USAID RenewHealth

1

USAID RenewHealth: EXPANDING ACCESS TO COMMUNITY-BASED

DRUG REHABILITATION (CBDR)

IN THE PHILIPPINES

Agreement Number: 72049219CA00004

CBDR Activity QUARTERLY PROGRESS REPORT

January 1, 2020 to March 31, 2020

Date of Submission: April 30, 2020

This document was prepared by University Research Co., LLC (URC) for review by the

United States Agency for International Development (USAID).

pg. 1

USAID/PHILIPPINES COMMUNITY-BASED DRUG REHABILITATION (CBDR)

PROJECT

Agreement Information:

This program is made possible by the generous support of the American people through the United States Agency for International Development (USAID) under the terms of Agreement

Number 72049219CA00004 (USAID/CBDR Project) held by prime recipient University

Research Co., LLC (URC). The CBDR Project is funded and managed by USAID/Philippines.

Prepared by:

University Research Co., LLC

Submitted by:

Ma. Regina Hechanova

Chief of Party


17th Floor Luz Building

#116 Gamboa St, Legaspi Village, Makati City

Phone: 09176396137

E-mail: [email protected]

Submitted to:

Bryn Sakagawa Director, Office of Public Health

David Dereck Golla VI

Project Management Specialist (Communication)

USAID/Philippines

Email: [email protected]; [email protected]

Phone: +632-301-2000 ext. 4869

For More Information:

Neeraj Kak, Ph.D.

Senior Vice President


Tel: +1-301-941-8626

Cell: +1-240-460-6250

Web: www.urc-chs.com

mailto:[email protected]

mailto:[email protected]

http://www.urc-chs.com/

pg. 2

Table of Contents

Acronyms................................................................................................................. 3

1 EXECUTIVE SUMMARY............................................................................... 4

1.1 Activity Information ................................................................................................. 4

1.2 Activity Description ................................................................................................. 4

1.3 Key Achievements for the Quarter ........................................................................ 5

2 PERFORMANCE STATUS ........................................................................... 7

2.1 Summary of Performance for the Quarter ........................................................... 7

2.2 Performance of Key Activities .............................................................................. 15

3 Key Challenges and Proposed Solutions .................................................... 43

4 CROSS-CUTTING ISSUES ......................................................................... 44

4.1 Update on Sustainability and Self-Reliance ......................................................... 44

4.2 Update on Gender ................................................................................................. 44

4.3 Update on Private Sector Engagement ............................................................... 44

4.4 Update on CSO Engagement ................................................................................ 44

4.5 Update on Environmental Compliance and Climate Risk Mitigation ............... 44

4.6 Update on Family Planning Compliance.............................................................. 45

5 Collaboration, Learning and Adapting ....................................................... 45

5.1 Coordination and Collaboration ........................................................................... 45

5.2 Learning .................................................................................................................. 45

5.3 Adaptive Management ........................................................................................... 46

6 Management, Administrative and Financial Issues .................................. 49

7 High Level Planned Activites for the Next Quarter (April 2020 – June 2020)

Including Upcoming Events ......................................................................... 51

8 Annexes ......................................................................................................... 53

8.1 Performance Indicator Tracking Table (PITT) as of end of FY2020 Q2 .......... 53

8.2 Financial Report ..................................................................................................... 57

8.3 Potential Success Stories....................................................................................... 58

pg. 3

ACRONYMS

ACDP Asian Center for Drug Policy

ADAC Anti-Drug Abuse Council

ASSIST Alcohol, Smoking and Substance Involvement Screening Test

CADAC City Anti-Drug Abuse Council

CBDR Community Based Drug Rehabilitation

CDO Cagayan De Oro

CHD Center for Health Development

COP Chief of Party

CPG

DAP

Clinical Practice Guidelines

Development Academy of the Philippines

DATRC Drug Abuse Treatment and Rehabilitation Centers

DDAPTP Dangerous Drug Abuse Prevention and Treatment Program

DDB

DDE

Dangerous Drug Board

Drug Dependency Evaluation DepEd The Department of Education

DILG Department of The Interior and Local Government

DOAg Development Objective Agreement

DOH Department of Health

DSWD Department of Social Welfare and Development

ECQ Enhanced Community Quarantine

FGD Focus Group Discussion

GoPH Government of The Philippines

HSP Health Service Provider

LGU Local Government Units

MADAC Makati Anti-Drug Abuse Council

MOU Memorandum of Understanding

MTRC Manila Treatment and Rehabilitation Center

NCR National Capital Region

PADAC Pateros Anti-Drug Abuse Council

PDEA Philippines Drug Enforcement Agency

PWUD People Who Use Drugs

QC Quezon City

SBC Social and Behavior Change

SBIRT Screening Brief Intervention and Referral to Treatment

SDG Sustainable Development Goal

SRQ Self-Regulation Questionnaire

TRC Treatment Rehabilitation Center

UHC Universal Health Care

UNODC United Nations Office of Drugs and Crime

URC University Research Company

USAID United States Agency of International Development

USG United States Government

WHO World Health Organization

pg. 4

1 EXECUTIVE SUMMARY

1.1 Activity Information

Activity Name Expanding Access to Community-Based Drug

Rehabilitation (CBDR) Project

Activity Start Date and End

Date May 20, 2019 to May 19, 2024

Implementing Partner (IP) University Research Co. (URC), LLC

Contract/Agreement Number 72049219CA00004

Sub-awardees and Technical

Advisory Partners of IP

Sub-awardees: Ateneo de Manila University (ADMU),

World Health Organization (WHO) & United

Nations Office on Drugs & Crime (UNODC)

Technical Advisory: Psychological Association of the

Philippines (PAP)

Geographic Coverage Region 3, NCR, Region 4B, Region 5, Region 7,

Region 8, Region 10, Region 12 and BARMM

Reporting Period January 1, 2020 to March 31, 2020

1.2 Activity Description

The USAID RenewHealth: Expanding Access to Community-Based Drug

Rehabilitation (CBDR) project seeks to expand access to quality community-based drug

rehabilitation and encourage voluntary drug demand reduction in the Philippines. It seeks to

achieve this goal by shaping attitudes of People Who Use Drugs (PWUDs), their families,

community members and health professionals towards drug use as a health issue rather than

a crime through learning sessions, conferences and other social behavior change media. It also seeks to assist local government units in implementing evidence and community-based

treatment by developing interventions and capacity building through training master trainers

and coaches. It further aims to institutionalize CBDR by assisting local government units

(LGUs) in identifying appropriate structures and personnel to deliver CBDR and increasing

the resources for CBDR through Universal Health Care (UHC) and LGU budgets for CBDR.

The activity directly benefits PWUDs, their families, the local government units (LGUs)

implementing Community-Based Drug Rehabilitation (CBDR), and national government

agencies supervising the delivery of CBDR (e.g. Department of Health (DOH), Dangerous

Drug Board (DDB), Department of Interior and Local Government (DILG) and Department

of Social Welfare and Development (DSWD).

pg. 5

The Theory of Change (TOC) of the RenewHealth project, is IF we are able to: 1) enhance

the capacity of communities and government agencies to provide drug recovery services, 2)

create evidence-based and culturally appropriate treatment interventions, and 3) foster an

enabling policy environment and culture, THEN PWUDs and their families will access

treatment, thus reducing drug dependence in the country.

This Second Quarterly Progress Report for FY 2020 highlights the completion of remaining

project mobilization, e.g. MOU signing with project sites, since its awarding on May 20, 2019

and continuation of the approved activities for FY 2020 from January 1, 2020 to March 31,

2020. This report also reflects part of modified implementation strategy of the Activity in

response to the effectivity of the Enhanced Community Quarantine (ECQ) on March 15,

2020. A Risk Management Plan for COVID-19, which was submitted to USAID on March 20,

2019, reflected these alternative activities.

1.3 Key Achievements for the Quarter

During this reporting period, RenewHealth focused on completing the formative research

for the development of SBCC framework of the project: needs assessment of rural and urban

PWUDs, translation of evidenced-based screening tools; and continued providing refresher

courses on the updated evidenced-based CBDR modules to existing community facilitators

in project sites with signed mutual agreement contracts.

The USAID RenewHealth team also continued orienting and consulting with co-development

agencies and project sites to tighten strategic approaches in implementing the approved

activities of the project.

A major challenge encountered was the Philippine Government’s directive on enhanced

community-quarantine (ECQ) in March as a response to the COVID-19 pandemic. The ECQ

effectively suspended all CBDR activities in the project sites of the RenewHealth Project.

Given this, the planned activities from March 16 to 31, 2020 were cancelled or postponed.

The USAID RenewHealth team continued working remotely from their own homes to

provide technical assistance to the project partners and sites despite the pandemic. This

included desk research on existing evidenced-based CBDR approaches, processing and

analysis of research results, and developing digital tools to help the trained facilitators

continue providing CBDR services to their PWUD clients, to name a few.

The following are the highlights of key activities accomplished from January 1 to March 31,

2020:

• USAID RenewHealth’s SBC component completed the data collection and analysis of its

formative assessment. A total of 200 surveys for Stigma and Discrimination, 40 targeted

surveys for the Barriers to Treatment, and 40 targeted surveys for Media Preference have

pg. 6

been collected.

• With technical inputs from the DOH, USAID RenewHealth translated the screening tools - Alcohol, Smoking and Substance Involvement Screening Test- Lite (ASSIST- Lite) and

Self-Reporting Questionnaire (SRQ) in Tagalog and Cebuano.

• USAID RenewHealth completed the study – “Needs Analysis of Filipino Persons Who

Use Drugs (PWUDs)”. The study was conducted among 431 CBDR clients in 3 sites –

Tolosa, Quezon City and Caloocan. Results suggested the need to educate low risk

users on the effects of drugs and for a holistic substance use intervention to include

tobacco and alcohol. Results revealed that recovery skills, interpersonal skills and family

support predicts severity of use. The data was used to recommend a CBDR

intervention framework for CBDR clients to the Department of Health.

• As of March 31, 2020, USAID RenewHealth trained 494 community facilitators (209

males; 285 females) on evidenced-based CBDR intervention and 60 CBDR implementers

(26 males; 36 females) on the basic principles of community-based treatment (CBTx).

• The USAID RenewHealth team worked with counterparts from the Department of

Health (DOH) and the Dangerous Drugs Board (DDB) in the development and

production of information materials on the New Client Flow, which is the consolidated

and revised rules governing access to treatment and rehabilitation programs and services.

This critical policy is designed to speed up provision of services and expand the providers

of SBIRT (Screening, Brief Intervention, and Referral to Treatment), an evidence-based

practice used to identify, reduce, and prevent problematic use, abuse, and dependence on

alcohol and illicit drugs.

• To date, 13 (thirteen) LGU project sites have signed a Memorandum of Understanding

(MOU) with USAID RenewHealth ensuring their commitment to CBDR – Cagayan de

Oro City, General Santos City, Quezon City, Caloocan City, Malabon City, Pateros City,

Paranaque City, Muntinlupa City, Makati City, Pasig City, Naga City and Municipality of

Tigaon in the Province of Camarines Sur and Municipality of Tolosa in Leyte Province.

• Planning workshops with five RenewHealth project sites: Tolosa Municipality in Leyte,

Naga City of Camarines Sur, and 3 National Capital Region cities – Makati, Paranaque and

Caloocan - were conducted during this reporting period. The planning session focused on how to best develop comprehensive and holistic CBDR programs for each municipality.

•

pg. 7

• As part of RenewHealth’s contingency plan during the ECQ brought by the COVID19

pandemic, several activities were undertaken from March 16 to 31, 2020:

i. Development and dissemination of infographics on relapse management ii. Online consultation meetings with LGU partners and project partners

iii. Development of a material on Mental Health First Aid During Covid-19 for PWUDs

2 PERFORMANCE STATUS

The Activity Agreement Officer Representative (AOR) signed off her approval on April 8,

2020 to the versions of the revised FY2020 Annual Work Plan, the Activity Monitoring,

Evaluation and Learning Plan (AMELP) and Risk Mitigation and Communications Plan

submitted on March 20, 2020. Thus, this report referred to these plans in reporting the

performance status as of March 31, 2020.

This sub-section shall consist of two parts: (1) the summary of performance for key indicators;

and (2) key activities accomplished versus activities planned for the quarter.

2.1 Summary of Performance for the Quarter

The AMELP was further revised during the reporting period to be more consistent with

the latest revisions to the FY2020 AWP. The Agreement Officer Representative (AOR)

of USAID RenewHealth endorsed approval of the latest versions of both plans. The

approved version of the FY2020 Annual Work Plan (AWP) re-configured some activity

numbers. The set of twelve (12) performance indicators in the previous version were also

updated to align with the AWP - 3 activity outcomes; 5 intermediate outcomes and

outputs for the 3 objectives of RenewHealth; and 4 process indicators tracked for the

Office of Health for collaboration, learning and adapting (CLA) purposes. The approved

version also of the AMELP firmed-up the targets across the implementation years.

The updated performance indicator tracking table (PITT), which is attached as Annex 8.1

of this report (Annex III of AMELP), is the basis of the analysis of reported

accomplishment.

For this reporting period, project outcome data is reported for performance indicators

#1 (screening) and #6 (number of people trained in CBDR). Data for Indicator 3 will be

collected towards the end of Year 1.

