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DED SPPAMC Briefer 1
DED SPPAMC Briefer 1
DEVELOPMENT (AHD)
PROGRAM
13
2021 General Appropriations Act
For POPCOM
“…the Commission on Population and Development
shall develop recommendations for a social
protection program for teen-aged mothers and their
children. This shall be submitted to DSWD for
integration in their existing social protection
program.”
For DSWD
“In consultation with POPCOM, the DSWD shall
develop a social protection program specifically
for teenage mothers who are minors and their
children.”
SOCIAL PROTECTION
• Constitutes policies and programs
that seek to reduce poverty,
inequality and vulnerability to
risks and enhance the social
status and rights of the
marginalized by promoting and
protecting livelihood and
employment, protecting against
hazards and sudden loss of
income, and improving people’s
capacity to manage risks
Existing Approaches
Adolescent Health and
Development (AHD)
Capacity building interventions
• Training of adolescent, parents, service providers,
teachers, local officials and community workers on
comprehensive sexuality education
Sexually Healthy and Personally
Empowered Adolescents
(SHAPE-Adolescents)
Parent-Teen Talk
Improving communication between
adolescents and their parents
U4U Teen Trail (in school SocMed Campaigns AHD in Islamic Context
and communities)
AHD Program Design/Development
• Setting-up and analysis of factors affecting adolescent
pregnancies, design and development of appropriate
interventions, budgeting and investment programming
and monitoring and evaluation of AHD integrated
initiatives
Sourcebook in
Developing and
Implementing a Local
Adolescent Health and
Development Program
Social Protection
Program for Adolescent
Mothers and their
Children (SPPAMC)
Risk Assessment
among poor adolescent mothers
Responses
Options for private
Types of risks Household and Options for public
sector or civil society
informal mechanisms sector interventions
interventions
LIFECYCLE
Risky pregnancies Parental and family Provision of Provision of
(too young, too many support reproductive health reproductive health
and too close Birth delivery and primary health services
pregnancies) through hilots care policies, Support services
Maternal and Traditional methods programs and through partnership
infant/ neonatal of contraception services at the local with government
deaths Unsafe induced and community level Outreach programs
High fertility abortion Health insurance on maternal health
(PhilHealth package and family planning
for maternal health Provision of maternal
including family health and family
planning services) planning in the work
Policies and place
programs on
adoption
Types of risks and vulnerabilities among poor adolescent
mothers and risk-reduction measures
Responses
Options for private
Types of risks Household and Options for public
sector or civil society
informal mechanisms sector interventions
interventions
LIFECYCLE
Sexual abuse and Culture of silence Enforcement of Provision of legal
exploitation Unsafe induced existing policies on and other relevant
abortion sexual abuse and services to the
Support from family, exploitation victims
peers and social Provision of Institutional and
network mandated services residential facilities
for victims of sexual for victims of sexual
violence and abuse abuse and violence
Institutional and
residential facilities
for victims of sexual
abuse and violence
Policies and
programs on
adoption
Types of risks and vulnerabilities among poor adolescent
mothers and risk-reduction measures
Responses
Options for private
Types of risks Household and Options for public
sector or civil society
informal mechanisms sector interventions
interventions
LIFECYCLE
Hunger, malnutrition Support from family Provision of health Provision of health
or poor nutritional and partners and and nutrition and nutrition
status community programs and programs and
Survival gardening services (e.g., food services through
and farming supplementation) outreach missions
Relief operations
and conditional
transfer programs
Morbidities Care and support Provision of Provision of health
(including STI and from family reproductive health care supplies and
HIV/AIDS infections) members and primary health services (usually
Self-medication care policies, through outreach
Prevailing traditional programs and missions or
health beliefs and services at the local discounts)
practices and community
level
Types of risks and vulnerabilities among poor adolescent
mothers and risk-reduction measures
Responses
Options for private
Types of risks Household and Options for public
sector or civil society
informal mechanisms sector interventions
interventions
LIFECYCLE
Mental health Moral support from Provision of facility- Provision of mental
problems (including family, peers and based mental health health programs
depression, trauma, social network programs and and services
suicide ideation) Suicide services through outreach
missions or facilities
Poor self-esteem and Moral support from Provision of youth Provision of
efficacy or life skills family, peers and development and counseling and
social network participation helplines
programs and
initiatives
Types of risks and vulnerabilities among poor adolescent
mothers and risk-reduction measures
Responses
Options for private
Types of risks Household and informal Options for public sector
sector or civil society
mechanisms interventions
interventions
SOCIO-ECONOMIC
Low level of education Support from family and Provision of free basic Provision of outreach and
