Creating an Enabling
Environment for the
Filipino Adolescents
through Comprehensive
Sexuality Education (CSE)
Usec. Juan Antonio A. Perez III, MD, MPH
Executive Director
Commission on Population and Development
Comprehensive Sexuality Education (CSE) Conference
27 April 2021
10:00 AM
Outline of Presentation
•Sexual and Reproductive Health of Filipino
Adolescents: What we know?
•Comprehensive Sexuality Education (CSE)
Interventions under the Adolescent Health and
Development (AHD) Program 2017-2022
•Way forward
Sexual and Reproductive Health of
Filipino Adolescents: What we know?
Young Filipinos
who had their
sexual initiation
before the age of
18 are increasing.
The proportion of
girls who are
engaging in sex
are increasing
much faster than
the boys.
Source: Young Adult Fertility and Sexuality Study (YAFS), UPPI/DRDF
Those who are engaged in risky sexual activities have no sufficient protection that
might lead to sexually transmitted infection (STI) and HIV/AIDS and unintended
pregnancies.
Unintended pregnancies are of great
concern since these are associated
with a range of adverse consequences
not only for the mother but for her
child as well especially when the
mother is still a child herself.
More and more
adolescent minors
are giving birth
About 171
livebirths were
born to minors
every day in 2019.
Source: Civil Registration and Vital Statistics, Philippine Statistics Authority
The Philippines is
fourth in terms of
adolescent birth
rate among South
East Asian
countries.
Source: Laos (2017 MICS); Timor-Leste (2016 DHS); Cambodia (2014 DHS); Thailand (2015-2016
MICS); Indonesia (2017 IDHS); Philippines (2017 NDHS); Vietnam (2014 MICS); Myanmar
(2015-2016 DHS)
“Good news it’s declining but one pregnant
teenager is still one pregnant teenager, too many.
We are not even counting the unfortunate girls
younger than 15 who have become pregnant. They
are not many but each one has a tragic story
behind them.They really need our help.”
---Dr. Esperanza I. Cabral
Former Secretary of Health
The number of births
from mothers aged
10-14 is generally
increasing.
About 7
livebirths were
born to children
every day in
2019.
Births among 10-14
mothers increased
from 3 births a day in
2011 to 7 births a
day in 2019. Source: Civil Registration and Vital Statistics, Philippine Statistics Authority
More and more minors who have given birth had repeat
pregnancies…
Source: Civil Registration and Vital Statistics, Philippine Statistics Authority
Births among minor mothers are generally sired by older
fathers (20 and above)…
Number of Live Births by Age of Adolescent Mothers and Corresponding Age Groups/Age of Fathers:
Philippines, 2018
Age of Total Births Age of Father
Mother Not Stated
10-14 15-19 20-29 30-39 40-49 50-59 60-69 70+
10 2 - - 1 (22) - - - - - 1
11 7 - - 1 (27) - - 1 (52) - - 5
12 48 - 8 14 - - - - - 26
13 293 3 56 53 11 - 1 - - 169
14 1,900 9 542 523 46 7 2 1 (61) - 770
1
15 7,334 15 2,142 2,619 190 17 6 1 (62) 2,343
(76)
2
16 18,008 11 5,218 7,217 523 63 12 6 4,956
(73 & 80+)
17 34,749 10 8,728 16,543 1,185 137 37 7 1 (70) 8,101
Total 62,341 48 16,694 26,971 1,955 224 59 15 4 16,371
Source: Civil Registration and Vital Statistics, Philippine Statistics Authority
About 3.6% of
adolescent women
aged 15-19 reported of
experiencing violence
during pregnancy,
the largest proportion
among women of
reproductive age.
Source: 2017 NDHS, PSA & ICF
Adolescent mothers (ages
10–19 years) face higher
risks of eclampsia,
puerperal endometritis,
and systemic infections
than women aged 20 to 24
years, and babies of
adolescent mothers face
higher risks of low birth
weight, preterm delivery
and severe neonatal
conditions.