Table 1. Overall Project Outcome Indicators

Indicator

Baseline

Accomplishment

For the Quarter For the Year

Target Actual % Target Actual %

Health Project (HP) Purpose: Improved health of underserved Filipinos

Indicator 1 8200 0 431 12,000 N/A 4%

pg. 8

Indicator

Baseline

Accomplishment



Number of

PWUDs who were screened

and referred for

CBDR treatment

in the past year at

USG-assisted sites

Indicator 2

Number of

PWUDs who

completed an

evidenced-based

(EB) CBDR

prescribed

package the past

year at USG-

assisted sites

2,749 0 N/A 7,200 N/A

Indicator 3

The proportion of

the public that

believe that drug

use is a health

issue that can be

treated

Baseline

to be

determine

d/

establishe

d by

Decembe

r 2020

(FY2021)1

N/A N/A N/A N/A

Analysis of Accomplishment:

The new client flow was only released in November 2019. The first quarter of the year

involved planning sessions with partner sites based on the new client flow. CBDR planning

sessions with counterparts at five project sites were also milestones in implementing CBDR

with technical support from USAID RenewHealth. The planning resulted in strategies for

setting up CBDR programs with LGUs with no existing CBDR program and enhancing existing

CBDR programs in others.

The screening tool prescribed in the client flow was translated and pilot-tested during the first

quarter. However, roll-out of training on the use of screening tools was halted because of the

ECQ.

1 Data collection for this indicator is collaborated with a USAID Activity under the Office of Economic and

Development Governance (OEDG), the I-ACT Project implemented by The Asia Foundation (TAF)

pg. 9

Data on PWUD who completed evidence-based CBDR will be collected towards the end of

Year 1 as CBDR programs require 16 weeks (one session per week) to complete. The

assumption for the annual targets for performance indicator 2 is that the approved project

intervention, i.e. training of evidence-based (EB) CBDR facilitators, will increase the number

of available CBDR service providers which in turn will increase enrollment and completion

rate. One of the main problems identified during the rapid appraisal at the onset of the Activity

was the lack of CBDR service providers. To date, 494 community facilitators in 13 project

sites are trained on CBDR. However, given the suspension of CBDR programs, no data could

be collected. In addition, there are still 7 project sites that have not signed an MOU with

USAID RenewHealth, as of the end of March 2020. A more detailed analysis is further narrated

under Objective 2 in the succeeding sub-section of this report.

Another milestone during the reporting period that contributes towards the development of more EB CBDR interventions is the conclusion of two vital studies: Formative Research and

CBDR Needs Assessment of Rural and Urban PWUDs. The studies are an important basis for

the design and development of CBDR intervention models appropriate to the needs of the

project sites and may result in the increase of CBDR enrollment and completion rate. The

needs analysis was conducted in three sites the results will be used to create a CBDR

intervention framework to be presented to the Department of Health for approval. The

experts’ review and development of a CBDR intervention framework, an activity that should

have also been a milestone, was cancelled due to the ECQ.

In summary, component activities completed during this reporting period are all aligned with

the accomplishment of the set objectives in FY2020. Details of the key activities are presented

in the succeeding sections.

Proposed Action:

Given the difficulty convening the CBDR implementors because of the ECQ, there is a need

to design an alternative data collection and delivery of activities, like virtual discussions and

monitoring with project counterparts at the sites.

Table 2. Component 1 Indicators

Indicator Baseline Accomplishment



Objective 1: Healthy behaviors strengthened

Indicator 4:

Number of USG-

supported sites

where EB SBC

approaches, tools

and materials are

0 0 Formative

research

data

completely

collected

and

N/

A

20 Formativ

e

research

results

analyzed.

pg. 10




available and in

use

processed

(data

analysis)

Indicator 5:

Number of

workplaces,

schools, private

health facilities

and/or faith-

based groups at

the project sites

that support

CBDR as a result

of EB SBCC

0 0 N/A 0 N/A


No quarterly targets were set for this fiscal year for both Indicators #4 and #5. Formative

research and SBCC strategic planning will conclude, at the latest, mid-Q3 while the

development of EB SBCC approaches, tools and materials may go beyond Q3.

Accomplishment reporting for this indicator may only be possible in Q4, which will be included

in the FY2020 Annual Report. Milestones contributing to both indicators will be reported

quarterly.

For this reporting period, a very vital milestone is the completion of the data collection for

the Formative Research. Analysis of the results is also completed and ready as basis for the

development of the SBCC Framework, tools and materials to increase utilization of PWUDs

using CBDR services and support of key stakeholders in the implementation of EB CBDR.

Confirmation of planned workshops with project sites to plan and develop the SBCC

framework at the onset of Q3 was put on hold during the month-long ECQ. Therefore, the

planned schedule of development, including pilot of SBC approaches, tools and materials, is at

a risk of delay. Consequently, the target of having the EB SBCC in place and available at 20

project sites may not be 100% realized by end of FY2020.

Proposed Action:

The Activity will continue the dissemination of the results of the SBC formative research and

the development of the SBCC approaches, tools and materials by adapting alternative approaches to face-to-face planning workshops.


Accomplishment

pg. 11

Indicator Baseline For the Quarter For the Year


Objective 2: Fortified quality of patient-centered and compassionate CBDR

services

Indicator 6: Number* of

persons trained

in EB CBDR with

USG support

0 629 = 400 +

229 (Q1

balance)

353 56.12

1200 524 = 171

(Q1) +

353(Q2

)

43.67

*The annual target of 1200 was spread out in the 4 quarters - Q1=400; Q2=400 + Q1balance; Q3=400 + Q2 balance; Q4=Q3 balance


Training community facilitators in EB CBDR is one of the first approved interventions of

USAID RenewHealth. This is in response to the identified problem of lack of CBDR service

providers whom PWUDs may access for CBDR. By end of March 2020, a cumulative total of

554 persons have been trained in CBDR. Out of the total, 494 (209 Males, 285 females) from

13 project sites were trained as CBDR facilitators, while 60 CBDR implementers/ program

managers were trained in basic principles of community-based treatment (CBTx). The trained

facilitators and CBDR implementers/managers will be instrumental in increasing CBDR

program screening/enrollment and completion/retention rate of PWUDs.

As shown in the preceding table, the Activity was able to accomplish over 50% of the quarterly

target (56.12%) and an overall accomplishment against the annual target of 43.67%. Half of the

fiscal year is already over, but only 43.67% of the annual target was accomplished.

The chart below illustrates the trend of accomplishment against quarterly and annual training

targets during the first 2 quarters of FY2020. The actual accomplishment against the annual

target at the midterm of the fiscal year indicates that there is a lot of catching up to do in

order to realize the annual training target (Indicator #6).

Figure 1. No. of persons trained CBDR

400

629

1200

171

353

524

0

200

400

600

800

1000

1200

1400

Q1 Q2 Annual

Actual persons trained in CBDR versus planned targets: FY2020 Q1 and Q2

Target Actual

pg. 12

During the reporting period, a couple of factors affected the completion of the planned training

activities – putting up mechanisms to ensure compliance to Leahy policy and the enforcement

of the ECQ due to COVID19. There were a number of LGUs that involved law enforcement

or jail personnel in the provision of CBDR. The project had to request a Notwithstanding

Agreement from USAID to allow us to include them as participants.

The first training activity commenced in the last week of January and was followed by training

activities every week thereafter. Only two training events were completed in the first week of

March while the rest of the planned training and workshop events were cancelled when the

ECQ was put in place effective March 15, 2020.

In the remaining weeks of March, the USAID RenewHealth team implemented alternative

activities to continue aiding the project development partners on the ground and sustain gains

started with the PWUDs – online consultative meetings and workshops and designing of

webinars in response to the needs of the PWUDs. Hopefully, in the remaining quarters of FY2020, when the ECQ is lifted and everything is back to normal, the planned activities will be

back on track.

Proposed Action:

With the need to catch up on the implementation of planned intervention, the team will

continue the consultative and participative approach in developing culturally-specific and client-

centered CBDR intervention designs (e.g. screening, general intervention, etc.) grounded on

empirical evidences. These CBDR programs are targeted to be ready before the full nationwide

roll-out of the New Client Flow. The team also needs to fast-track coordination with the

remaining seven project sites to obtain signed memorandums of agreement on the

implementation of EB-CBDR at their respective LGUs. The hiring of field coordinators for

non-NCR sites will also be prioritized in Q3.





Objective 3: Institutionalized policies and systems for a sustainable CBDR

service delivery

Indicator 7: Number of

Centers for

Health Excellence

(CHD) adapting

and rolling-out

the enhanced

system of

delivering EB

CBDR

0 0 N/A 0 N/A

pg. 13




Indicator 8:

Number of LGUs

at project sites

with increased

funds/ resources

for CBDR as a

result of USG

technical support

0 0 Milestone:

planning

activities

with 11

project

sites

0 N/A

Indicator 9:

Number of DOH

staff trained in

CBDR, including

governance, data

management

using USG funds

0 18 = 14

+ 4 (Q1

bal.)

13 72.2

2%

40 23 52.5

%

*Indicator #9 annual target of 40 was spread out in the 4 quarters - Q1=14; Q2=14+ Q1balance; Q3=12 + Q2 balance; Q4=Q3 balance Analysis of Accomplishment:

Indicators #7 and #8 have no specified targets for FY 2020. Milestones towards their

accomplishment may be reported. This reporting period, representatives of CHDs covering

the projects sites participated in the planning sessions for CBDR. The same CHDs were also

respondents to the formative research for the development of an EB SBCC approach for

CBDR.

In Q2, thirteen additional DOH staff were trained in CBTx and CBDR facilitation, making the

total number of DOH staff trained in CBDR 23. Given the unexpected rates of DOH staff

involvement at CHDs project sites, the target of training at least 40 DOH staff by end of the

fiscal year is very on-track. One of the planned strategies for the remaining months of the fiscal

year is the capacitation of the CBDR point persons at the CHDs covering the project sites,

i.e. participation in training activities intended to increase skills of CBDR service providers.

Proposed Action:

Continue working with partners at the DOH DDAPTP and CHD field offices in implementing

key CBDR activities at project sites.

Table 5. OH Cross-cutting Indicators

Indicator

Baseline

Accomplishment



Objective 3: Institutionalized policies and systems for a sustainable CBDR

service delivery

pg. 14

Indicator

Baseline

Accomplishment



Indicator 10:

Number of Success Stories

0 0 N/A 4 N/A

Indicator 11:

Number of

papers published

documenting results,

experiences in

implementing EB

CBDR

0 0 N/A 0

Milestone

= 3

papers presente

d

N/A

Indicator 12: Number of

collaborative

activities

implemented in

partnership with

another external

stakeholder

0 0 N/A 1 N/A


Similar to what is reported in Q1, indicators 10, 11 and 12 only have annual targets with

milestones reported quarterly. For instance, Indicator 9 is too early to target as performance

indicators were still being deliberated during the reporting period so reporting of positive

(success) results from technical assistance were not yet collected. However, continuous

documentation and sharing of best practices is observed for all key activities, through regular

weekly highlights and monthly summaries submitted to the OH.

Proposed Action:

Milestones for 10, 11 and 12 may be hastened with more conscious effort of the Activity to

collaborate more with other OH projects. Also, the Activity will continue improving process

documentation practices to be able to present at least 3 papers in FY 2020 as a prelim to the

planned publications in Year 2021.

pg. 15

2.2 Performance of Key Activities

COMPONENT 1 activities center on improved healthy behaviors of PWUDs, their families and

communities by providing technical support in the creation of evidence-informed and culturally-

appropriate social behavior change tools to reduce stigma on PWUDs and promote help-seeking

behavior.

Workstream 1.1: Development/ Evaluation of SBC tools for CBDR

Completion of data collection and analysis of the Formative Research for CBDR SBC

A major milestone in this workstream has been accomplished in Q2 – the completion of the

formative research data collection and analysis of the results. This will be the main reference in

accomplishing this workstream’s main objective.

From November 2019 through February 2020, the SBC research team has conducted individual

in-depth interviews with PWUDs, their families, and Health and Service Providers and completed surveys on Stigma and Discrimination of Service Providers towards PWUDs and Addiction (SDS),

Barriers to Treatment (BTI) of PWUDs, and Media Preference. A total of 200 surveys for Stigma

and Discrimination, 40 targeted surveys for the Barriers to Treatment, and 40 targeted surveys

for Media Preference have been collected. March was spent processing and analyzing the collected

research data through thematic mapping and analysis.

The project engaged graduate student researchers in gathering data, transcribing interviews and

encoding survey results through its sub-awardee, Ateneo de Manila University (AdMU). The SBC

Team of USAID RenewHealth and the graduate researchers met to discuss the transcript of

interviews and was able to determine initial themes.

The SBC Team of USAID RenewHealth used nVivo qualitative data analysis computer software

to analyze the interviews and focus groups. The surveys were analyzed using a package called

SPSS. Below are the themes and types of data that will be part of the report. A summary of the

findings is presented in Figure 2.

pg. 16

Figure 2. Summary of Formative Research Findings

Workstream 1.2: Advocacy to shape understanding of drug use and increase support

for CBDR

One of the approved activities to shape understanding of drug use and increase support for CBDR

is the dissemination of the New Client Flow of CBDR, which was approved in Q1. From January

to March 2020, the URC team for the Activity did the following to realize this.

Coordination and planning meetings with the Dangerous Drugs Board (DDB) to

disseminate the new client flow

The USAID RenewHealth Project COP Regina Hechanova-Alampay, DCOP Dr. Ivan Escartin,

and Technical Lead Grace Gatarin met with the Dangerous Drugs Board (DDB) led by

Undersecretary Benjamin Reyes, Donna Gelit and Ella Marie Dimaculangan on January 10, 2020 at the DDB Office.

The first meeting in 2020 focused on the project’s partnership with the DDB on the development

of a video-informercial to help disseminate the new national client flow, the update of intake tools

to align with the new client flow, and the enhancement of the Integration Drug Information

Monitoring and Reporting System (IDIMRIS). The group also discussed RenewHealth assisting the

DDB in populating its CBDR portal of drug-related tools, materials and resources.

