Based on the study of Family Planning Spending Assessment10 (FPSA) for LGUs, the provinces, cities and municipalities of the country spent about Php 1.9 billion for family planning in 2019. This covers projects and activities that were conducted by the LGUs during the year reported to support the delivery of FP services. It does not include yet the LGU’s expenditures for personnel hired to provide the FP services. 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, plans, and activities decreased by about 17 percent from last year’s Php2.27 billion pesos. Analysis of 2017-2019 LIPH and AOPs The Local Investment Plan for Health (LIPH) is a 3-year strategic or medium-term plan prepared by the provinces, highly urbanized cities (HUC), and independent component cities (ICC). The yearly interpretation of the LIPH is the Annual Operational Plans (AOP), which serve as localization tools of national health programs, and basis for resource mobilization and technical assistance provision and allocation. The LIPH and the AOP is an important instrument since the Universal Health Care Act specifically referenced the former that it shall be the basis for matching grants and provision of assistance from the national government and donors relative to its implementation. USAID ReachHealth Project did a desk review of the submitted health investment plans from LGUs to the Centers for Health Development and the Bureau of Local Health Systems Development of DOH. Based on the review, only 83 out of 124 proposed a significant budget allocation for family planning in 2017, while there were only 96 LGUs in 2018, and only 77 LGUs in 2019 respectively. This shows a somewhat decreasing trend in the number of LGUs that includes family planning as one of its priority programs. The USAID ReachHealth project was unable to do a complete analysis of the 124 health investment plans due to incomplete submission of LGUs; the budget indicated in the plan is not disaggregated by source of fund; budget was too insignificant; and FP related activities were solely charged to the DOH National or Center for Health Development budget. Among the family planning activities prioritized and included in the health investment plans include procurement of commodities, training, workshops, program implementation review, advocacy materials and activities, and improvement of facility used for provision of family planning services were included in the LGU plans. Table 2 shows the three-year comparison of total LGU budget allocated for health versus budget allocated specific to the family planning program. An average of 1.86 percent has been allocated by LGUs for family planning in the last three years with 2019 having the highest average percentage of allocation. All 124 LGUs composed of 81 provinces, 33 highly urbanized cities, 5 Table 2: Total LGU Budget for Health vis-a-vis FP, 2017 - 2019 independent component Year LGU Budget Total LGU Budget Ave. % of FP Budget cities, 4 component cities Allocated for Family Allocated for Health out of Total LGU & 1 municipality (Pateros Planning Budget for Health in NCR) are mandated 2017 Php 373,216,246.00 Php 5,663,706,147,402.00 1.87% to develop its LIPH for 2018 419,823,237.00 44,906,823,200.00 1.57% the period 2017-2019. 2019 401,666,822.00 5,666,521,822,528.00 2.13% However, only 85 percent Source: CHDs and the Bureau of Local Health Systems Development of DOH were able to comply. 10 Study of FP Spending Assessment for LGUs,Track 20 Project, Avenir Health 33 2019 Annual Report Responsible Parenthood and Reproductive Health Act of 2012