Center for Health Market Innovations (CHMI)

Programs

Family Health Book Project

last updated Jul 27, 2012

Overview

Implementing organization: 
USAID PHILIPPINES
Implementation Partner(s): 
Government of Compostela Valley Province, UP Econ Foundation
Legal Status: 
State/government
Year Launched: 
2008
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Donor
Funders: 
USAID
Summary: 

The Family Health Book (FHB) project started as a developmental pilot activity that has evolved into an operations research (OR) and impact evaluation study, organized as case-control and pre- and post-intervention health project. FHB provides information to families through a user-friendly book and enlisting the aid of a volunteer health worker as “navigator”.

Program goals/rationale: 

FHB seeks to increase household utilization of critical maternal, neonatal, and child health and nutrition (MNCHN) services through behavior change communications (BCC) revolving around the planning and recording in the FHB of the use of health services.

Key program components: 

The three key project interventions are: (a) the provision of health information via the FHB, and guided by a community health Navigator, a volunteer "barangay" (village) health worker; (b) the conduct of outreach; and (c) the establishment of emergency health communication and transport. These interventions are complemented by (d) the accreditation of local health facilities for PhilHealth reimbursement and support to the Compostela Valley Provincial Hospital (CVPH) to reach the status of basic and comprehensive emergency obstetric care, (e) a quality assurance program, and (f) PhilHealth enrollment of indigents. The project is being implemented in four municipalities of Compostela Valley Province as the case sites, and Nabunturan municipality as the control site.

Its novelty lies in its focus on the demand-side of health service utilization, to complement the supply-side interventions being provided by national and local health agencies. Compostela Valley was chosen because of its high maternal mortality ratio and the LGU executives’ (governor and mayors) commitment to reduce the problems in MNCHN.

The project’s approach of integrating MCH at the level of the family (demand side) as well as the clinic (supply side) makes it novel. It provides a platform for linking various aspects of health care including commodity logistics (drugs and supplies), health financing (PhilHealth and budget allocation), BCC and social mobilization (via the navigators), outreach as well as referrals (upgrading of the Compostela Valley Provincial Hospital to meet CeMONC accreditation status, and review of accreditation status of lower-level facilities).

Program history: 

In 2008, the Family Health Book Project was initiated in Compostela Valley to assist maternal, neo-natal, and child health services. Compostela Valley was chosen because of its high maternal mortality ratio and the LGU executives’ (governor and mayors) commitment to reduce the problems in MNCHN.

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