Presentation of Michelle Gardner of the Private Sector Mobilization for Family Health Project-Phase 2 (PRISM2) of the USAID at the PhilHealth Maternal, Newborn and Child Health Summit

1. Private Sector Mobilization for Family Health Project – Phase 2
(PRISM2) October 2009 – October 2014
Private Sector Mobilization for Family Health - Phase 2 (PRISM2)
Supporting Private Providers
and Private-Public Partnerships
for Maternal and Child Health

2. Goal and Objectives
Goal: Assist the national government and LGUs in
mobilizing the private sector as partner-providers of FP-
MCH information, products and services.
Objectives:
• Provision of FP-MCH information, products and
services by the private sector improved
• Demand generation for private sector FP-MCH
services improved
• Policy and financing for sustainability of private sector
FP-MCH service provision and use improved

3. PRISM2 Project Sites
(36 Cities and Provinces)
* USAID Partnerships for Growth site
Region I
1. La Union
2. Pangasinan
Region III
3. Pampanga
(includes Angeles City)
4. Nueva Ecija
Region IV-A
5. Cavite
6. Batangas City*
7. Quezon Province
Region V
13. Albay
14. Naga City
Region VI
15. Iloilo Province
16. Iloilo City*
17. Negros Occidental
Region VII
18. Cebu Province
19. Cebu City
20. Lapu-Lapu City
21. Mandaue City
22. Bohol
23. Negros Oriental
NCR
8. Pasig City
9. Quezon City
10. Marikina City
11. Parañaque City
12. Caloocan City
Region VIII
24. Leyte (includes Ormoc
and Tacloban Cities)
Region X
25. Cagayan de Oro City*
26. Misamis Oriental
27. Iligan City
Region XI
28. Davao City
29. Davao del Norte
Region XII
30. Sarangani
31. General Santos City
Region XIII
32. Agusan del Sur
33. Butuan City
34. Surigao del Norte
ARMM
35. Lanao del Sur
36. Maguindanao

4. Public
Service Delivery Network (SDN)
Private
NHIP accredited
PPMs’ and
Birthing Homes
Hospitals
-LA/PM
Other Service
Delivery Points
Alternative
Distribution Points
for FP-MCH
Products
Strengthened
SDN
PRISM2 Operational Framework
PUBLIC HEALTH OUTCOMES
Contraceptive
Prevalence Rate
Skilled Birth
Attendance
Maternal
Mortality Ratio
Infant Mortality
Rate

5. Year 4 Objective and Focal Areas
Overarching Year 4 objective: Capacity building of private sector FP-
MCH providers of information, products, and services, and recognition
and integration into local SDNs
Core Program Focal Areas
• Private Practicing Midwives (FP, SBA, EBF, neonatal)
• Alternative Distribution Points (FP, SBA)
• Private Hospitals (FP, SBA, EBF, neonatal)
• Itinerant LA/PM (FP)
Other Service Delivery Points
• Young People (FP, youth, SBA)
• Workforce Engagement (FP, SBA)
Special initiative
• Oxytocin in Uniject (SBA)
Cross-Cutting Initiatives
• Training capacity
building
• Health policy
• Health financing
• Partnerships and
advocacy
• BCC
• Gender
• Quality assurance
• M&E

6. Primary Purpose
Increasing access to FP/MCH
services through Philhealth
accreditation of PPMs and
birthing homes
Private Practicing Midwives (PPMs)
Activities
• Required training for
accreditation
• Basic equipment supply
• Accreditation process
facilitation
• Post accreditation support
– Business training
– FHSIS training
– EINC training
– Linkages with suppliers
– QAP orientation
– Usapan training
– FP-CBT2 training

7. Primary purpose
Increase access to FP-MCH
commodities in hard-to-reach
areas
Alternative Distribution Points (ADPs)
What are ADPs?
Non-traditional outlets (PPM
clinics, cooperatives, clinics, BnBs,
hospital clinics, etc).
Activities
• ADP operators training
• Linkages with distributors
• Engagement with LGUs on
procurement options
• Encourage recognition and
integration of BnBs
• Mapping of ADPs
• Establishing ADPs for Standard
Days Method Beads

8. Primary Purpose
Expanding the role of private
hospitals in FP/MCH service
delivery through capacity
building and SDN integration
Private Hospitals
Activities
• Preparation for SDN
integration
– ICV orientation
– BTL training
– EINC training
– Support to updating protocols
and policies
– Facilitate SDN integration
• Support activities
– Philhealth orientation
– ADP creation
– Usapan training

9. Primary Purpose
Increase access to LA/PM
services in hard-to-reach
areas
Itinerant LA/PM
Activities
• Strengthen exiting itinerant
services
– Facilitate agreements
– Link itinerant providers with
BCC providers
– Establish regular schedules
• Create enabling
environment
– Develop supportive policies
– Explore funding mechanisms,
including Philhealth
• Develop sustainable models
– Establish and document
sustainable itinerant services

10. Young people
Primary Purpose
Generating demand for FP-
MCH services and products
among young people and
increasing access to youth
friendly services
Activities
• Training service providers
– Mainly private
– Youth friendly service delivery,
AJA and FP-CBT1
• Peer education
– Private schools and partner for
out-of-school youth
– Training for peer educators
– Roll-out of Usapan Barkadahan
– Linkages with trained providers
• Establish youth-friendly
referral network

11. Workforce Engagement
Primary Purpose
Generating demand for FP-
MCH services and products in
the labor force through
engagement with informal
workforce groups (IWGs)
What are IWGs?
Cooperatives, labor unions,
vendor associations, transport
groups
Activities
• Orientation
• Capacity building
– ICV, Usapan, gender training
– (FPCBT1 and FHSIS training)
• Rollout of Usapan
• Establish referral network and
SDN linkages

12. Oxytocin in Uniject
Primary Purpose
Increase access to safe delivery
services in hard-to-reach areas
Activities
• Operations research
– To document the feasibility
and acceptability of the use of
oxytocin in Uniject in public
and private health care
settings.
• Commercialization
– Identify pharmaceutical
distribution partner
– Facilitating the registration of
oxytocin in Uniject
– Conduct product
demonstration sessions
– Explore possibility of local
production

13. SDN Strengthening
Primary Purpose
Increase access to FP-MCH
services and information
through private sector
integration
Activities
• Policy support to the
designation of SDNs
• Convening of public and
private partners to agree
terms of partnership
• Public launch and integration
• Develop SDN management
teams
• Mentoring expand role of
PPPs
• Strengthening referral
mechanisms

14. Technical Cooperation Work with
Philhealth and DOH
With Philhealth:
 in crafting the new MCP
package
 in packaging new/enhanced
case rates for BTL, NSV
and IUD insertion and
removal
 in facilitating the
accreditation of private
midwives and their birthing
homes
 in facilitating processing of
claims of private birthing
homes especially the start-
ups
With DOH - Bureau of Health
Facilities and Services
(BHFS)
 formulating the most
appropriate licensing
requirements and standards
that would demand from
birthing homes the highest
quality services and also
allow them to compete in
the market

15. Thank you!