Dropping from school peers education including community-based outreach
(non-completion of Self-learning process alternative learning system educational programs and
education) (through experience or on- Provision of free technical initiatives
Lack of employable the-job training) and vocational skills
technical and vocational Truancy development
skills
Unemployment Financial support from Provision of financial Employment programs and
Underemployment family, friends and social assistance services for young workers
Exploitation (in dirty networks Livelihood, employment, Relief operations and
and dangerous jobs) Debt poverty-reduction and outreach missions
Child labor Acts of mendicancy social protection programs
Diversified sources of Relief operations and
Low income/ livelihood and economic outreach missions
intergenerational poverty activities
Dependence on family Migration
for financial support Depletion of assets
Lack of economic Child labor
opportunities Engagement or last resort
Low investment in the to dirty, dangerous and
education and health of illegal jobs
children
Types of risks and vulnerabilities among poor adolescent
mothers and risk-reduction measures
Responses
Options for private
Types of risks Household and Options for public
sector or civil society
informal mechanisms sector interventions
interventions
ENVIRONMENTAL
Internal Support from family, Enforcement of Provision of relief
displacement and friends and social environmental goods and services
disrupted access to networks policies Support to
services during Community support Implementation of rehabilitation
disasters and crises system for resource disaster/crisis initiatives including
situations management and management housing and
Poor living disaster programs, protocols infrastructure
conditions in management and services services
evaluation or Evacuation and
relocation relocations/
facilities/sites resettlement
programs
Infrastructure
services
Types of risks and vulnerabilities among poor adolescent
mothers and risk-reduction measures
Responses
Options for private
Types of risks Household and informal Options for public sector
sector or civil society
mechanisms interventions
interventions
SOCIAL/GOVERNANCE/POLITICAL
Social stigma and Support from family Programs on Support to
discrimination and peers and other adolescent health and governments health
Seclusion and social network development and development
alienation from Self-help Provision of referral programs for children
friends Focus on survival services and adolescents
Failure to achieve activities Provision of referral
developmental tasks services
during adolescents
(e.g., poor human
development)
Exclusion and Representation by Improving devolution Provision of referral
discrimination (in household head (in and delivery of general and public service
accessing government’s social programs) welfare services programs
services) Access of services through the LGUs
through illegal Setting-up of referral
Policies limiting channels facilities and
access of adolescents mechanisms and
to reproductive network of services
health services
STRATEGIC FRAMEWORK FOR THE PREVENTION OF ADOLESCENT PREGNANCY
Well-informed, empowered, healthy and responsible adolescents
Improved health Improved education, employment Increased youth participation
and nutrition and economic conditions in development
Delayed Increased use Reduced Reduced non- Increased ASRH Increased participation
sexual of incidence of sexual risk service in community
activities contraceptives sexual abuse behaviors utilization development
6 months
PILOT IMPLEMENTATION PROCESS
SELECTION OF
PILOT SITE
• Orientation of
prospective LGUs
• Expression of interest
PROGRAM • Selection of pilot sites
• Partnership agreement
SOCIAL
EVALUATION & PREPARATION
MAINSTREAMING • Situational analysis and risk
• External program assessment
evaluation • Baseline data/ rapid appraisal
• Documentation of good
• Community consultation
practices
• Development of • Mapping of existing SP
implementation manual interventions and implementers
• Scaling-up/ diffusion
PROGRAM PROGRAM
IMPLEMENTATION DESIGN
• Identification and • Visioning and goal setting
orientation of beneficiaries • Analysis of priority risks
• Implementation of • Identification of interventions,
strategies and interventions programs and services
• Provision of technical • Development of implementing
assistance/ coaching and arrangement/ guidelines
mentoring • Work and financial planning
• Monitoring activities
Self-Selection of Interested LGUs
• With strong political leadership, commitment and support to
adolescent health and development programs
• Willing to provide investment and financial counterpart and
other types of needed resources
• Committed to sustain the initiative as part of the locally
institutionalized social protection program through their
DTPs
• Willing to serve as demonstration and learning sites for other
LGUs that want to develop and adopt SPPAMC interventions
in their respective localities
• LGUs that have high (not less than 50 cases) or rising number
of adolescent pregnancies especially among minors who
belong to poor households or families
• With existing social protection programs where the SPPAMC
can converge
Self-Selection of Interested LGUs
• Orientations will be done to all prospective LGUs
which will signify their intention to be included as
pilot implementation sites
• Letters of intent will be evaluated by the SPPAMC
Interagency Technical Working Group to be
organized and co-led by POPCOM
• Political support
• Implementation readiness
