Because of the much lower overall need in BARMM, they are able to have a similar level of demand satisfied as Region VII with much lower levels of contraceptive use. This can also be explained by the fertility desires of women and couples in BARMM. Fertility desire is affected by several factors such as culture, values, economy, institutional factors, and policy instruments. Based on studies and experience from other countries, it is expected that the need for modern contraception will increase as fertility desires begin to shift, and more women want to limit their family sizes. Note that in BARMM total fertility rate is higher than in Region VII (3.1 vs 2.5). Therefore, in a country or region where unmet need is low, because fertility desires remain high, overall demand for contraception will be lower. This means that a smaller number of users (i.e., a lower mCPR) can result in a relatively high demand satisfied. Partners’ contribution. The Center for Health and Development, POPCOM, and LGUs, with support from USAID/ReachHealth, coordinated the conduct of FP outreach activities prioritizing underserved communities, such as geographically isolated and disadvantaged areas (GIDAs), IP constituents, and those in urban informal settlements. Outreach activities were conducted in Zamboanga City, Zamboanga del Norte, Zamboanga del Sur, Bukidnon, Davao City, South Cotabato, and General Santos City. A total of 1,473 clients were provided information on FP-MNCHN, including FP counseling, and 1,134 clients (77%) were provided with various FP services. CSOs reported that around 70 health service providers (doctors, nurses, and midwives) provided FP services in 2019, with majority of them providing implants and more than half providing IUDs. For long acting and permanent methods, two CSO health service professionals provided BTL and one for NSV. CSOs have also provided family planning services to a total of 100,479 current or continuing users. While PSIs are among the preferred method of choice among CSO clients, some CSOs have reported stock outs of this commodity possibly due to a global stock-out in PSI. C. Logistics Monitoring of FP Commodity Inventory The Pharmaceutical Management Information System (PMIS) is an electronic inventory system of the DOH managed by the Pharmaceutical Division (PD). Inventory of health products, including FP commodities, is being updated by public health pharmacists who monitor and visit health facilities on a monthly basis. Pharmacists are also authorized to re-distribute commodities from one health facility to another if there are overstocks or stockouts of FP supply. The PMIS is used by the National FP Program as well as the DOH FP regional coordinators to guide them in re-supply and redistribution of commodities in warehouses and service delivery points. Table 12: Reporting Health Facilities Disaggregated by Type, PMIS 2019 Health Facility Type Count Rural Health Units 1,578 Main Health Centers 471 LGU Health Offices and Hospitals 490 Provincial and Regional DOH Offices and Hospitals Others TOTAL 33 16 2,588 Source: DOH PMIS, 2019. Table 13: Average Monthly Consumption of Health Facilities by Commodity, PMIS 2018 and 2019 FP Commodities COC Pills 2018 2019 Percent Change 1,758,097 3,248,184 85 POP Pills 154,439 219,342 42 Male Condoms 813,604 1,328,728 63 Injectables Implants 425,045 10,665 791,740 26,188 86 146 22,830 48,036 110 IUD Source: DOH PMIS, 2019. In 2019, an increase by 138 reporting facilities was reported in the PMIS from the 2,450 health facilities in 2018. The system covered 79 percent of the total rural health units (RHUs) and main health centers (MHCs) in the country. 55 2019 Annual Report Responsible Parenthood and Reproductive Health Act of 2012