The new Client Flow for Wellness and Recovery from Substance-Related Issues is based on the

DDB issued Board Regulation No. 7, Series of 2019 (Consolidated Revised Rules Governing

pg. 17

Access to Treatment and Rehabilitation Programs and Services). This new client flow aims to

help promote awareness on the how clients and/or patients can access treatment and

rehabilitation services as mandated by the DBB. More importantly, it outlines the specific roles

of service providers in providing CBDR services. This is significant to the role that Anti-Drug

Abuse Council (ADACs) and Barangay Anti-Drug Abuse Council (BADACs) play in the delivery

of CBDR services in local government units (LGUs).

USAID RenewHealth Communications Specialist, Caroline Ubaldo, was asked to join in the

succeeding meetings in Q2. The dissemination of the New Client Flow was further discussed in

a broader context of a communication plan.

Development of Information Materials on the New Client Flow

As a result of the above discussions, by end of March 31, 2020, USAID RenewHealth developed

a video infomercial and a primer on the new client flow. Both materials were reviewed with DDB

and the Department of Health (DOH). An English and Tagalog version of the video infomercial and a primer will be finalized after ECQ. Once finalized, both the video and primer shall be

disseminated in a national and/or regional workshop to enable local government units to

understand the implementation of the new client flow. Dissemination may be done via a series of

webinars.

An approved learning session event planned for Q2 – a conference on current CBDR trends –

was postponed until next quarter for logistics reason, among others. However, there are two

key activities that were not specified in the approved AWP but have same objectives as

Workstream 1.2 (to increase understanding of drug use and support CBDR): field visit of USAID

Manila Mission to supported project sites and a UNODC-facilitated workshop to strengthen

multi-sectoral partnerships in addressing drug use and health service provisions.

USAID Mission Director visit to RenewHealth project partners in CDO

On March 4, 2020, USAID Mission Director Lawrence Hardy II and USAID Office of Health

Director Bryn Sakagawa visited Cagayan de Oro City’s Oro Wellness Center which manages

CBDR activities of Cagayan de Oro City. The Oro Wellness is a one-stop center that provides

screening, brief intervention, counseling, and referral for PWUDs. It is located within the

Archdiocese of Cagayan de Oro, symbolizing a strong partnership with the city and the church.

CDO Mayor Moreno shared how the church and civil society organizations are important

partners in delivering CBDR. He also cited the cooperation of law enforcers who respected his

commitment to respect life and avoid killings. Recovering users also showed the livelihood

products they produce and sell. Director Lawrence later met community facilitators who deliver

CBDR programs.

Cagayan de Oro (CDO) City was the first local government unit that signed a Memorandum of

Understanding with the USAID RenewHealth to implement a Community-Based Drug

Rehabilitation program in the Philippines. Present during this activity were USAID Office of Health

Director Ms. Bryn Sakagawa, USAID RenewHealth Chief of Party Dr. Regina Hechanova-

pg. 18

Alampay, Mayor Oscar Moreno, Head of Oro Well Center Rhyselle Descallar and the CDO Anti-

Drug Abuse Council members.

The USAID RenewHealth team in Manila remotely coordinated the hosting of the visit with the

project’s main LGU counterpart, the city ADAC head, since at the time there was no provincial

coordinator on board for Region 10.

UNODC Workshop on Principle of Community Based Treatment

Representatives from BARMM Department of Social Welfare and Development, SAKLAY

Foundation, and members of the Local Government, Anti-Drug Abuse Council participated in

the activity. The workshop oriented those involved in CBDR on the international principles in

implementing CBDR. It also served as a venue for participants to share what is currently being

implemented and their gaps and challenges.

COMPONENT 2 focuses on fortifying the quality of patient-centered and compassionate

CBDR by helping LGUs implement CBDR services, building a cadre of trainers and coaches, and

strengthening the CBDR service delivery networks.

Workstream 2.1 Cultural-adaptation of CBDR interventions and tools

In Q2, the project accomplished a couple of milestones including cultural adaptation of CBDR

interventions and tools. Given the ECQ, alternative strategies for providing CBDR services during

the ECQ were also developed.

Translation of Screening Tools in Tagalog/ Filipino and Cebuano

On January 20, 2020, the URC team composed of Trixia Anne Co, Jason Manaois and King Filart

was joined by external experts from DOH DDAPTP (Dra Clara Fuderanan and Loraine Xian

Clavier) and AdMU (Jennel Reyes) to validate the screening tools which were translated to

Tagalog. The main purpose of the group was to psychometrically validate the Tagalog versions of

the WHO-designed screening tools - Alcohol, Smoking and Substance Involvement Screening

Test (ASSIST) and Self Reporting Questionnaire (SRQ).

Similarly, on February 26, 2020, another group was convened by URC CBDR Specialist Trixia

Anne Co and Regional Coordinator Jason Manaois to review and psychometrically validate the

screening tools translated to Bisaya/ Cebuano. Samantha Mendez (University of the Philippines/

Ateneo de Manila University), Romeo O. Canonoy (SWO III, Caloocan Anti-Drug Abuse Office),

Arniel T. Romero (Focal Person, City of Malabon Anti-Drug Abuse Office) and Aniceto Betco

(Community Facilitator, City of Malabon).

The final outputs from both translations complied with WHO protocol for translating tools and

were endorsed by DOH and WHO. The final ASSIST-Lite and SRQ tool translated in Tagalog

and Bisaya were pre-tested in RenewHealth in Caloocan (Tagalog) and General Santos (Bisaya)

to validate cultural adaptation of the tools.

pg. 19

Completion of the study, “Needs Analysis of Filipino Persons Who Use Drugs (PWUDs)”

From mid-January to mid-February 2020, data was collected from 431 PWUDs from rural (24%)

and (76%) urban sites. The needs analysis used the translated tools ASSIST (substance use) and

SRQ (mental health risk). It also measured drug recovery skills, life skills, family support,

psychological wellbeing and quality of life.

Results of the study on the needs analysis of PWUDs will be used to develop a menu of CBDR

modules that LGUs may choose from depending on the nature of their clients, to ensure that

they get the appropriate treatment. A presentation of the study to DOH, DDB and other co-

development partners, e.g. UNODC, WHO, etc., is pegged in Q3.

A parallel research was conducted by UNODC on Chemsex or Sexualized Drug Use among

Cisgender Men in the Philippines. The baseline assessment aims to understand the nature and

extent of this emerging phenomenon in the Philippines. The key findings serve as a basis to

advocate for targeted services, initiating meaningful programs and activities for people who use drugs, people who inject drugs and other key affected populations through a holistic,

comprehensive, and evidence-based approach. The key findings and recommendations were

available since February 2020.

Discussions on CBDR Interventions for Minors, CBDR Aftercare and Case Management

On February 5, 2020, Dr. Gina Hechanova-Alampay and Trixia Anne Co, USAID RenewHealth

COP and CBDR Specialist, respectively, met with the Quezon City (QC) CBDR implementors

at the Office of QC Vice Mayor Gian Sotto to assess status and possible enhancement of existing

CBDR programs. QC signed an MOU with the USAID Activity in December 2019. The vice

mayor and his technical staff attended the meeting.

At the end of the consultative meeting, the main points of action include considering the

transformation of Special Drug Education Centers into Mental Health Centers; need for

discussions with PDEA with regards to family intervention for minor PWUDs; QC signing-off of

the CBDR intervention of adapting the KKDK approach to be implemented in all QC barangays;

mapping of all faith-based and NGO partners to enhance aftercare and case management including

scheduling of dialogue/workshop with them; pilot-testing a pre-employment program involving

employers from the private sector; and further exploratory coordination with key stakeholders

of general interventions, e.g. the Diocese of Cubao in tapping campus ministries in schools.

Focus Group Discussions (FGDs) to identify CBDR Needs in BARMM

In the month of February UNODC, which is a sub-awardee of URC for the implementation of

the USAID RenewHealth project, collaborated with the URC team in organizing FGDs to identify

existing systems, programs, tools and/or interventions in the context of community-based

treatment and care services for people who use drugs in BARMM. The purpose of the FGDs is

to further understand the Community Based Drug Rehabilitation (CBDR) programs need in the

region. The first round of FGDs were conducted on the first week of February, while the second

part of the FGDs were conducted on the second week of February 2020 in Davao City, coinciding

with the CBTx training organized by UNODC.

pg. 20

Provision of Technical Assistance to DSWD in the development of an aftercare program

for PWUDs

During the reporting period, UNODC also provided technical assistance to the Department of

Social Welfare and Development (DSWD) for the development of an aftercare program for

PWUDs. Series of consultation meetings were organized by the DSWD. A training module is

being developed for Social Workers. This is intended to be disseminated at the regional,

provincial and municipal social welfare offices. A recovery assessment tool is also being developed

to aid social workers in the implementation of an aftercare program for PWUDs.

Content Development of CBDR Coaches’ and Trainers’ Training

A vital component of the training program for CBDR service providers is the training of coaches

for and trainers of CBDR facilitators. Training of coaches is necessary to ensure service quality

as well as fidelity to the evidenced-based CBDR modules.

In March 2, 2020, a group of CBDR coaches and trainers of URC convened to design the training of coaches and trainers in presentation, coaching/ facilitation and training management skills.

Coaches can come from communities but can also come from DOH, NGOs or academe.

Online consultations with project sites and development partners during the ECQ

Several activities were postponed or cancelled when ECQ was enforced due to spread of

COVID-19. In order not to lose the momentum of providing technical support to project sites

in enhancing or establishing CBDR services for PWUDs, the project team conducted online

consultations on March 17 and 19, 2020, with six local government units (LGUs). Representatives

from Malabon, Lapu-Lapu, Paranaque, Quezon City, Cagayan de Oro, and Muntinlupa joined the

discussions.

Highlights of the online discussions with the project sites are:

- All CBDR services are postponed until mid-April 2020 due to the Covid-19 crisis.

- CBDR trainings will be rescheduled in May and June 2020 because LGU staff have been

mobilized to help in the immediate response teams following the enhanced community

quarantine.

- The best ways for USAID RenewHealth to communicate with LGUs is through Facebook

or text messaging.

- Likewise, during the consultation, a consensus was reached with the LGU partner sites

that project activities will resume as soon as ECQ is lifted, possibly in May or June 2020.

These activities include the development and pilot of CBDR general interventions,

workshops to develop Social Behavior Change (SBC) strategies and gathering of pertinent

documents in assisting LGUs with their planning and budgeting cycle.

On March 23, 2020, USAID RenewHealth team members, led by Chief of Party Regina

Hechanova-Alampay and Deputy Chief of Party Dr. Ivanhoe C. Escartin, held an online meeting

with World Health Organization’s (WHO) Dr. Jasmin Vergara and United Nations Office of Drug

and Crime’s (UNODC) Shella Marquez and Olivier Lermet.

pg. 21

The discussions focused on possible collaborations and planning for the immediate, intermediate,

and long-term response to help Persons Who Use Drugs (PWUDs) during the enhanced

community quarantine. The following areas for collaboration are:

- WHO and UNODC will help develop infographics that will uphold human rights of special

populations, like the homeless, people in prisons and those living with HIV. Many PWUDs

are in prisons and are informal settlers.

- WHO will help USAID RenewHealth conduct a webinar on Mental Health First Aid

During COVID-19. The webinar will be “live,” so questions from the participants can

readily be answered. The choice of platform is also important. For Facebook Live there

might be an issue regarding confidentiality. WHO will recommend the best digital or

online platform for the webinar.

- USAID RenewHealth will collaborate with WHO on the new directions for mental health

and psychosocial support.

Development of infographics and webinar materials for LGUs during the ECQ

In observance of social distancing directives, local government units have temporarily halted

CBDR programs and services. One risk that may arise from this is the lack of support could lead

to relapse among some recovering users. Following the online consultations, USAID

RenewHealth immediately developed and produced materials that LGUs can use during the

enhanced community quarantine period, e.g. infographics on relapse prevention that can be

shared via Facebook and mobile messaging.

LGU partners will add their logos in the space provided and will share these infographics, which

are written in Tagalog, with their clients in the remaining weeks/months of ECQ enforcement.

Some LGUs are also planning to translate these infographics into their native dialect. USAID

RenewHealth will monitor and track the use of these infographics and will submit a brief report

to USAID after the enhanced quarantine period ends.

Workstream 2.2 Capacity building on high impact EB General and CBDR

Interventions

In Q2, the USAID RenewHealth continued training community facilitators of CBDR in several

project sites and conducted the second run of training on principles of CBTx to selected CBDR

implementers. Participants of the training events were DOH personnel, e.g. CHDs, DOH

Treatment Rehabilitation Centers (TRCs); members of anti-drug abuse councils (including

barangay health workers and community volunteers); and CBDR facilitators from civic and

religious organizations.

Refresher trainings for CBDR community facilitators were conducted from mid-January

to first week of March 2020. Following are the details by project site by order of occurrence:

Quezon City

Last January 24, 2020, community facilitators (25 males and 47 females) from Quezon City Anti-

pg. 22

Drug Abuse and Advisory Council (QCADAAC) and AKAP Buhay Ministry (Diocese of

Novaliches) in Quezon City completed the USAID RenewHealth’s CBDR Refresher Training.

They were trained on the new CBDR version of the manual and to further sharpen their

facilitating skills in the delivery of the CBDR program. This activity addresses the lack of capacity

to implement and sustain the new Community Based Drug Rehabilitation Treatment Recovery

(CBDTR) program that adheres to evidence-based principles, basic human rights, aligned to the

new DDB client flow, and its cultural appropriateness. Community facilitators are also equipped

on how to deliver pre- and post- tests tools to measure program effectiveness.

Pateros City

Last January 29, 2020, USAID RenewHealth led by Site Coordinator Ryan Raneses conducted a

Refresher Training held at the Pateros Municipal Hall. Attendees include 3 male and 8 female

community facilitators of Pateros City. Among the participants were Dr. Jennifer Gonzales-

Alejandro, Anti-Drug Abuse Council (ADAC) Action Officer, who helped organize the logistical

needs for the training activity.

The purpose of the program is to provide Pateros City’s current community facilitators with the

updated CBDR modules. Simulation exercises of selected modules by the participants took place.