• Potential impact (e.g. high incidence)
Letter of Intent/Expression of Interest
That the LGU recognizes the need to have a comprehensive
program that include social protection for adolescent mothers
and their children in view of the high/increasing number of
adolescent pregnancies in their locality (i.e., indicate relevant
data)
That the LGU is willing to be a part of the pilot implementation
of the SPPAMC and committed to support such program
That the LGU is willing to provide counterpart in whatever form
to be agreed with POPCOM and other lead agencies
That the LGU intends to adopt and institutionalize the SPPAMC
as part of its overall adolescent and youth health and
development initiatives
That the LGU is willing to share or diffuse experience to other
LGUs
Social Preparation Activities
• Baselining and Rapid Appraisal of the Needs of
Intended Beneficiaries
• Number of livebirths born to adolescents, by age and barangay
(from local civil registry or health facilities);
• Number of households with currently pregnant adolescents or
adolescent mothers;
• List of existing social protection programs or services within the
community that are accessible among adolescents and their
families;
• Data on the service utilization among adolescents (e.g., health,
social welfare, protective services, education, employment)
• Other data related to the risk behaviors of adolescents and
young people (e.g., juvenile delinquency, physical and sexual
abuse, poverty level);
Social Preparation Activities
• Initial database on prospective beneficiaries using:
• Listahanan for Pantawid Program;
• Household profiling systems:
• Community-based Monitoring System (CBMS);
• Population surveillance or survey systems (e.g., Registry
of Barangay Inhabitants and Migrants – RBIM; POPDEV
Surveys)
• Database of community workers or volunteers (e.g.,
barangay health workers, barangay population
volunteers)
• Initial listing of the prospective beneficiaries shall be
established based on the initial database
Social Preparation Activities
• Rapid appraisal of the needs of beneficiaries:
• Intended beneficiaries and other stakeholders shall
be convened for interview or group discussion about
their situations, needs and possible mechanisms for
benefit delivery
• The results of these interviews and group discussions
shall be used a basis for the design of the concept,
contents and processes of the SPPAMC in the locality
• Data privacy laws shall always be observed during
the rapid appraisal and analysis of the data
Program Design Workshop (3 days)
• Aims to develop the local SPPAMC design based on the
local situation, governance and implementation
systems and structures, available resources and
expressed needs of the intended beneficiaries
• To be participated by key stakeholders which shall
include the local offices on social welfare, population,
health, youth development, employment, education,
skills development, barangay officials, CSOs, and other
relevant institutions including regional agencies
• Participants may also come from the members of
existing coordinative structures for AHD such as the
Information and Service Delivery Network (ISDN) for
AHD or other relevant committees
Program Design Workshop (3 days)
• Identification and analysis of the social protection
needs of adolescent mothers, their children and
their families
• Key issues or difficult conditions among adolescent
mothers shall be identified and prioritized in terms of
magnitude, urgency and impact
• A root-cause analysis shall be conducted to identify
the direct and underlying causes of such problem
situation
• Analysis shall also be guided by the risk and
vulnerability assessment provided in the SPPAMC
Operational Framework and Strategy
Program Design Workshop (3 days)
• Identification and design of SPPAMC interventions
• Appropriate interventions (strategies, programs,
policies, projects) shall be identified to address
prevailing direct and indirect causes
• Interventions shall be matched with the existing
programs, policies and services within the locality to
further identify the gaps
• These existing interventions shall then be included
as part of the SPPAMC package of benefits/services
• The gaps in the interventions shall serve as the
interventions that will be further set-up or
established through concerned stakeholders
Program Design Workshop (3 days)
• Identification and design of SPPAMC interventions
• The local SPPAMC program shall ensure that
preventive interventions are likewise identified to be
part of the overall AHD program within the locality
to make it more holistic
Program Design Workshop (3 days)
• Identification of program partners and
stakeholders
• Based on the SPPAMC design, concerned local
offices, departments, divisions and civil society
organizations that can provide needed services
shall be identified and matched with appropriate
interventions
• A referral system to ensure continuum of services
may be initially set-up or drawn which shall
become the basis of implementing mechanism to
be established for the SPPAMC
Program Design Workshop (3 days)
• Development of specific guidelines or
implementing mechanism for the SPPAMC
implementation
• Guidelines for program implementation shall be
developed based on the program design
• Specific roles, contributions and coordinative
arrangements between local and regional agencies
shall formulated to serve as the main program
document which shall be shared among
stakeholders
• A unified results framework or monitoring and
evaluation scheme shall likewise be set-up to
measure and ensure accountabilities
