accounting for 98 percent of the combined budget. There was a 37 percent decline in the combined 2019 budget for RPRH compared to the 2018 budget allocation of Php 41.84 billion. The decrease was largely due to a reduction in the budget for the Health Facility Enhancement Program (HFEP) by nearly half from Php30.27 billion in 2018 to Php15.74 billion in 2019. The lower allocation was due to the shift to cash-based budgeting for 2019 that led to the adjustment of budget ceilings of programs.2 Public sector financing for the 2019 HIV/AIDS national response has also 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 terms of family planning, local government units (LGUs) remain as the major provider of services in the country. Based on the study of Family Planning Spending Assessment3 (FPSA) for LGUs, the provinces, cities and municipalities of the country spent about Php1.9 billion for family planning in 2019. Municipalities had the biggest share in FP funding with around 63 percent of the total expenditures of all LGUs, while cities and provinces contributed about 26 percent and 11 percent, respectively. Compared to 2018, the expenditures of the LGUs for family planning related programs, projects and activities decreased by about 17 percent from last year’s Php 2.27 billion. A separate analysis of 2017 to 20194 Local Investment Plans had similar observations noting the decreasing trend in the number of LGUs that are including FP as a priority program. 2 newsinfo.inquirer.net/1111853/dohs-low-budget-use-continues-unused-funds-amount-to-billions?fbclid=IwAR3FYnPULhSGJPX3p8dhHyWTRUIJMXS--UG5SPc8vRpfHxUtJODZr4bBciw 3 Study of FP Spending Assessment for LGUs,Track 20 Project, Avenir Health 4 Analysis of 2017-2019 Local Investment Plans and Annual Operation Plans, unpublished, USAID/ReachHealth Project, Research Triangle, Inc. Claims paid by PhilHealth for RPRH-related services decreased by 8.6 percent from 2018 to 2019. Specifically, claims in 2018 totaled to around Php 20.64 billion, while claims in 2019 was pegged at Php18.86 billion. The data should be interpreted with caution as 2019 figures may still be incomplete, as some claims may still be in process at the time of data extraction. Various development partners actively supported the implementation of the RPRH Law through allocation of budgetary support. For 2019, support came from United States Agency for International Development (USAID), United Nations Population Fund (UNFPA), World Health Organization, Global Fund to Fight AIDS, Tuberculosis and Malaria, OXFAM of Canada, as well as other CSO supporters. Progress of Key Result Areas KRA1: Maternal, Newborn, Child Health and Nutrition (MNCHN) Status and Trends. Data from the DOH Field Health Service Information System (FHSIS) show an increase in utilization of maternal health care services, namely antenatal care (ANC), facilitybased delivery (FBD), skilled birth attendance (SBA), and post-partum visits (PPV), over the past five years. While antenatal and post-partum care rates have been decreasing from 2015 to 2018, both indicators increased in 2019. Due to improvements in maternal health care service indicators, maternal mortality ratio5 reduction has been slowly improving over the years. In terms of the Fully-Immunized Child Coverage, 2019 saw a sharp increase from 2018 figures, from 53 percent in 2018 to 69.08 percent in 2019, with NCR having the highest coverage at 89 perent. Interventions. During the reporting period, around 513,000 women of reproductive age (15 to 49 years old) received information on maternal, child health and nutrition through various demand generation activities. To ensure a continuum of care for 5 Maternal Mortality Ratio (MMR) is computed as number of maternal deaths per 100,000 live births. Maternal death is defined as the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any causes related to or aggravated by the pregnancy or its management but not from accidental or incidental causes (WHO, 2016) 14 2019 Annual Report Responsible Parenthood and Reproductive Health Act of 2012