Griselda Viagedor, barangay service officer, and Mary Ann Bihag, BADAC Focal Person, served

as coaches for the two groups to develop and feedback on the skills of the participants.

Muntinlupa City

Last February 7, 2020, USAID RenewHealth conducted a CBDR Refresher Course for 29

community facilitators at the Laguerta Bulilit Center of Muntinlupa City. Participants (16 males

and 13 females) shared their experiences and insights to help improve their skills, as well as

camaraderie between the facilitators from various barangays in Muntinlupa. This activity will

certainly help provide stronger delivery of CBDR services to the barangays of Muntinlupa City.

The CBDR Refresher training used new and revised modules particularly on relapse prevention,

effective communication, and learning activities. USAID RenewHealth site coordinator for

Muntinlupa City Benjamin Ryan Raneses conducted the CBDR Refresher Course.

Caloocan City

The Refresher Training was held in Caloocan City last February 13, 2020. The 30 attendees (13

males and 17 females) were community facilitators from Caloocan Anti-Drug Abuse Office

(CADAO), Kaagapay Volunteer Mental Health Workers (Diocese of Caloocan), social workers,

house parents, and focal persons from Barangay Anti-Drug Abuse Council (BADAC) in Caloocan

City. The Caloocan LGU provided the venue for the event at the Bulwagang Katipunan of New

Caloocan City Hall.

The training brought together several community facilitators from Caloocan City to learn and

collaborate in improving service delivery of their CBDR program. Caloocan City’s target is to

increase the number of drug-cleared barangays (currently at 50%) in their municipality.

Malabon City

pg. 23

Nineteen community facilitators (10 males, 9 females) from the City of Malabon Anti-Drug Abuse

Council (CMADAC), Kaagapay volunteer mental health workers, and selected focal persons from

Barangay Anti-Drug Abuse Council (BADAC) participated in the USAID RenewHealth’s CBDR

Refresher Training. The training was held last February 17, 2020 at Malabon’s Drug Rehabilitation

and Outpatient Clinic in barangay Catmon.

Naga City

Fourteen community facilitators (3 males, 11 females) from Naga City’s local government

attended a CBDR Refresher Training on March 4, 2020. Ms. Gayle Gomez, USAID RenewHealth

site coordinator conducted the training. Participants included members of Naga City’s Anti-Drug

Abuse Council and volunteers from Bantay Familia, a local organization. At the training, facilitators

refined their skills in delivering the CBDR program in their assigned barangays.

This training helps ensure that the steps taken during implementation are aligned with USAID

RenewHealth’s objectives, such as to provide communities with evidenced-based approaches to CBDR services and to help PWUDs access aftercare and recovery support.

Cities of Makati and Pasig

On March 5, 2020, twenty-three community facilitators (9 males, 14 females) from Makati City

and six community facilitators (2 males, 4 females) from Pasig City completed a CBDR refresher

training. Participants were provided latest updates on modules that focus on drug refusal skills,

life skills and family intervention. The training workshop aims to enrich the facilitation skills of

CBDR service providers in delivering services to PWUDs. Makati city LGU provided the venue

for the training event.

Training on Community-Based Treatment and Care Services (CBTx)

During the reporting period, UNODC in a joint effort with the Renew Health, conducted the

second run of Training on Community-Based Treatment and Care Services (CBTx) in Davao City

from February 11 to 14, 2020. The training was attended by representatives from the Ministry

of Social Welfare and Development, Provincial Health Offices, Philippine Drug Enforcement

Agency, Philippine National Police and members of the Anti-Drug Abuse Council within the

Bangsamoro Autonomous Region of Muslim Mindanao (BARMM). Newly hired URC staff for the

USAID RenewHealth project were also included in the training. 14 male and 16 female

participants completed this 5-day training event.

The first run was last September 2019. The training was participated by representatives from the

local government units, including cities and municipalities under the RenewHealth project sites,

faith-based groups, and civil society organizations. RenewHealth project staff were also trained

on the module that was co-facilitated by UNODC and URC.

Below is a tabulated detail, in chronological order, of the training activities using USG support,

disaggregated by gender, since start of USAID RenewHealth project, which is likewise encoded

into the TEAMS. Training Exchange and Automated Management System (TEAMS) is a

replacement for the current TraiNET and VCS systems, which was used for capture of outputs

pg. 24

of USG-supported training activities. To date, only Component 2 of the Activity has conducted

trainings, thus the list is included in reporting for Workstream 2.2.

Table 6. List of CBDR Capacity Building Workshops for Partner Sites

Duration Venue Title of Activity Male Female Total

Sept 9-12, 2019 Antipolo City 5-day Training on

Principles of CBTx

11 19 30

Oct 21 to 25,

2019

Cagayan de Oro

City

5-day facilitators’

training on CBDR for

moderate-risk

PWUDs

36 33 69

Nov 25-29,

2019

Naga City 5-day facilitators’


moderate-risk

PWUDs

14 32 46

December 5,

2019

QCX, Quezon City 1-day Refresher

Course for NCR

project sites (ALL)

38 67 105

December 9-

13, 2019

General Santos City 5-day facilitators’


moderate-risk

PWUDs in General

Santos City

50 61 111

January 24,

2020

Quezon City 1-day Refresher

Course for CBDR

facilitators

25 47 72

January 29,

2020

Pateros 1-day Refresher

Course for CBDR

facilitators

3 8 11

February 7,

2020

Muntinlupa 1-day Refresher

Course for CBDR

facilitators

16 13 29

February 11,

2020

Davao City 5-day Training on

Principles of CBTx

13 17 30

February 13,

2020

Caloocan City 1-day Refresher

Course for CBDR

facilitators

10 17 27

February 17,

2020

Malabon City 1-day Refresher

Course for CBDR

facilitators

10 9 19

February 26,

2020

Paraňaque City 1-day Refresher

Course for CBDR

facilitators

11 5 16

pg. 25

Duration Venue Title of Activity Male Female Total

March 4, 2020 Naga City 1-day Refresher

Course for CBDR

facilitators

3 11 14

March 6, 2020 Makati City 1-day Refresher

Course for CBDR

facilitators

11 18 29

It should be noted that the total number of the participants in the list above is not the same as

the cumulative total of trained people in CBDR because some of the participants attended more

than one of the listed activities. Table 7 below shows the cumulative total by reporting period.

Table 7. Summary of Participants for CBDR Capacity Building Workshops

Cumulative

Total trained in

CBDR

(Indicator 6) as

of -

CBTx CBDR Faci TOTAL trained

Male Female

Sub-

Total Male Female

Sub-

Total Male Female

Sub-

Total

September 30,

2019 11 19 30 0 0 0 11 19 30

December 31,

2019 11 19 30 70 101 171 81 120 201

March 31, 2020 24 36 60 209 285 494 233 321 554

COMPONENT 3 focuses on strengthening policies and systems for sustainable CBDR with

the USAID RenewHealth team working with CBDR stakeholders both at the LGU and national

levels.

Workstream 3.1 National policy dialogue and development

This work stream focuses on enabling dialogues and contributing to the development of national

policies to support the delivery of CBDR and is categorized into 2 activities – (3.1.1) CBDR Policy

Research and Feedbacking with stakeholders on CBDR-related policies and guidelines and (3.1.2)

Provision of technical assistance in policy development and refinement for policies related to

CBDR (Mental Health, Client Flow, Universal Health Care etc.).

Technical Assistance to the Department of Education

UNODC provided technical assistance to DepEd in the development of the Unified Preventive

Drug Education Framework aimed at streamlining drug use prevention efforts within the

department in accordance with the Philippine anti-illegal drug strategy approach, identifying

resources needed and matching it with a monitoring and evaluation system.

Orientation of the Bangsamoro Autonomous Region of Muslim Mindanao’s (BARMM)

pg. 26

Ministry of Health on the USAID RenewHealth Project

The USAID RenewHealth Project team headed by its Chief of Party, Dr. Regina Hechanova-

Alampay, Deputy Chief of Party Dr. Ivanhoe C. Escartin and Team Lead for Policies and Systems

Grace Gatarin made a presentation of the project during the USAID’s BARMMHealth

collaboration and partnership meeting. The orientation of the Ministry of Health of BARMM is

reported under in Activity 3.1.1 because of the unique circumstance in this region that may entail

a different policy requirement as compared to the other regions.

Held last February 19, 2020 in Cotabato City, key officials from the Ministry of Health of BARMM

were present, namely Minister Safrullah Dipatuan, Deputy Minister Zul Qarneyn Abas and

Assistant Secretary Abdullah Kasim, as well as representatives from the Integrated Provincial

Health Office, City Health Office, Population Commission and Ministry of Social Services and

Development.

Dr. Hechanova-Alampay presented highlights of the CBDR needs assessment the team conducted through focused group discussion with implementors: those with direct experience with persons

who use drugs and officials in charge of CBDR in BARMM. The team also highlighted possible

areas that the USAID RenewHealth project can provide support to BARMM. Deputy Minister

Abas recommended that they make a similar presentation to BARMM’s Chief Minister and other

concerned ministries. He also underscored the importance of tapping Muslim religious leaders

and coordinating with the Anti-drug Abuse Program Coordinator of BARMM’s Ministry of Health.

Meeting to Align CBDR Efforts of DOH, DILG and DSWD

On February 21, 2020, the Department of Health (DOH) scheduled a meeting to align CBDR

and Aftercare efforts of different stakeholders and government agencies. The meeting was

attended by DILG undersecretary RJ Echiverri, Anjo Dela Pena from the Health Facilities and

Infrastructure Development Team of DOH, USAID RenewHealth COP Ma. Regina Hechanova-

Alampay and DCOP Dr. Ivanhoe C. Escartin, Nolibelyn Macabagdal from the Social Technology

Bureau (STB) of DSWD, and other representatives from DILG, DSWD, and the Dangerous Drug

Abuse Prevention and Treatment Program (DDAPTP) of DOH.

In the meeting, different agencies presented the existing programs and efforts that are being

implemented. Dr. Leabres from DDAPTP presented the processes involved in the

implementation of screening and treatment programs of DOH as prescribed in the client flow.

Ms. Nolibelyn from the STB-DSWD presented the current efforts in the development of the

Yakap Bayan. Lastly, the efforts, goals, and direction of the USAID RenewHealth Project was

presented by COP Gina Hechanova. The presentations were followed by discussions regarding

possible bottlenecks that hinder program development, implementation, monitoring, and

evaluation. Ultimately, the meeting provided an opportunity for different stakeholders to align

existing efforts and identify entry points for possible collaboration to improve existing structures

as prescribed by the client flow.

Activity 3.1.2 of this workstream is linked to activity 1.2.1. As reported above, the provision of

technical assistance during the reporting period resulted in the development of an informercial

and draft primer for the New Client Flow. In Q2, URC provided significant technical assistance

pg. 27

in the enhancement of the communication plan of DDB. URC Communications Specialist worked

closely with her counterpart at DDB, Ella Marie Dimaculangan.

Workstream 3.2 Institutional Strengthening of CBDR Governance for LGUs

The focus of workstream 3.2 is providing technical support to LGUs in strengthening their

governance of CBDR within their jurisdiction. The activities in this workstream are: (3.2.1) Local

policy research and dissemination; (3.2.2) CBDR Planning; (3.2.3) Strengthening Governance

Capacity of ADACs; (3.2.4) TA in support to the enhancement of local CBDR policy; (3.2.5)

Evaluation of CBDR plans and re-planning of LGUs; and (3.2.6) Enhancement of DOH CBDR

Manuals for Local Chief Executive (LCEs) and CBDR implementers.

During the reporting period, a series of follow-up consultation and planning meetings were

conducted with the key stakeholders at the project sites to firm up strategies in strengthening

their CBDR service delivery to PWUDs. During this reporting period, the team conducted

planning and signed MOUs with 7 project sites.

Following are the details of RH engagement by project site and by order of occurrence during

the reporting period:

Pasig City

A coordination meeting with Pasig City representatives was held last January 3, 2020. USAID’s

RenewHealth Project represented by Chief of Party Regina Hechanova-Alampay, Deputy Chief

of Party Dr. Ivan Escartin, and Field Coordinator King Filart met with Pasig City’s Anti-Drug

Council. This was in preparation for the formal signing of the Memorandum of Understanding

(MOU) with Pasig City that was scheduled on January 24, 2020.

After the meeting, Anti-Drug Abuse Council of Pasig head Ms. Aida Concepcion showed their

rooftop organic garden, one of Pasig city’s livelihood programs for PWUDs. As part of their

reintegration, PWUDs are given the opportunity to train in this facility that features organic

garden composting facilities and the production of bokashi balls that are used to clean the Pasig

River. Some PWUDs are also given the opportunity to be hired as employees in this facility and

the other livelihood programs of the city.

A project planning workshop followed on January 14, 2020 at the Pasig City Hall. The workshop

was facilitated by the USAID RenewHealth staff and was attended by RenewHealth Chief of Party

Dr. Regina Hechanova-Alampay, Deputy Chief of Party Dr. Ivanhoe C. Escartin, Policies and

Systems Team Leader Grace Gatarin, CBDR Specialist Trix Co, and inter-regional site

coordinator King Filart. The participants of the workshop were composed of representatives

from the Anti-Drug Abuse Council of Pasig, Pasig Livelihood and City Health Office, Interfaith

organizations, Public Employment Services Office, Pasig City Institute of Science and Technology,

and Liga ng Barangay.

The staff from USAID RenewHealth provided an orientation to the project including the new

client flow. After the short orientation, the participants were then divided into two discussion

pg. 28

groups which were tasked to map out gaps, opportunities, and potential activities in project

implementation. The USAID RenewHealth staff facilitated the discussions and documented

insights generated from the small group discussions. Overall, the workshop elevated possible

internal collaborations and promising action points that could play crucial roles in establishing a

lasting and effective partnership between USAID RenewHealth project and the Pasig CBDR

stakeholders. The workshop was concluded with a synthesis and recommendations about steps

on moving forward.

