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ADOLESCENT HEALTH AND

DEVELOPMENT (AHD)
PROGRAM

Pilot Implementation of Social


Protection Program for
Adolescent Mothers and their
Children

PHILIPPINE POPULATION AND DEVELOPMENT PROGRAM


COMMISSION ON POPULATION
AND DEVELOPMENT (POPCOM)
The mandated government agency
for the planning, coordination,
policy direction setting, and
monitoring of the national
population and family planning
policy (i.e. the Philippine Population
and Development Program)
OUR GOAL

Increased share of each


Filipino in the fruits of
socioeconomic progress
through well-planned, healthy,
empowered and resilient
individuals, families and
communities
OUR OBJECTIVES
Enable couples, individuals and families to
achieve their desired timing, spacing and
number of children within the demands of
responsible parenthood;

Enable adolescents and young mothers to


prevent unintended pregnancies and its
risks and vulnerabilities

Enable government institutions to promote


optimal demographic dividend, equitable spatial
distribution and inclusive development of
marginalized segment of population
OUR KEY STRATEGIES
Responsible Parenthood and Family
Planning Program (RPFP)
Enable couples, individuals and families to achieve their desired timing,
spacing and number of children within the demands of responsible
parenthood

Adolescent Health and Development


(AHD) Program
Enable adolescents to prevent early pregnancies and repeated
childbirths among young mothers and protect them from risks
and vulnerabilities

Population and Development Strategies


Enable government institutions to promote optimal
demographic dividend, equitable spatial distribution and
inclusive development of marginalized segment of population
Adolescent Health
and Development
(AHD)
Enabling adolescents to prevent
pregnancies and protect them from
risks and vulnerabilities
WHY DO WE CARE?
Adolescents and young people are the
foundation of our future and the significant
contributor to current development

They are facing risks and vulnerabilities


including adolescent pregnancies

171 Livebirths born to adolescent


mothers who are minors

7 Livebirths born to adolescent girls


aged 10-14
WHEN GIRLS BECOME MOTHERS…
They are prone to
maternal and infant death
Stop schooling/ Low self-esteem
no skills and negotiating
power
Unemployed/
exploited Poor health and
nutritional status
Poor economic Prone to sexual
conditions abuse
More children Socially excluded
WHAT CAN WE DO…?
Executive Order No. 141
• Adopts as a national priority the
implementation of measures to address
adolescent pregnancies and to promote
reproductive health
• Calls for whole-of-government approach -
including the local government units
• All agencies to exert efforts to reach
adolescents in GIDAs such as island
municipalities, upland communities, hard-
to-reach areas
Executive Order No. 141
• SKs are encouraged to develop
interventions to arrest and prevent all
known causes of adolescent pregnancies,
and support adolescent mothers, which
shall be reflected in the LYDP and AIP of
their respective localities
• SKs shall endeavor to identify and
implement viable programs, activities
and projects and allocate a portion of
their budget, as necessary, towards the
following objectives:
Executive Order No. 141
• SKs are encouraged to develop
interventions to arrest and prevent all
known causes of adolescent pregnancies,
and support adolescent mothers, which
shall be reflected in the LYDP and AIP of
their respective localities
• SKs shall endeavor to identify and
implement viable programs, activities
and projects and allocate a portion of
their budget, as necessary, towards the
following objectives:
Executive Order No. 141
• Educating the youth on sexual and reproductive
health, even in a non-formal education setting,
and normalize respectful dialogue on sexual and
reproductive health matters
• Providing youth-friendly and rights-based
measures to support pregnant girls and young
mothers to continue and complete their
education
• Formulating retention strategies and life skills
programs for pregnant girls and young mothers,
which may include vocational training
opportunities

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

Information and Service Delivery


Network for AHD (ISDN)
Other communication strategies
• Promoting AHD social behavior change communication
strategies through various platforms (i.e., social media,
interactive sessions, symposiums, classes/sessions, other
media)