--- World Health Source: Philippine Statistics Authority (Data on deaths are those registered at the Office of the City/Municipal
Registrars throughout the country and submitted to the Office of the Civil Registrar General using Certificate
Organization (WHO) of Death-Municipal Form No. 103)
Note: Figures are results of actual registration without any adjustment for under registration
The numbers of “batang ama” or young fathers have steadily increased
over the eight-year period…
Source: Civil Registration and Vital Statistics, Philippine Statistics Authority
Adolescent Pregnancy is costly…
The age-earnings (wage rate) profile
is higher among those who
completed high school compared to
those who did not.
Early childbearing reduces
age-earnings (wage rate) profile
through its effect on high school
completion.
The discounted lifetime wage
earnings foregone by a cohort of
Photo by Mr. Elijah Ramos
teenage women 18-19 years resulting
from early childbearing is estimated
on the average at PhP33 billion.
Source: Alejandro N. Herrin. July 2016, “Education, Earnings and Health Effects of Teenage Pregnancy in the Philippines”
Due to community quarantine-induced service reduction…
The health crisis
creates another crisis
with an approximate
102,000 unintended
pregnancies among
adolescents by the
end of 2020.
Photo taken in Antique province
Source: UP Population Institute and UNFPA Philippines, 2020
The burden of
adolescent parenthood…
By end of 2021, there would
be 166,775 adolescent
parents that would be in
need of social protection ---
continued education,
livelihood, protection from
Source: Civil Registration and Vital Statistics, Philippine Statistics Authority
violence/exploitation, access
Note:
to health/social services.
*Data for 2020 and 2021 are projected numbers, based on 2019 data
• Cohort data for 2016 and 2017 are incomplete.
• 2016 – Data for age 11 (2009) and 12 (2010) are missing
• 2017 – Data for age 11 (2010) is missing
Comprehensive Sexuality Education
(CSE) Interventions under the
Adolescent Health and Development
(AHD) Program 2017-2022
The Philippine Population Management Program (PPMP)
Directional Plan 2017-2022
•Outlines the vital strategies to be instigated to facilitate
population processes and outcomes that could substantially
contribute to the fulfillment of set socio-economic
development goals as provided in the Philippine
Development Plan (PDP).
•Has three program components --- Responsible Parenthood
and Family Planning Program, Population and Development
Integration and Adolescent Health and Development
Program.
Adolescent Health and Development Program (AHDP)
Seeks to contribute to the improvement and promotion of
the total well-being of adolescents through addressing their
sexual and reproductive health.
Shares in the collective goal of creating an enabling
environment for the young people through equipping them
with knowledge and life skills to prevent untoward situations
such as early pregnancy and repeat pregnancy.
Getting parents on board through the Parent
Education on Adolescent Health and Development …
Equip the parents and educate them with the necessary
knowledge on sexuality and other health related concerns
of adolescents and skills on communicating such concerns
to their children; and
Highlight the role of parents as primary source of accurate
and sound information on adolescent health and
development.
Learning Package on Parent Education for Adolescent Health and Development
• Me as Parent
• Me and my Family
• Knowing and Understanding
my Adolescent
• Building a Positive
Relationship with my
Adolescent
• Harnessing my Adolescent
with Life Skills
SESSIONS PARENT TRACK TEEN TRACK
1 Getting Started (Opening Program)
2 My Adolescence Journey (When I was Young/When I Grow Up)
Body Talk: Rediscovering my Body Talk: Appreciating my
3
Adolescence (Station 1) Adolescence (Station 1)
Parenting Talk: Parenting my Parental Relationship Talk: Relating
4
Adolescents (Station 2) with my Parents (Station 2)
Protective Talk: Protecting
Risky Talk: Protecting Myself from
5 my Adolescent from Risks and
Risks and Threats (Station 3)
Threats (Station 3)
Growing Together Talk:
Growing Together Talk: Talking to
6 Talking to my Adolescent
my Parents Effectively (Station 4)
Effectively (Station 4)
Bridging Session
7 Heart-to-Heart Talk: Nurturing a Healthy, Empowering and
Respectful Teen-Parent (HEART) Communicative Relationship
8 Closing Session
Station 1: Body Talk
For Parents: Rediscovering my Adolescence
For Teens: Appreciating my Adolescence
Station 2:
Parenting Talk: Parenting my Adolescents
Parental Relationship Talk: Relating with my Parents
Station 3:
Protective Talk: Protecting my Adolescent from Risks and Threats
Risky Talk: Protecting Myself from Risks and Threats
Station 4:
Growing Together Talk: Talking to my Adolescent Effectively
Growing Together Talk: Talking to my Parents Effectively
What is the Aim of SHAPE
Toolkit?