USAID RenewHealth formalized its partnership with the local government of Pasig City for the

implementation of a CBDR program in the Philippines on January 24, 2020. Pasig City Mayor

Hon. Victor Ma. Regis N. Sotto, USAID RenewHealth Chief of Party Regina Hechanova-Alampay,

Anti-Drug Abuse Council of Pasig (ADCOP) chief Zenaida O. Concepcion, and the USAID

Philippines Office of Health Director Bryn A. Sakagawa signed a Memorandum of Understanding

(MOU). As part of the MOU, USAID will be assisting Pasig by providing tools for screening,

capacity building of facilitators, training of trainers and coaches and monitoring and evaluation.

In his message, Mayor Sotto reinforced the importance of drug demand reduction in solving the

problem of drugs in the Philippines. He further committed to continue to support community-

based drug rehabilitation activities in Pasig City.

This official partnership allows the strategic and collaborative implementation of activities such as

CBDR planning and roll out of CBDR workshops and trainings, with the overall goal of maintaining

a sustained CBDR program in Pasig City.

On February 7, King Filart, URC coordinator for Pasig met again with the ADCOP head to

document the ‘Kasunduan Program’ that Pasig City LGU provides for minor PWUDs. The

purpose of the activity is to learn more about the mechanics of the program to provide more

information about how CBDR programs for minors should be developed, monitored, evaluated

and implemented. Possible entry points for collaboration to improve the CBDR intervention

approach were also identified.

Muntinlupa City

The RenewHealth team, composed of Deputy Chief of Party Dr. Ivanhoe C. Escartin, Grace

Gatarin and Ryan Raneses, attended the committee hearing of the Committee on Public Order,

Security and Safety of the Sangguniang Panglunsod of Muntinlupa City, one of the pilot sites of

USAID RenewHealth, on January 9, 2020.

The purpose of the committee hearing was to clarify the roles and responsibilities contained in

the proposed Memorandum of Understanding (MOU) between the municipality of Muntinlupa

City and RenewHealth project. As a result of the engagement, the MOU was endorsed by the

Committee on Public Order, Security and Safety to the Sangguniang Panglunsod of Muntinlupa

city for final approval and signing.

An initial project planning workshop was held on January 15, 2020 at Muntinlupa City Health

office. Among the participants were Drug Abuse Prevention and Control Office (DAPCO) head

pg. 29

Florocito Ragudo, Public Employment Services Office (PESO) manager Glenda Aniñon,

Muntinlupa City Health Office representative Dr. Juancho Bunyi, and members of Muntinlupa

City’s Barangay Anti-Drug Abuse Council (BADAC). Together with USAID RenewHealth staff,

they mapped out the current status of CBDR delivery, identified goals and commitments of each

sector. The next activity will be a more intensive planning workshop that will enable Muntinlupa

to develop its own CBDR Action Plan.

The Memorandum of Understanding (MOU) between Muntinlupa city and USAID RenewHealth

was signed on February 3, 2020. Mayor Jaime R. Fresnedi of Muntinlupa city and Florocito Ragudo,

head of Muntinlupa’s Drug Abuse Prevention and Control Office (DAPCO), met with USAID

RenewHealth Chief of Party Regina Hechanova-Alampay and Deputy Chief of Party Dr. Ivanhoe

Escartin.

Based on the rapid assessment conducted by USAID RenewHealth last August 2019 in Muntinlupa

City, only 10.23% have been assessed and only 4.68% are enrolled in general intervention and community-based drug rehabilitation. Among those who are enrolled, 30.29% have completed

their rehabilitation.

This partnership between Muntinlupa City and USAID RenewHealth can further help improve

the CBDR implementation for the PWUDs and their families in Muntinlupa City. Activities will

include trainings in screening as well CBDR development of community coaches.

Naga City

Last January 16, 2020, USAID RenewHealth in partnership with the local government of Naga

City, held a planning workshop at Magsaysay, Naga City. This planning workshop was attended

by Naga City Dangerous Drugs Board (NCDDB) Chairperson Vice Mayor Nene De Asis,

members of the NCDDB led by Kap. Toti Importante, Dr. Jona Ramos from the Department of

Health (DOH) Treatment and Rehabilitation Center (TRC) Region V, Provincial Health Officer

of Camarines Sur Dr. Millena, representatives from the City Health Office, Public Employment

Services Office (PESO), Department of Education (DepEd), Community Social Work and

Development (CSWD) and Naga City’s People’s Council (NCPC).

The RenewHealth project representatives provided an orientation about the Project and the new

client flow, as well as its accomplishments to date. The planning workshop focused on Naga City’s

CBDR governance, advocacy activities and CBDR interventions, including those on treatment

and recovery support services. Discussions concluded on identifying goals and action steps that

will enable Naga City to implement a comprehensive and effective CBDR Plan.

The MOU to implement the USAID RenewHealth project in Naga City was signed in November

29, 2019.

Quezon City

On January 16, 2020, USAID RenewHealth project in partnership with the local government of

Quezon City organized a joint planning workshop. This took place at the Office of the City Mayor

Bulwagan and was attended by 16 community stakeholders composed of representatives from

pg. 30

the Office of the Vice Mayor, Quezon City Anti-Drug Abuse and Advisory Council (QCADAAC),

Public Employment Services Office (PESO), City Health Office, Barangay Anti-Drug Abuse

Council (BADAC), QC Treatment and Rehabilitation Center (TRC) - Tahanan, League of

Barangay, Diocese of Novaliches, Special Drug Education Center (SDEC), Social Services

Development Department (SSDD), and church group - AKAP BUHAY community facilitators.

Specific discussion points on CBDR implementation were highlighted in the planning workshop.

Among the issues that were discussed included the need to roll-out a CBDR program that is

aligned with the new client flow, revision of the Drug Code of Quezon City to align with the

DILG memo, and the creation of guidelines on aftercare program, i.e., to organize faith-based and

civil society groups to provide aftercare. In addition, it was identified that there was a need to

increase the human resource capacity of community facilitators by conducting refresher trainings

and orientation of the new client flow.

A follow-up meeting occurred last February 5, 2020, among the local officials of Quezon city and USAID RenewHealth to discuss ways to further strengthen the CBDR program for Quezon City.

The Quezon City Office of the Vice Mayor led by Hon. Gian Sotto, USAID RenewHealth Chief

of Party Regina Hechanova-Alampay and Fr. Tony Labiao of the Diocese of Novaliches discussed

ways to strengthen their current CBDR programs. Dr Hechanova-Alampay reported the initial

assistance given by their team with regards to screening and profiling of clients. They also

discussed developing and pilot-testing interventions for schools and how to improve aftercare

programs to include families with the support of different interfaith groups. With this in mind,

exciting partnerships are to be expected from the CBDR program of Quezon City.

Municipality of Tigaon, Camarines Sur

A project planning workshop was conducted at the Cultural Heritage Center in the Municipal

Hall of Tigaon, Camarines on January 17, 2020. This was a follow-through activity from the MOU

signing that happened last November 25, 2019. Key stakeholders from each of the LGUs were

invited to participate in a 3-4 hour session enumerating the current situation of the LGU in terms

of CBDR project management, CBDR governance, advocacy, screening, general interventions,

community-based treatment and recovery support and aftercare, identifying goals for each of the

components and furthermore identifying key deliverables for each of the stakeholders present in

the discussion. A tabulated document containing the project planning outputs from the LGU and

USAID RenewHealth will serve as a guide for the project implementation in Tigaon.

RenewHealth site coordinator, Dr. Gayle Abonal-Gomez co-facilitated the workshop with CBDR

specialist Trixia Co and CBE Policy and SYSTEMS Strengthening Team Lead Grace Gatarin.

City of Manila

On January 27, 2020, a consultative meeting was conducted as per request of the Manila city LGU

for technical assistance of USAID RenewHealth project.

In the city of Manila, the Manila Treatment and Rehabilitation (MTRC), under the Manila Health

Department, is the current implementing body of CBDR in the LGU. The MTRC lacks the

capacity to fully implement CBDR interventions in Manila due to low fund appropriation, as it

pg. 31

shares its budget with the health department. When the Manila Anti-Drug Abuse Council

(MADAC) had its first quarter meeting in 2020, a proposed structure of the council and

implementing offices were presented. The MADAC requested assistance from the USAID

RenewHealth project to help operationalize the implementation of CBDR services in the city.

The meeting, which was facilitated by USAID RenewHealth Project team (Ms. Grace Gatarin,

Team Lead for Policy and Jim Rey Baloloy, Inter-regional Coordinator for Manila), was attended

by representatives from key offices in the city, particularly the office of the city administration,

DILG city director, City Social Welfare and Development Office, and the Manila Health

Department. The meeting commenced with a presentation of ordinances and structures

implemented by other LGUs for benchmarking, followed by arriving at a consensus of the

MADAC Office structure and planning of activities, and the DILG proposed guidelines. While

there is an existing set of DILG guidelines for the structure of the MADAC as well as the functions

played by each division, what was missing was staffing requirements for the MADAC office. In the

meeting, Regional Coordinator Jim Baloloy presented the structures of other LGUS and the city of Manila decided to use the structure of Quezon City as its benchmark.

Municipality of Tolosa, Leyte

The USAID RenewHealth Team composed by Chief of Party Regina Hechanova-Alampay, Deputy

Chief of Party Dr. Ice Escartin, and CBDR Specialist Trix Co met with representatives from

Tolosa, Leyte led by Mayor Maria Ofelia Alcantara on January 28, 2020.

The planning session focused on how to best develop a comprehensive and holistic CBDR

program for the municipality of Tolosa. Plans included profiling PWUDs using the new tools

prescribed in the client flow and coming up with holistic programs. Currently, Tolosa sends their

clients to the treatment and rehabilitation center and look forward to being able to provide

programs for PWUDs at the community level. As a medical doctor, Mayor Alcantara expressed

her commitment to take an integrated health approach to the issue of drug use. She also shared

their plans to put up a community-based mental health center that would include substance use.

During the planning, the team also presented the results of a needs analysis among 102 PWUDs

(50% of the population of surrenderees) in Tolosa. Results revealed that employment and health

are priority areas for supporting the recovery of PWUDs. Clients gave the lowest ratings for

quality of life, knowledge on the effects of drugs, smoking, alcohol and stress and emotion

regulation. In addition, moderate risk users had significantly lower recovery skills and problem-

solving skills compared to low risk users. Tolosa will use this data to design an intervention for

low and moderate risk users.

On March 3, 2020, USAID RenewHealth signed an MOU with the municipality of Tolosa, Leyte.

Present during the signing were USAID RenewHealth Chief of Party Regina Hechanova-Alampay,

Deputy Chief of Party Dr. Ivanhoe Escartin, Tolosa Mayor Dr. Maria Ofelia Alcantara, USAID

Philippines Program Management Specialist Dereck Gola VI, Municipal Health Officer Dr. Ma.

Aurora Benitez, Provincial Health Officer Dr. Lumen Lesmes, Councilor Manny R. Martinez, and

all barangay captains.

pg. 32

The partnership will strengthen the current initiatives in Tolosa in providing evidence-based

approaches in CBDR. Following the MOU signing, attendees conducted a joint planning session

to assist the local government of Tolosa in properly implementing and budgeting their CBDR

programs and systems in the coming years. A strong supporter of drug prevention awareness,

Mayor Ofel Alcantara is working to establish a holistic mental health facility that will include

treatment for substance use.

Caloocan City

The municipality of Caloocan City is the 9th project site that signed a Memorandum of Agreement

with USAID RenewHealth. This partnership agreement was signed by Caloocan City Mayor Oscar

Malapitan and USAID RenewHealth COP Regina Hechanova-Alampay last January 29, 2020 in a

simple ceremony held at Caloocan City Hall. The collaboration between Caloocan City and

USAID RenewHealth will further enhance CBDR service delivery in Caloocan ensuring that their

activities are aligned with the client flow as prescribed by the Dangerous Drugs Board (DDB) and Department of Health (DOH).

Last year, Caloocan city was awarded as one of the High Performing Local Government Units by

the Department of the Interior and Local Government (DILG) during its National Capital Region

(NCR) Anti-Drug Abuse Council Performance Awards. The Anti-Drug Abuse Council was

created through an ordinance which enabled the municipality of Caloocan to employ DOH

accredited doctors, psychiatrists, psychometricians and social workers to provide programs for

PWUDs. Latest data shows that Caloocan City has 1,893 voluntary drug surrenders with 1,319

already enrolled in CBDR. Thus far, 801 have graduated in the program. Caloocan Anti-Drug

Abuse Office headed by Atty. Sikini Labastilla highlighted their need to capacitate members to do

research and provide evidence-based CBDR intervention. Caloocan City is scheduled to rollout

another batch of PWUDs to undergo CBDR in the coming months.

Following the MOU signing on February 11, 2020 the USAID RenewHealth project in partnership

with the local government of Caloocan organized a joint planning workshop. The office of

Caloocan Anti-Drug Abuse office together with church leaders, Public Employment Services

Office, City Health Office, and representatives from various Barangay Anti-Drug Abuse Council

attended the workshop. The USAID RenewHealth Team was represented by Deputy Chief of

Party Dr. Ivanhoe C. Escartin, CBDR Specialist Trix Co, and Jason Manaois, Site Coordinator for

Caloocan City.

The outcome of the planning workshop highlighted the need to do research and provide evidence-based CBDR intervention for their Community Assisted Rehabilitation and Recovery

Outpatient Treatment and Training System (CARROTS) program. Areas for potential

collaboration include training on case management, adoption of e-learning materials for CBDR,

and advocacy activities to effectively entice PWUDs to avail of CBDR services in Caloocan. Plans

are also underway to pilot test a CBDR general intervention in Caloocan City.