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

Reduced incidence of pregnancies Reduced incidence of repeat pregnancies


among adolescents among adolescent mothers

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

PREVENTIVE AND PROTECTIVE STRATEGIES


Comprehensive Access to RH Protective measures Socioeconomic Youth
Sexuality (RH) services (FP, against sexual development participation &
Education MNCAHN) abuse/violence interventions development

Policy Planning & Capacity Communication & Service


Development financing building Promotion (SBCC/IEC) Delivery

Leadership and Governance

Data, Information & Knowledge Management/ Monitoring and Evaluation

Stakeholders and Community Support and Participation


SPPAMC Goal
SPPAMC aims to contribute to improved
wellbeing and quality of life of
adolescent mothers and their children
specially in poor, marginalized and
difficult conditions

by creating an enabling and


supportive environment for them to
improve their capacities to achieve
their aspirations, ensure the
wellbeing of their children and
break intergenerational poverty
SPPAMC Objectives

To build the capacity of adolescent mothers to


protect themselves from the risks and
vulnerabilities of early pregnancy to enable
them to attain their aspirations and potentials

To prevent unwanted pregnancies,


sexual abuse and other risks and
vulnerabilities that deter them from
improving their conditions;

To prevent the income of adolescents and their


family from declining from their current
income/consumption levels due to various risk
factors;
SPPAMC Objectives

To enable them to continue their education,


develop their skills, improve their health and
wellbeing, be gainfully employed and actively
participate in community development;

To generate adequate support from


government and other sectors for
sustained standards of living in
spite of exposure to risk

To create mechanisms and institutions to promote


social inclusion and prevent/mitigate social
vulnerabilities and discrimination among
adolescent mothers
SPPAMC Strategies
Social Insurance
Social Assistance and Programs that seek to
Welfare Services mitigate income risks by
pooling resources and
Preventive and developmental interventions
spreading risks across time
that seek to support the minimum basic
and classes
requirements of the poor, and reduce other
risks

