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Department of Health

National Economic and Development Authority


Commission on Population and Development

Implementation Plan for the


National Program on Population and
Family Planning (NPPFP)
USEC. JUAN ANTONIO A. PEREZ III, MD, MPH
Executive Director
Commission on Population and Development

1
Requested Actions
• For the President’s approval and support to the full
and intensified implementation of the National
Program on Population and Family Planning
(NPPFP) towards better health and education
outcomes, socioeconomic development and poverty
reduction; and
• For the President’s approval and directive for the
provision of multi-year (2020-2022) allocation of
funds for its implementation
2
Issues/ Problems to be Addressed
High Population Growth Rate (PGR) and Size
Filipinos growing by about 2 million annually remains a
critical challenge to socio-economic development.
120 4
Millions

107
3.3 101.7 3.5
100 93.7
2.9 2.7 3
78.0
80 2.5 2.5
61.9 2.1
60 1.6 2
47.4 1.6
40 35.8 1.51.5
26.3 1
19.2
20
0.5

0 0
1948 1960 1970 1980 1990 2000 2010 2015 2018*
Population Size Average annual growth rate (in percent)
*Estimate as of end 2018.

Source: PSA, *World Bank 3


Issues/ Problems to be Addressed
Remaining wide gap between wanted High unmet need for family planning services
and actual number of children… especially among adolescents…
Background Total Fertility Total Wanted
Characteristics Rate (children) Fertility Rate
Education
No education 4.6 3.1
Grade 1-6 4.1 3.0
Grade 7-10 3.0 2.2
Post-secondary 2.7 2.2
College 2.0 1.6
Income Quintile
Lowest 4.3 2.9
Second 3.2 2.3
Middle 2.6 2.1
Fourth 2.1 1.7
Highest 1.7 1.4
Total 2.7 2.0
Source: 2017 NDHS
4
4
Comparative Pyramids: Sex and Age Structures
Philippines, Thailand, and South Korea
Total Population: 101.7 M Total Population: 68.9 M Total Population: 50.6 M
Philippines 2015

1969 2018 Average Annual


Increase
Philippines 34.79 107 2M
Thailand 35.85 69.04 200,000
South Koreaa 31.54 51.47 200,000
Source: 2015 CPH, PSA and UNDESA 5
Demographic Dividend
• Also called as the “demographic bonus” (i.e. South Korea in
1980s and Thailand in 1990s)
• Refers to the period during which the proportion of the
working age population increases significantly as a result of
lower proportion of dependent children due to reduced
fertility (e.g. Total Fertility Rate (TFR) of 2.1 children),
enabling households to increase incomes and savings.
• Demographic Dividend entails investments (from higher
savings) in better healthcare and education of children,
making them better prepared to be productive members of
the workforce.
6
Population, PGR, TFR, GNI per Capita, & Poverty Incidence Among ASEAN
**Gross National
*Average annual *Total Fertility Income (GNI) Per
ASEAN *Total population
population growth rate Rate (TFR) per Capita **Poverty Incidence
Country in millions 2018
(PGR) in % 2010-2018 woman, 2018 (in US$, 2017)

Singapore 5.8 1.2 1.3 54,530 --


Thailand 69.2 0.4 1.5 5,960 8.6 (2016)
Brunei 0.4 1.4 1.7 29,600 --
Vietnam 96.5 1.1 1.9 2,170 9.8 (2016)
Malaysia 32.0 1.6 2.0 9,650 0.4 (2012)
Myanmar 53.9 0.9 2.2 1,190 32.1 (2015)
Indonesia 266.8 1.2 2.3 3,540 10.6 (2017)
Cambodia 16.2 1.6 2.5 1,230 17.7 (2012)
Laos 7.0 1.4 2.6 2,270 23.4 (2012)

Philippines 106.5 1.6 ***2.7 3,660 21.6 (2015)

Source: *State of World Population Report 2018, **World Bank Databank, ***NDHS 2017 7
Fertility and Poverty Rates Across ASEAN
The higher the fertility rate (birth rate), the higher the poverty incidence.

Total fertility rate Poverty incidence


3.5 25
(births per woman, 2015) (national poverty line)
Fertility rate (births/woman)

3.0

Poverty incidence (%)


20
2.5
2.0 15

1.5 10
1.0
5
0.5
0.0 0

8
Source of Basic Data: World Bank Databank 8
Key Strategies
• Intensify the implementation of population and FAMILY
PLANNING programs to:
• Achieve modern contraceptive prevalence rate (mCPR)
of 65% by 2022 (to enable couples and individuals to
achieve their desired number of children)
• Accelerate implementation of population management
strategies to facilitate and complement other
socioeconomic interventions for reaching demographic
dividend