Malabon City

pg. 33

The USAID RenewHealth project was one of guest institutions invited in City of Malabon Anti-

Drug Council for its 2020 CBDR graduation (moving-up) ceremony on January 30, 2020. This

activity is a yearly program highlighting the completion of PWUDs upon finishing the CBDR

modules and aftercare programs of City of Malabon Anti-Drug Abuse Council.

Malabon City LGU shares the USAID RenewHealth project vision to expand the number of

communities that can provide evidence-based approaches to CBDR services that Filipino PWUDs

and their families can access without fear or prejudice. In his message during the ceremony, Hon.

Mayor Antolin “Lenlen” Oreta III confirmed the 376 PWUDs who completed Community-based

Drug Rehabilitation and Aftercare program in the city of Malabon. He further stated that critical

to CBDR implementation is the coordination of all stakeholders in the community.

Communication among key CBDR stakeholders, LGU-Malabon, DDB, DILG, PDEA, PNP and

USAID RenewHealth project, is necessary to its success.

During the occasion, Mr. Jason Manaois, USAID RenewHealth Inter-regional Coordinator for Malabon City, also presented the USAID RenewHealth project to greater community of Malabon

which strengthened the partnership with local executives, established strong partnership relations

with key ADAC personnel and the LGU of Malabon City.

Cagayan de Oro City

On January 31, 2020, CBDR Policy and Systems Strengthening Team Lead Grace Gatarin and

CBDR Specialist Trixia Co conducted a field visit to complete a 5-day training with 67 CBDR

facilitators.

One of the main objectives of the visit was to develop an implementation plan with key CBDR

stakeholders of CDO as basis for provision of technical support in its program implementation,

complete with timelines and accountable parties. A pre-test prior to the implementation of the

CBDR program was also endorsed. The take-home outputs of the visit were an accomplished

draft of an action plan and an established working network of key project counterparts in CDO.

Marikina City

On March 6, 2020, COP Regina Hechanova-Alampay, DCOP Ivan Escartin, CBDR Specialist Trixia

Co and Regional Coordinator King Filart, met with the Vice Mayor of Marikina and his staff. The

project team presented the details of the partnership and discussed the contents of the MOU.

Agreements were made to submit the MOU to the Office of the Mayor, Marcy Teodoro for

signing.

General Santos City

On February 4, 2020, a team of General Santos City LGU staff visited the URC Office in Makati

City. During the visit, an implementation plan was developed with inputs from a SeaOil

representative, RenewHealth COP Regina Hechanova-Alampay, DCOP Ivanhoe Escartin,

Policy/Systems Strengthening Team Lead Grace Gatarin and CBDR Specialist Trixia Co. Covered

in the plan are possible collaboration and implementation arrangements of the various

components of CBDR aligned to the New Client Flow – overall program management, advocacy,

screening, general intervention, CBTx, CBDR governance, and community support and aftercare.

pg. 34

USAID RenewHealth represented by Chief of Party Regina Hechanova-Alampay, and General

Santos City Mayor Ronnel Rivera signed a MOU that will strengthen CBDR implementation in

General Santos City on January 23, 2020. The Executive Director of SeaOil Foundation Mr. Jesse

Lorenzo and City Administrator of General Santos City, Atty Arnel Zapatos, attended the event.

Private sector engagement is involved in General Santos City’s CBDR Program, with SeaOil

Foundation donating a CBDR facility to the city.

In attendance were health professionals, social workers, community volunteers, and other

stakeholders involved in CBDR activities in General Santos City. The Regional Director of the

Department of Health Dr. Aristides Tan and representatives from Region 12 DOH Treatment

and Rehabilitation Center were also present during the event.

A follow up meeting was held with the city administrator Atty. Arnel Zapatos on February 4 to

plan out the details for training health professionals on screening using the tools translated by RenewHealth.

Parañaque city

Last February 6, 2020, USAID RenewHealth also signed the MOU with the municipality of

Paranaque City. Present during the signing were USAID RenewHealth Chief of Party Regina

Hechanova-Alampay, Deputy Chief of Party Dr. Ivanhoe Escartin, Paranaque City Mayor Edwin

L. Olivarez of Parañaque City and Andy Altarejos, Action Officer of Paranaque’s Anti-Drug Abuse

Council (PADAC).

The MOU is a result of consultative meetings with Paranaque’s Anti-Drug Abuse Council

members. The partnership aims to strengthen Paranaque City’s initiatives in providing evidence-

based approaches to CBDR and increase access PWUDs and their families have to CBDR

services.

After the MOU signing, a planning workshop held on February 19, 2020. Benjamin Ryan Raneses,

USAID RenewHealth Site Coordinator, took the lead in conducting this planning to further

strengthen the CBDR Program of Paranaque City. The PADAC led by their action officer Andy

Altarejos and Yoleen Liwanag, focal person of the City Health Office (CHO), and representatives

from Paranaque’s Community Social Welfare and Development Office, Barangay Anti-Drug

Abuse Council, and Moral Ascendancy Program participated in the CBDR planning workshop.

The project planning focused on mapping out various issues affecting CBDR implementation in

Paranaque. As a result of this activity, Paranaque City was able to determine gaps and strategies

in their CBDR governance and monitoring, CBDR implementation of general interventions, and

community aftercare programs. In addition, the planning activity also solidified efforts to

harmonize all current activities among various CBDR stakeholders, with PADAC as the main

coordinating body.

Makati City

The USAID RenewHealth Team led by Policies and Systems Team Lead Grace Gatarin and Site

pg. 35

Coordinator Jim Rey Baloloy attended the first quarter council meeting of the Makati Anti-Drug

Abuse Council (MADAC) on February 17, 2020. This meeting was chaired by Makati Vice Mayor

Monique Lagdameo. The RenewHealth project goals, activities and expected results were

presented to the Makati council.

The MADAC meeting was followed by a planning workshop with the City’s Treatment,

Rehabilitation, and After Care (TRAC) division and the faith-based organization Sanlakbay.

Sanlakbay is currently involved in aftercare programs in Makati City. The workshop focused on

how Makati city could best implement its CBDR programs.

On March 5, 2020, Makati Mayor Abigail Binay and USAID RenewHealth Chief of Party Regina

Hechanova-Alampay signed an MOU to enable Makati City to implement a CBDR Program - one

that will optimize the delivery of CBDR services to around 2,000 PWUDs in need of treatment.

The Treatment, Rehabilitation, and After Care Division of the MADAC currently spearheads drug demand reduction efforts in the city. Since 2016, approximately 200 PWUDs have graduated

from Makati City’s CBDR Program. This number is expected to increase as 30 community

facilitators from Makati City participated in the USAID RenewHealth’s CBDR refresher training

on March 6, 2020.

Orientation on USAID RenewHealth given to key CBDR stakeholders of Oriental Mindoro

Province and Lapu-Lapu City

On January 16, 2020, an orientation of the USAID RenewHealth Project for key persons on

CBDR implementation in the province of Oriental Mindoro was conducted at the URC Office in

Makati to discuss and clarify possible collaboration.

Oriental Mindoro was identified by DOH in the context of its being a Universal Health Care

(UHC) site. To date, no regional coordinator is on board yet to provide coordination and

technical support in the implementation of RenewHealth in the province.

Also, on January 16th the URC team paid a courtesy call to the DOH Regional Director, Dr. Jim

Bernadas, to provide him an orientation on the USAID RenewHealth Project. Also present in the

meeting were representatives from the DOH Treatment and Rehabilitation Centers.

On February 17, 2020, USAID RenewHealth COP Regina Hechanova, DCOP Ivanhoe Escartin

and SBC Team Lead Amihan Perez flew to Lapu-Lapu City to give an orientation to Lapu-Lapu

City ADAC and LCE on the profile of the USAID RenewHealth project. Present during the

orientation were the Lapu-Lapu anti-drug abuse council consisting of representatives from the

health sector, LGU, social workers, educators and law enforcement.

An orientation meeting was already conducted with Tarlac City Province stakeholders in FY2020

Q1. Tarlac City is the location of a Recovery Clinic that RenewHealth intends to document as

another CBDR model of intervention, in collaboration with UNODC and WHO.

Workstream 3.3 Institutional Strengthening of DOH on CBDR

pg. 36

The two approved activities in FY2020 to strengthen DOH as a lead institution for provision of

CBDR are (3.3.1) partnership building with DOH and (3.3.2) capacity building of DOH in CBDR.

In Q2 there was a conscious effort of the RenewHealth team to involve DOH DDAPTP in the

implementation of the project – involvement in planning at project sites and development/ review

of CBDR tools to conduct formative research or training events at the sites.

DOH hosted meeting with USAID RenewHealth and WHO

On February 10, 2020, Dr. Leabres of DOH called a meeting to discuss the plans of DDAPT

related to WHO and USAID activities. Among the items covered on the agenda were the signing

of the USAID-PH DOAg; DDAPT plans and deliverables; implementation of the New Client Flow;

CBDR Curriculum and Interventions; formalization of the healthcare network; Apex2 Treatment

and Rehabilitation Center (TRCs) for special populations, pilot recovery clinics, aftercare

treatment and resource persons. Among the action points, RenewHealth will:

- Assist in the development of guidelines pertaining to CBDR - Communicate with Dr. Estacio to include aftercare modules in a treatment menu

- Meet with Dr. Vista on a harmonization plan

- Coordinate with WHO regarding Dr. Ali’s visit

- Coordinate with Dra. Clara’s systems development team in the translation/ pilot of the

SRQ and ASSIST Lite, and development of online training

- Share screening data of project sites, using ASSIST Lite and SRQ

- Co-sponsor a forum to facilitate CBDR research

USAID RenewHealth conducts strategic planning with the Department of Health and

World Health Organization Philippine Program

On March 10, 2020, USAID RenewHealth, together with the DOH and WHO conducted a

strategic planning workshop to develop action plans on specific activities focusing on the

following:

- Development and piloting of social behavior change communications (SBCC) materials

- Dissemination of the New Client Flow

- Mapping and development of CBDR interventions, including piloting of general

interventions

- Minimum standards for CBDR service delivery network (SDN) and PhilHealth package

for CBDR

- Development and piloting of SBIRT, self-help app and e-learning

- Research, monitoring and evaluation for DOH and local government units

- Recovery clinic twinning

Online Partners’ Meeting during ECQ (RenewHealth with DOH, DDB, UNODC and

WHO)

A week after the ECQ, on March 27, a partners’ meeting was held online which discussed

informercial and primer on the New Client Flow for PWUDs; formative assessment; CBDR

2 Referred to by DOH as Level 3 health facility in a referral system

pg. 37

interventions; screening and blended learning; recovery clinics; research and M&E; and COVID

activities. The key action points include:

- Coordinate with DOH Mental Health program regarding PhilHealth packages for

Substance Use Disorder (SUD)

- Anjo to push for the CPG with Dra. David – separate meeting on CPGs

- DDB to formally ask Commission on Higher Education (CHED) to send representatives

from CHED regional office

- DDB to initiate a meeting with representative of Drug Prevention in DepEd, assist in M&E

- RenewHealth to give updates on university-based program

- WHO to share the validated profile of the recovery clinics

Workstream 3.4 Ensuring Resources for CBDR

To ensure sustained resources for CBDR, USAID RenewHealth continued consulting and

collaborating on both the LGU and national level with key stakeholders of CBDR. RenewHealth

provided technical support in drafting a PhilHealth Benefits package for CBDR health elements

to be embedded in Universal Health Care (UHC) and supported LGUs of project sites in planning

budgetary requirements for CBDR to improve allocated resources and ensure the journey to

self-reliance.

During the reporting period, RenewHealth was able to accomplish the signing of MOUs with

project sites and a series of consultations and planning sessions to strategize sustained CBDR

resources.

During this quarter, the project team met with its sub-grantee, the World Health Organization,

to discuss the status of the creation of Clinical Practice Guidelines for drug treatment and

rehabilitation.

The USAID RenewHealth project team also met with the Development Academy of the

Philippines, UP Manila and the Asian Center for Drug Policy on February 21, 2020 to collaborate

on the development of a CBDR curriculum for LGUs.

On January 21, 2020, USAID RenewHealth also met with the UP College of Manila to explore a

partnership on research and dissemination. A MOU was drafted to include the co-creation of a

research agenda and the co-development and pilot-testing of a training program for public health professionals.

To sum up the accomplishments from January to March 2020, the following table shows the

performance of key activities against the approved work plan.

Table 8. Summary of Accomplishments from January to March 2020

pg. 38

Approved Key

Activities for the

Quarter

Outputs/Milestones

Accomplished During

the Quarter

Remarks Indicator to

Which the

Activity

Contributes

Sub-Objective 1: Fortified quality of patient centered and compassionate CBDR

services

Workstream 1.1 Development/ evaluation of SBC tools for CBDR

Activity 1.1.1

Development of

SBCC Plan

Completion of Formative

Research

- data gathering

- data analysis

Partially completed Indicators 1, 2,

3 and 4

Activity 1.1.2

Development of EB

SBCC Materials for

CBDR

Presentation materials of

research results drafted

Partially completed –

development of an

alternative method to

conduct the planning

workshop during ECQ

Indicators 1, 2,

3 and 4

Activity 1.1.3

Pilot and Evaluation

of SBCC Materials

None Possible delay– target is

after Activity 1.1.2

Indicator 4

Workstream 1.2 Advocacy to shape understanding of drug use and increase support for

CBDR

Activity 1.2.1

Advocacy events to

assist DOH and

other stakeholders

to (e.g. DDB)

increase support for

CBDR

New Client Flow primer

and infomercial drafted and

reviewed by DDB, DOH

and USAID

On-track Indicator 1, 2, 3

and 5

Activity 1.2.2

Learning events to

increase

understanding of

CBDR

- Conference on

Trends on Drug

Treatment

None Delayed – conference

was postponed

Indicator 1, 2, 3

and 5

Activity 1.2.3

Population of CBDR

materials at existing

(public/ open)

portals for CBDR,

e.g. DOH, DDB, etc.