Program Design Workshop (3 days)
• Development of specific guidelines or implementing
mechanism for the SPPAMC implementation
• The program design shall be finalized by an agreed
SPPAMC Core Group within the locality
• The core group shall also translate the program
design into work and financial plan as basis for the
counter-parting between the LGU and POPCOM
BASIC SERVICES FOR PILOT IMPLEMENTATION
• AHD Preventive Programs
• Social behavior change communication
strategies (SBCC) strategies for the
prevention of adolescent pregnancies
• Online, interactive and community-based
(e.g., campaigns, symposiums) activities
• Training of parents, teachers, social workers,
service providers and other relevant adult
groups
• Mobilization of peer educators (online and
face-to-face)
• Establishment of referral systems (e.g., ISDN)
BASIC SERVICES FOR PILOT IMPLEMENTATION
• Basic income security for children and adolescent
mothers (i.e., conditional cash transfer) under the
following conditions:
• Attendance to school and/or technical or vocational
courses and skills development training
• Access to essential health care, including family
planning, maternal health care and other primary
and reproductive health services
• Attendance to Comprehensive Sexuality Education
(CSE) sessions including their parents (e.g., YDS)
• Supportive programs and interventions
• Protection from various forms of abuse and
exploitation
• Other social welfare services (e.g., daycare facilities)
• Socioeconomic activities for adolescents
• Youth development and participation
Formalization of the Partnership
• The partnership between the pilot implementation site
and concerned POPCOM-Regional Office shall be
formalized through a MOA
• The MOA shall contain the basic institutional
arrangements for the program including the cost-
sharing scheme
• The MOA shall also serve as the legal basis for any
fund transfer or assistance that will be executed
• Its effectivity may cover the period from the
remaining months of 2021 to December, 2022 and
can be renewed or modified based on agreement
of all parties concerned
Formalization of the Partnership
• The local SPPAMC including the coordinative structure
that will take the lead in its coordination and
implementation may be legitimized through an
executive order or any formal issuance from the local
chief executive or its authorized representative
Provision of Regional Institutional
Support
• The POPCOM Regional Office shall also mobilize
existing coordinative body to discuss and commit
regional existing programs and initiatives that can be
included as part of the interventions and programs for
the SPPAMC in the concerned locality
• These shall be pursued through interagency
convergence
• Continuing collaboration with concerned regional
agencies including civil society organizations shall be
conducted for purposes of monitoring, evaluation and
resolution of emerging concerns in relation to the pilot
implementation
Launching of the local SPPAMC
• The pilot LGU in collaboration with concerned
POPCOM Regional Office shall organize and conduct
the launching of the SPPAMC in the locality to build
the awareness of the entire public or constituents on
the program and to generate their support and
participation
• The design of the launching which shall include the
contents, resource persons and guests and other
relevant activities may be done through the assigned
focal person from the LGU and POPCOM Regional
Office.
Program Implementation
• Identification, selection and orientation of initial
beneficiaries
• A maximum of 50 beneficiaries per pilot area
shall be included in the program
• Aged 18 years and below during the time when
they were listed; and
• Belonging to a family with a total household
income of P10,000 per month and below
Program Implementation
• Identification, selection and orientation of
initial beneficiaries
• The local SPPAMC Core Group shall select the initial
beneficiaries
• The selected beneficiaries including their parents or
guardians and partners shall be oriented on the
details of the program (during the launching of the
SPPAMC)
Program Implementation
Capability Building of AHD-SPPAMC Program
Implementers
• Relevant capacity building or training shall be
provided to all local program implementers to ensure
its efficient implementation
• The needed training shall be identified based on the
final SPPAMC program design agreed at the local level
• These training shall be done in collaboration with
POPCOM and other relevant regional agencies or civil
society organizations or development partners with
projects in concerned LGU
Program Implementation
Provision of Technical Assistance through Mentoring
and Coaching by POPCOM Regional Office
• POPCOM Regional Office with support from Central
Office shall provide needed technical assistance to
the pilot LGU through efficient mentoring and
coaching mechanisms
• POPCOM Regional Offices will also render technical
assistance in the conduct of training and other
relevant activities including those related to
program management
Monitoring and Evaluation
OUTCOME
Number of maternal deaths among pregnant adolescents
Incidence of repeat pregnancies among program beneficiaries
Incidence sexual abuse among program beneficiaries
Percentage of adolescent mothers who have completed their education or skills development course
Number or percentage of beneficiaries who are gainfully employed or engaged in economic activities
Number or percentage of beneficiaries who are attending school or vocational or skills development courses