Labor Market Social Safety Nets


Interventions Stop-gap mechanisms or urgent
Measures aimed at responses that address effects of
enhancing economic shocks, disasters and calamities
employment on specific vulnerable groups
opportunities and
protection of the rights
and welfare of workers Child Protection
SOCIAL INSURANCE
• Non-contributory or subsidized
social pension for poor adolescent
mothers specially those living
independently from their parents
• Improve future employment
possibilities for adolescents to
increase capacity or opportunity to
be covered by social insurance
• Enforcement of existing laws on
social insurance coverage (e.g.,
Kasambahay Law)
SOCIAL INSURANCE
• Social Health Insurance Coverage and
Benefit Utilization
• Enrollment of adolescent mothers as primary
members regardless whether they are already
qualified dependents or not
• This is to ensure that their newborns shall also
be covered by social health insurance
• Build/raise the awareness of adolescent mothers on
available PhilHealth benefit packages through
integration of appropriate messages in social
behavior change campaign or strategy
LABOR MARKET INTERVENTIONS
• Education and skills development
programs remain the most strategic
supportive component of labor market
interventions especially among adolescent
parents
• Direct employment generation
(promoting small and medium
enterprises), labor exchanges or
employment services (job brokerage,
counseling) linking supply with demand
for labor, and skills development
programs (training and retraining of labor)
LABOR MARKET INTERVENTIONS
• Improving the overall employment status and
income of households
• Strengthening or scaling-up existing programs and
labor market activities such as SPES and GIP (DOLE)
• Cash-for-work or other conditional cash transfer
schemes requiring performance of economic tasks
or activities
• Adolescents can also be capacitated, encouraged
and supported to actively participate in online
market or entrepreneurial activities through
provision of ICT device, capitalization of products,
subsidy for internet access and online marketing
skills, among others
SOCIAL ASSISTANCE AND WELFARE
• Social assistance program for adolescent mothers can
be integrated in the Pantawid Program or a
separate conditional cash transfer scheme
• Some conditions:
 enrollment and participation in school or alternative
learning system or vocational and technical courses;
 access to maternal health services including family
planning services and other primary health care;
 access to health and nutrition services for her child from
the pre-natal period, to the immediate postpartum
period, the newborn period, and up until children reach
two years of age (first 1,000 days); and
 attendance to youth development sessions and other
related activities.
SOCIAL ASSISTANCE AND WELFARE
• Other modalities of social assistance such as
scholarships, cash/food-for-work (including
community work), and participation in various
government and non-government programs to
improve their welfare can be integrated in the
overall social assistance program to adolescent
mothers
SOCIAL SAFETY NETS (during emergencies)
 Conditional cash or kind transfers (e.g., food/cash-for-
work);
 Basic hygiene and sanitation services;
 Provision of primary health care and adolescent sexual
and reproductive health information and services
including minimum initial service package, family
planning, maternal health care, and psychological
counseling or mental health services;
 Continuing education and skills development including
provision of internet connectivity;
 Foster parenting schemes or child/adolescent
sponsorship programs;
 Safe spaces for learning, social and community
participative activities; and
 Protective services against sexual violence and abuse.
Child Protection
• Early child development to ensure the
balanced psychomotive development of
the child through basic nutrition,
preventive health, and educational
programs;
• School feeding programs, scholarships, or
school fee waivers;
• Street children initiatives;
• Child rights advocacy/awareness programs
against child abuse, child labor etc.;
Child Protection
• Youth programs to avoid social anomia in teenagers,
criminality, sexually transmitted diseases such as
HIV/AIDS, early pregnancies, and drug addiction;
• Family allowances, either means-tested cash
transfers or coupons/ stamps for basic goods and
services (i.e., food, clothing) to assist families with
young children to meet part of their basic needs
• Strengthening of VAWC Desks
SOCIAL PROTECTION FLOOR
• Access to essential health care, including
family planning, maternal health care and
other primary and reproductive health services
• Basic income security for children and
adolescent mothers
• Supportive programs and interventions
• Comprehensive Sexuality Education (CSE)
• Protection from various forms of abuse and
exploitation
• Youth development and participation
Other Implementing Mechanisms
• Convergence of SPPAMC with other
social protection programs
• Community-driven SPPAMC in the
context of devolution
• Integration of SPPAMC initiatives in
GAD plan and budget and SK
fund/initiatives
Pilot Implementation
Arrangements
SPPAMC DEVELOPMENT
PHASE 1
(Social Technology
Identification) PHASE 2
2 months • Data gathering
• Situational analysis
(Design Formulation)
• Risk assessment • Consultation with
PHASE 5 • Consultations 2 months stakeholders
(Marketing and • Profiling of beneficiaries
• Development of
Promotion) framework
• Concept design
• Mainstreaming in regular
programs
• Scaling-up of intervention
for fuller implementation PHASE 3
(Pilot Implementation)
• Coordination with partners/ 1 Year
PHASE 4 partnership building (MOA)
(Evaluation and Documentation) • Implementation of program design
• Provision of TA and mentoring
• External evaluation • M&E and learning
• Writing and approval of implementation • Process documentation and
manual, guidelines and tools development of manuals

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

 Morbidity rates among adolescent mothers and their children


 Infant and child mortality rates (among adolescent mothers)
 Amount of monthly income among beneficiaries
OUTPUTS
 Modern contraceptive prevalence rate among adolescent mothers
 Number or percentage of adolescent mothers who received maternal health and other reproductive health
services (e.g., pre- and post-natal care)
 Number or percentage of children (of adolescent mothers) who received infant and child health care services

 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

 Number of beneficiaries who received protective services from sexual abuse


INPUTS
 Number of beneficiaries provided with economic support or financial assistance
 Number of adolescent mothers provided with CSE or ASRH information
 Number of adolescent mothers enrolled in school and/or technical or vocational courses

 Number of health and social facilities with adolescent-friendly services


 Number of institutions providing services to adolescent mothers and their children
Other Arrangements
• Resource sharing scheme
• POPCOM/DSWD and LGUs shall establish a resource
sharing or counter-parting scheme
• POPCOM-CO will provide some funds for the
conduct of social preparation and implementation
activities
• Funds may be transferred through grants (through
trust-fund) or direct payments/reimbursement
• Timeline
• Program can be formalized within the year

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