While PhilHealth has significantly paid claims for FP benefits services [Table 4], some challenges are still experienced in some hospitals with respect to maximizing the FP benefits packages. The rapid assessment conducted by the USAID ReachHealth Project on data collected from selected hospitals during the period 2018 to 2019 reported about Php 29 million foregone earnings on family planning services by hospitals [Table 5]. Table 6: Number of PhilHealth Accredited Health Care Providers 2017 Accredited Health Facilities Hospitals Infirmaries/Dispensaries Ambulatory Surgical Clinics PCB Provider Birthing homes/Lying-in Clinics Stand Alone Family Planning Clinics HIV Treatment Hubs (OHAT Providers) Number of birthing homes and primary care facilities providing FP services Number of municipalities with at least 1 MCP provider (a) Total Municipalities and Cities (b) Percentage of Municipalities and Cities with at least 1 MCP Provider (a/b)% The major reasons for non-reimbursements are: 1. non- inclusion of implant as a 2nd case rate; 2. difficulties in using the e-filing system; 3. lack of knowledge about the benefits package; 4. lack of provider accreditation/certification for FP; and 5. inability to comply with documentary requirements for claims These challenges have been raised with PhilHealth, LGUs and key hospital staff to support the facilities in addressing these barriers. Facility Accreditation Over the span of three years (2017 to 2019), the number of accredited facilities increased except infirmaries. In 2019, PhilHealth accredited five FP Stand- Alone Clinics. 2018 2019 1,241 672 152 1,253 661 166 1,271 654 180 2,455 3,243 2,349 2,911 2,523 2,989 5 38 86 111 876 1,055 1,493 1,078 1,190 1,634 1,634 1,634 91% 66% 73% 29,860 1,581 30,135 3,089 360 39,017 3,431 Accredited Professionals Physicians Midwives Number of professionals with training on FP Furthermore, the percentage of municipalities and cities with at least one MCP provider has declined from 91 percent in 2017, to 66 percent in 2018. But this slightly increased to 73 percent in 2019 [Table 6]. The decline in 2018 was mainly due to the enforcement of the mandatory requirement of License to Operate for accreditation of birthing facilities. Many facilities then were unable to comply and secure the Land Transportation Office from DOH which is an accreditation requirement. • USAID allocated around USD13.5 million or Php 675 million (1USD=Php50) for FP and MNCHN programs to improve access to quality FP/MCH services, fortify behavioral change, and strengthen health system and remove barriers to FP/MNCHN use. Financing Support from Other Sources • UNFPA allocated USD 4.495 million or Php 229.125 million (1USD =Php50.977) to cover programs for sexual and reproductive health (including data support) of women, adolescents and youth, empowering youth and women, gender equality, among others. • World Health Organization earmarked Php 24.170 million or USD 483,408 Source: PhilHealth, 2017 to 2019 Various development partners actively supported the implementation of the RPRH Law through allocation of budgetary support. 36 2019 Annual Report Responsible Parenthood and Reproductive Health Act of 2012