EQUITY IN HEALTH A FESTSCHRIFT FOR ROBERTO R. ROMULO EQUITY IN HEALTH A FESTSCHRIFT FOR ROBERTO R. ROMULO Editors Ernesto D. Garilao and Anthony R. G. Faraon Table of Contents Published for ZUELLIG FAMILY FOUNDATION Roberto R. Romulo An eminent career in business, diplomacy, nation building and health advocacy ----- --------- 1 Km. 14 West Service Road corner Edison Avenue Barangay Sun Valley Foreword Parañaque City 1700 by Daniel Zuellig and David Zuellig -------------------------------------------------------------------------- 4 (632) 8821-4332 (632) 8821-4428 Introduction: A champion of public health leadership (632) 8821-3329 by Ernesto D. Garilao -------------------------------------------------------------------------------------------- 6 https://zuelligfoundation.org/ PART I: Commentary ------------------------------------------------------------------------------------------------13 [email protected] The Philippine public health system: Status, prospects, and what needs to be done by Dr. Manuel M. Dayrit ----------------------------------------------------------------------------------------14 By Reproductive health and adolescent sexuality: Status, prospects, and what needs to be done STUDIO 5 DESIGNS by Dr. Esperanza I. Cabral ------------------------------------------------------------------------------------- 19 Unit 3022, Amorsolo Tower of Beacon Residences Nutrition and stunting: Status, prospects, and what needs to be done Chino Roces Avenue corner Arnaiz Street by Dr. Corazon Barba--------------------------------------------------------------------------------------------25 Legaspi Village, Makati City 1230 The challenge of mobilizing LGUs for the prevention of child stunting [email protected] by Dr. Alejandro N. Herrin -------------------------------------------------------------------------------------36 Health and resilience in the Philippines: The current view Copyright © 2020 Zuellig Family Foundation by Ma. Antonia Yulo-Loyzaga --------------------------------------------------------------------------------49 ALL RIGHTS RESERVED. No portion of this book may be copied in any form or The Health Change Model and Universal Health Care by any means—mechanical, graphic, photocopying, or stored in a database or by Dr. Anthony R. G. Faraon ---------------------------------------------------------------------------------54 any retrieval system—without the written permission of the copyright owners. PART II: Research------------------------------------------------------------------------------------------------------59 ISBN 978-971-9977-21-6 Community empowerment for health and development: Transforming leaders and communities together by Dr. Meredith D. Labarda -----------------------------------------------------------------------------------60 The commentaries in this book are solely the opinions of the individual authors and do not necessarily reflect those of the foundation itself. Why do mothers die? A review of maternal death review in Camarines Norte by Dr. Ofelia P. Saniel and Dr. Amiel Nazer C. Bermudez ---------------------------------------------85 Printed in the Philippines Providing Filipino adolescents access to adolescent sexual and reproductive health (ASRH) services: A health governance initiative in two cities by Dr. Elma P. Laguna ----------------------------------------------------------------------------------------- 195 Measuring health impact: Piloting social return on investment to enhance the evaluation of community health interventions by Dr. Marie Lisa M. Dacanay and Meldy Pelejo ------------------------------------------------------ 218 Summative Evaluation of the KGJF-ZFF Leadership and Governance in Nutrition for First 1000 Days Project in Gamay, Northern Samar and Looc, Romblon by Dr. Carmelita Canila --------------------------------------------------------------------------------------- 261 Authors’ Bionotes -------------------------------------------------------------------------------------------------- 283 Acronyms ------------------------------------------------------------------------------------------------------------- 288 FESTSCHRIFT FOR roberto R. ROMULO Roberto R. Romulo An eminent career in business, diplomacy, nation-building and health advocacy oberto R. Romulo was born in Manila on December 9, 1938 to Carlos P. Romulo and Virginia Llamas-Romulo. He completed his primary, Rsecondary, and college education in the United States. After graduating with a Bachelor of Arts degree from Georgetown University, he pursued his studies at the Ateneo de Manila College of Law, which granted him a Bachelor of Laws degree in 1964. He started his professional life as marketing trainee at IBM in New York. During his career, he held various marketing and management positions in New York, before being appointed managing director for Thailand, Burma and Bangladesh, and subsequently president and general manager of IBM Philippines. 