Source: Track20 - Core Indicator 1-9 Calculator 9


Key Strategies
By 2022, there will be

11,340,000
By reaching the
target 65% women using
mCPR among modern and effective FP methods in the Philippines
women of As a result of using modern contraceptives, over the next 4 years
reproductive
age (WRA) by 2,429,000
2022, it is
estimated that: 4,117,000 Abortions will be prevented

Unintended
Pregnancies Averted 2,160
Source: Track20 - Core Indicator 1-9 Calculator
Maternal deaths averted

Source: Track20 - Core Indicator 1-9 Calculator 10


Advancing by 13 years the decline in TFR through full FP
implementation
mCPR* Total fertility rate under alternative scenarios
41
38 39 65
38 Partial Implementation of RPRH Law
33
40 Full Implementation of the RPRH Law

34 35 3.5
33
28
31 3
25 3 2.76
21 2.53
4.1
3.7
3.5
Unmet need for FP 2.5 2.29
2.1
3.3 2.43 1.94
3.0 2
2.7 Total 2.1 1.86
1.94 1.86 1.86
2.1
Fertility 1.5

Rate 1

0.5

0
1993 1998 2003 2008 2013 2017 2022 1 2 3 4 5 6 7
1
2015 2020 2025 2030 12035 2040 2045
Philippines,1993-2017

Source: United Nations 2017 as cited in Abrigo, Orbeta and Herrin November 2017; and *PSA 11
PDP 2017-2022 mCPR Target and Target New Users
mCPR* Target Estimated Annual New mFP Users
80.0% toCurrent
Reach Users mCPR Target
Target New Acceptors

65.0% 1,020,258
60.0% 60.1% 992,659
55.2%
50.2% 963,845
45.3%
41.2% 41.8% 42.6% 43.2% 43.7% 938,004
40.0% 40.4%
914,940

10,316,120
20.0% 9,323,461
8,359,616
7,421,612
6,506,672 6,506,672
0.0%
2017 2018 2019 2020 2021 2022
National Goal Current Trend
*mCPR – modern Contraceptive Prevalence Rate
2017 2018 2019 2020 2021 2022

Source: Track20 - Family Planning Estimation Tool and NDHS 2017 12


Total Budget Requirements to Reach Targets for NPFP
(in Million)

Total 2020-2022
Php 10,435
2020 2021 2022
3,329 3,419 3,687

13
Recommended Specific Actions
1. President’s endorsement for the following bills as priority legislation:
• Prevention of adolescent pregnancy (SB 1482 and HB 4742)
• Establishment of local population and development offices (HB 4689)
2. OP, DBM, ULAP, and BARMM to support intensified implementation of DOH
and POPCOM JMC 2019-01 for well-coordinated management of the NPPFP
down to the local level
3. Approval by DBM of convergence budget for the implementation of the
NPPFP and strategies for reaching demographic dividend in 2020-2022
4. DILG to work with DOH and POPCOM on the development and provision of
an incentive and reward scheme for LGUs and institutions that are
supportive of the NPPFP
5. Strengthening of the workforce of POPCOM to improve capacity for
coordination especially at the regional and local level
14
ACHIEVING INCLUSIVE &
SELF- SUSTAINING SOCIOECONOMIC DEVELOPMENT
O
GLOBALLY COMPETITIVE KNOWLEDGE ECONOMY
u
t
SCIENCE AND TECHNOLOGY INNOVATION ECOSYSTEM c
o
Investment in Science and Technology, Research and m
Development e
PDP Ch. 14 s
Human Capital Formation
Economic Returns
Health, Nutrition, Education Investment, Economic growth, Higher incomes
PDP Ch. 10 and 11
PDP Ch. 15 and 16
I O
Schools, Hospitals Greater Savings and Investment in Human Capital →
n u
Hard Social Infrastructure Higher Productivity
p PDP Ch. 10 PDP Ch. 10
t
u p
t Population and Family Planning Demographic Dividend u
Soft Social Infrastructure Changing age structure → Lower child dependency → t
s Productive workforce
PDP Ch. 13 s
PDP Ch. 13
Roads, Bridges, Rails, Airports and Ports
Physical Infrastructure Connectivity, Mobility, Logistics
PDP Ch. 19 PDP Ch. 10 15
Cabinet Directives
Intensified Implementation of JMC 2019-01
Directive/s Responsible Status
Agency/ies

1. The OES, DBM, DILG, and OES POPCOM met with SILG Eduardo M. Año last 11
Bangsamoro Transition Authority to DBM March 2019 to discuss the role and engagement of
support the intensified DILG DILG in the implementation of the NPPFP. A
implementation of the DOH and BTA follow-up meeting with Asec Marjorie N. Jalosjos
POPCOM’s Joint Memorandum DOH was held last 12 April 2019 to finalize the
Circular 2019-01 to ensure a well- POPCOM committed roles of DILG:
coordinated management of the
NPPFP down to the local level. • Issuance of Memorandum Circular to LGUs re
designation of population officers and
POPCOM is also directed to focus on mobilization of community officials, volunteers
natural family planning methods in and workers;
BARMM. • Endorsement of House Bill (HB) 4689 to Senate
and 18th Congress; and
• Harmonization of reward/incentive scheme for
LGUs of DILG, DOH and POPCOM
Intensified Implementation of JMC 2019-01
Directive/s Responsible Status
Agency/ies

