Figure 5: Budget Trend for RPRH Law, 2014 - 20192015-2019 Source: GAA, 2014 - 2019 Unobligated funds in 2019 were re-purposed as Continuing Appropriation for COVID-19 response and used for the purchase of personal protective equipment, test kits, among others. Some of the budget were also re-aligned to procure Implants, since its 2020 budget was not approved, and oral health commodities (ex. Ionemer and Varnish). In addition to the issues above, RPRH implementation is presented with various opportunities and challenges with the passage of Republic Act 11223 or the Universal Health Care Act and the promulgation of its Implementing Rules and Regulations in November 2019. In terms of financing, RPRH programs can expect improvements arising from the UHC Act mandates particularly on universal enrollment and immediate eligibility to PhilHealth benefits. In addition, the delineation of financing populationbased services to be assigned to DOH and individualbased services under PhilHealth will minimize overlaps and help identify and fill in gaps in financing of various RPRH programs. Local government units are also expected to gain an average increase of 30 percent in their internal revenue allotments by 2022 when the Supreme Court decision on the Mandanas case will be implemented. Since the increase will be applied to the internal revenue allotment, health and specifically, RPRH programs will be competing with other priorities in accessing these additional resources. Decreasing Budget for HIV/AIDS Programs The HIV/AIDS response of the country is financed both by national/ domestic funding and external/international support. As the incidence of HIV and AIDS rapidly increased each year, financing for HIV and AIDS programs also increased in the last decade. In 2019 however, this was not the case. Public sector financing for the 2019 HIV/AIDS national response drastically declined. The budget allocated for the HIV/AIDS response particularly for the operations of the Philippine National AIDS Council (PNAC) and the implementation of the National AIDS and STD Prevention and Control Program (NASPCP) decreased to Php 459.61 million or just 40 percent of the 2018 budget of Php 1.173 billion. External funding, or support from international sources, has also seen a steady decline since 2013. In the country, Global Fund provides the biggest international support for HIV and AIDS program. In 2019, a total of Php 81.60 million has been spent for the program. Local Government Unit Budget FP Expenditures of LGUs Local government units remain as the major provider of family planning services in the country. Their allocation and expenditure for family planning primarily covers the: a) actual delivery of services thru personnel hired; and b) projects and activities including infrastructures that support the delivery of such services. 32 2019 Annual Report Responsible Parenthood and Reproductive Health Act of 2012