1 roberto R. ROMULO FESTSCHRIFT FOR roberto R. ROMULO He joined government service in June 1989 when he was appointed ambassador Today, he sits as chairman of AIG Philippines Insurance, MediLink Network, and to Belgium, Luxembourg and the Commission of the European Communities. Nationwide Development Corporation. He also holds board memberships in In 1992, he was appointed Minister of Foreign Affairs in the cabinet of President PLDT, Equicom Savings Bank, Robinsons Retail Holdings, Maxicare Healthcare Fidel V. Ramos. Corporation and McLarty Associates (formerly Kissinger McLarty Associates). In 1995, he rejoined the private sector and was elected chairman of PLDT, and As a diplomat, Ambassador Romulo was decorated by the governments of vice chairman of San Miguel International. He was chairman of Interpharma Belgium, Thailand, Spain, Chile, France and the Philippines. He was the fourth Investments Ltd. (Zuellig Pharma) from 1997 to 2007. He was a board member recipient of the Arangkada Lifetime Achievement Award presented by the Joint of MIH (a subsidiary of Naspers) from 2002 to 2013. He was also an independent Foreign Chambers of the Philippines in 2016. director of A. Soriano Corporation, Aboitiz Equity Ventures, Singapore Land and UIC. In 1996, he became the founding chairman of the APEC Business Advisory Council and continued as the chairman of the Philippine Representation until 2010. From 1999 to 2001, he was chairman of the e-ASEAN Task Force. He also served as pro bono senior advisor on international competitiveness to President Gloria Macapagal-Arroyo from January 2001 to January 2007. 2 3 FOREWORD FESTSCHRIFT FOR roberto R. ROMULO We chose the title “Equity in Health” for this tribute, as it pulls together four dimensions of Bobby’s vision for ZFF’s engagement in the country’s public health system. First, under Bobby’s direction the foundation set out on a mission Foreword to address systemic inequities by strengthening leadership and governance in primary healthcare, especially in rural communities. Equity implies giving consideration and paying attention to disadvantaged sectors of the population. Along with economy, effectiveness and efficiency, equity is essential to ensure that benefits, funds and services are fairly deployed in the interest of the nation’s By Daniel Zuellig and David Zuellig sustained development. Second, equity can be understood as the co-ownership Trustees of the Zuellig Family Foundation of all health leaders in the common stock on the nation’s balance sheet of health. Third, equity represents ZFF’s net worth to society and the net return on investment resulting from its endeavors, accounted for in measurable improvements of health outcomes. Finally, in parallel with the concept of equity in English law, the foundation’s programs aim to temper the harshness of pervasive poverty and counteract the indifference of entrenched routines and behavioral patterns in the ersonality, personal competence, personal commitment and delivery of primary healthcare. interpersonal relationships—these essential elements of successful leadership are personified par excellence by Roberto R. Romulo. As P We wish to thank the contributors to this Festschrift for their articles and their our friend, as our mentor and advisor, as our champion, and as spiritus rector shared advocacy for more equity in health, especially among disadvantaged and and chairman (now emeritus) of our family foundation, Bobby has never shied risk-prone sectors in Philippine society. Likewise, we extend our thanks to Ernie away from tackling and solving all manner of problems–from the minutiae of our and Tonyboy, for their editorial work. everyday concerns and workaday tasks to the immense obstacles to economic and social progress in the Philippines, and the harsh realities and inequities in At this milestone for our foundation, and on Bobby’s 81st birthday, we gratefully the lives of disadvantaged Filipinos. salute our chairman emeritus and celebrant. We blend the expression of our admiration for his extraordinary resilience and his manifold accomplishments with Earlier this year, Bobby handed over the chairmanship of the Zuellig Family our warmest warmest wishes for good health and long life. Foundation (ZFF) to Ernesto (Ernie) D. Garilao, who has managed the operations of the foundation as president since 2008. On this occasion, the trustees requested Ernie and Dr. Anthony (Tonyboy) R. G. Faraon, ZFF deputy executive director, to ¡Salud – Mabuhay! compile a Festschrift for Bobby, both as an act of reverence and as a reference book on pressing concerns