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Philippines Progress Report on the
     Millennium Development Goals (MDGs)
                       2010


30
                           Philippines Progress Report on the Millennium Development Goals 2010
EXECUTIVE SUMMARY
1. Overview
   Upon entering the 21st century, leaders                             of various shocks including economic, food,
from both developed and developing                                     and energy crises as well as increased
countries gathered and agreed to achieve                               frequency and intensity of natural calamities
a set of concrete, measurable development                              that are associated with climate change.
objectives by 2015 through the adoption of
the Millennium Declaration1. These objec-                                The Philippines is among the many
tives, known as the Millennium Development                             developing countries that is continuously
Goals (MDGs), are associated with the                                  exerting efforts to be on track with the
United Nations (UN) development agenda                                 well-defined MDG targets. With only five
and are focused on addressing extreme                                  years left before the target date, several of
poverty, lack of gainful employment oppor-                             the targets seem to be far from reach for
tunities, hunger incidence, lower access to                            the Philippines primarily due to a number
education, gender inequality, prevalence                               of challenges it has faced in the last couple
of diseases (particularly among children                               of years that contributed to the slow pace
and women), environmental degradation,                                 of progress. This report aims to present the
among others.                                                          progress made for each of the goals over
                                                                       the past two decades (1990 baseline), the
  In the past decade, a number of summits                              challenges encountered along the way,
and meetings were held to monitor prog-                                and the concrete set of actions needed
ress towards the achievement of the MDGs.                              to keep the Philippines on track with, or
While there were a number of success                                   even accelerate, its progress towards the
stories and remarkable progress in some                                achievement of the MDGs.
countries, obstacles and challenges were
ever present that caused some countries,                                 Consultations with government agencies,
especially the developing ones, to lag                                 academe and research institutions, civil
behind. Some of these challenges include                               society, and international donor organiza-
shortfall in the level of investment, ineffective                      tions were undertaken in the course of the
government policies, and lack of commit-                               preparation of this report. Workshops were
ment, among others. These challenges have                              held in May 2010 and July 2010 to solicit
been aggravated by the combined effects                                comments from the various stakeholders.



1
    General Assembly resolution 55/2
                                                                                                                       31
Philippines Progress Report on the Millennium Development Goals 2010
Figure 1. GNP and GDP growth rates (%), 2001-2009




     Source: NIA (January 2010), NSCB


     1.1 Macroeconomic developments                      to other countries. The Philippines started
                                                         to feel its effects in the second half of 2008
       Over this decade, the Philippine economy          and the effects lingered till 2009. This has
     posted significant economic growth. Gross           led to a slowdown in economic growth
     National Product (GNP) grew on the                  in 2009. Despite the global crisis, remit-
     average, by 5 percent during the period             tances from abroad continued to increase.
     2000-2009. Growth peaked in 2007 when               Nevertheless, the 5 percent growth in remit-
     the economy grew at 7.5 percent. It even            tances recorded in 2009 was significantly
     posted a growth of 6.2 percent in 2008, the         lower than the 13 percent growth registered
     year when the country experienced the food          in 2007 and 2008. This led to GNP growing
     and fuel price shocks (Figure 1). Food prices       by 3 percent only while Gross Domestic
     increased in 2008 by 13.6 percent, higher           Product (GDP) only grew by 0.9 percent.
     than the food inflation rate of 3.3 percent in
     2007. Fuel prices also went up significantly,          Recent data suggest that the economy is
     with prices increasing by 17 percent in 2008,       on its way to recovery. GDP and GNP grew
     more than five times the fuel inflation rate        by 7.3 percent and 9.5 percent, respec-
     of 3.3 percent in 2007. While prices of rice        tively, during the first quarter of 2010 with
     and fuel products have gone down from               all sectors, except for agriculture posting
     their peak in 2008, the prices have not gone        significant growth. The rebound was
     down to pre-shock level.                            spurred by the global economic recovery,
                                                         election-related stimuli and the continuous
       The global financial crisis started in July       growth of remittances from overseas Filipino
     2007 in the United States and quickly spread        workers (OFWs).
32
                                                            Philippines Progress Report on the Millennium Development Goals 2010
In addition to these economic and finan-                            et al. (2010) were considered agricultural
cial shocks, the manifestations of climate                             households. With majority of the poor
change have become more visible. The                                   households engaged in agriculture, this
Philippines had already started witnessing                             would significantly impact on the poverty
some of the manifestations of climate                                  situation of the country.
change. The country’s weather bureau,
Philippine Atmospheric, Geophysical and                                  In addition, there were a number of
Astronomical Services Administration                                   extreme weather events reported in recent
(PAGASA), estimated that there had been a                              years, including the devastating typhoons
significant increase in annual mean temper-                            Ondoy and Pepeng in 2009. Furthermore,
ature from 1951 to 2006. It also estimated a                           typhoons are becoming less predictable,
significant decrease in the number of cold                             which visit the country even in times when
days and cool nights as well as significant                            these are least expected, e.g. November
increase in the frequency of hot days and                              or December.
warm nights from 1961 to 2003. PAGASA
also projected more frequent and intensi-                                These developments pose additional
fied El Niño and La Niña episodes that will                            challenges in meeting the MDGs.
induce more extreme weather events such
as typhoons, floods, landslides, droughts,                             1.2 Achievements so far
among others. Based on historical records,
there were relatively more El Niño and La                              Poverty and hunger
Niña episodes in recent decades than in
earlier decades.                                                       Poverty

  Because of increased temperature,                                      Subsistence and poverty incidence
changes in rainfall patterns, and increased                            had consistently declined from 1991 to
frequency and intensity of extreme climate                             2003. Access to basic social services has
events, risk in agricultural production                                generally improved. However, income
will be intensified. Two of the sharpest                               distribution across regions remains largely
drops in volume of production and Gross                                unequal, even worse than some of its Asian
Value-Added (GVA) in agriculture were                                  neighbors. Also, significant proportion of
experienced during two of the worst El Niño                            population has remained poor over the past
episodes recorded in history (1982-1983                                two decades. In 2006, poverty incidence
and 1997-1998). The ongoing El Niño                                    among population slightly went up. With the
episode has wreaked havoc on agriculture                               aftermath of the food and fuel price hikes
and the National Disaster Coordinating                                 (in 2008), global financial and economic
Council (NDCC) has estimated crop losses                               crisis (which reached the country in the latter
at over PhP12 billion. During the period                               part of 2008) and natural calamities like the
2003-2006, around 56.4 percent of poor                                 destructive typhoons Ondoy and Pepeng
households had more than fifty percent of                              (in October 2009), followed by the recent
the total income derived from agricultural                             El Nino phenomenon (that emerged in the
sources/activities. However, 63.3 percent                              latter part of 2009), further worsening of the
of those tagged as chronic poor by Reyes                               poverty situation might be expected in 2009.
                                                                                                                         33
Philippines Progress Report on the Millennium Development Goals 2010
Hunger                                        in its proportion. In 2008, however, the
                                                   proportion of malnourished children aged
       Because of poverty, there might have        5 and below increased by 1.6 percentage
     been a reduction in households’ capacity to   points. This reversal in the trend in malnutri-
     meet their basic food and non-food needs.     tion prevalence among children might be
     This might have been the reason why more      an area of concern.
     than half of the households in the country
     are still not able to meet the nutritional    Employment
     requirements of their members. However,
     the 12.5 percent decrease in the proportion     One of the factors that might have
     of households with per capita intake below    contributed to the increase in poverty
     100 percent dietary energy requirement        incidence is the lack of gainful employ-
     from 1993 (69.4%) to 2003 (56.9%) can         ment opportunities, especially among
     already be considered as a good step          those belonging in vulnerable groups. In
     towards attainment of the 2015 target.        recent years, labor productivity has been
     Similarly, there had been an improvement      declining. Employment-to-population ratio
     in terms of combating malnutrition among      for the ‘15 years and over’ age group,
     children aged 5 and below from 1990 to        particularly among women and youth,
     2005, as evidenced by a 10 percent drop       had also been declining up to 2008. It




34
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                                                      Philippines Progress Report on the Millennium Development Goals 2010
somehow recovered in 2009 but the rate                                 However, primarily due to poor targeting,
of increase appears to be low. Aside from                              shortages in classrooms and teachers still
that, more than a fifth (22.6%) of the coun-                           persist in many areas as evidenced by high
try’s employed population has been living                              pupil-classroom and pupil-teacher ratios,
below US$1 per day in 2006, based on the                               respectively. This implies that the education
UN MDG Database. Moreover, although                                    system, given its current resources, might
proportion of own-account and contributing                             still not be ready to welcome and maintain
family workers in total employment dropped                             a higher number of students.
by almost 9 percent from 1992 to 2008, it
is clear that nearly half of Filipino workers                          Gender equality
are still engaged in vulnerable employment.
                                                                         In terms of education, females have
  Meanwhile, the deployed OFWs                                         consistently maintained higher rates of
continued to grow rapidly. The number                                  cohort survival and completion rates than
of OFWs deployed in 2008 totalled 1.23                                 males, from elementary to tertiary level,
million workers, which is a 14.7 percent                               since 1990s. There has also been gender
increase from the previous year’s 1.08                                 disparity (in favor of females) in terms of
million. While this implies higher net factor                          participation rates in both secondary and
income from abroad, there might be a need                              tertiary education. However, it should
for the government to address issues like                              be noted that females and males have
brain drain and deskilling of professionals                            relatively equal participation rates at the
who accepted low-skilled jobs abroad.                                  elementary level. One of the most cited
Concerns about OFWs’ welfare and protec-                               reasons behind this gender disparity in
tion while working outside the country as                              education is that males tend to get out of
well as its social cost to Filipino families are                       the system because they either need to work
important issues that the government and                               to help augment their household income or
the Philippine society have to face.                                   they just had lower motivation in going to
                                                                       school than females.
Education
                                                                         In recent years, women have become
  Rates of participation, cohort survival                              more empowered through political and
and completion at the elementary level                                 economic participation. Women are
have marked improvements in recent years,                              becoming more visible as leaders and thus
although at a very slow pace. This might                               more involved in policy decisionmaking,
have been attributed to efforts made by                                both at the national and local levels. There
the government through provision of free                               are also more female workers who have
and compulsory elementary education                                    been deployed abroad to work for the
and augmentation of budget for school                                  welfare of their families. More often than
resources. From 2004 to 2009, a total                                  not, however, they tend to accept jobs that
of 75,584 new classrooms have been                                     are usually not commensurate with their
constructed and 52,536 new teacher items                               educational attainment such as domestic
were created in response to the growing                                workers, caregivers, entertainers, clerical
demand in the public school system.                                    staffer or factory workers.
                                                                                                                       35
Philippines Progress Report on the Millennium Development Goals 2010
Health                                           child health. Some of these interventions
                                                      include breastfeeding and complementary
     Child mortality                                  feeding, micronutrient supplementation,
                                                      immunization of both children and mothers,
        The country has been performing well in       integrated management of sick children,
     terms of reducing child mortality over the       child injury prevention and control, birth
     past two decades. Infant mortality rate had      spacing, and proper hygiene. Meanwhile,
     gone down from 57 deaths per 1,000 live          child mortality is relatively high in rural areas
     births in 1990 to 25 in 2008 while under-five    where women have no or little education
     mortality rate had declined from 80 in 1990      and/or income poor.
     to 34 in 2008. The major factor that contrib-
     uted to this remarkable achievement is the       Maternal health
     set of effective and well-defined child health
     and related programs carried out by the            Maternal mortality ratio had been
     Department of Health (DOH), in collabora-        declining over the past two decades; from
     tion with the local government units (LGUs).     209 per 100,000 live births in 1993 to 172
     The programs offer a range of interventions      in 1998 to 162 in 2006. It seems, though,
     that are appropriate at various life cycle       that the rate of change is relatively low. This
     stages, from maternal care to care of the        might be attributed to the fact that a signifi-
     newborn up to integrated management of           cant proportion of births were still delivered
36
                                                          Philippines Progress Report on the Millennium Development Goals 2010
at home and attended, not by skilled health                              Malaria morbidity and mortality rates, on
professionals but, by the so-called hilots,                            the other hand, declined from 1990 to 2009;
especially in areas where health facilities                            from 123 cases and 1.5 deaths per 100,000
with services of skilled health professionals                          population to 22 and 0.02, respectively.
are inaccessible.                                                      The continuous decline in morbidity and
                                                                       mortality due to malaria may be attributed
  Meanwhile, contraceptive prevalence                                  to the continued implementation of the
rate has remained at 50 percent in recent                              Malaria Control Program by the DOH, in
years, out of which only 34 percent use                                collaboration with the LGUs, non-govern-
modern contraceptives, based on recent                                 ment organizations, and communities using
surveys. Contraceptive use is lowest among                             the disease-free zone initiative.
the poorer families. This, and access to
reproductive health in general, especially                               Meanwhile, there had also been improve-
among poor women, still faces a lot of                                 ments in the indicators for tuberculosis in
challenges including financial, political as                           recent years. Specifically, targets for case
well as cultural.                                                      detection rate and treatment success rate
                                                                       had already been achieved in 2004 and
  Global studies show that as much as 90                               have been sustained since then. Cure rate,
percent of maternal deaths could be averted                            on the other hand, is still slightly below the
through a three-pronged strategy of: skilled                           85 percent national target but it would be
attendants at birth; access to basic and
comprehensive emergency obstetric and
neo-natal care referral system; and family
planning services (informed choice).

Prevalence of infectious diseases

  The number of new HIV reported cases
had rapidly increased beginning 2007. By
the end of 2009, there were 2 new cases
of HIV infection reported per day, and in
April 2010, up to 5 new cases of HIV infec-
tion per day has been reported. Relatively
low coverage of prevention interventions,
together with increased risky behavior and
high level of misconceptions about HIV
transmission, and poor attitude on use
of protection on the disease, might have
contributed to this trend. In terms of national
prevalence rate, HIV has remained below
one percent although some areas have
reported more than one percent among its
most-at-risk populations (MARPs).
                                                                                                                        37
Philippines Progress Report on the Millennium Development Goals 2010
feasible. All these improvements may be         in annual consumption of ozone-depleting
     attributed to the strengthened implementa-      substances; growing number of registered
     tion of the National Tuberculosis Control       hazardous waste generators and solid
     Program. Specifically, the adoption of the      waste disposal facilities; increase in the
     DOTS strategy since 1996 has contributed        proportion of population having access to
     to the achievement of the program targets.      safe water and sanitary toilet facilities; and,
                                                     decline in the proportion of population who
     Environmental sustainability                    are living in makeshift housing.