Increase awareness of
learners’ values and attitudes,
and explore positive and
enabling attitudes towards
Sexual and Reproductive
Health;
Develop life skills, particularly
life planning, critical thinking,
negotiation, assertive
communication,
problem-solving, and making
better choices.
Focuses on the physiological or
physical changes at puberty:
Identification of puberty changes in
males and females, emphasizing
growth spurt and sexual
Module 1: maturation as the most important
changes.
Growing Up
Detailed discussion of sexual
maturation by illustrating how
puberty prepares the body for
reproduction (male and female
fertility) and how pregnancy occurs
(fertilization and sexual
intercourse).
All about emotional changes at
puberty which are often not given
enough attention:
Module 2:
Changing This module allows participants to
acknowledge and identify the
Feelings and different new feelings they have,
Expectations and examine how such feelings
shape their body image and their
relationship with other people.
This module deals with
adolescents’ changing
relationship with family and
peers, and their growing
Module 3: interest in sexual relationships:
Changing
The module provides
Relationships participants with knowledge,
attitude, and skills they need to
effectively relate with their
family, choose peers, and deal
with sexual feelings and
attractions.
Centers on building important
attitude and skills that adolescents
need to have:
The module aims to build a safe,
Module 4: healthy, and happy journey to
Having a Safe, adulthood which include: building or
improving self-esteem; keeping one’s
Healthy, and body clean, tidy, and fit; being
Happy respectful and responsible in
romantic and sexual relationships;
Adolescence using the internet safely and
responsibly; communicating
assertively; and making better
choices.
Adolescent Health and Development
Independent Film Festival
https://www.youtube.com/watch?v=v3DOlyxjEZA
Boy | Girl Salamin
U4U Teen Trail
Ano Ano’n
☹
na’ng g
nagb Boses tingin
ago Height mo sa
sa Period sarili
‘yo mo
tuli
??? ???
An educational and
entertaining teen
caravan that is set up
in schools and
communities and
managed by teens
themselves. Includes
interactive exhibit,
fun workshops, songs
and dances.
Provision of information in the time of COVID-19
Pandemic…
The HELPLINE
supports the public or community
health centers and health service
providers to ensure the continuous
provision of family planning
information and services among
those who need them most including
adolescents who are already
pregnant/mothers.
The HELPLINE also responds to calls
concerning COVID-19 and
gender-based violence (GBV).
Provision of information in the time of COVID-19
Pandemic…
The Usap Tayo sa Family Planning
with Doc Jeepy online talk show was
launched last August 31, 2020. It
aims to provide:
• A regular venue for the public
discussion and discourse on
emerging population and
development issues
• Information via available media
that can reach to a wide range of
audiences within the context of
the COVID-19 pandemic.
Provision of information in the time of COVID-19
Pandemic…
Online Videos for
the Adolescents
uploaded on
POPCOM’s Social
Media Account
Way forward…
Continue the provision of information during the period of
health crisis.
✔ Carry on the provision of information and referral services through the
POPCOM HELPLINE.
✔ Heighten awareness on population and development concerns and
generate broader public support and engagement through the
continued production of the USAP TAYO SA FAMILY PLANNING WITH
DOC JEEPY talk show.
✔ Intensify social media campaign.
✔ Develop and launch an e-learning platform through the POPDEV
Academy including online peer education program.
Way forward…
Promote the leadership of LGUs in preventing adolescent
pregnancies through “The Challenge Initiative” which highlights
the strong engagement of cities in addressing adolescent
pregnancy.
Instigate social protection program for teenage mothers and
their children (SPPTMC). POPCOM and DSWD have already
started working on the program design in consultation with
national government agencies, CSOs and development partners.
Maraming salamat po!
Commission on Population and Development
(POPCOM)
Welfareville Compound, Acacia Lane,
Mandaluyong City, Philippines
Telephone Nos.: (632) 531-7051; (632) 531-6805
Fax: (632) 533-5122
Website: http://popcom.gov.ph
Facebook: commissiononpopulation
Twitter and Instagram: @OfficialPOPCOM
