(1USD=Php50) for its Country Cooperation Strategy (2017-2022). • The Global Fund to Fight AIDS, Tuberculosis and Malaria HIV Grant (managed by Save the Children) allocated USD 3.821 million or Php 192 million (1USD=Php50) for logistics and commodities and program activities such as health promotion, capacity-building, stipend for health volunteers, among others. • The OXFAM of Canada released Php 709.7 million to support the implementation of RPRH. • Civil society organizations (CSOs) spent around Php 45 million for RH programs. The amount spent was utilized to support various RH activities which include providing RH services; conducting community education activities, trainings, workshops, forum, conferences; producing IEC materials; and assisting policy development. However, the expenditures were underreported since some CSOs did not submit their budget and expenditures. Funding for CSOs was made possible through the support of Asian-Pacific Resource and Research Centre for Women, Bill and Melinda Gates Foundation, Commission on Population and Development, Department of Health, Empower Foundation, FP2020 Rapid Response Mechanism, Humanist Organization for Development Cooperation, InterPares-Global Affairs Canada, Medecins Sans Frontieres, Philippine Center for Population and Development, SHOMS, and Women’s Fund Asia. Challenges and Recommendations Challenges Low utilization of RPRH budgets Recommendations Review the whole breadth of the budget cycle to identify bottlenecks that can be addressed in future budget rounds. For example, delays in procurement can be mitigated by holding preprocurement activities in the last quarter of the previous fiscal year. Decline in allocation due to benchmarking with spending performance as part of shift to cash-based budgeting Improve forecasting, planning and execution as budget performance is being used as basis for future allocations. Close monitoring and troubleshooting of spending bottlenecks to be made more frequent. Decline in number of MCP accredited facilities The decline in the number of MCP accredited facilities need to be studied in terms of the impact to access and cost of services. These outcomes are more critical parameters to monitor than just the number of providers available. Lack of clarity in accountabilities of DOH, POPCOM, PhilHealth and LGUs in financing RPRH services Develop a transition strategy for the financing of RPRH services pursuant to the UHC Law mandate to delineate financing of population-based vs individual based services. There is also need to define financing role of LGUs with the implementation of the Supreme Court decision on the Mandanas case beginning 2022. 37 2019 2019Annual Annual Report Report Responsible Responsible Parenthood Parenthood and and Reproductive Reproductive Health HealthAct Act of of 2012 2012 37