1. The OES, DBM, DILG, and OES POPCOM met with BTA officials last 11 April 2019
Bangsamoro Transition Authority to DBM to discuss their role and engagement in the
support the intensified DILG implementation of the NPPFP in BARMM. POPCOM
implementation of the DOH and BTA and BTA agreed on the following:
POPCOM’s Joint Memorandum DOH
Circular 2019-01 to ensure a well- POPCOM Refiling of the Bill creating POPCOM BARMM with
coordinated management of the amendments agreed among BTA, POPCOM and
NPPFP down to the local level. Assemblywoman Irene P. Tillah as the principal
author; and
POPCOM is also directed to focus on
natural family planning methods in Continued execution of the Memorandum of
BARMM. Agreement (MoA) between POPCOM XII and
Ministry of Health (MoH) on the implementation of
PPMP specifically RPFP Program in BARMM
through the POPCOM BARMM Interim Office.
Budget Allocation and Convergence
Directive/s Responsible Status
Agency/ies
2. The DOF and DBM to allocate a DOF & DBM Php5M Fund Augmentation
multi-year (2020-2022) budget for NEDA • POPCOM submitted to DBM on 13 March 2019 the
the NPPFP’s implementation DOH proposed additional budgetary requirements for 2019
endorsed by NEDA.
amounting to about PhP10.44 billion POPCOM
• DBM responded and asked POPCOM to submit
supplementary documentary requirements for the
evaluation of the requested additional budget.
• POPCOM submitted to DBM the additional budgetary
requirements on 08 May 2019.
Tier 2
• POPCOM has completed online submission last 10 May
2019.
3. The DBM to facilitate program DBM POPCOM was tasked to convene relevant NGAs and
convergence budgeting (PCB) for the NEDA prepare the PCB proposal for endorsement of NEDA.
implementation of the NPPFP from DOH
• Two meetings were conducted (April 16 & 26)
2020-2022, subject to its guidelines POPCOM
• Participating NGAs were DOH, NEDA, POPCOM, DSWD,
DA, DAR, DepEd, and NCIP
• PCB proposal submitted to DBM on 06 June 2019.
Incentive & Reward Scheme
for LGUs and Institutions
Directive/s Responsible Status
Agency/ies
4. The DILG, DOH, and POPCOM to DILG DOH, DILG and POPCOM agreed in the
develop and implement an incentive DOH harmonization of reward/incentive scheme for
and reward scheme for LGUs and POPCOM LGUs.
institutions that are supportive of the
NPPFP The three agencies are currently in the process of
finalizing the mechanism for the harmonization.
Strengthening of POPCOM Workforce and Mobilization of
Community Officials, Volunteers and Workers
Directive/s Responsible Status
Agency/ies

5. The DILG, NEDA, and POPCOM to DILG • POPCOM submitted to DBM its proposed
jointly work to strengthen POPCOM’s NEDA additional plantilla positions under Tier 2 as part
workforce for coordination especially POPCOM of strengthening of its workforce as per EO 71.
at the regional and local level.
• DILG to issue a Memorandum Circular that
6. The DILG, DOH, and POPCOM to enjoins LGUs to designate population officers
collaborate for the tapping of Punong and mobilize community officials, volunteers and
Barangays, Kagawads, and Barangay workers in support to the intensified and full
Health Workers nationwide to implementation of NPPFP.
augment the current workforce of the
DOH and POPCOM for advocacy and
information dissemination on family
planning
Endorsement of Priority Bills
Directive/s Responsible Status
Agency/ies

7. The PLLO to facilitate the PLLO • POPCOM to continue working with PLLO re
endorsement of the following bills as POPCOM endorsement of HB 4742 and SB 1482 and HB
priority legislation: 4689.

• Prevention of adolescent • POPCOM BoC requested DILG for its support and
pregnancy (Senate Bill 1482 and endorsement of HB 4689 to Senate and unto the
House Bill [HB] 4742); and 18th Congress. Letter of request for support and
endorsement addressed to SILG Año sent last 12
• Establishment of local population April 2019.
and development offices (HB
4689)
Maraming salamat po!

Commission on Population and Development


(POPCOM)
Welfareville Compound, Acacia Lane, Mandaluyong City
Telephone Nos.: (632) 531-7051; (632) 531-6805
Fax: (632) 533-5122
Website: http://popcom.gov.ph
Facebook: commissiononpopulation
Twitter and Instagram: @OfficialPOPCOM

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