       Notwithstanding the degradation in              On the contrary, proportion of those living
     some of the country’s natural resources         as informal settlers, particularly in urban
     such as coastal and marine ecosystem            areas, had slightly gone up from 1991 to
     because of climate change and other             2006. This is expected to rise further from
     factors, there have also been some notable      2007 to 2010 due to threats posed by
     achievements in terms of environmental          climate change and some other shocks like
     sustainability in recent years. These include   the recent global financial and economic
     the following: increase in the number of        crisis, which have significant impact on
     protected wildlife species; significant drop    the properties, livelihood and incomes
38
                                                        Philippines Progress Report on the Millennium Development Goals 2010
of urban population. The government,                                   Financing
however, has been continuously crafting
and implementing programs and policies                                   Economic uncertainties and fiscal
that would address these problems in                                   constraints have led to the decline in LGU
informal settlements, water and sanitation,                            spending on social services. However,
and other matters pertaining to environ-                               primarily due to strong advocacy for the
mental sustainability.                                                 MDGs, programs, activities and projects
                                                                       (PAPs) that are MDG-related have recently
Partnerships for development                                           been prioritized in budget preparation,
                                                                       both at the national and local levels. The
   As a way to expand its networks with                                country was also able to secure funding
other countries, the Philippines has been                              for the MDGs from various international
working on further liberalizing its trade                              donors such as the United Nations and
system and making the investment climate                               Government of Spain. Another notable
favorable to foreign investors. However,                               achievement was the tool developed by
the country needs to lower the volume of its                           the Department of the Interior and Local
loans, narrow its fiscal deficit, and improve                          Government (DILG) that can assist LGUs
its fiscal system.                                                     in spending for MDG-related PAPs.

  The initiative of making low-cost yet                                  Some priorities of action were high-
quality essential medicines accessible                                 lighted to further improve financing for
to Filipino people, most especially the                                the MDGs. First, there is a need to sustain
indigents, had been making progress for                                initiatives in prioritizing MDG-related
about a decade already. The government                                 PAPs in the MTPDP and the budget.
has been proactive in developing strate-                               Accordingly, immediate implementation
gies toward implementation of laws and                                 and institutionalization of MDG budget
programs that would support this initiative.                           and expenditures monitoring should be
Interestingly, supports from private institu-                          carried out.
tions, local communities and other sectors
contribute a lot in achieving this progress.                             Second, the government should continue
                                                                       improving transparency and accountability
  In terms of information and communications                           in the implementation of MDG-related PAPs.
technology (ICT), significant progress had                              Absorptive capacities of agencies implementing
already been achieved in this sector. Fixed                            MDG-related PAPs should be improved
telephone line, cellular mobile telephone and                          through enhancement in the processes of
internet subscriptions have all been growing                           procurement, auditing and accounting.
rapidly over the past two decades. One of the
challenges, though, has been the disparity in                            Third, the government must continue using
terms of geographical reach of ICT services.                           cost-efficient modes of service delivery to
In response to this, efforts have already been                         avoid wastage of resources. In relation to
exerted to bring ICT services to the unserved                          this, design and targeting system of some
and underserved areas.                                                 PAPs should be improved.

                                                                                                                        39
Philippines Progress Report on the Millennium Development Goals 2010
Fourth, legislative and administrative          Monitoring System for LGUs as well as
     reforms should be pursued to improve tax          ensure that indicators at the local level are
     policy and administration.                        consistent with those at the national level.
                                                       Meanwhile, monitoring efforts of various
       Fifth, there is a need to strengthen the        sectors, apart from the government, should
     commitments and capacities of LGUs as             also be encouraged to further strengthen
     direct providers/implementers of PAPs.            the monitoring system of LGUs.

        Sixth, public-private sector partnership for   Advocacy and localization
     financing and implementing MDG-related
     PAPs should be enhanced.                            In recent years, a number of initiatives
                                                       have been made to advocate and localize
       Lastly, there might be a need for the           the MDGs to increase awareness on
     government to reiterate its proposal on           the MDGs among various stakeholders
     debt swap for the MDGs so as to help it           and mobilize their support for programs
     re-channel its resources from debt repay-         and projects toward the achievement of
     ment to PAPs for the MDGs.                        the MDGs. Some of these remarkable
                                                       achievements include the following: (1)
     Monitoring                                        issuance of DILG Memorandum Circular
                                                       (MC) No. 2004-152 or the “Guide to Local
       Over the past two decades, a number of          Government Units in the Localization of the
     MDG-related policies have already been            MDGs”; (2) DBM’s policy guidelines and
     formulated by the NEDA, DILG, and the             procedures in preparation of national and
     National Statistical Coordination Board           local budget proposals, which emphasize
     (NSCB), among others, to institutionalize         programs, projects and activities in support
     and improve the monitoring of the MDGs.           of the MDGs; (3) creation of a Special
     These policies have facilitated the increase      Committee on the MDGs in the House of
     in awareness of the government and other          Representatives; (4) formulation of sub-
     stakeholders at the local and national levels     national MDG progress reports for the
     on the MDGs. Moreover, the Community-             country’s 17 regions; (5) crafting of the
     Based Monitoring System (CBMS) has been           MDG Framework for Business Action; (6)
     implemented in 59 provinces and this has          pilot formulation of Provincial MDG Reports
     provided data for many of the MDG indica-         for 10 provinces, undertaken by the CBMS
     tors. There are some challenges, however,         Network Coordinating Team with support
     which include the following: effective            from NEDA and UNDP; (7) encouragement
     operationalization of MDG-related policies;       of support from private companies through
     timely collection and availability of national    the Business and the MDGs Campaign;
     and disaggregated data; increased aware-          (8) advocacy for donor support for the
     ness on the MDGs among LGUs, private              MDGs through the Philippine Development
     sector and civil society.                         Forum (PDF); and (9) participation in the
                                                       Stand-Up Take Action (SUTA) against
       In response to these challenges, there is       poverty campaign of the United Nations
     a need to revisit and enhance the MDG             Millennium Campaign (UNMC).
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                                                          Philippines Progress Report on the Millennium Development Goals 2010
Despite all these efforts, a lot of work                             mortality rate among children aged 5 and
remains to be done to generate support                                 below, reversing the incidence of and death
for the MDGs and ensure its integration in                             rate associated with malaria, increasing
local development. First, the government                               tuberculosis case detection and cure rates,
needs to invest in improving capacities of                             expanding access to basic sanitation, and
LGUs through problem-solving, involving                                providing equal opportunities for girls in the
local participation, managerial know-how,                              area of education. In fact, the country had
and transparent mechanisms.                                            already surpassed the targets on improving
                                                                       access to sanitation, increasing tubercu-
  Second, capacity building on MDG moni-                               losis case detection rate and providing
toring and preparation of MDG progress                                 equal educational opportunities for girls.
reports using CBMS can be extended to the                              However, national averages tend to hide
other provinces.                                                       large discrepancies across geographic
                                                                       location with many far-flung areas still
  Third, other institutions, such as the DILG-                         remaining unserved. On the other hand, it
Local Government Academy (LGA) and                                     seems that more efforts need to be exerted
the Leagues of Provinces, Municipalities                               in achieving universal primary education,
and Cities, may also be tapped to extend                               improving maternal health, combating HIV
assistance along improving capacities of                               and AIDS, as well as reducing the incidence
LGUs on how to link the MDGs with local                                of poverty and hunger.
planning and budgeting.
                                                                         Poverty incidence among population
  Fourth, the lead agencies per MDG area                               had consistently been declining from
should be encouraged to work in partner-                               1991 (45.3%) to 2003 (30%) but suddenly
ship with the DILG to strengthen localization                          increased in 2006 (32.9%). The poverty
efforts.                                                               situation in 2009 might have been wors-
                                                                       ened by the combined effects of the food
   Fifth, the Philippine Information Agency                            and fuel price hikes, global financial crisis
(PIA) could also be encouraged to strengthen                           (which reached the country in the latter
its efforts in advocating the MDGs.                                    part of 2008) and natural calamities such
                                                                       as the devastating typhoons Ondoy and
  Lastly, convergence of activities and                                Pepeng that hit the country during the last
sharing of resources may be done towards                               quarter of 2009, followed by the occur-
a more efficient delivery of advocacy                                  rence of the recent El Niño phenomenon
initiatives.                                                           (which emerged during the latter part of
                                                                       2009). Halving the 1991 baseline figure by
1.3           Pace of progress                                         2015 might therefore be more challenging
                                                                       this time. Similarly, subsistence incidence
  Table 1 shows the pace of progress of                                among population had been following
the Philippines towards the achievement of                             a declining trend from 1991 (24.3%) to
the MDGs. Based on the estimated prob-                                 2003 (13.5%) but slightly went up in 2006
abilities of attaining the targets, the country                        (14.5%). Since the 2015 target (12.2%) is
has been performing well in reducing                                   somewhat closer to the 2006 figure, there
                                                                                                                        41
Philippines Progress Report on the Millennium Development Goals 2010
Table 1. Pace of progress of the Philippines in terms of attaining the MDG targets

                                                                                                                                 Pace of         Probability of
                                                                                                                                                 P
                                        MDG goals, targets and iindicators
                                                   targets
                                                        t        ndicators
                                                                    c                                                           progress          attaining the
                                                                                                                                                         target


       Goal 1: Eradicate extreme poverty and hunger
           Target 1.A: Halve, between 1990 and 2015, the proportion of people whose income is less than
           one dollar a day
                 Proportion of population below poverty threshold                                                                   0.88               MEDIUM
                 Proportion of population below food threshold                                                                      1.28                 HIGH
           Target 1. C: Halve, between 1990 and 2015, the proportion of people who suffer from hunger
                 Prevalence of underweight children under-five years of age                                                         0.67               MEDIUM
                 Proportion of households with per capita intake below 100 percent dietary energy requirement                       0.79               MEDIUM


       Goal 2: Achieve universal primary education
           Target 2.A: Ensure that, by 2015, children everywhere, boys and girls alike, will be able to complete
           a full course of primary schooling
                 Elementary education net enrolment rate                                                                            0.00                  LOW
                 Elementary education cohort survival rate                                                                          0.30                  LOW
                 Elementary education completion rate                                                                               0.29                  LOW


       Goal 3: Promote gender equality and empower women
           Target 3.A: Eliminate gender disparity in primary and secondary education, preferably by 2005, and
           in all levels of education no later than 2015
                  Ratio of girls to boys in elementary education participation rate                                                                      HIGH
                  Ratio of girls to boys in secondary education participation rate                                                                       HIGH
                  Ratio of girls to boys in elementary education cohort survival rate                                                                    HIGH
                  Ratio of girls to boys in secondary education cohort survival rate                                                                     HIGH
                  Ratio of girls to boys in elementary education completion rate                                                                         HIGH
                  Ratio of girls to boys in secondary education completion rate                                                                          HIGH


       Goal 4: Reduce child mortality
           Target 4.A: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate
                 Infant mortality rate                                                                                              1.17                  HIGH
                 Under-five mortality rate                                                                                          1.20                  HIGH


       Goal 5: Improve maternal health
           Target 5.A: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio
                 Maternal mortality ratio                                                                                           0.47                  LOW
           Target 5.B: Achieve, by 2015, universal access to reproductive health
                 Contraceptive prevalence rate                                                                                      0.27                  LOW


       Goal 6: Combat HIV/AIDs, malaria and other diseases
           Target 6. A: Have halted by 2015 and begun to reverse the spread of HIV/AIDS
                 HIV prevalence among 15 years and over                                                                             0.02                  LOW
                 Proportion of population aged 15-24 with comprehensive correct knowledge of HIV/AIDS                               0.03                  LOW
           Target 6.B: Achieve, by 2010, universal access to treatment for HIV/AIDs for all those who need it
                 Proportion of population with advanced HIV infection with access to antiretroviral drugs                           0.72              MEDIUM
           Target 6. C: Have halted by 2015 and begun to reverse the incidence of malaria and other major
           diseases
                 Malaria morbidity rate                                                                                             2.01                 HIGH
                 Malaria mortality rate                                                                                             2.37                 HIGH
                 Tuberculosis case detection rate                                                                                   3.82                 HIGH
                 Tuberculosis cure rate                                                                                             2.53                 HIGH


       Goal 7: Ensure environmental sustainability
           Target 7. C: Halve, by 2015, the proportion of people without sustainable access to safe drinking
           water and basic sanitation
                 Proportion of population with access to safe water                                                                 0.82               MEDIUM
                 Proportion of population with access to sanitary toilet facilities                                                 1.68                 HIGH
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                                                                                            Philippines Progress Report on the Millennium Development Goals 2010
is still a high probability of achieving this                                    and completion rates, progress have also
target.                                                                          been at a slower pace. Cohort survival
                                                                                 rate had been relatively stable from 1990
  Data on nutrition seem to tie up with                                          to 1997 but suddenly went down in 1998.
income poverty data. Proportion of malnour-                                      It rose again in 2001 at 69.1 percent and
ished children had been going down from                                          ended up at 75.4 percent in 2008. Similarly,
34.5 percent in 1990 to 24.6 percent in 2005                                     there has not been much improvement in
but went up to 26.2 percent in 2008. Similar                                     terms of elementary education comple-
to poverty incidence, there is a medium                                          tion rate. The figure only increased by
rate of progress in terms of halving the                                         5.7 percentage points over the past two
baseline figure for malnutrition prevalence.                                     decades; from 67.6 percent in 1990 to 73.3
Proportion of households with per capita                                         percent in 2008.
intake below 100 percent dietary energy
requirement, on the other hand, declined                                           The aim of Goal 3 is to ensure equal
from 69.4 percent in 1993 to 56.9 percent                                        opportunities for girls and women. In the
in 2003. This 12.5 percent improvement                                           case of the Philippines, girls and women
within the ten-year period is considered                                         have not been lagging behind boys and
small since almost twice of this (22.2%) is                                      men in the area of education. In fact,
still required to be able to meet the target                                     school participation, cohort survival and
(34.7%) by 2015.                                                                 completion rates (both at the primary
                                                                                 and secondary levels) for girls have been
  In terms of primary education, the country                                     consistently higher than for boys, although
has been underperforming over the past                                           the disparities have not been as much.
decade. The rate of progress with respect                                        Girls are disadvantaged only in terms of
to elementary education participation rate                                       elementary education participation rate
has been estimated to be low. From 1991 to                                       during the 1990s.
1999, the net enrolment rate in elementary
education had been rising from 85 to 97                                            Another area where the country has
percent but had been consistently going                                          been performing well is on reducing child
down from 2000 to 2006 (97 to 83%). It                                           mortality. Infant mortality rate substantially
started to rise again in 2007 but the rate                                       declined from 57 infants per 1,000 live births
of increase is relatively low. Based on the                                      in 1990 to 33.6 in 1993. The rate slightly
current trend, it seems that it is still far from                                rose to 35.1 in 1998 then it steadily went
the 2015 target. In terms of cohort survival                                     down until it landed at 25 in 2008. Based


