambugan Provincial Lanao del Norte DR. Pintor Teresita Doctor Hospital KOLAMBUGAN LANAO DEL NORTE Lanao del Norte Pacaso Amisa Doctor PROVINCIAL HOSPITAL Baroy Misamis Oriental Tecson Sutchie Midwife CHO - Gingoog City Gingoog City Misamis Oriental Cuerdo Edna Midwife CHO - Gingoog City Gingoog City RPRH Davao Region DAVAO CITY Amor Cheryl Nurse Popcom XI DAVAO CITY ORIENTATION (Region XI) Davao Oriental DR. Andoy Nemesia Doctor RHU - BanayBanay Banaybanay DAVAO ORIENTAL PROVINCIAL MEDICAL Davao Oriental Ms Soliven Hermina Nurse CENTER MATI CITY PHILIPPINE ARMY - Davao Oriental Tumamao Marlon OTHERS DAVAO ORIENTAL Lupon Davao Oriental DR. TUPAS AL RAYMOND Doctor RHU - BOSTON Boston Davao Oriental Provincial GOVERNOR Davao Oriental Castillon Richard Nurse Hospital - Gov. Generoso GENEROSO Davao Oriental DR. Hiponia Maribeth Doctor CHO - Mati City Mati City PDOHO - DAVAO Davao Oriental Caadiang Josephine Others ORIENTAL Mati City Davao Oriental DR. Larrobis Belen Doctor RHU - LUPON Lupon Davao Oriental DR. Silveron Prosperidad Doctor RHU - TARRAGONA Tarragona DAVAO ORIENTAL PROVINCIAL MEDICAL Davao Oriental DR. Nartatez Herminigilda Doctor CENTER MATI CITY Davao Oriental Ms. Buslanganon Jovelyn Midwife RHU - BOSTON Boston 74

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name RHU - GOVERNOR Davao Oriental DR. Guiritan Victoriano Doctor GENEROSO Governor Generoso Davao Oriental Baño Melodie Nurse PHO - DAVAO ORIENTAL Davao Oriental Provincial Davao Oriental DR. Pinsoy Emmanuel Doctor Hospital - Lupon Lupon Davao Oriental Mallari Bernardita Others PHO - DAVAO ORIENTAL Davao Oriental Poliño Charito Aida Nurse RHU - LUPON Lupon Davao Oriental Ibañez Melanie Nurse RHU - Caraga Caraga PDOHO - DAVAO Davao Oriental MR MONTEJO GEOFFORD Others ORIENTAL Mati City Davao Oriental MS SUNGGAY MA. CERENIA Nurse CHO - Mati City Mati City Davao Oriental MR ALONGO CHRISTOPHER RAY Nurse RHU - BanayBanay Banaybanay Davao Oriental MS MATA MARROJA Nurse RHU - Baganga Baganga Davao Oriental MS MALINTOD CATALINA Nurse CHO - Mati City Mati City Davao Oriental MS MORALES CHRISTINE Nurse RHU - Cateel Cateel Davao Oriental MS SILVERON ANNABELLA Nurse RHU - Manay Manay PHILIPPINE ARMY - Davao Oriental Cecilio Rafael OTHERS DAVAO ORIENTAL Lupon Davao Oriental Provincial Hospital - Cateel District Davao Oriental Castro Michael Nurse Hospital Cateel Davao Oriental Provincial Hospital - Manay District Davao Oriental Diomaboc James Carlo Nurse Hospital Manay Davao Oriental Te Eman OTHERS PHO - DAVAO ORIENTAL Davao Oriental Bendulo Nelsa OTHERS PHO - DAVAO ORIENTAL Davao Oriental Provincial Davao Oriental Oledan Suzette Nurse Hospital - Lupon Lupon Davao Oriental Bordas Patricia OTHERS CHO - Mati City Mati City SAINT CAMILLIUS Davao Oriental Bernido Anelen Nurse HOSPITAL MATI CITY SAINT CAMILLIUS Davao Oriental Fernandez Florlen OTHERS HOSPITAL MATI CITY Davao Oriental Paglinawan Jannette OTHERS PHO - DAVAO ORIENTAL Davao Oriental Alojado Amelita Nurse RHU - GOVERNOR Governor Generoso 75

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name GENEROSO Davao Oriental Bagalay Editha OTHERS RHU - LUPON Lupon Davao Oriental Provincial Hospital - Cateel District Davao Oriental Dr. Enriquez Dante Doctor Hospital Cateel Davao Oriental Dominguez Yolanda OTHERS PHO - DAVAO ORIENTAL DAVAO ORIENTAL PROVINCIAL MEDICAL Davao Oriental Manibpel Dida Nurse CENTER MATI CITY Davao Oriental Provincial Hospital - Cateel District Davao Oriental Castro Doreen Nurse Hospital Cateel Davao Oriental Sanico Joy Doctor PHO - DAVAO ORIENTAL Davao Oriental Cautino Rosaline OTHERS RHU - Cateel Cateel Davao Oriental Catoing Preciosinlo Jr OTHERS PHO - DAVAO ORIENTAL Davao Oriental MS Pansit Vilma Midwife RHU - Baganga Baganga RHU - SAN ISIDRO, DAVAO Davao Oriental MR Andit Edgardo Doctor ORIENTAL San Isidro RHU - SAN ISIDRO, DAVAO Davao Oriental MS Calumba Leana Grace Nurse ORIENTAL San Isidro Davao Oriental Artiaga Ali-Jean NURSE RHU - TARRAGONA Tarragona SDN TOT Northern Bukidnon Antipasado Delia Nurse CHO - Malaybalay City Malaybalay City Mindanao Bukidnon Ms Pechora Merlen Nurse CHO - Valencia City Valencia City (Region X) Bukidnon Ms Togonon Aurora Nurse CHO - Malaybalay City Malaybalay City Cagayan de Oro CAGAYAN DE ORO City Ranile Rexonel Nurse CHO - Cagayan de Oro City CITY Cagayan de Oro CAGAYAN DE ORO City Tumamao Marlon OTHERS CHO - Cagayan de Oro City CITY Camiguin Odchigue Conrado Nurse PHO - Camiguin RHU - TUBOD, Lanao del Lanao del Norte Camins Asane Nurse Norte Tubod RHU - TUBOD, Lanao del Lanao del Norte Lim Annie Nurse Norte Tubod Misamis Occidental Baay Charles Andrew Nurse CHO - Oroquita City Oroquieta City

TRAINING Trainee Last Facility Region Facility Province Title Trainee First Name Profession Name of Health Facility Facility Municipality COURSE Name Misamis Occidental Valenzuela Rosanna Midwife CHO - Oroquita City Oroquieta City Misamis PHO - MISAMIS Occidental Dr. Agnes Anne Doctor OCCIDENTAL Misamis Occidental Ms Dugso Jeanne Midwife CHO - Oroquita City Oroquieta City Misamis PHO - MISAMIS Occidental Ms Gulbe Cecille Louelle Nurse OCCIDENTAL Misamis Occidental Ms Leong Josefa Midwife CHO - Oroquita City Oroquieta City Misamis Oriental Dablio Nae Vanessa Nurse CHO - El Salvador City El Salvador City Misamis Oriental FERNANDEZ ROSE MARIE CHO - El Salvador City El Salvador City