Second National Communications National Framework for Action 10 Protecting the Health of Filipinos from the Effects of Climate Change Expressed in Support to Health Sector Reform Agenda implementation a) To have better health outcomes from more responsive health systems (in consideration of climate change impacts on health) - Service delivery b) To institute (public) health adaptation mechanisms towards climate change-Governance c) To establish more equitable (focused for pro-poor and marginalized) healthcare financing as support – Financing d) To institutionalize a health (departmental and inter-departmental) coordinating mechanism to link CC&H initiatives -Regulation Integrated CC and health systems development - Financing (inclusion in social health insurance); ensuring program resources for the poor - DOH policy and guidelines review/assessment and development - Review facility and minimum basic service package standards - Integration with existing programs, projects, and services (drugs/logistics planning and distribution) Partnerships building Adaptation: Identification/Improvement of health technologies - Multi-stakeholder initiatives and projects (with other GAs, with private sector and civil society – agri, envi, shelter, etc) - Health and climate change tools development - GOP and donor funding, resource mobilization, outsourcing - Local-level adaptation (LGU planning, policy development and implementation, PIPH, CIPH, MIPH) - Public-private partnerships for Health and CC at the national level - Operational local PPP on Health and CC through ILHZ and LHBs - Health Information Systems - Setting of competency standard requirements - Capacity development (DOH and CHDs) - Health promotion and advocacy (IEC, quadrimedia, orientations) - Monitoring and evaluation (surveillance, indicators for policy development/enhancement) - Research and development on CC&H (operations, geographical research, impact studies, health modelling) The Department of Health through the National Centers for Disease Prevention and Control (NCDPC) has assigned the environmental health unit as the focal office for climate change initiatives. Another unit, the Health and Emergency Management Service, responds to the health effects in disasters, which takes on quite an amount of work. Their duties remain separate, but there are potential overlaps. Other departments respond operationally in a programmatic manner- the National Epidemiology Center, and the projects that go with it may not highlight climate change as of the moment, however, it points towards the direction of institutionalizing an integrated disease surveillance response system that is in effect an adaptation response. Interdepartmental awareness and coordination is yet to be heightened, in consideration of climate change and health. Projects which followed were mainly of the awareness raising and information dissemination type as forums on climate change and health with the different sectors were initiated. Parallel projects were seen as initiatives by other government line agencies which had indirectly related health effects, but may not highlight the climate change and health linkage as yet (i.e., projects in water and sanitation, water impounding – which was lodged with another department – the DPWH, solid waste managementwith the DENR). While these had a health component, they were handled by other government units. Opportunities for cross sector coordination in consideration of health and climate change impacts