Notes on Table 1:
Computation of pace of progress is based on UNSIAP methodology;
   Pace of progress = Actual rate of progress / Required rate of progress
   where: Actual rate of progress = [(latest data / baseline data) – 1] / no. of years elapsed (for negative indicators)
                   = [(latest data – baseline data) / (100 – baseline data)] / no. of years elapsed (for positive indicators)
          Required rate of progress = [(target rate / baseline data) – 1] / no. of years covered
Probability of attaining the target: LOW if pace of progress is less than 0.5; MEDIUM if pace of progress is between 0.5 and 0.9; and, HIGH
if pace of progress is greater than 0.9

                                                                                                                                              43
Philippines Progress Report on the Millennium Development Goals 2010
on the trend, there is a high probability that   with advanced HIV infection with access to
     the 2015 target (at 19 infants per 1,000 live    antiretroviral drugs.
     births) will be achieved. Under-five mortality
     rate declined from 80 deaths per 1,000 live         The country has also been performing
     births in 1990 to 54.2 in 1993 then it consis-   very well in terms of reversing the incidence
     tently went down to 34 in 2008. Targeting        of and death rates associated with malaria
     a rate of 26.7 by 2015 would therefore be        and tuberculosis. Malaria morbidity rate
     easier, especially if appropriate interven-      had consistently declined from 123 cases
     tions would be effectively implemented.          per 100,000 population in 1990 to 20 in
                                                      2009. Similarly, mortality rate due to malaria
        On the other hand, improvement in             decreased from 1.5 deaths per 100,000
     maternal health is one area of concern.          cases in 1990 to 0.02 in 2009. Interestingly,
     Maternal mortality ratio had been declining      the target for tuberculosis case detection
     from 209 per 100,000 live births in 1990 to      rate has been achieved since 2004. From
     172 in 1998. However, the ratio went down        60 percent in 2000, the rate increased to 70
     to only 162 per 100,000 live births in 2006.     percent in 2004, which is the national target
     Based on this trend, it seems that 2015          for 2015. Since then, the rate has been
     target of 52 per 100,000 live births is still    maintained above the target. Tuberculosis
     relatively far. Similarly, the country has not   cure rate increased from 73 percent in 2000
     been performing well in terms of contracep-      to 82 percent in 2004. It slightly went down
     tive prevalence rate. The figure increased       to 81 percent in 2005 but recovered at 83
     from 40 percent in 1993 to 51 percent in         percent the following year. Cure rate then
     2008. The pace of progress over the period       declined to 82 percent in 2007 and ended
     has been relatively low considering that the     up with 79 percent in 2008. Based on the
     2015 target is 80 percent.                       recent trend, the 2015 target of 85 percent
                                                      is relatively close.
       Halting the spread of Human
     Immunodeficiency Virus (HIV) and Acquired          Another area with fast pace of progress is
     Immune Deficiency Syndrome (AIDS)                the expansion of access to basic sanitation.
     appears to be challenging for the country        Proportion of population with access to
     as the estimated prevalence rate among           sanitary toilet facilities had been increasing
     HIV-infected population who are 15 years         from 71.8 percent in 1991 to 88.6 percent
     old and over increased from 0.0014 percent       in 2008, surpassing already the 2015 target
     in 2006 to 0.007 percent in 2009 based on        of 85.9 percent in 2002. Proportion of
     blood donor data. These figures, however,        population with access to safe water, on
     have remained within the 2010 Philippine         the other hand, has posted a medium rate
     target of less than one percent. On the other    of progress. It had been increasing from
     hand, the country has not been performing        73.8 percent in 1991 to 81.4 percent in
     well in terms of increasing the proportion of    2008. Based on the current trend, it seems
     youth with comprehensive correct knowl-          that the 2015 target (85.9%) is feasible.
     edge of HIV and AIDS. Meanwhile, there           However, these favorable results hide the
     has been medium rate of progress in terms        fact that almost one in five (or 15.73 million)
     of increasing the proportion of population       persons are still unable to access safe water
44
                                                         Philippines Progress Report on the Millennium Development Goals 2010
and one in ten (or 9.62 million) persons do                            budget of the Department of Education
not have access to sanitary toilet facilities.                         (DepEd) has to be further increased. Also,
                                                                       resource allocation system has to be
 1.4          Ways forward                                             improved to address wide regional dispari-
                                                                       ties. This could be done by improving the
Poverty                                                                database system and conducting school
                                                                       mapping to be able to effectively track the
   Reversal in the poverty trend in recent years                       resource-constrained areas. Alongside the
notwithstanding the implementation of a                                increase in budget for school resources,
number of poverty reduction programs posts                             cost-saving, non-conventional and flexible
a challenge to the government. One of the                              approaches should be strongly pursued
most important approaches in responding                                to improve access to primary education.
to this challenge is the convergence of all                            These approaches include the following:
the anti-poverty interventions to be able                              Instructional Management by Parents,
to strengthen the desired impact of the                                Community and Teachers (IMPACT)
programs. The government should also                                   system; Modified In-School Out-of-School
sustain and scale up the delivery of proven                            Approach (MISOSA); and, Alternative
good practices and successful programs on                              Learning System (ALS). Addressing the high
social protection, microfinance, asset reform,                          drop-out rate, especially among the early
livelihood, among others. However, given                               graders, and the inability of students to
the limited budget of most of the programs,                            cope with school works might also require
proper targeting system should be adopted.                             strengthening of pedagogical skills of
This is to ensure that greater resources are                           teachers and inclusion of preschool educa-
channeled to target beneficiaries, particularly                         tion in the basic education cycle. Various
those in poor and underserved areas. There                             social programs such as 4Ps should also be
is also a need for the government to provide                           sustained, in conjunction with the DepEd’s
adequate safety nets to poor households,                               initiatives, to address the non-school factors
especially those considered chronic poor, to                           contributing to the non-attendance to
prevent them from falling into poverty or for                          schools. Meanwhile, the government might
them to recover more quickly from economic                             also need to aggressively move the Basic
and natural shocks. Implementation of                                  Education Sector Reform Agenda (BESRA)
time-bound emergency public infrastructure-                            forward primarily through the School-Based
based employment programs, skills training                             Management (SBM).
programs and other support programs might
enable households to augment their income                              Gender equality
in times of crises.
                                                                         Although gender disparity (in favor of
Education                                                              girls) in the area of education has not been
                                                                       as much, the government should give more
  In order to uphold its mandate of                                    attention in improving education indicators
providing free and compulsory primary                                  for boys. To enable more women to partici-
education and at the same time respond                                 pate in the political arena, the government
to the growing school-age population,                                  should intensify capacity development
                                                                                                                        45
Philippines Progress Report on the Millennium Development Goals 2010
programs such as skills training and develop-     One of the priorities for action to address
     ment. In terms of addressing gender-based         these concerns is to ensure that MNCHN
     violence, on the other hand, some possible        strategy will be integrated in the Municipal
     interventions could also be implemented: (i)      Investment Plan for Health (MIPH) as well
     strengthening awareness on gender-based           as the Provincial Investment Plan for Health
     violence at the local level; (ii) strengthening   (PIPH). The government should also exert
     coordination between the local government         more efforts in improving the quality of
     units (LGUs) and the PNP; and, (iii) allocating   pre-natal, natal and post-natal services
     resources to government agencies working          being provided in local public health facili-
     on violence against women. Moreover,              ties. This includes upgrading of manage-
     the legal framework for the protection            rial and technical capabilities of health
     and improved welfare of overseas Filipino         workers, improvement of monitoring and
     workers (OFWs), particularly the female           evaluation as well as the database system,
     ones, should be strengthened. Meanwhile,          and strengthening of advocacy activities.
     sex-disaggregated data should be made             Furthermore, there is also a need to continu-
     available as these are deemed useful in           ously advocate for legislative support and
     identifying gender issues and in planning for     strengthen linkages with the private sector/
     more appropriate interventions.                   non-government organizations (NGOs)/
                                                       civil society in order to resolve the problems
     Child mortality                                   on financing and accessibility of maternal
                                                       care services.
       Despite remarkable progress in reducing
     child mortality, some actions might still           Related to the improvement in maternal
     need to be undertaken to address regional         health is the improvement in access to
     disparities. First, there is a need for LGUs to   family planning (FP) services. Given the
     better manage their child health interven-        low practice of family planning, there might
     tions by improving their targeting system.        be a need to expand informed choice by
     LGUs should be trained and adequate               pushing for the Informed Choice Perspective
     resources should be provided to improve           Responsible Parenthood – Family Planning
     their database system. The government also        (RP-FP) Program. Together with parent
     needs to strengthen advocacy campaigns            education on adolescent and sexual
     for child health programs such as that on         reproductive health (ASRH), inclusion of
     breastfeeding. Moreover, LGUs need to fast-       adolescent reproductive health (ARH) in
     track and strengthen Maternal, Neonatal           the education curriculum, both in public
     and Child Health and Nutrition (MNCHN)            and private, is also deemed necessary.
     strategy to ensure proper pre-natal, natal        Designing of new financing mechanisms for
     and post-natal care for pregnant women.           FP/RH such as Performance-Based Grants
                                                       (PBGs) for LGUs as well as expansion of the
     Maternal health                                   Contraceptive Self-Reliance Strategy (CSR)
                                                       have to be pursued. Meanwhile, there is also
       Although a number of maternal health            a need for strong political will to promote
     initiatives have already been undertaken,         a continuing advocacy effort in legislating
     maternal health concerns still remain.            a comprehensive population management
46
                                                           Philippines Progress Report on the Millennium Development Goals 2010
and reproductive health policy through the                             preservation of natural resources should be
consolidated Reproductive Health (RH) Bill.                            established. A multi-party audit of environ-
                                                                       mental statistics should also be conducted.
Combating HIV and AIDS, malaria and                                    There is also a need to strengthen business
other diseases                                                         sector’s involvement through alignment of
                                                                       its corporate social responsibility (CSR)
   Reversing the spread of HIV and AIDS                                activities.
requires some concrete set of actions. First,
there is a need to build capacities to identify                          A clear national policy on water and sani-
and locate the sources of new HIV infec-                               tation (watsan) and a program managed
tions and evaluate prevention coverage                                 by a lead institution is deemed necessary
and impact. Effective and comprehensive                                in achieving universal coverage. Watsan
package of interventions for HIV most-                                 service providers should be regulated to
at-risk populations (MARPs) as well as                                 ensure accountability to consumers with
migrant workers should also be designed                                expanded access, efficient use of revenues
and implemented. There is also a need to                               and improved service quality. Investment on
mobilize resources and engage communi-                                 this sector should also be increased.
ties in controlling the epidemic.
                                                                         Moreover, public-private partnership
  To prevent the spread of diseases in                                 should be pursued with appropriate
general, service provision should also                                 incentives for private sector participation,
be strengthened. This implies upgrading                                particularly in the housing sector. The
of managerial and technical capabilities                               issue on non-availability of land suited
among health workers, improvement of                                   for housing should also be addressed
health and laboratory facilities, provision of                         by coming up with innovative ways on
timely program requirements, strengthening                             addressing the issue of tenurial security
of program monitoring and evaluation,                                  apart from home ownership. Policies and
and pursuing advocacy on health-seeking                                development practices in urban develop-
behavior. Moreover, strengthening of                                   ment and housing should be addressed.
partnerships with LGUs, civil society orga-                            LGUs should prepare comprehensive land
nizations, the private sector, among others,                           use plans based on updated thematic maps
might also be necessary.                                               that take into account risk-sensitive land
                                                                       use planning. There might also be a need
Environmental sustainability                                           for the creation of the housing microfinance
                                                                       network.
  To address the issue of environmental
sustainability, there is a need to revisit                             Partnerships for development
implementation of environmental laws and
encourage initiatives for compliance and                                 In order to develop open, rule-based,
penalties for violators. Efforts of various                            predictable, and non-discriminatory trading
stakeholders in environmental advocacy                                 and financial systems, some strategies might
should also be mobilized. In addition,                                 need to be implemented: (i) strengthening
enabling conditions for the protection and                             of micro, small and medium enterprises
                                                                                                                      47
Philippines Progress Report on the Millennium Development Goals 2010
(MSMEs); (ii) proactive investment promo-       when giving prescriptions that will limit the
     tion to countries other than the United         choices of patients, especially the poor
     States; and, (iii) diversification and expan-   ones. Pharmacists and dispensers in the
     sion of market for exports.                     retail outlets should also educate and assist
                                                     some patients on their choices. Meanwhile,
       To address the debt problems of the           there is also a need for the Food and Drug
     country, tax revenue collection should be       Administration (FDA) to hire more qualified
     improved. There should also be improve-         regulation officers, establish additional
     ment in the efficiency and transparency         facilities or satellite offices, and procure
     in public spending. Selection process of        new state-of-the-art equipment.
     loan-funded programs and projects should
     also be strengthened.                             In terms of information and communica-
                                                     tions technology (ICT) development, an
       Apart from upgrading of patent rights         enabling socioeconomic and political
     and business system, the issue of inacces-      environment should be created to attract
     sibility of essential medicines should also     more IT investments. There should also be
     be addressed. The high-quality essential        close coordination between the executive
     medicines should be available at affordable     and legislative branches of the government
     prices, especially in far-flung areas. Thus,    on proposed ICT-related bills. More efforts
     monopolies and oligopolies in the market        should also be exerted to bring ICT services
     should be eliminated. Health professionals      to the unserved and underserved areas.
     should also avoid brand preferences




             2. Progress over
                the past decade
                      This chapter presents the trends and
                    inequality analysis made for the key indi-
                    cators of each goal, assesses the progress
                    made over the past decade, identifies key
                    bottlenecks, and presents some policies
                    and programs needed to keep track with,
                    and possibly accelerate the current pace
                    of progress.




