only for service statistics. Hence, in 2020, the program plans to monitor mCPR using the Family Planning Estimation Tool, a statistical model used by the United Nations Population Division to eliminate the current challenges in the FHSIS reporting. However, the Program will still be utilizing the FHSIS report in terms of quarterly monitoring of service statistics. A major barrier to improving health outcomes in the Philippines is fragmented supply chain management system at all levels of the health system. There is a need to strengthen the coordination among Procurement Supply Chain Management (PSCM) stakeholders; strengthen institutional and human resource capacity at the central, regional, and LGU levels to manage PSCM functions; streamline and harmonize supply chain information systems; establish a data-use culture; and synchronize demand and supply systems. A social behaviour change communication campaign can be designed specifically to address “health concerns and fear of side effects” to improve acceptance and adherence to FP methods. KRA3: Adolescent Sexual and Reproductive Health (ASRH) Status and Trends. Data from the Philippine Statistics Authority show that the incidence of live births among adolescents 15 to 19 years old has declined from 2016 to 2018. However, there is an increasing trend in live births among the younger adolescents 10 to 14 years of age. The reported births from adolescent mothers aged 10 to 14 in 2019 were most prevalent in Region III, Region XI, and Region XII. In addition, young people continue to be at risk of Human Immuno Deficiency Virus or HIV. The 15 to 24 years old age group comprise 30 percent of all HIV cases. Interventions. The release of the “Manila Declaration on Addressing the Education, Health and Development Issues on Early Pregnancy”, during the Teen Pregnancy Summit last August 2019, renewed commitment of stakeholders to synchronize actions to curb teenage pregnancy in the country. DOH focused on the accreditation of barangay/ rural health centers as Adolescent-Friendly Health Facilities (AFHFs) in all regions. Currently, the country has a total of 704 adolescent-friendly health facilities. Likewise, POPCOM established 44 information and service delivery networks (ISDNs) catering to the information, counseling and services needs of adolescents. This brings the total functional and maintained ISDNs in the country to 128. Through the adolescent-friendly health facilities, a total of 345,522 adolescents have availed of ASRH services in various health facilities for the whole year. Demand generation activities with peer educators, teen facilitators, including trained parents, reached a total of 319,755 adolescents in 2019, equipping them with knowledge on life skills needed to address emerging adolescent sexual and reproductive health concerns. Challenges and Recommendations. Efforts of various agencies to address the issues of teenage pregnancy in the country remain fragmented and stand to benefit from a unified Strategy on Teenage Pregnancy. There is a need to conduct a comprehensive assessment of the ASRH situation in the country to guide the design of service delivery and capacity building interventions, with particular focus on areas where unmet need for ASRH is highest. Additionally, there is a need to generate data for the 10 to 14 age group in order to understand the breadth and depth of the ASRH issues, and thus come up with strategic interventions addressing the same. KRA4: Sexually Transmitted Infections and HIV/AIDS Status and Trends. The HIV/AIDS and antiretroviral treatment or ART Registry of the Philippines (HARP) is seeing a steady increase in the number of daily new diagnosed cases from 2014 to 2019. In December 2019, the average daily diagnosed HIV cases was pegged at 35. This is more than double the 16 cases per day reported in 2014. The 25 to 34 age group makes up 50 percent 16 2019 Annual Report Responsible Parenthood and Reproductive Health Act of 2012

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