None Possible delay - No

DOAg yet with DOH;

need endorsement of

DOH for the materials

Indicator 1, 2, 3

and 5

pg. 39

Approved Key

Activities for the

Quarter

Outputs/Milestones

Accomplished During

the Quarter


Which the

Activity

Contributes

Sub-Objective 2: Fortified quality of patient-centered and compassionate CBDR

services

Workstream 2.1 Cultural adaptation of CBDR interventions and tools

Activity 2.1.1:

CBDR needs

analysis of urban and

rural PWUDs

Completion of study Completed Indicator 1, 2,

3, 4, 5 and 6

Activity 2.1.2:

Experts’ review of

CBDR interventions

- workshops

- TWG meetings

Second run of experts’

review workshop

postponed due to ECQ, but

individual consultative

meetings, FGDs and

brainstorming to map

CBDR approaches and

models

On track Indicator 1, 2,

3, and 6

Activity 2.1.3:

Design and

development of

evidenced- based

(EB) and culturally

appropriate CBDR

interventions and

tools

Infographics and webinar

materials developed for

CBDR facilitators of the

LGU project sites

On track Indicator 1, 2, 3

and 6

Activity 2.1.4:

Translation of

CBDR tools/manuals

in local languages

ASSIST Lite and SRQ

translated to Tagalog and

Cebuano ready for piloting

at project sites


and 6

Activity 2.1.5:

Pilot and evaluation

of developed tool

and manualized

interventions

None to report in Q2. Still on track (linked to

Activity 2.1.2 to 2.1.4)

Indicator 1, 2, 3

and 6

Activity 2.1.6:

Development of

technological

support to aid

screening, intake

and referral to

treatment

None to report in Q2. Still on track (linked to


Indicator 1, 2

Activity 2.1.7: None to report in Q2. Still on track (linked to


Indicators 1, 2,

3 and 6

pg. 40

Approved Key

Activities for the

Quarter

Outputs/Milestones

Accomplished During

the Quarter


Which the

Activity

Contributes

Development of

CBDR materials for

e-learning, e.g.

videos

Workstream 2.2 Implementation and evaluation of high impact EB General and

Community-Based Treatment (CBDR) Interventions

Activity 2.2.1:

Conduct of CBDR

implementation

survey at project

sites

CBDR data was validated

during planning sessions

with the ADACs at project

sites


Activity 2.2.2:

Training on EB

CBDR

Cumulative total as of Mar

31, 2020:

- CBTx = 60 (24M &

36F),

- CBDR Facilitators = 494

(209M & 285F)


and 6

Activity 2.2.3:

Supervised

monitoring,

coaching and evaluation of CBDR

delivery at project

sites

None to report in Q2. Delayed Indicator 1, 2,

3, 6 and 9

Sub-Objective 3: Institutionalized policies and systems for a sustainable CBDR service

delivery

Workstream 3.1 National policy dialogue and development

Activity 3.1.1:

Research and

consultation with

stakeholders on

CBDR-related

policies and

guidelines

None Delayed Indicator 1, 2, 3

Activity 3.1.2:

Technical assistance

in policy

development and

creation of

Communication Plan

created


pg. 41

Approved Key

Activities for the

Quarter

Outputs/Milestones

Accomplished During

the Quarter


Which the

Activity

Contributes

communication plan

for new client flow

Workstream 3.2 Institutional Strengthening of CBDR Governance for LGUs

Activity 3.2.1:

Regional

conferences on

CBDR

None Delayed Indicator 7, 8

Activity 3.2.2:

CBDR planning for

LGUs

- MOUs

- Strategic

planning for

CBDR

MOUs signed with 13 LGU

project sites (cumulative)

Delayed Indicator 6, 8, 9

Activity 3.2.3:

Capacity-building of

ADACs on CBDR

governance for

ADACs

- TOT

- Coaching/

Mentoring

Coordination/ consultation

with universities, ACDP,

and DAP re governance

curriculum


Activity 3.2.4:

TA in enhancing

local policy on

CBDR

implementation

None Not yet started – Q3 Indicator 6, 8, 9

Activity 3.2.5:

Evaluation and re-

planning of LGUs

None Not yet started – Q4 Indicator 6, 8, 9

Workstream 3.3 Institutional Strengthening for DOH on CBDR

Activity 3.3.1:

Partnership-building

with DOH

3 meetings including a

workshop conducted with

DOH and other partners,

DDB, DILG, UNODC,

WHO


Activity 3.3.2:

Training/ capacity

building of DOH

personnel on CBDR

including

23 cumulative DOH staff

trained in Principles of

CBTx and CBDR

Facilitators’ training for

moderate-risk PWUDs

On track Indicator 6, 7,

8, 9

pg. 42

Approved Key

Activities for the

Quarter

Outputs/Milestones

Accomplished During

the Quarter


Which the

Activity

Contributes

governance, CBDR

data management

and M&E

- EB CBDR

interventions

Activity 3.3.3:

Enhancement of

DOH DDAPTP

Manuals on CBDR

None Not yet started – Q3 Indicator 6, 7, 8,

9

Workstream 3.4 Ensuring Resources for CBDR

Activity 3.4.1:

Contribution to the

available platforms

for open access of

EB tools and

materials (SBC,

CBDR references,

policy templates for

CBDR, etc.)

None Not yet started – Q4 Indicator 6, 7,

8, 9

Activity 3.4.2:

Strengthening of

Human Resources

for CBDR

None Not yet started – Q2 Indicator 1, 2,

3, 6, 8, 9

Activity 3.4.3:

Securing Financing

for CBDR

None Partially completed Indicator 1, 2,

3, 6, 8, 9

pg. 43

3 KEY CHALLENGES AND PROPOSED SOLUTIONS

The project encountered a number of key challenges that are summarized below.

Table 9. Key Challenges in Q2

Challenges

Outcome/

Output/

Indicators

Affected

Proposed Solution(s) Priority Next Steps

Delays in

signing of

DOAG and

difficulty in

engaging with

DOH

Development

of EB CBDR

interventions

As suggested by DOH

DDAPTP Head, a

harmonization/design

workshop will be

conducted to develop an

intervention for low risk

users after profiling has

been conducted

1. RenewHealth team to

conduct needs analysis

2. RenewHealth team to

organize a workshop to

standardize existing

intervention manuals

Inclusion of law

enforcement

personnel in

anti-drug abuse

activities

Training of

facilitators

Screen participants and

conduct Leahy vetting

when necessary

1. Prepare document to

submit a request for

Notwithstanding

Authority

2. Put in place and

implement protocol for

screening participants

and for conducting Leahy

vetting once submitted

Notwithstanding

Authority is approved

Delays in

contracting

with partner

sites because of

legal

requirements

to implement

an MOU

All The project considered a

Letter of Intent while the

MOUs were going through

the approval process

1. Hire site coordinators to

follow up with sites and

facilitate MOUs

2. Conduct site planning

while MOU is being

prepared

Enhanced

Community

Quarantine

because of

COVID-19

Pandemic

All Create COVID risk and

contingency management

plan to shift activities

online where possible

1. Implement work from

home assignments

2. Continue presentations

and consultations

virtually

pg. 44

Challenges

Outcome/

Output/

Indicators

Affected

Proposed Solution(s) Priority Next Steps

3. Develop virtual methods

to provide CBDR

capacity building and

service delivery

4 CROSS-CUTTING ISSUES

4.1 Update on Sustainability and Self-Reliance

The RenewHealth Activity ensures not only the buy-in of the project sites by involving

key decision-makers through the MOUs but established a working relationship among

the main players at the regional and national level.

4.2 Update on Gender

RenewHealth continues to document the male-female disaggregation of participants in

all its training activities.

4.3 Update on Private Sector Engagement

On January 30, 2020, Ms. Helen Hipolito, Private Sector Engagement point person of

USAID OH, oriented the URC team implementing the USAID RenewHealth project on

USAID Policy and Guidelines on Private Sector Engagement.

4.4 Update on CSO Engagement

Meeting with Polytechnic University of the Philippines, Far Eastern University, and Far

Eastern University Institute of Technology, Pamantasan ng Lungsod ng Maynila, and

University of Santo Tomas on the development of a general intervention for schools was

held on January 29, 2020. A similar meeting was held with the Ateneo de Manila

University on February 14, 2020 to discuss the possibility of pilot-testing a preventive

education program for college students.

4.5 Update on Environmental Compliance and Climate Risk Mitigation

Nothing to report as of end of March 31, 2020.

pg. 45

4.6 Update on Family Planning Compliance

All 22 URC hired staff for USAID RenewHealth has completed the required e-training

on the latest “US Abortion and FP Requirements.”

5 COLLABORATION, LEARNING AND ADAPTING

The AMEL Plan of Renew Health had a few revisions during the reporting period. The

CLA plan component was updated accordingly.

5.1 Coordination and Collaboration

The RenewHealth project team met with ProtectHealth team regarding inclusion of

health elements of CBDR in Universal Health Care.

A meeting with Civil Service Organizations Community-based Rehabilitation Alliance

(COBRA) on January 20, 2020 to discuss possible partnerships. These included COBRA

focusing on advocacy, especially with law enforcement and government, to review the

implementation of the country’s anti-drug initiatives and push for de-listing of recovering

users from drug watch list. A joint policy conference featuring research that can inform

drug policies was agreed upon.

On February 21, 2020, DCOP Dr. Ivan Escartin and Component 3 Team Lead, Grace

Gatarin, met with the Development Academy of the Philippines and the Asian Center for

Drug Policy (ACDP) to co-design a process for the development of a CBDR curriculum

for LGUs.

5.2 Learning

The Activity is still in the process of creating interventions and establishing evidence. The

focus currently is the timely documentation of all activities. Weekly reports and monthly

highlights are still reporting activities and outputs. For now, the expected outcomes may

be a decrease in dropouts as a result of shorter program at the project sites with

facilitators trained in evidence-based CBDR interventions. However, we need a lead time

to observe intermediate outcomes from an intervention – in most cases at least 6 months

after the intervention.

Noteworthy is the need to establish a data collection system with partners at the project

sites. The Project MEL system has still to be downloaded to key counterparts at the

project sites in order to establish learning with sufficient evidence. The AMELP and AWP

were just approved on April 8, 2020.

For now, since start of FY 2020 to date, Renew Health religiously submitted weekly

highlights to USAID. As of March 31, 2020, a couple of social media posts were published

pg. 46

in the USAID Facebook site. The Activity aims to submit more stories to be featured in

the USAID OH highlights in the next reporting periods.

5.3 Adaptive Management

To respond to the COVID-19 enhanced community quarantine, a risk analysis was

created (see Table 10).

Table 10. Risk Management and Contingency Plan

Activity Short Term Year One Deliverables

Project Management

Signing of MOUs

with remaining sites

Meetings, presentations and MOU

signing with LGUs will be

postponed until after community

quarantine. Online meetings to be

explored where possible

Possible delay in signing of

MOUs with 20 sites

Component1: SBCC

Development of

SBCC and pilot of

SBCC tools and

materials

Delay in workshops intending to

present findings of SBCC to

stakeholders beginning March 27

Present results to small groups

online

Target of development of SBCC

materials can be met but may

not be pilot-tested

Advocacy Conference schedule February 18-

19 postponed

Conference will be moved to

June 24-26 (tentative)

Component 2: CBDR Service Provision

Translation and

utilization of

screening tools

Translation and pilot of Tagalog

tool finished; analysis and write up

to continue

Pilot of Bisaya version to be

postponed

Training for Gensan on screening

postponed to May or online if

possible

Target release of translated

tools can be done by year end

but not by March

Targets for number of clients

screened will not be met

Cultural adaptation

of CBDR

interventions and

tools

Needs analysis in other rural areas

will be suspended

Intervention design workshop will

be re-scheduled; secondary

research and drafting of general

Target of needs analysis can still

be met

Target release of compendium

can still be met

pg. 47

Activity Short Term Year One Deliverables

interview and review of existing

modules can continue

Pilot and implementation of CBDR

interventions will be delayed as

LGUs have halted CBDR sessions;

possible rise in lapse or relapse

Target number of clients served

will not be met

Development of

technology support

for screening

Design work can continue, and

consultations can be done online

Target can still be met

Development of

CBDR materials for

e-learning, e.g.

videos

Design work can continue and

consultations with DOH DDAPTP

will be done online

Some videos may be developed

but e-learning for screening with

DOH DDAPTP may not be

finished by Sept 2020

Capacity Building on

CBDR

Refresher trainings and CBDR

workshops for NCR postponed

Train the Coaches Workshop

scheduled on March 11-13, 2020

postponed or done online if

possible

Target number of trained may

not be met

Component 3 – CBDR Policies and Systems

Dissemination of

new client flow

Work on finalizing the infomercial

and primer can continue and

informercial can be released, but

face to face regional disseminations

in April will be postponed to May

or June

Dissemination targets can still

be met, although utilizing

webinars rather than face to

face modalities

Institutional

strengthening

Curriculum development for

ADAC training can continue online

Targets may not be met

Institutional

strengthening of

DOH on CBDR

All CBDR workshops that included

DOH personnel were postponed.

Online meetings with DOF

DDAPTP

Targets can still be met

Resources for

CBDR

Budget planning with LGUs

postponed but meetings can be

done online when possible

Secondary research for CPG

guidelines can continue

Meeting with LGU on March 25 on

IMS postponed/ Online

consultations if possible

Targets may not be met

pg. 48

Given the risks, mitigation strategies implemented include identifying deliverables per staff

members, creating a monitoring mechanism to track accomplishments and shifting some

activities online.

Table 11. Mitigation Strategies

Impact Mitigation Strategies

Safety of Staff • Utilize work from home and technology as means to meet and

consult partners as much as possible

• For staff who need to report to work, temperature checks will

be made. All other visitors (i.e. messengers etc.) will also go

through temperature check prior to entry.