48
                                                        Philippines Progress Report on the Millennium Development Goals 2010
Goal 1: Eradicate extreme poverty and hunger
                                                                                                        and faster household formation, poverty
                                                                                                        incidence worsened from 30.0 percent in
                                                                                                        2003 to 32.9 percent in 2006. Although
2.1.1 Target 1.A: Halve between 1990                                                                    there was economic growth during the
and 2015, the proportion of people                                                                      period, this was not enough to more than
whose income is less than the poverty                                                                   offset the rise in poverty incidence. During
threshold                                                                                               the period 2003-2006, while average
                                                                                                        annual incomes increased by 16.2 percent,
Status and trends                                                                                       inflation rose by 21.2 percent. Furthermore,
                                                                                                        with the aftermath of the food and fuel price
  Generally, poverty in the Philippines is                                                              hikes, global financial crisis and natural
on a declining trend. Between 1991 to                                                                   calamities such as typhoons Ondoy and
2003, poverty incidence (or the proportion                                                              Pepeng and the recent El Niño phenom-
of individuals whose annual income falls                                                                enon, a further worsening of the poverty
below the annual poverty threshold) has                                                                 situation might be expected in the 2009
been reduced at an annual average rate                                                                  poverty estimates.
of 1.4 percent. The episode of high rate of
poverty reduction, especially between 1994                                                              Extreme poverty (subsistence incidence)
and 1997, had been years of relatively
high economic growth (i.e., 5.33% GDP                                                                     Extreme poverty is estimated using the
growth). However, primarily due to rising                                                               proportion of the population living below
food prices, slower growth of incomes,                                                                  the subsistence or food threshold (or
2 In 1991, the old poverty methodology was used, wherein special rice was considered in the menu and regional prices were used; family size is six.
                                                                                                                                                        49
Philippines Progress Report on the Millennium Development Goals 2010
Source: NSCB
     * Region IV has not yet been divided into Regions IV-A and IV-B.
     ** Caraga was created on February 23, 1995.


                subsistence incidence). In 1991, subsistence            within and around the region. Apparently,
                incidence was 24.3 percent2 , which was                 Regions III and II have long been the top
                equivalent to a total of 15.1 million people.           producers of rice and corn, respectively, in
                This figure decreased to 12.2 million indi-             the country, while NCR and Region IV-A
                viduals in 2006, comprising 14.6 percent                are among their nearest neighbors. Thus,
                of the total population (Table 2). However,             there might not be problems with food
                subsistence incidence increased from 13.5               availability in these regions. On the other
                percent in 2003 to 14.6 percent in 2006.                hand, among the regions with the highest
                                                                        subsistence incidence were Caraga, ARMM
                  In 2006, some regions in Luzon registered             and Regions IX, IV-B, VIII and V. It can
                the lowest incidence of extreme poverty                 also be observed from the map that all of
                (Figure 2). These regions include the                   the regions in Visayas and Mindanao had
                NCR and Regions III, IV-A, and II. One                  higher proportion of population living below
                of the major reasons behind this might                  the subsistence threshold relative to the
                be the volume of agricultural production                national estimate.




50
50
                                                                           Philippines Progress Report on the Millennium Development Goals 2010
Figure 2. Proportion of population living below the food threshold (%), by region, 2006




                      Source: FIES, NSO


Income poverty                                                                the minimum income required to satisfy the
                                                                              food or nutritional requirements (2,000 kilo
  Income poverty is measured by poverty                                       calories) and other non-food basic needs
incidence, which is defined as the propor-                                    of a family. In 2006, poverty incidence
tion of individuals whose annual per capita                                   among the population was estimated at
income falls below the poverty threshold.                                     32.9 percent, which is an improvement from
The poverty threshold, on the other hand, is                                  45.3 percent in 1991 (Figure 3 and Table

              Figure 3. Poverty incidence among population (%), 1991-2006




               Source: NSCB
                                                                                                                             51
Philippines Progress Report on the Millennium Development Goals 2010
Source: NSCB
             * Region IV has not yet been divided into Regions IV-A and IV-B.
             ** Caraga was created on February 23, 1995.

                    3). In terms of magnitude, about 500,000                                      than the 2003 figure, indicating a reversal
                    people were able to get out of poverty; from                                  in the trend.
                    28.1 million people in 1991 to 27.6 million in
                    2006. However, this 2006 estimate is higher                                      Figure 4 reveals that in 2006, most of the
                                                                                                  regions in the northern part of the country
                                                                                                  had relatively lower proportion of popula-
     Figure 4. Proportion of population living below the poverty threshold (%), by region, 2006   tion living below the poverty threshold
                                                                                                  than those situated in the southern parts
                                                                                                  of Luzon (MIMAROPA and Bicol), Visayas
                                                                                                  and Mindanao regions. In fact, NCR,
                                                                                                  Regions I to III, and CALABARZON had
                                                                                                  poverty incidence lower than the national
                                                                                                  average. Individuals residing in these
                                                                                                  regions (particularly NCR) might be rela-
                                                                                                  tively better-off since they have generally
                                                                                                  higher standards of living as manifested
                                                                                                  through higher access to employment
                                                                                                  opportunities and basic social services.
                                                                                                  Meanwhile, higher poverty incidence in
                                                                                                  Mindanao might be attributed partly to
                                                                                                  conflicts and peace and order problems
                                                                                                  confronting the regions.
52
 2     Source: FIES, NSO



                                                                                                     Philippines Progress Report on the Millennium Development Goals 2010
Source: FIES, NSO


Poverty gap ratio and share of poorest quintile                        from 0.4680 in 1991 to 0.4580 in 2006. As
to national income                                                     shown in Table 5, the regions with the most
                                                                       inequitable income distribution are Regions
  Poverty gap ratio, which measures the                                VII, VIII, IX, and X as these regions have
distance of the average incomes of the                                 Gini coefficients higher than 0.45. Despite
poor to the poverty threshold, indicates                               the increase in subsistence and poverty
an improvement from 13.0 percent in 1991                               incidence, the Gini coefficient continued
to 7.7 percent in 2006 (Table 4). The trend                            to decline.
shows that poverty gap among the poor
had been consistently narrowing from 13.0                                The Philippines has a relatively high
percent in 1991 to 7.0 percent in 2003.                                inequality compared with its Asian neigh-
However, the gap slightly widened from                                 bors. The Gini coefficient for the Philippines
7.0 percent in 2003 to 7.7 percent in 2006.                            is higher than the Gini for Indonesia, Viet
This trend is similar to that of poverty and                           Nam, Lao PDR, Cambodia, Thailand, and
subsistence incidence.                                                 Malaysia.

  On the other hand, the share of poorest
quintile to national income slightly declined                          Climate change and poverty
from 6.2 percent in 1991 to 6.0 percent in
2006 (Table 4). The share had been consis-                                Climate change and recurrent disasters
tently going down from 6.2 percent in 1991                             increase the vulnerability of the poor
to 5.6 percent in 2000. The Asian financial                            through the continuous erosion of physical,
crisis followed by the occurrence of the                               financial, natural, human and social capi-
worst El Niño and La Niña episodes might                               tals. It would be difficult to sustain reduction
have contributed to this trend. Households                             in poverty and hunger with the onslaught of
belonging to the poorest quintile somehow                              climate change and natural disasters.
recovered from 2000 to 2003, but margin-
ally improved in 2006.                                                   The destruction of natural resources
                                                                       has adverse effects on the socioeco-
Income inequality                                                      nomic conditions of many people, espe-
                                                                       cially the rural poor, whose livelihoods
  Income inequality is commonly measured                               are dependent on natural resources,
through the Gini coefficient where zero                                mainly agriculture, fisheries, and forestry.
means perfect equality while a value of                                Agricultural productivity is expected to
one (1) implies perfect inequality. In the                             decline, adversely affecting livelihoods
Philippines, income distribution remains                               and food systems, particularly in devel-
largely unequal. It has slightly improved                              oping countries. The decline in agricultural
                                                                                                                          53
                                                                                                                          53
Philippines Progress Report on the Millennium Development Goals 2010
Figure 5. Disparities in population growth rate across regions, 1995-2000 and 2000-2007




                                       Source: NSO


                      productivity means lower income for                                            including food. Thus, as extreme weather
                      agricultural workers and producers and                                         events increase in frequency and intensity,
                      lower food supply. Lower income means                                          poverty and hunger incidence are likely to
                      reduced capacity to meet basic needs                                           increase as well.




Source: FIES, NSO.
* Region IV has not yet been divided into Regions IV-A and IV-B.
** Caraga was created on February 23, 1995.


54
                                                                                                           Philippines Progress Report on the Millennium Development Goals 2010
The government faces a daunting task of                             through the major anti-poverty policies and
 overcoming such challenges and should                                 programs prioritized and implemented.
 harness all resources to succeed in
 reducing poverty and hunger.                                          Medium-Term Philippine Development
                                                                       Plan (MTPDP)
 Poverty and population growth
                                                                         The Medium-Term Philippine Development
   The 2007 Census of Population shows that                            Plan (MTPDP) 2004-2010, the country’s
 the Philippine population is increasing at 2.04                       socio-economic development blueprint, is
 percent annually. Although this population                            also the Administration’s anti-poverty plan.
 growth rate (PGR) is down from 2.36 percent                           Under the MTPDP, poverty reduction is the
 as of the 2000 Census, it is still considered                         centerpiece goal as the Administration
 as one of the highest in Asia. At this rate, the                      vowed to “fight poverty by building pros-
 Philippines is expected to hit the 100 million                        perity for the greatest number of the Filipino
 population mark in 2015, and will reach 140                           people.” The Plan has five major thematic
 million by 2040. Unless the PGR is further                            components, to wit: (a) economic growth
 reduced, the population of the country is                             and job creation; (b) energy; (c) social
 expected to double by 2050.                                           justice and basic needs; (d) education and
                                                                       youth opportunity; and (e) anti-corruption
   The 2007 PGR shows wide dispari-                                    and good governance. The Plan features
 ties across regions. Figure 5 shows that                              a Ten-Point Agenda and Legacy, known as
 PGR is highest in ARMM at 5.46 percent.                               “Beat the Odds”, as follows:
 Incidentally, the province of Maguindanao
 in ARMM also registered the highest PGR                                B – Balanced budget
 at 6.99 percent.                                                       E – Education for all
                                                                        A – Automated elections
   The link between population and poverty                              T – Transport and digital infrastructure to
 has been well-established. Based on a                                        connect the country
 comparison among countries in developing
 Asia, the high PGR of the Philippines is also                          T – Terminate the MILF and NPA conflicts
 matched by its high poverty incidence. The                             H – Heal the wounds of EDSA
 experiences of Malaysia, Thailand and                                  E – Electricity and water for all barangays
 Vietnam suggest that good population
 policy combined with sound economic                                    O – Opportunities for 10 million jobs
 policy, stemming from sustained policy                                 D – Decongest Metro Manila
 reform, brings about rapid economic                                    D – Develop Clark and
 growth and poverty reduction.                                          S – Subic as logistics hub

 Priority policies and programs                                         The MTPDP targets the reduction of
                                                                       poverty incidence among families at 20.9
   The government’s response to the chal-                              percent by 2010. The MTPDP Chapter on
 lenge of poverty reduction can be seen                                Responding to the Basic Needs of the Poor


                                                                                                                        55
Philippines Progress Report on the Millennium Development Goals 2010
promotes asset reform, essential services,      KALAHI-Comprehensive and Integrated
     employment and livelihood, and community        Delivery of Social Services (CIDSS).
     empowerment as key components consis-
     tent with the KALAHI Program.                     Policies and programs relating to microfi-
                                                     nance, asset reform, social protection, and
     Kapit-Bisig Laban sa Kahirapan (KALAHI)         empowerment of the poor were formulated
                                                     and implemented by the government to
        The Arroyo administration launched the       reduce poverty.
     Kapit-Bisig Laban sa Kahirapan (KALAHI),
     or Linking Arms Against Poverty, as the         Pantawid Pamilyang Pilipino Program
     overarching strategy and program for            (4Ps)
     poverty reduction. The KALAHI serves as
     the Focused, Accelerated, Convergent              The Pantawid Pamilyang Pilipino Program
     and Expanded or FACE strategy in fighting       (4Ps) was launched in 2008 as a poverty
     poverty. It is focused as KALAHI targets the    reduction program using conditional cash
     poorest and most vulnerable barangays           transfers (CCT) for the one million poorest
     and sectors in communities. Specific criteria   families to improve health, nutrition, and
     are established to ensure that poverty          education outcomes of their children. The
     reduction efforts provide maximum impact        4Ps had the twin objectives of providing
     and benefit to those who need them most.        social assistance for immediate needs of
     It is accelerated as KALAHI immediately         the family and social development to break
     addresses the communities’ need and             the inter-generational poverty through
     fast-tracks processes by cutting channels       human capital investments. The benefi-
     and serving target groups directly. It is       ciary households are selected through the
     convergent as KALAHI is a mechanism to          National Household Targeting System for
     converge the poverty reduction efforts of the   Poverty Reduction (NHTS-PR) conducted
     government at all levels, as well as those      by the Department of Social Welfare and
     of the private sector, the civil society, and   Development (DSWD) and the Small Area
     most especially, the basic sectors to simul-    Estimates (SAE) survey of the National
     taneously address the economic, political       Statistical Coordination Board (NSCB).
     and socio-cultural dimensions of poverty.
     Finally, it is expanded because KALAHI            The 4Ps entitles beneficiary households an
     recognizes the need for multi-themed and        average monthly cash subsidy of PhP1,400
     integrated approaches in addressing the         for a period of five years. The health
     multi-dimensional nature of poverty by          package provides PhP500 per household
     attending to human development concerns,        per month. The education package grants
     asset reform, livelihood, and employment.       PhP300 monthly per child for ten months
                                                     (corresponding to one school year) for
      Through the KALAHI Program, various            a maximum of three children per house-
     modalities have been implemented:               hold. Being a CCT, the enrolled benefi-
     KALAHI-Rural, KALAHI-Urban, KALAHI-             ciary household must fulfill the following
     Karaban, KALAHI in Conflict Areas,              conditions:
     KALAHI Prototype Projects, and the
56
                                                        Philippines Progress Report on the Millennium Development Goals 2010
• Regular preventive health check-ups                                education, reducing child mortality and
and immunization of children 0-5 years old                             improving maternal health but it also aims
  • At least 85 percent attendance in day                              to indirectly address other MDGs such
care or pre-school for children 3-5 years old                          as reducing extreme poverty and hunger,
  • At least 65 percent attendance in                                  and promoting gender equality as well as
elementary or high school for children 6-14                            empowering women.
years old
  • Intake of deworming pills for children                             Accelerated Hunger Mitigation Program
0-14 years old every 5 months                                          (AHMP)
  • Pre-natal and post-natal care for preg-
nant women with birth to be delivered by a                               The Accelerated Hunger Mitigation
skilled/trained health professional                                    Program (AHMP) was launched in 2007 as
  • Participation of mothers in mother’s                               a strategy to address the primary causes of
classes                                                                hunger. The AHMP is being implemented
  • Participation of parents in Parent                                 in 54 priority provinces identified through
Effectiveness and Responsible Parenthood                               a nationwide survey that adopted the
Seminars                                                               self-rated hunger questions survey of the
                                                                       Social Weather Stations (SWS). The AHMP
 The 4Ps seeks to directly address the                                 is guided by a framework that includes
MDGs on achieving universal primary                                    both the supply- and the demand-side
                                                                                                                     57
Philippines Progress Report on the Millennium Development Goals 2010
interventions. The AHMP seeks to reduce        Paaralan, and is now on its third phase. To
     the hungry households by 50 percent from       date, the program has covered all provinces
     1.2 million to 600,000 households.             in the country, in addition to the Priority
                                                    One and Priority Two areas, with Phase 3
        The AHMP’s supply-side strategy             benefiting 152,695 households.
     includes increasing food production and
     enhancing the efficiency of logistics and             Concerning rice seed subsidy, seeds
     food delivery interventions to increase        distributed were planted to 1,287,805 hect-
     food production such as seed subsidies,        ares of rice land during the dry season and
     technical assistance on intercropping          1,603,293 hectares during the wet season.
     corn with coconut, rehabilitation of
     irrigation facilities, among others. The              About 67,881 hectares of coconut
     programs under the AHMP are the                land were covered by coconut intercrop-
     Barangay Bagsakan (formerly Barangay           ping, while salt fertilization reached 29,882
     Food Terminals) and the Tindahan Natin         coconut farmers for a second dosage of
     (TN), which are community stores selling       salt fertilization application. Salt fertiliza-
     cheap basic food items in depressed            tion increases coconut yield by at least 25
     communities; the construction of roll-on       percent and makes coconut trees resistant
     roll-off (RORO) ports and farm-to-market       to drought, pests and diseases.
     roads; the Food-for-School Program of
     the DSWD (i.e., for day care children)                Accomplishments for the livestock
     and the Department of Education (DepEd)        program pursue 2008 targets that were
     (i.e., for elementary pupils).                 carried over to 2009 benefiting 13,425
                                                    families. Re-dispersal of 15,432 heads of
       On the other hand, the demand-side           chicken benefited 3,086 families while 753
     strategy of the AHMP includes putting more     heads of goats benefited 376 families.
     money in poor people’s pockets essentially
     through livelihood skills training, microfi-           Another major activity under the Dairy
     nance, upland distribution for cultivation     Goat Development Project is the distribution
     of rubber, jatropa and other cash crops,       of dairy goats for milk production, which
     as well as the promotion of good nutrition     started toward the end of November and
     education and population management.           spilled-over up to the first quarter of 2010.
                                                    Because of the need to quarantine animals
       Based on the 2009 National Nutrition         before distribution, only 198 heads of dairy
     Council (NNC) report on the AHMP, the          goats out of the targeted 4,785 heads of
     following are the major accomplishments        goats were delivered to provinces near
     of the program:                                Priority One provinces. These goats will be
                                                    raised for milk to be delivered to nearby
            Regarding Increasing Food              Priority One provinces.
     Production, the Programang Gulayan sa
     Masa was implemented to encourage the                 The fishery program has reached
     establishment of home vegetable gardens        a total of 26,876 beneficiaries. Fisherfolks
     and has expanded to the Gulayan sa             have praised the program for providing
58
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                                                       Philippines Progress Report on the Millennium Development Goals 2010
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Philippines MDG Progress Report 2010