• Protocols in place to ensure safety of staff

1) Staff informs supervisor if they experience any symptoms

2) Supervisor informs HR and COP who informs rest of team

for need for quarantine for those with direct contact with

staff member in the past two weeks

3) If fever is above 38 and staff experiences flu symptoms,

he/she goes to emergency room of nearest hospital and gets

tested

Moratorium on public

events and workshops

in LGUs and partners

• Utilize online meetings when possible

• Take advantage of Cebu Pacific’s offer for free rebooking and re-

schedule trips

• Reschedule large activities

• Consult LGUs through site coordinators regarding plans

• Provision of weekly updates to government partners and LGUs

Suspension of work or

work at home

directives

• Observe social distancing protocols

• Identify deliverables per person that can be done at home (see

Annex B)

• Skeleton staff schedule to ensure office is staffed

• Schedule for signing of checks created

• Twice a week online meeting will be conducted among team

Suspension of CBDR

activities and stress

can lead to

lapse/relapse among

recovering users

• Identify possible interventions in consultation with LGU partners

• Design and pilot virtual CBDR (text, chat and online) that can be

done by partners

• Explore creation of SBC materials on relapse prevention and

managing mental health given suspension of CBDR

• Provide webinars on first aid for mental health and virtual CBDR

pg. 49

6 MANAGEMENT, ADMINISTRATIVE AND FINANCIAL ISSUES

pg. 50

pg. 51

7 HIGH LEVEL PLANNED ACTIVITES FOR THE NEXT QUARTER (APRIL

2020 – JUNE 2020) INCLUDING UPCOMING EVENTS

Title Description Date Venue Participants

from USG and

GPHs

Webinars Mental Health First Aid for

Persons Using Drugs

April 7 and

15, 2020 Online

DOH, DILG,

DSWD, DDB

and LGUs

Social Behavior

Change

Present Findings of Formative

Assessment

April 16,

2020 Online

DOH, DDB,

UNODC, WHO

SBC Design workshops

April 24 to

May 30,

2020

Online

LGU sites,

private sector

and CSOs

CBDR Intervention

Present Findings of Formative

Assessment – Expert Panel TBD Online

DOH, DILG,

DSWD, DDB

Survey on Technology Use

among PWUDs and

Providers

By April 27 Online LGUs

Webinar on

Virtual CBDR April 28 &

30, 2020 Online

DOH, DILG,

DSWD, DDB and LGU sites,

private sector

and CSOs

Pilot of Virtual CBDR May 1 – 15,

2020 Online LGUs

Policy

Dissemination

Webinar and Launch of

Infomercial on Client Flow

May/June

TBD Online DDB, LGUs

pg. 52

Title Description Date Venue Participants

from USG and

GPHs

Webinar on Launch of

Translated Screening Tools

May/June

TBD Online DOH

Capacity Building

Screening May/June

TBD GenSan

GenSan

Facilitators

CBDR Refresher Training May/June

TBD LGU sites

LGU Budget

Planning Sessions

Planning for CBDR budgets

for 2021

May/June

TBD TBD LGUs

pg. 53

8 ANNEXES

8.1 Performance Indicator Tracking Table (PITT) as of end of FY2020 Q2

Indi- cator

#

Indicator Name Corresponding

Approved AWP

Activities

Baseline FY2020 Target (cumulative) Notes on FY 2020 Outputs/

products to meet targets

Data Management

Date Value

Target

Actual (cumulative)

FY 2021

FY 2022

FY 2023

FY 2024

Baseline Target Data Source

Data collection frequency

Data reporting frequency

Health Project (HP) Purpose: Improved health of underserved Filipinos

1 Number of PWUDs who were screened

and referred for CBDR treatment the past year at USG-

assisted sites - number of screened/ referred PWUDs enrolled in EB CBDR

programs (ENROLLMENT RATE)

1.1, 1.2, 2.1, 2.2,

3.1, 3.2, 3.3, 3.4

Oct 2019

8200 12000 431 26000

45000 70000 100000 needs update and

validation with project

sites upon signing of MOUs

- targets are

cumulative of 50% increase

annually - 10 additional sites yearly

from Year 2 to Year 4 totaling to

50 project sites

- approved revised CBDR

client flow - infomercial/ IEC materials on

revised client flow - EB SBCC approaches, tools

and materials - signed MOUs with project sites

- manualized EB CBDR modules

- trained EB

CBDR facilitators and coaches - Supporting local

policies for CBDR

- LGUs - Project

Report

Quarterly Annually

Annually

2 Number of PWUDs

who completed evidenced-based (EB) CBDR prescribed

package the past year in USG-assisted sites (COMPLETION/

RETENTION RATE)

1.1, 1.2, 2.1,

2.2, 3.1, 3.2, 3.3, 3.4

Oct

2019

2749 7200 No data 1560

0

27000 42000 60000 needs

update and validation with

project sites upon signing of

MOUs

- targets

are cumulative of ≥80%

completion rate of enrolled

PWUDs; assuming a correspond

ing average completion rate of 75%

from a

baseline of average 57.9 %

enrollment rate and average.

completion

- LGUs

- Project Report

Quarterly

Annually

Annually

pg. 54

Indi- cator

#


Approved AWP

Activities



Data Management

Date Value

Target

Actual (cumulative)

FY 2021

FY 2022

FY 2023

FY 2024




rate of 57.9% - 10

additional sites yearly from Year

2 to Year 4

totaling to 50 project

sites

3 The proportion of the public that may

include the PWUDs and/ or their family who perceive greater

risk (any type: health, social, psychological) with drug use

1.1, 1.2, 2.1, 2.2, 3.1, 3.2,

3.3, 3.4

Dec 2021

For dete

rmination

after public

perception

surv

ey

N/A N/A TBD N/A +30% from

baseline of the

public who percei

ved drug use as

a

health issue

N/A Baseline is FY 2021

Baseline for the public

perception of CBDR as a public

issue will be determined

through a time-series (at least

every 2

years) public perception

survey

(rider) CBDR questions to a

public survey for related issues, e.g. human rights

project survey under OEDG

Public Percepti

on Survey

every 2 years

FY 2021- baseline

FY 2023 FY 2025

HP Sub-purpose 1: Healthy behaviors strengthened

4 Number of USG-assisted sites where

EB SBC approaches, tools and materials are available and in use

- Number of PWUDs (and their

families) at project

sites reporting exposure to EB Social Behavior

Change

1.1, 1.2 Oct 2019

0 20 N/A 30 40 50 50 - targets are

cumulative - 10 additional sites yearly

from Year 2 to Year 4

totaling to

50 project sites

-Formative Research

- SBCC Framework and strategic planning for CBDR

- EB SBC approaches,

materials and

tools

-no additional sites in Year 1

Project Report

Annually Annually

pg. 55

Indi- cator

#


Approved AWP

Activities



Data Management

Date Value

Target

Actual (cumulative)

FY 2021

FY 2022

FY 2023

FY 2024




5 Number of workplaces, schools, private health

facilities and/or faith-based groups at the target sites that

support CBDR3

2.1, 3.1, 3.2, 3.3 and 3.4

Oct 2019

0 0 N/A 5 10 15 20 cumulative Project Report

Annually Quarterly

Annually

HP Sub-purpose 2: Fortified quality of patient centered and compassionate CBDR services

6 Number of persons trained in CBDR with USG support

2.1, 2.2 and 3.4

Sept 2019

0 1200

2400

3600

48004

- training targets are based on

capacity of project + capacity of trained

trainers + increased resources

+ addition of project sites for

CBDR to replicate training of

CBDR service providers

in the communities

- trained EB CBDR facilitators and coaches

- manualized EB CBDR modules - Supporting local policies for

CBDR

Project Report

Quarterly Annually

Annually

HP Sub-purpose 3: Institutionalized policies and systems for a sustainable CBDR service delivery

7 Number of Centers for Health Excellence (CHD) adapting and

rolling-out the

enhanced system of delivering EB CBDR

3.1, 3.2, 3.3 and 3.4

Oct 2019

0 0 N/A 3 6 9 12 cumulative - manualized EB CBDR interventions

- TOT of GOP

(DOH) staff on EB CBDR

Project Report

Annually Quarterly

Annually

3 Indicator for civil society engagement including private sector engagement 4 Cumulative across years

pg. 56

Indi- cator

#


Approved AWP

Activities



Data Management

Date Value

Target

Actual (cumulative)

FY 2021

FY 2022

FY 2023

FY 2024




interventions and CBDR governance,

including data management

8 Number of LGUs at

project sites with

increased funds/ resources for CBDR

as a result of technical assistance from USG funds

3.1, 3.2, and

3.4

Oct

2019

0 0 N/A 10 20 30 40 - cumulative

- Year 1 focuses

on capacity-building on

governance, coaching and mentoring, thus

no target of increase yet

Project

Report

Annually

Quarterly

Annually

9 Number of GOP

staff trained in CBDR including governance, data management

using USG funds

3.3 Oct

2019

0 40 23 80 120 160 200 cumulative and

aligned with the scale-up of EB CBDR by DOH

CHDs

Quarterly

Annually

Quarterly

Annually

OH Cross-cutting process indicators

10 Number of success

stories

1.1, 1.2, 2.1,

2.2, 3.1, 3.2, 3.3, 3.4

Sept

2019

0 4 0 8 12 16 20 Annual

Targets

Project

Report

Quarterly

Annually

Quarterly

Annually

11 Number of papers present and/or published

documenting results and experiences in implementing EB

CBDR

1.1, 1.2, 2.1, 2.2, 3.1, 3.2, 3.3, 3.4

Sept 2019

0 3 prese

nted

2 3 Pres

ented/ publi

shed

3 Prese

nted/published

3 Prese

nted/published

3 Present

ed/published

Annual Targets

Project Report

Annually Annually

12 Number of collaborative

activities implemented in partnership with

external stakeholders

3.4 Sept 2019

0 1 0 2 2 2 2 Cumulative Project Report

Annually Annually

pg. 57

8.2 Financial Report

pg. 58

8.3 Potential Success Stories

Story#1: Community-based Drug Rehabilitation – Recovery is Possible

https://www.urc-chs.com/news/recovery-possible-%E2%80%93-community-based-drug-

rehabilitation-philippines

Rosa was the lead singer in her school’s band, a young woman full of life with high hopes for the

future. When her peers started using methamphetamine hydrochloride, also known as crystal

meth (locally referred to as shabu), she decided to try the drug. Peer pressure led her to continue

using the drug and soon she was addicted. She changed both physically and mentally, becoming

anxious, paranoid, and delusional, and she began losing weight.

Meth, a highly addictive illegal man-made stimulant, affects the central nervous system and can seriously compromise a person’s verbal and motor skills. The drug creates a quick rush of

euphoria, increased wakefulness, and a burst of energy.

The drug wreaked havoc on Rosa’s life. She got pregnant, stopped school, and left her parent’s

home. She moved countless times and subsisted by working irregular jobs. As she continued to

take shabu, her life was falling apart.

Rosa is not alone. According to the Dangerous Drugs Board, the Philippine government agency

mandated to formulate policies on illegal drugs in the Philippines, there are 1.8 million current drug users

in the Philippines.

In 2016, the Philippine government launched a campaign against illegal drugs. The campaign

focused on demand reduction activities, resulting in 1.3 million people “surrendering” to

government authorities to avoid mandatory capture. The Dangerous Drugs Board announced

that 95 percent of those who voluntarily surrendered would be eligible for treatment in their

communities.

URC’s USAID RenewHealth Project helps people who use drugs, those in recovery, and their

families, obtain access to information, care, self-help, and community-based rehabilitation and

recovery support, to reduce or prevent drug dependence. The project works at 20 sites across

the Philippines assisting local government units implement community-based drug rehabilitation

programs so that people who use drugs and their families can access services without fear or

prejudice.

Rosa voluntarily surrendered to authorities and her local government unit provided the

community-based rehabilitation and treatment she needed. Her journey to recovery took more

than a year. She benefitted from regular counseling sessions, returned to her parent’s home, and

found a new love – organic vegetables! She now works in an urban organic garden run by Pasig

City’s Anti-Drug Abuse Council, and a USAID RenewHealth site.

https://www.urc-chs.com/news/recovery-possible-%E2%80%93-community-based-drug-rehabilitation-philippines

https://www.urc-chs.com/news/recovery-possible-%E2%80%93-community-based-drug-rehabilitation-philippines

https://www.urc-chs.com/projects/renewhealth

pg. 59

“I did not realize that my life was falling apart due to shabu. I was helpless until I met the people

from our barangay’s (district) anti-drug abuse council. They guided me in my journey towards

rehabilitation and recovery. I feel blessed that I was able to change, get a decent job, and provide

for my child,” said Rosa.

Pasig City is led by a young idealistic mayor, Victor Maria Regis Sotto, who recently signed an

agreement to implement a CBDR program for the city (see photo). The memorandum of

understanding allows the local government to implement an evidence-based and culturally-

sensitive CBDR program for its citizens. Similar agreements are in place in other USAID

RenewHealth project sites.

The future looks bright for Rosa and others in recovery. With CBDR, local governments in the

Philippines can provide services in their municipalities and enable people like Rosa to recover and

live healthy and productive lives.

Rosa (not her real name) works in the urban organic garden managed by the local government

unit (Photo by Red Santos)

pg. 60

From left to right: Chief of Anti-Drug Abuse Council of Pasig, Aida Concepcion; USAID

RenewHealth Chief of Party Regina Hechanova-Alampay; Pasig City Mayor Victor Ma Regis N.

Sotto; USAID Office of Health Director Bryn Sakagawa; and City Administrator Atty. Jerome

Manzanero (Photo by Red Santos)

USAID RenewHealth

Documents

Transcript of USAID RenewHealth