  • 1. Philippines Progress Report on the Millennium Development Goals (MDGs) 2010 30 Philippines Progress Report on the Millennium Development Goals 2010
  • 2. EXECUTIVE SUMMARY 1. Overview Upon entering the 21st century, leaders of various shocks including economic, food, from both developed and developing and energy crises as well as increased countries gathered and agreed to achieve frequency and intensity of natural calamities a set of concrete, measurable development that are associated with climate change. objectives by 2015 through the adoption of the Millennium Declaration1. These objec- The Philippines is among the many tives, known as the Millennium Development developing countries that is continuously Goals (MDGs), are associated with the exerting efforts to be on track with the United Nations (UN) development agenda well-defined MDG targets. With only five and are focused on addressing extreme years left before the target date, several of poverty, lack of gainful employment oppor- the targets seem to be far from reach for tunities, hunger incidence, lower access to the Philippines primarily due to a number education, gender inequality, prevalence of challenges it has faced in the last couple of diseases (particularly among children of years that contributed to the slow pace and women), environmental degradation, of progress. This report aims to present the among others. progress made for each of the goals over the past two decades (1990 baseline), the In the past decade, a number of summits challenges encountered along the way, and meetings were held to monitor prog- and the concrete set of actions needed ress towards the achievement of the MDGs. to keep the Philippines on track with, or While there were a number of success even accelerate, its progress towards the stories and remarkable progress in some achievement of the MDGs. countries, obstacles and challenges were ever present that caused some countries, Consultations with government agencies, especially the developing ones, to lag academe and research institutions, civil behind. Some of these challenges include society, and international donor organiza- shortfall in the level of investment, ineffective tions were undertaken in the course of the government policies, and lack of commit- preparation of this report. Workshops were ment, among others. These challenges have held in May 2010 and July 2010 to solicit been aggravated by the combined effects comments from the various stakeholders. 1 General Assembly resolution 55/2 31 Philippines Progress Report on the Millennium Development Goals 2010
  • 3. Figure 1. GNP and GDP growth rates (%), 2001-2009 Source: NIA (January 2010), NSCB 1.1 Macroeconomic developments to other countries. The Philippines started to feel its effects in the second half of 2008 Over this decade, the Philippine economy and the effects lingered till 2009. This has posted significant economic growth. Gross led to a slowdown in economic growth National Product (GNP) grew on the in 2009. Despite the global crisis, remit- average, by 5 percent during the period tances from abroad continued to increase. 2000-2009. Growth peaked in 2007 when Nevertheless, the 5 percent growth in remit- the economy grew at 7.5 percent. It even tances recorded in 2009 was significantly posted a growth of 6.2 percent in 2008, the lower than the 13 percent growth registered year when the country experienced the food in 2007 and 2008. This led to GNP growing and fuel price shocks (Figure 1). Food prices by 3 percent only while Gross Domestic increased in 2008 by 13.6 percent, higher Product (GDP) only grew by 0.9 percent. than the food inflation rate of 3.3 percent in 2007. Fuel prices also went up significantly, Recent data suggest that the economy is with prices increasing by 17 percent in 2008, on its way to recovery. GDP and GNP grew more than five times the fuel inflation rate by 7.3 percent and 9.5 percent, respec- of 3.3 percent in 2007. While prices of rice tively, during the first quarter of 2010 with and fuel products have gone down from all sectors, except for agriculture posting their peak in 2008, the prices have not gone significant growth. The rebound was down to pre-shock level. spurred by the global economic recovery, election-related stimuli and the continuous The global financial crisis started in July growth of remittances from overseas Filipino 2007 in the United States and quickly spread workers (OFWs). 32 Philippines Progress Report on the Millennium Development Goals 2010
  • 4. In addition to these economic and finan- et al. (2010) were considered agricultural cial shocks, the manifestations of climate households. With majority of the poor change have become more visible. The households engaged in agriculture, this Philippines had already started witnessing would significantly impact on the poverty some of the manifestations of climate situation of the country. change. The country’s weather bureau, Philippine Atmospheric, Geophysical and In addition, there were a number of Astronomical Services Administration extreme weather events reported in recent (PAGASA), estimated that there had been a years, including the devastating typhoons significant increase in annual mean temper- Ondoy and Pepeng in 2009. Furthermore, ature from 1951 to 2006. It also estimated a typhoons are becoming less predictable, significant decrease in the number of cold which visit the country even in times when days and cool nights as well as significant these are least expected, e.g. November increase in the frequency of hot days and or December. warm nights from 1961 to 2003. PAGASA also projected more frequent and intensi- These developments pose additional fied El Niño and La Niña episodes that will challenges in meeting the MDGs. induce more extreme weather events such as typhoons, floods, landslides, droughts, 1.2 Achievements so far among others. Based on historical records, there were relatively more El Niño and La Poverty and hunger Niña episodes in recent decades than in earlier decades. Poverty Because of increased temperature, Subsistence and poverty incidence changes in rainfall patterns, and increased had consistently declined from 1991 to frequency and intensity of extreme climate 2003. Access to basic social services has events, risk in agricultural production generally improved. However, income will be intensified. Two of the sharpest distribution across regions remains largely drops in volume of production and Gross unequal, even worse than some of its Asian Value-Added (GVA) in agriculture were neighbors. Also, significant proportion of experienced during two of the worst El Niño population has remained poor over the past episodes recorded in history (1982-1983 two decades. In 2006, poverty incidence and 1997-1998). The ongoing El Niño among population slightly went up. With the episode has wreaked havoc on agriculture aftermath of the food and fuel price hikes and the National Disaster Coordinating (in 2008), global financial and economic Council (NDCC) has estimated crop losses crisis (which reached the country in the latter at over PhP12 billion. During the period part of 2008) and natural calamities like the 2003-2006, around 56.4 percent of poor destructive typhoons Ondoy and Pepeng households had more than fifty percent of (in October 2009), followed by the recent the total income derived from agricultural El Nino phenomenon (that emerged in the sources/activities. However, 63.3 percent latter part of 2009), further worsening of the of those tagged as chronic poor by Reyes poverty situation might be expected in 2009. 33 Philippines Progress Report on the Millennium Development Goals 2010
  • 5. Hunger in its proportion. In 2008, however, the proportion of malnourished children aged Because of poverty, there might have 5 and below increased by 1.6 percentage been a reduction in households’ capacity to points. This reversal in the trend in malnutri- meet their basic food and non-food needs. tion prevalence among children might be This might have been the reason why more an area of concern. than half of the households in the country are still not able to meet the nutritional Employment requirements of their members. However, the 12.5 percent decrease in the proportion One of the factors that might have of households with per capita intake below contributed to the increase in poverty 100 percent dietary energy requirement incidence is the lack of gainful employ- from 1993 (69.4%) to 2003 (56.9%) can ment opportunities, especially among already be considered as a good step those belonging in vulnerable groups. In towards attainment of the 2015 target. recent years, labor productivity has been Similarly, there had been an improvement declining. Employment-to-population ratio in terms of combating malnutrition among for the ‘15 years and over’ age group, children aged 5 and below from 1990 to particularly among women and youth, 2005, as evidenced by a 10 percent drop had also been declining up to 2008. It 34 34 Philippines Progress Report on the Millennium Development Goals 2010
  • 6. somehow recovered in 2009 but the rate However, primarily due to poor targeting, of increase appears to be low. Aside from shortages in classrooms and teachers still that, more than a fifth (22.6%) of the coun- persist in many areas as evidenced by high try’s employed population has been living pupil-classroom and pupil-teacher ratios, below US$1 per day in 2006, based on the respectively. This implies that the education UN MDG Database. Moreover, although system, given its current resources, might proportion of own-account and contributing still not be ready to welcome and maintain family workers in total employment dropped a higher number of students. by almost 9 percent from 1992 to 2008, it is clear that nearly half of Filipino workers Gender equality are still engaged in vulnerable employment. In terms of education, females have Meanwhile, the deployed OFWs consistently maintained higher rates of continued to grow rapidly. The number cohort survival and completion rates than of OFWs deployed in 2008 totalled 1.23 males, from elementary to tertiary level, million workers, which is a 14.7 percent since 1990s. There has also been gender increase from the previous year’s 1.08 disparity (in favor of females) in terms of million. While this implies higher net factor participation rates in both secondary and income from abroad, there might be a need tertiary education. However, it should for the government to address issues like be noted that females and males have brain drain and deskilling of professionals relatively equal participation rates at the who accepted low-skilled jobs abroad. elementary level. One of the most cited Concerns about OFWs’ welfare and protec- reasons behind this gender disparity in tion while working outside the country as education is that males tend to get out of well as its social cost to Filipino families are the system because they either need to work important issues that the government and to help augment their household income or the Philippine society have to face. they just had lower motivation in going to school than females. Education In recent years, women have become Rates of participation, cohort survival more empowered through political and and completion at the elementary level economic participation. Women are have marked improvements in recent years, becoming more visible as leaders and thus although at a very slow pace. This might more involved in policy decisionmaking, have been attributed to efforts made by both at the national and local levels. There the government through provision of free are also more female workers who have and compulsory elementary education been deployed abroad to work for the and augmentation of budget for school welfare of their families. More often than resources. From 2004 to 2009, a total not, however, they tend to accept jobs that of 75,584 new classrooms have been are usually not commensurate with their constructed and 52,536 new teacher items educational attainment such as domestic were created in response to the growing workers, caregivers, entertainers, clerical demand in the public school system. staffer or factory workers. 35 Philippines Progress Report on the Millennium Development Goals 2010
  • 7. Health child health. Some of these interventions include breastfeeding and complementary Child mortality feeding, micronutrient supplementation, immunization of both children and mothers, The country has been performing well in integrated management of sick children, terms of reducing child mortality over the child injury prevention and control, birth past two decades. Infant mortality rate had spacing, and proper hygiene. Meanwhile, gone down from 57 deaths per 1,000 live child mortality is relatively high in rural areas births in 1990 to 25 in 2008 while under-five where women have no or little education mortality rate had declined from 80 in 1990 and/or income poor. to 34 in 2008. The major factor that contrib- uted to this remarkable achievement is the Maternal health set of effective and well-defined child health and related programs carried out by the Maternal mortality ratio had been Department of Health (DOH), in collabora- declining over the past two decades; from tion with the local government units (LGUs). 209 per 100,000 live births in 1993 to 172 The programs offer a range of interventions in 1998 to 162 in 2006. It seems, though, that are appropriate at various life cycle that the rate of change is relatively low. This stages, from maternal care to care of the might be attributed to the fact that a signifi- newborn up to integrated management of cant proportion of births were still delivered 36 Philippines Progress Report on the Millennium Development Goals 2010
  • 8. at home and attended, not by skilled health Malaria morbidity and mortality rates, on professionals but, by the so-called hilots, the other hand, declined from 1990 to 2009; especially in areas where health facilities from 123 cases and 1.5 deaths per 100,000 with services of skilled health professionals population to 22 and 0.02, respectively. are inaccessible. The continuous decline in morbidity and mortality due to malaria may be attributed Meanwhile, contraceptive prevalence to the continued implementation of the rate has remained at 50 percent in recent Malaria Control Program by the DOH, in years, out of which only 34 percent use collaboration with the LGUs, non-govern- modern contraceptives, based on recent ment organizations, and communities using surveys. Contraceptive use is lowest among the disease-free zone initiative. the poorer families. This, and access to reproductive health in general, especially Meanwhile, there had also been improve- among poor women, still faces a lot of ments in the indicators for tuberculosis in challenges including financial, political as recent years. Specifically, targets for case well as cultural. detection rate and treatment success rate had already been achieved in 2004 and Global studies show that as much as 90 have been sustained since then. Cure rate, percent of maternal deaths could be averted on the other hand, is still slightly below the through a three-pronged strategy of: skilled 85 percent national target but it would be attendants at birth; access to basic and comprehensive emergency obstetric and neo-natal care referral system; and family planning services (informed choice). Prevalence of infectious diseases The number of new HIV reported cases had rapidly increased beginning 2007. By the end of 2009, there were 2 new cases of HIV infection reported per day, and in April 2010, up to 5 new cases of HIV infec- tion per day has been reported. Relatively low coverage of prevention interventions, together with increased risky behavior and high level of misconceptions about HIV transmission, and poor attitude on use of protection on the disease, might have contributed to this trend. In terms of national prevalence rate, HIV has remained below one percent although some areas have reported more than one percent among its most-at-risk populations (MARPs). 37 Philippines Progress Report on the Millennium Development Goals 2010
  • 9. feasible. All these improvements may be in annual consumption of ozone-depleting attributed to the strengthened implementa- substances; growing number of registered tion of the National Tuberculosis Control hazardous waste generators and solid Program. Specifically, the adoption of the waste disposal facilities; increase in the DOTS strategy since 1996 has contributed proportion of population having access to to the achievement of the program targets. safe water and sanitary toilet facilities; and, decline in the proportion of population who Environmental sustainability are living in makeshift housing. Notwithstanding the degradation in On the contrary, proportion of those living some of the country’s natural resources as informal settlers, particularly in urban such as coastal and marine ecosystem areas, had slightly gone up from 1991 to because of climate change and other 2006. This is expected to rise further from factors, there have also been some notable 2007 to 2010 due to threats posed by achievements in terms of environmental climate change and some other shocks like sustainability in recent years. These include the recent global financial and economic the following: increase in the number of crisis, which have significant impact on protected wildlife species; significant drop the properties, livelihood and incomes 38 Philippines Progress Report on the Millennium Development Goals 2010
  • 10. of urban population. The government, Financing however, has been continuously crafting and implementing programs and policies Economic uncertainties and fiscal that would address these problems in constraints have led to the decline in LGU informal settlements, water and sanitation, spending on social services. However, and other matters pertaining to environ- primarily due to strong advocacy for the mental sustainability. MDGs, programs, activities and projects (PAPs) that are MDG-related have recently Partnerships for development been prioritized in budget preparation, both at the national and local levels. The As a way to expand its networks with country was also able to secure funding other countries, the Philippines has been for the MDGs from various international working on further liberalizing its trade donors such as the United Nations and system and making the investment climate Government of Spain. Another notable favorable to foreign investors. However, achievement was the tool developed by the country needs to lower the volume of its the Department of the Interior and Local loans, narrow its fiscal deficit, and improve Government (DILG) that can assist LGUs its fiscal system. in spending for MDG-related PAPs. The initiative of making low-cost yet Some priorities of action were high- quality essential medicines accessible lighted to further improve financing for to Filipino people, most especially the the MDGs. First, there is a need to sustain indigents, had been making progress for initiatives in prioritizing MDG-related about a decade already. The government PAPs in the MTPDP and the budget. has been proactive in developing strate- Accordingly, immediate implementation gies toward implementation of laws and and institutionalization of MDG budget programs that would support this initiative. and expenditures monitoring should be Interestingly, supports from private institu- carried out. tions, local communities and other sectors contribute a lot in achieving this progress. Second, the government should continue improving transparency and accountability In terms of information and communications in the implementation of MDG-related PAPs. technology (ICT), significant progress had Absorptive capacities of agencies implementing already been achieved in this sector. Fixed MDG-related PAPs should be improved telephone line, cellular mobile telephone and through enhancement in the processes of internet subscriptions have all been growing procurement, auditing and accounting. rapidly over the past two decades. One of the challenges, though, has been the disparity in Third, the government must continue using terms of geographical reach of ICT services. cost-efficient modes of service delivery to In response to this, efforts have already been avoid wastage of resources. In relation to exerted to bring ICT services to the unserved this, design and targeting system of some and underserved areas. PAPs should be improved. 39 Philippines Progress Report on the Millennium Development Goals 2010
  • 11. Fourth, legislative and administrative Monitoring System for LGUs as well as reforms should be pursued to improve tax ensure that indicators at the local level are policy and administration. consistent with those at the national level. Meanwhile, monitoring efforts of various Fifth, there is a need to strengthen the sectors, apart from the government, should commitments and capacities of LGUs as also be encouraged to further strengthen direct providers/implementers of PAPs. the monitoring system of LGUs. Sixth, public-private sector partnership for Advocacy and localization financing and implementing MDG-related PAPs should be enhanced. In recent years, a number of initiatives have been made to advocate and localize Lastly, there might be a need for the the MDGs to increase awareness on government to reiterate its proposal on the MDGs among various stakeholders debt swap for the MDGs so as to help it and mobilize their support for programs re-channel its resources from debt repay- and projects toward the achievement of ment to PAPs for the MDGs. the MDGs. Some of these remarkable achievements include the following: (1) Monitoring issuance of DILG Memorandum Circular (MC) No. 2004-152 or the “Guide to Local Over the past two decades, a number of Government Units in the Localization of the MDG-related policies have already been MDGs”; (2) DBM’s policy guidelines and formulated by the NEDA, DILG, and the procedures in preparation of national and National Statistical Coordination Board local budget proposals, which emphasize (NSCB), among others, to institutionalize programs, projects and activities in support and improve the monitoring of the MDGs. of the MDGs; (3) creation of a Special These policies have facilitated the increase Committee on the MDGs in the House of in awareness of the government and other Representatives; (4) formulation of sub- stakeholders at the local and national levels national MDG progress reports for the on the MDGs. Moreover, the Community- country’s 17 regions; (5) crafting of the Based Monitoring System (CBMS) has been MDG Framework for Business Action; (6) implemented in 59 provinces and this has pilot formulation of Provincial MDG Reports provided data for many of the MDG indica- for 10 provinces, undertaken by the CBMS tors. There are some challenges, however, Network Coordinating Team with support which include the following: effective from NEDA and UNDP; (7) encouragement operationalization of MDG-related policies; of support from private companies through timely collection and availability of national the Business and the MDGs Campaign; and disaggregated data; increased aware- (8) advocacy for donor support for the ness on the MDGs among LGUs, private MDGs through the Philippine Development sector and civil society. Forum (PDF); and (9) participation in the Stand-Up Take Action (SUTA) against In response to these challenges, there is poverty campaign of the United Nations a need to revisit and enhance the MDG Millennium Campaign (UNMC). 40 Philippines Progress Report on the Millennium Development Goals 2010
  • 12. Despite all these efforts, a lot of work mortality rate among children aged 5 and remains to be done to generate support below, reversing the incidence of and death for the MDGs and ensure its integration in rate associated with malaria, increasing local development. First, the government tuberculosis case detection and cure rates, needs to invest in improving capacities of expanding access to basic sanitation, and LGUs through problem-solving, involving providing equal opportunities for girls in the local participation, managerial know-how, area of education. In fact, the country had and transparent mechanisms. already surpassed the targets on improving access to sanitation, increasing tubercu- Second, capacity building on MDG moni- losis case detection rate and providing toring and preparation of MDG progress equal educational opportunities for girls. reports using CBMS can be extended to the However, national averages tend to hide other provinces. large discrepancies across geographic location with many far-flung areas still Third, other institutions, such as the DILG- remaining unserved. On the other hand, it Local Government Academy (LGA) and seems that more efforts need to be exerted the Leagues of Provinces, Municipalities in achieving universal primary education, and Cities, may also be tapped to extend improving maternal health, combating HIV assistance along improving capacities of and AIDS, as well as reducing the incidence LGUs on how to link the MDGs with local of poverty and hunger. planning and budgeting. Poverty incidence among population Fourth, the lead agencies per MDG area had consistently been declining from should be encouraged to work in partner- 1991 (45.3%) to 2003 (30%) but suddenly ship with the DILG to strengthen localization increased in 2006 (32.9%). The poverty efforts. situation in 2009 might have been wors- ened by the combined effects of the food Fifth, the Philippine Information Agency and fuel price hikes, global financial crisis (PIA) could also be encouraged to strengthen (which reached the country in the latter its efforts in advocating the MDGs. part of 2008) and natural calamities such as the devastating typhoons Ondoy and Lastly, convergence of activities and Pepeng that hit the country during the last sharing of resources may be done towards quarter of 2009, followed by the occur- a more efficient delivery of advocacy rence of the recent El Niño phenomenon initiatives. (which emerged during the latter part of 2009). Halving the 1991 baseline figure by 1.3 Pace of progress 2015 might therefore be more challenging this time. Similarly, subsistence incidence Table 1 shows the pace of progress of among population had been following the Philippines towards the achievement of a declining trend from 1991 (24.3%) to the MDGs. Based on the estimated prob- 2003 (13.5%) but slightly went up in 2006 abilities of attaining the targets, the country (14.5%). Since the 2015 target (12.2%) is has been performing well in reducing somewhat closer to the 2006 figure, there 41 Philippines Progress Report on the Millennium Development Goals 2010
  • 13. Table 1. Pace of progress of the Philippines in terms of attaining the MDG targets Pace of Probability of P MDG goals, targets and iindicators targets t ndicators c progress attaining the target Goal 1: Eradicate extreme poverty and hunger Target 1.A: Halve, between 1990 and 2015, the proportion of people whose income is less than one dollar a day Proportion of population below poverty threshold 0.88 MEDIUM Proportion of population below food threshold 1.28 HIGH Target 1. C: Halve, between 1990 and 2015, the proportion of people who suffer from hunger Prevalence of underweight children under-five years of age 0.67 MEDIUM Proportion of households with per capita intake below 100 percent dietary energy requirement 0.79 MEDIUM Goal 2: Achieve universal primary education Target 2.A: Ensure that, by 2015, children everywhere, boys and girls alike, will be able to complete a full course of primary schooling Elementary education net enrolment rate 0.00 LOW Elementary education cohort survival rate 0.30 LOW Elementary education completion rate 0.29 LOW Goal 3: Promote gender equality and empower women Target 3.A: Eliminate gender disparity in primary and secondary education, preferably by 2005, and in all levels of education no later than 2015 Ratio of girls to boys in elementary education participation rate HIGH Ratio of girls to boys in secondary education participation rate HIGH Ratio of girls to boys in elementary education cohort survival rate HIGH Ratio of girls to boys in secondary education cohort survival rate HIGH Ratio of girls to boys in elementary education completion rate HIGH Ratio of girls to boys in secondary education completion rate HIGH Goal 4: Reduce child mortality Target 4.A: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate Infant mortality rate 1.17 HIGH Under-five mortality rate 1.20 HIGH Goal 5: Improve maternal health Target 5.A: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio Maternal mortality ratio 0.47 LOW Target 5.B: Achieve, by 2015, universal access to reproductive health Contraceptive prevalence rate 0.27 LOW Goal 6: Combat HIV/AIDs, malaria and other diseases Target 6. A: Have halted by 2015 and begun to reverse the spread of HIV/AIDS HIV prevalence among 15 years and over 0.02 LOW Proportion of population aged 15-24 with comprehensive correct knowledge of HIV/AIDS 0.03 LOW Target 6.B: Achieve, by 2010, universal access to treatment for HIV/AIDs for all those who need it Proportion of population with advanced HIV infection with access to antiretroviral drugs 0.72 MEDIUM Target 6. C: Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases Malaria morbidity rate 2.01 HIGH Malaria mortality rate 2.37 HIGH Tuberculosis case detection rate 3.82 HIGH Tuberculosis cure rate 2.53 HIGH Goal 7: Ensure environmental sustainability Target 7. C: Halve, by 2015, the proportion of people without sustainable access to safe drinking water and basic sanitation Proportion of population with access to safe water 0.82 MEDIUM Proportion of population with access to sanitary toilet facilities 1.68 HIGH 42 Philippines Progress Report on the Millennium Development Goals 2010
  • 14. is still a high probability of achieving this and completion rates, progress have also target. been at a slower pace. Cohort survival rate had been relatively stable from 1990 Data on nutrition seem to tie up with to 1997 but suddenly went down in 1998. income poverty data. Proportion of malnour- It rose again in 2001 at 69.1 percent and ished children had been going down from ended up at 75.4 percent in 2008. Similarly, 34.5 percent in 1990 to 24.6 percent in 2005 there has not been much improvement in but went up to 26.2 percent in 2008. Similar terms of elementary education comple- to poverty incidence, there is a medium tion rate. The figure only increased by rate of progress in terms of halving the 5.7 percentage points over the past two baseline figure for malnutrition prevalence. decades; from 67.6 percent in 1990 to 73.3 Proportion of households with per capita percent in 2008. intake below 100 percent dietary energy requirement, on the other hand, declined The aim of Goal 3 is to ensure equal from 69.4 percent in 1993 to 56.9 percent opportunities for girls and women. In the in 2003. This 12.5 percent improvement case of the Philippines, girls and women within the ten-year period is considered have not been lagging behind boys and small since almost twice of this (22.2%) is men in the area of education. In fact, still required to be able to meet the target school participation, cohort survival and (34.7%) by 2015. completion rates (both at the primary and secondary levels) for girls have been In terms of primary education, the country consistently higher than for boys, although has been underperforming over the past the disparities have not been as much. decade. The rate of progress with respect Girls are disadvantaged only in terms of to elementary education participation rate elementary education participation rate has been estimated to be low. From 1991 to during the 1990s. 1999, the net enrolment rate in elementary education had been rising from 85 to 97 Another area where the country has percent but had been consistently going been performing well is on reducing child down from 2000 to 2006 (97 to 83%). It mortality. Infant mortality rate substantially started to rise again in 2007 but the rate declined from 57 infants per 1,000 live births of increase is relatively low. Based on the in 1990 to 33.6 in 1993. The rate slightly current trend, it seems that it is still far from rose to 35.1 in 1998 then it steadily went the 2015 target. In terms of cohort survival down until it landed at 25 in 2008. Based Notes on Table 1: Computation of pace of progress is based on UNSIAP methodology; Pace of progress = Actual rate of progress / Required rate of progress where: Actual rate of progress = [(latest data / baseline data) – 1] / no. of years elapsed (for negative indicators) = [(latest data – baseline data) / (100 – baseline data)] / no. of years elapsed (for positive indicators) Required rate of progress = [(target rate / baseline data) – 1] / no. of years covered Probability of attaining the target: LOW if pace of progress is less than 0.5; MEDIUM if pace of progress is between 0.5 and 0.9; and, HIGH if pace of progress is greater than 0.9 43 Philippines Progress Report on the Millennium Development Goals 2010
  • 15. on the trend, there is a high probability that with advanced HIV infection with access to the 2015 target (at 19 infants per 1,000 live antiretroviral drugs. births) will be achieved. Under-five mortality rate declined from 80 deaths per 1,000 live The country has also been performing births in 1990 to 54.2 in 1993 then it consis- very well in terms of reversing the incidence tently went down to 34 in 2008. Targeting of and death rates associated with malaria a rate of 26.7 by 2015 would therefore be and tuberculosis. Malaria morbidity rate easier, especially if appropriate interven- had consistently declined from 123 cases tions would be effectively implemented. per 100,000 population in 1990 to 20 in 2009. Similarly, mortality rate due to malaria On the other hand, improvement in decreased from 1.5 deaths per 100,000 maternal health is one area of concern. cases in 1990 to 0.02 in 2009. Interestingly, Maternal mortality ratio had been declining the target for tuberculosis case detection from 209 per 100,000 live births in 1990 to rate has been achieved since 2004. From 172 in 1998. However, the ratio went down 60 percent in 2000, the rate increased to 70 to only 162 per 100,000 live births in 2006. percent in 2004, which is the national target Based on this trend, it seems that 2015 for 2015. Since then, the rate has been target of 52 per 100,000 live births is still maintained above the target. Tuberculosis relatively far. Similarly, the country has not cure rate increased from 73 percent in 2000 been performing well in terms of contracep- to 82 percent in 2004. It slightly went down tive prevalence rate. The figure increased to 81 percent in 2005 but recovered at 83 from 40 percent in 1993 to 51 percent in percent the following year. Cure rate then 2008. The pace of progress over the period declined to 82 percent in 2007 and ended has been relatively low considering that the up with 79 percent in 2008. Based on the 2015 target is 80 percent. recent trend, the 2015 target of 85 percent is relatively close. Halting the spread of Human Immunodeficiency Virus (HIV) and Acquired Another area with fast pace of progress is Immune Deficiency Syndrome (AIDS) the expansion of access to basic sanitation. appears to be challenging for the country Proportion of population with access to as the estimated prevalence rate among sanitary toilet facilities had been increasing HIV-infected population who are 15 years from 71.8 percent in 1991 to 88.6 percent old and over increased from 0.0014 percent in 2008, surpassing already the 2015 target in 2006 to 0.007 percent in 2009 based on of 85.9 percent in 2002. Proportion of blood donor data. These figures, however, population with access to safe water, on have remained within the 2010 Philippine the other hand, has posted a medium rate target of less than one percent. On the other of progress. It had been increasing from hand, the country has not been performing 73.8 percent in 1991 to 81.4 percent in well in terms of increasing the proportion of 2008. Based on the current trend, it seems youth with comprehensive correct knowl- that the 2015 target (85.9%) is feasible. edge of HIV and AIDS. Meanwhile, there However, these favorable results hide the has been medium rate of progress in terms fact that almost one in five (or 15.73 million) of increasing the proportion of population persons are still unable to access safe water 44 Philippines Progress Report on the Millennium Development Goals 2010
  • 16. and one in ten (or 9.62 million) persons do budget of the Department of Education not have access to sanitary toilet facilities. (DepEd) has to be further increased. Also, resource allocation system has to be 1.4 Ways forward improved to address wide regional dispari- ties. This could be done by improving the Poverty database system and conducting school mapping to be able to effectively track the Reversal in the poverty trend in recent years resource-constrained areas. Alongside the notwithstanding the implementation of a increase in budget for school resources, number of poverty reduction programs posts cost-saving, non-conventional and flexible a challenge to the government. One of the approaches should be strongly pursued most important approaches in responding to improve access to primary education. to this challenge is the convergence of all These approaches include the following: the anti-poverty interventions to be able Instructional Management by Parents, to strengthen the desired impact of the Community and Teachers (IMPACT) programs. The government should also system; Modified In-School Out-of-School sustain and scale up the delivery of proven Approach (MISOSA); and, Alternative good practices and successful programs on Learning System (ALS). Addressing the high social protection, microfinance, asset reform, drop-out rate, especially among the early livelihood, among others. However, given graders, and the inability of students to the limited budget of most of the programs, cope with school works might also require proper targeting system should be adopted. strengthening of pedagogical skills of This is to ensure that greater resources are teachers and inclusion of preschool educa- channeled to target beneficiaries, particularly tion in the basic education cycle. Various those in poor and underserved areas. There social programs such as 4Ps should also be is also a need for the government to provide sustained, in conjunction with the DepEd’s adequate safety nets to poor households, initiatives, to address the non-school factors especially those considered chronic poor, to contributing to the non-attendance to prevent them from falling into poverty or for schools. Meanwhile, the government might them to recover more quickly from economic also need to aggressively move the Basic and natural shocks. Implementation of Education Sector Reform Agenda (BESRA) time-bound emergency public infrastructure- forward primarily through the School-Based based employment programs, skills training Management (SBM). programs and other support programs might enable households to augment their income Gender equality in times of crises. Although gender disparity (in favor of Education girls) in the area of education has not been as much, the government should give more In order to uphold its mandate of attention in improving education indicators providing free and compulsory primary for boys. To enable more women to partici- education and at the same time respond pate in the political arena, the government to the growing school-age population, should intensify capacity development 45 Philippines Progress Report on the Millennium Development Goals 2010
  • 17. programs such as skills training and develop- One of the priorities for action to address ment. In terms of addressing gender-based these concerns is to ensure that MNCHN violence, on the other hand, some possible strategy will be integrated in the Municipal interventions could also be implemented: (i) Investment Plan for Health (MIPH) as well strengthening awareness on gender-based as the Provincial Investment Plan for Health violence at the local level; (ii) strengthening (PIPH). The government should also exert coordination between the local government more efforts in improving the quality of units (LGUs) and the PNP; and, (iii) allocating pre-natal, natal and post-natal services resources to government agencies working being provided in local public health facili- on violence against women. Moreover, ties. This includes upgrading of manage- the legal framework for the protection rial and technical capabilities of health and improved welfare of overseas Filipino workers, improvement of monitoring and workers (OFWs), particularly the female evaluation as well as the database system, ones, should be strengthened. Meanwhile, and strengthening of advocacy activities. sex-disaggregated data should be made Furthermore, there is also a need to continu- available as these are deemed useful in ously advocate for legislative support and identifying gender issues and in planning for strengthen linkages with the private sector/ more appropriate interventions. non-government organizations (NGOs)/ civil society in order to resolve the problems Child mortality on financing and accessibility of maternal care services. Despite remarkable progress in reducing child mortality, some actions might still Related to the improvement in maternal need to be undertaken to address regional health is the improvement in access to disparities. First, there is a need for LGUs to family planning (FP) services. Given the better manage their child health interven- low practice of family planning, there might tions by improving their targeting system. be a need to expand informed choice by LGUs should be trained and adequate pushing for the Informed Choice Perspective resources should be provided to improve Responsible Parenthood – Family Planning their database system. The government also (RP-FP) Program. Together with parent needs to strengthen advocacy campaigns education on adolescent and sexual for child health programs such as that on reproductive health (ASRH), inclusion of breastfeeding. Moreover, LGUs need to fast- adolescent reproductive health (ARH) in track and strengthen Maternal, Neonatal the education curriculum, both in public and Child Health and Nutrition (MNCHN) and private, is also deemed necessary. strategy to ensure proper pre-natal, natal Designing of new financing mechanisms for and post-natal care for pregnant women. FP/RH such as Performance-Based Grants (PBGs) for LGUs as well as expansion of the Maternal health Contraceptive Self-Reliance Strategy (CSR) have to be pursued. Meanwhile, there is also Although a number of maternal health a need for strong political will to promote initiatives have already been undertaken, a continuing advocacy effort in legislating maternal health concerns still remain. a comprehensive population management 46 Philippines Progress Report on the Millennium Development Goals 2010
  • 18. and reproductive health policy through the preservation of natural resources should be consolidated Reproductive Health (RH) Bill. established. A multi-party audit of environ- mental statistics should also be conducted. Combating HIV and AIDS, malaria and There is also a need to strengthen business other diseases sector’s involvement through alignment of its corporate social responsibility (CSR) Reversing the spread of HIV and AIDS activities. requires some concrete set of actions. First, there is a need to build capacities to identify A clear national policy on water and sani- and locate the sources of new HIV infec- tation (watsan) and a program managed tions and evaluate prevention coverage by a lead institution is deemed necessary and impact. Effective and comprehensive in achieving universal coverage. Watsan package of interventions for HIV most- service providers should be regulated to at-risk populations (MARPs) as well as ensure accountability to consumers with migrant workers should also be designed expanded access, efficient use of revenues and implemented. There is also a need to and improved service quality. Investment on mobilize resources and engage communi- this sector should also be increased. ties in controlling the epidemic. Moreover, public-private partnership To prevent the spread of diseases in should be pursued with appropriate general, service provision should also incentives for private sector participation, be strengthened. This implies upgrading particularly in the housing sector. The of managerial and technical capabilities issue on non-availability of land suited among health workers, improvement of for housing should also be addressed health and laboratory facilities, provision of by coming up with innovative ways on timely program requirements, strengthening addressing the issue of tenurial security of program monitoring and evaluation, apart from home ownership. Policies and and pursuing advocacy on health-seeking development practices in urban develop- behavior. Moreover, strengthening of ment and housing should be addressed. partnerships with LGUs, civil society orga- LGUs should prepare comprehensive land nizations, the private sector, among others, use plans based on updated thematic maps might also be necessary. that take into account risk-sensitive land use planning. There might also be a need Environmental sustainability for the creation of the housing microfinance network. To address the issue of environmental sustainability, there is a need to revisit Partnerships for development implementation of environmental laws and encourage initiatives for compliance and In order to develop open, rule-based, penalties for violators. Efforts of various predictable, and non-discriminatory trading stakeholders in environmental advocacy and financial systems, some strategies might should also be mobilized. In addition, need to be implemented: (i) strengthening enabling conditions for the protection and of micro, small and medium enterprises 47 Philippines Progress Report on the Millennium Development Goals 2010
  • 19. (MSMEs); (ii) proactive investment promo- when giving prescriptions that will limit the tion to countries other than the United choices of patients, especially the poor States; and, (iii) diversification and expan- ones. Pharmacists and dispensers in the sion of market for exports. retail outlets should also educate and assist some patients on their choices. Meanwhile, To address the debt problems of the there is also a need for the Food and Drug country, tax revenue collection should be Administration (FDA) to hire more qualified improved. There should also be improve- regulation officers, establish additional ment in the efficiency and transparency facilities or satellite offices, and procure in public spending. Selection process of new state-of-the-art equipment. loan-funded programs and projects should also be strengthened. In terms of information and communica- tions technology (ICT) development, an Apart from upgrading of patent rights enabling socioeconomic and political and business system, the issue of inacces- environment should be created to attract sibility of essential medicines should also more IT investments. There should also be be addressed. The high-quality essential close coordination between the executive medicines should be available at affordable and legislative branches of the government prices, especially in far-flung areas. Thus, on proposed ICT-related bills. More efforts monopolies and oligopolies in the market should also be exerted to bring ICT services should be eliminated. Health professionals to the unserved and underserved areas. should also avoid brand preferences 2. Progress over the past decade This chapter presents the trends and inequality analysis made for the key indi- cators of each goal, assesses the progress made over the past decade, identifies key bottlenecks, and presents some policies and programs needed to keep track with, and possibly accelerate the current pace of progress. 48 Philippines Progress Report on the Millennium Development Goals 2010
  • 20. Goal 1: Eradicate extreme poverty and hunger and faster household formation, poverty incidence worsened from 30.0 percent in 2003 to 32.9 percent in 2006. Although 2.1.1 Target 1.A: Halve between 1990 there was economic growth during the and 2015, the proportion of people period, this was not enough to more than whose income is less than the poverty offset the rise in poverty incidence. During threshold the period 2003-2006, while average annual incomes increased by 16.2 percent, Status and trends inflation rose by 21.2 percent. Furthermore, with the aftermath of the food and fuel price Generally, poverty in the Philippines is hikes, global financial crisis and natural on a declining trend. Between 1991 to calamities such as typhoons Ondoy and 2003, poverty incidence (or the proportion Pepeng and the recent El Niño phenom- of individuals whose annual income falls enon, a further worsening of the poverty below the annual poverty threshold) has situation might be expected in the 2009 been reduced at an annual average rate poverty estimates. of 1.4 percent. The episode of high rate of poverty reduction, especially between 1994 Extreme poverty (subsistence incidence) and 1997, had been years of relatively high economic growth (i.e., 5.33% GDP Extreme poverty is estimated using the growth). However, primarily due to rising proportion of the population living below food prices, slower growth of incomes, the subsistence or food threshold (or 2 In 1991, the old poverty methodology was used, wherein special rice was considered in the menu and regional prices were used; family size is six. 49 Philippines Progress Report on the Millennium Development Goals 2010
  • 21. Source: NSCB * Region IV has not yet been divided into Regions IV-A and IV-B. ** Caraga was created on February 23, 1995. subsistence incidence). In 1991, subsistence within and around the region. Apparently, incidence was 24.3 percent2 , which was Regions III and II have long been the top equivalent to a total of 15.1 million people. producers of rice and corn, respectively, in This figure decreased to 12.2 million indi- the country, while NCR and Region IV-A viduals in 2006, comprising 14.6 percent are among their nearest neighbors. Thus, of the total population (Table 2). However, there might not be problems with food subsistence incidence increased from 13.5 availability in these regions. On the other percent in 2003 to 14.6 percent in 2006. hand, among the regions with the highest subsistence incidence were Caraga, ARMM In 2006, some regions in Luzon registered and Regions IX, IV-B, VIII and V. It can the lowest incidence of extreme poverty also be observed from the map that all of (Figure 2). These regions include the the regions in Visayas and Mindanao had NCR and Regions III, IV-A, and II. One higher proportion of population living below of the major reasons behind this might the subsistence threshold relative to the be the volume of agricultural production national estimate. 50 50 Philippines Progress Report on the Millennium Development Goals 2010
  • 22. Figure 2. Proportion of population living below the food threshold (%), by region, 2006 Source: FIES, NSO Income poverty the minimum income required to satisfy the food or nutritional requirements (2,000 kilo Income poverty is measured by poverty calories) and other non-food basic needs incidence, which is defined as the propor- of a family. In 2006, poverty incidence tion of individuals whose annual per capita among the population was estimated at income falls below the poverty threshold. 32.9 percent, which is an improvement from The poverty threshold, on the other hand, is 45.3 percent in 1991 (Figure 3 and Table Figure 3. Poverty incidence among population (%), 1991-2006 Source: NSCB 51 Philippines Progress Report on the Millennium Development Goals 2010
  • 23. Source: NSCB * Region IV has not yet been divided into Regions IV-A and IV-B. ** Caraga was created on February 23, 1995. 3). In terms of magnitude, about 500,000 than the 2003 figure, indicating a reversal people were able to get out of poverty; from in the trend. 28.1 million people in 1991 to 27.6 million in 2006. However, this 2006 estimate is higher Figure 4 reveals that in 2006, most of the regions in the northern part of the country had relatively lower proportion of popula- Figure 4. Proportion of population living below the poverty threshold (%), by region, 2006 tion living below the poverty threshold than those situated in the southern parts of Luzon (MIMAROPA and Bicol), Visayas and Mindanao regions. In fact, NCR, Regions I to III, and CALABARZON had poverty incidence lower than the national average. Individuals residing in these regions (particularly NCR) might be rela- tively better-off since they have generally higher standards of living as manifested through higher access to employment opportunities and basic social services. Meanwhile, higher poverty incidence in Mindanao might be attributed partly to conflicts and peace and order problems confronting the regions. 52 2 Source: FIES, NSO Philippines Progress Report on the Millennium Development Goals 2010
  • 24. Source: FIES, NSO Poverty gap ratio and share of poorest quintile from 0.4680 in 1991 to 0.4580 in 2006. As to national income shown in Table 5, the regions with the most inequitable income distribution are Regions Poverty gap ratio, which measures the VII, VIII, IX, and X as these regions have distance of the average incomes of the Gini coefficients higher than 0.45. Despite poor to the poverty threshold, indicates the increase in subsistence and poverty an improvement from 13.0 percent in 1991 incidence, the Gini coefficient continued to 7.7 percent in 2006 (Table 4). The trend to decline. shows that poverty gap among the poor had been consistently narrowing from 13.0 The Philippines has a relatively high percent in 1991 to 7.0 percent in 2003. inequality compared with its Asian neigh- However, the gap slightly widened from bors. The Gini coefficient for the Philippines 7.0 percent in 2003 to 7.7 percent in 2006. is higher than the Gini for Indonesia, Viet This trend is similar to that of poverty and Nam, Lao PDR, Cambodia, Thailand, and subsistence incidence. Malaysia. On the other hand, the share of poorest quintile to national income slightly declined Climate change and poverty from 6.2 percent in 1991 to 6.0 percent in 2006 (Table 4). The share had been consis- Climate change and recurrent disasters tently going down from 6.2 percent in 1991 increase the vulnerability of the poor to 5.6 percent in 2000. The Asian financial through the continuous erosion of physical, crisis followed by the occurrence of the financial, natural, human and social capi- worst El Niño and La Niña episodes might tals. It would be difficult to sustain reduction have contributed to this trend. Households in poverty and hunger with the onslaught of belonging to the poorest quintile somehow climate change and natural disasters. recovered from 2000 to 2003, but margin- ally improved in 2006. The destruction of natural resources has adverse effects on the socioeco- Income inequality nomic conditions of many people, espe- cially the rural poor, whose livelihoods Income inequality is commonly measured are dependent on natural resources, through the Gini coefficient where zero mainly agriculture, fisheries, and forestry. means perfect equality while a value of Agricultural productivity is expected to one (1) implies perfect inequality. In the decline, adversely affecting livelihoods Philippines, income distribution remains and food systems, particularly in devel- largely unequal. It has slightly improved oping countries. The decline in agricultural 53 53 Philippines Progress Report on the Millennium Development Goals 2010
  • 25. Figure 5. Disparities in population growth rate across regions, 1995-2000 and 2000-2007 Source: NSO productivity means lower income for including food. Thus, as extreme weather agricultural workers and producers and events increase in frequency and intensity, lower food supply. Lower income means poverty and hunger incidence are likely to reduced capacity to meet basic needs increase as well. Source: FIES, NSO. * Region IV has not yet been divided into Regions IV-A and IV-B. ** Caraga was created on February 23, 1995. 54 Philippines Progress Report on the Millennium Development Goals 2010
  • 26. The government faces a daunting task of through the major anti-poverty policies and overcoming such challenges and should programs prioritized and implemented. harness all resources to succeed in reducing poverty and hunger. Medium-Term Philippine Development Plan (MTPDP) Poverty and population growth The Medium-Term Philippine Development The 2007 Census of Population shows that Plan (MTPDP) 2004-2010, the country’s the Philippine population is increasing at 2.04 socio-economic development blueprint, is percent annually. Although this population also the Administration’s anti-poverty plan. growth rate (PGR) is down from 2.36 percent Under the MTPDP, poverty reduction is the as of the 2000 Census, it is still considered centerpiece goal as the Administration as one of the highest in Asia. At this rate, the vowed to “fight poverty by building pros- Philippines is expected to hit the 100 million perity for the greatest number of the Filipino population mark in 2015, and will reach 140 people.” The Plan has five major thematic million by 2040. Unless the PGR is further components, to wit: (a) economic growth reduced, the population of the country is and job creation; (b) energy; (c) social expected to double by 2050. justice and basic needs; (d) education and youth opportunity; and (e) anti-corruption The 2007 PGR shows wide dispari- and good governance. The Plan features ties across regions. Figure 5 shows that a Ten-Point Agenda and Legacy, known as PGR is highest in ARMM at 5.46 percent. “Beat the Odds”, as follows: Incidentally, the province of Maguindanao in ARMM also registered the highest PGR B – Balanced budget at 6.99 percent. E – Education for all A – Automated elections The link between population and poverty T – Transport and digital infrastructure to has been well-established. Based on a connect the country comparison among countries in developing Asia, the high PGR of the Philippines is also T – Terminate the MILF and NPA conflicts matched by its high poverty incidence. The H – Heal the wounds of EDSA experiences of Malaysia, Thailand and E – Electricity and water for all barangays Vietnam suggest that good population policy combined with sound economic O – Opportunities for 10 million jobs policy, stemming from sustained policy D – Decongest Metro Manila reform, brings about rapid economic D – Develop Clark and growth and poverty reduction. S – Subic as logistics hub Priority policies and programs The MTPDP targets the reduction of poverty incidence among families at 20.9 The government’s response to the chal- percent by 2010. The MTPDP Chapter on lenge of poverty reduction can be seen Responding to the Basic Needs of the Poor 55 Philippines Progress Report on the Millennium Development Goals 2010
  • 27. promotes asset reform, essential services, KALAHI-Comprehensive and Integrated employment and livelihood, and community Delivery of Social Services (CIDSS). empowerment as key components consis- tent with the KALAHI Program. Policies and programs relating to microfi- nance, asset reform, social protection, and Kapit-Bisig Laban sa Kahirapan (KALAHI) empowerment of the poor were formulated and implemented by the government to The Arroyo administration launched the reduce poverty. Kapit-Bisig Laban sa Kahirapan (KALAHI), or Linking Arms Against Poverty, as the Pantawid Pamilyang Pilipino Program overarching strategy and program for (4Ps) poverty reduction. The KALAHI serves as the Focused, Accelerated, Convergent The Pantawid Pamilyang Pilipino Program and Expanded or FACE strategy in fighting (4Ps) was launched in 2008 as a poverty poverty. It is focused as KALAHI targets the reduction program using conditional cash poorest and most vulnerable barangays transfers (CCT) for the one million poorest and sectors in communities. Specific criteria families to improve health, nutrition, and are established to ensure that poverty education outcomes of their children. The reduction efforts provide maximum impact 4Ps had the twin objectives of providing and benefit to those who need them most. social assistance for immediate needs of It is accelerated as KALAHI immediately the family and social development to break addresses the communities’ need and the inter-generational poverty through fast-tracks processes by cutting channels human capital investments. The benefi- and serving target groups directly. It is ciary households are selected through the convergent as KALAHI is a mechanism to National Household Targeting System for converge the poverty reduction efforts of the Poverty Reduction (NHTS-PR) conducted government at all levels, as well as those by the Department of Social Welfare and of the private sector, the civil society, and Development (DSWD) and the Small Area most especially, the basic sectors to simul- Estimates (SAE) survey of the National taneously address the economic, political Statistical Coordination Board (NSCB). and socio-cultural dimensions of poverty. Finally, it is expanded because KALAHI The 4Ps entitles beneficiary households an recognizes the need for multi-themed and average monthly cash subsidy of PhP1,400 integrated approaches in addressing the for a period of five years. The health multi-dimensional nature of poverty by package provides PhP500 per household attending to human development concerns, per month. The education package grants asset reform, livelihood, and employment. PhP300 monthly per child for ten months (corresponding to one school year) for Through the KALAHI Program, various a maximum of three children per house- modalities have been implemented: hold. Being a CCT, the enrolled benefi- KALAHI-Rural, KALAHI-Urban, KALAHI- ciary household must fulfill the following Karaban, KALAHI in Conflict Areas, conditions: KALAHI Prototype Projects, and the 56 Philippines Progress Report on the Millennium Development Goals 2010
  • 28. • Regular preventive health check-ups education, reducing child mortality and and immunization of children 0-5 years old improving maternal health but it also aims • At least 85 percent attendance in day to indirectly address other MDGs such care or pre-school for children 3-5 years old as reducing extreme poverty and hunger, • At least 65 percent attendance in and promoting gender equality as well as elementary or high school for children 6-14 empowering women. years old • Intake of deworming pills for children Accelerated Hunger Mitigation Program 0-14 years old every 5 months (AHMP) • Pre-natal and post-natal care for preg- nant women with birth to be delivered by a The Accelerated Hunger Mitigation skilled/trained health professional Program (AHMP) was launched in 2007 as • Participation of mothers in mother’s a strategy to address the primary causes of classes hunger. The AHMP is being implemented • Participation of parents in Parent in 54 priority provinces identified through Effectiveness and Responsible Parenthood a nationwide survey that adopted the Seminars self-rated hunger questions survey of the Social Weather Stations (SWS). The AHMP The 4Ps seeks to directly address the is guided by a framework that includes MDGs on achieving universal primary both the supply- and the demand-side 57 Philippines Progress Report on the Millennium Development Goals 2010
  • 29. interventions. The AHMP seeks to reduce Paaralan, and is now on its third phase. To the hungry households by 50 percent from date, the program has covered all provinces 1.2 million to 600,000 households. in the country, in addition to the Priority One and Priority Two areas, with Phase 3 The AHMP’s supply-side strategy benefiting 152,695 households. includes increasing food production and enhancing the efficiency of logistics and  Concerning rice seed subsidy, seeds food delivery interventions to increase distributed were planted to 1,287,805 hect- food production such as seed subsidies, ares of rice land during the dry season and technical assistance on intercropping 1,603,293 hectares during the wet season. corn with coconut, rehabilitation of irrigation facilities, among others. The  About 67,881 hectares of coconut programs under the AHMP are the land were covered by coconut intercrop- Barangay Bagsakan (formerly Barangay ping, while salt fertilization reached 29,882 Food Terminals) and the Tindahan Natin coconut farmers for a second dosage of (TN), which are community stores selling salt fertilization application. Salt fertiliza- cheap basic food items in depressed tion increases coconut yield by at least 25 communities; the construction of roll-on percent and makes coconut trees resistant roll-off (RORO) ports and farm-to-market to drought, pests and diseases. roads; the Food-for-School Program of the DSWD (i.e., for day care children)  Accomplishments for the livestock and the Department of Education (DepEd) program pursue 2008 targets that were (i.e., for elementary pupils). carried over to 2009 benefiting 13,425 families. Re-dispersal of 15,432 heads of On the other hand, the demand-side chicken benefited 3,086 families while 753 strategy of the AHMP includes putting more heads of goats benefited 376 families. money in poor people’s pockets essentially through livelihood skills training, microfi-  Another major activity under the Dairy nance, upland distribution for cultivation Goat Development Project is the distribution of rubber, jatropa and other cash crops, of dairy goats for milk production, which as well as the promotion of good nutrition started toward the end of November and education and population management. spilled-over up to the first quarter of 2010. Because of the need to quarantine animals Based on the 2009 National Nutrition before distribution, only 198 heads of dairy Council (NNC) report on the AHMP, the goats out of the targeted 4,785 heads of following are the major accomplishments goats were delivered to provinces near of the program: Priority One provinces. These goats will be raised for milk to be delivered to nearby  Regarding Increasing Food Priority One provinces. Production, the Programang Gulayan sa Masa was implemented to encourage the  The fishery program has reached establishment of home vegetable gardens a total of 26,876 beneficiaries. Fisherfolks and has expanded to the Gulayan sa have praised the program for providing 58 58 Philippines Progress Report on the Millennium Development Goals 2010