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世界卫生组织城市治理促进健康和福祉倡议

2025-11-21世界卫生组织李***

AI智能总结

Pasig City, located in Metro Manila, Philippines, is a highly urbanized city with a population of approximately 803,159, representing about 5.96% of the National Capital Region. Under the leadership of Mayor Vico Sotto, the city aims to be a model of participatory good governance, focusing on a high quality of life, inclusive economy, ecologically balanced environment, and innovative infrastructure. The Philippines faces a triple burden of communicable and noncommunicable diseases, with rapid urbanization exacerbating health challenges. In Pasig City, hypertension is the leading cause of morbidity, while heart disease, pneumonia, and diabetes are the leading causes of death.

Phase 1 (2020–2024) Key Achievements and Activities:

A multidisciplinary team participated in the WHO Urbanlead programme, identifying key strategies for strengthening health and well-being in urban governance.
An Urbanlead Committee was appointed to manage the Initiative, facilitating intersectoral partnerships.
The first Health Leadership Summit was organized, attended by over 100 participants including city officials, barangay captains, and civil society organizations.
Over 100 barangay community leaders participated in capacity-building workshops, aligning budgeting and planning processes with health needs.
Capacity building, leadership, and research & evidence initiatives were strengthened through collaborative platforms, integrated health promotion, and formalized participation of Local Health and School Boards in urban planning.

Initiative Progress:

Community engagement is enhancing urban health governance through platforms like the City Development Council, barangay Assemblies, Local Health Board, and School Health Board.
Health is being integrated across all aspects of barangay development plans, supported by the Department of Health’s Purok Kalusugan directive.
Civil society is actively engaged in local planning, with the Civil Society Organization Academy ensuring the voices of vulnerable groups are heard.
The Urbanlead Committee is now integrated into the CDC, coordinating intersectoral partnerships and integrating health considerations across development efforts.

Priorities for Phase 2 (2025–2028):

Ensuring the Urbanlead Committee is formally represented in the city’s multisectoral coordination mechanism.
Facilitating development and implementation of joint, evidence-based, and data-informed policies.
Continuing to align and synchronize Pasig City’s Comprehensive Development Plan and BDPs.
Organizing dialogues between local government, communities, and youth.
Developing a barangay-level urban governance model to address food systems and other health challenges.
Sharing good practices, developing guidance and advocacy materials, and further developing UGHW leadership and communication orientation and training.

The WHO Initiative on Urban Governance for Health and Well-being, supported by the Swiss Agency for Cooperation and Development, aims to improve health status and well-being through participatory and multisectoral urban governance. Pasig City, along with five other cities, is part of this Initiative, working to integrate health into urban governance and development.

City Spotlight: Pasig City, Philippines About Pasig City Part of Metro Manila, Pasig City is a highly urbanized cityknown for its rapid urbanization, economic growth anddiverse population. It has an estimated population of 803 1593(representing approximately 5.96% of the population of theNational Capital Region) and is composed of 30 barangays,with population ranging from 800–163 000 inhabitants. TheMayor of Pasig City, Vico Sotto, was first elected in May 2019and re-elected in May 2022.4Under his leadership, the cityvision is“to be the exemplar of participatory good governancewhere communities enjoy a high quality of life in a competitiveand inclusive economy, ecologically balanced environment,innovative and resilient infrastructure guided by responsive,transparent and accountable government.” Located in Southeast Asia, the Philippines is an island countrycomprising more than 7,000 islands in the western PacificOcean. Of its 116.8 million inhabitants in 20251, an estimated15.2 million live in Metro Manila2, the capital region andlargest metropolitan city of the country. Metro Manila iscomposed of 16 highly urbanized cities and oneindependent municipality. The Philippines’ local government is structured into threelevels: provinces and independent cities, component citiesand municipalities, and barangays, collectively known as LocalGovernment Units (LGUs). A barangay (village or neighborhoodin Filipino) is the smallest LGU. Since 2022, under the LocalGovernment Code of 1991 (Republic Act No. 7160), theimplementation, funding and policymaking of health serviceshave been the responsibility of LGUs at three levels: provincial,city/municipal and barangay. Every five years, the Comprehensive Development Plan guidesthe city’s vision by outlining goals and sectoral contributions.It is shared with Barangays, enabling them to set priorities andalign their plans with the city’s objectives. Health and development in Pasig Over recent years, the Philippines has experienced a rapideconomic and social development one of the fastest inthe region5. The country’s strong capacity has improvedFilipinos’ health and longevity6, with 92% now covered byhealth insurance and better access to maternal, child, andpreventive health services.7However, the country faces a tripleburden of communicable and noncommunicable diseases,and health challenges arising from rapid urbanization andindustrialization. In 2021, infectious diseases were the leading causes ofmorbidity, while noncommunicable diseases topped mortalitycauses.8, 9In Pasig City, hypertension is the leading causeof morbidity10, while the leading causes of death are heartdisease, followed by pneumonia and diabetes. The mostprevalent health issues are noncommunicable diseases, withhypertension, diabetes and asthma being the top three.11 Phase 1 (2020–2024) Key Achievements 3Amultidisciplinary team, appointed by the Mayorof Pasig City, participated in the WHO Urbanleadprogramme12. Together, the team identifiedenhancing participative planning processes at thebarangay level and aligning Barangay DevelopmentPlans (BDPs) and Pasig City’s Comprehensive Plan asa key entry point to strengthen good governance forhealth and well-being. 1AnUrbanlead Committeehas been appointedby the mayor, through an administrative order, tomanage the implementation of the Initiative. Itsestablishment facilitates intersectoral partnershipsand addresses broad issues affecting health andwell-being, coordinating closely with other keydecision-making bodies within the city. 2In 2024, Pasig City Health Department organizedits firstHealth Leadership Summittitled “MovingTogether for Healthy Communities and UniversalHealthcare”. The Summit was attended bymorethan 100 participants, including Pasig City’s hospitaladministrators, health programme managers,barangay captains and councilors, SangguniangKabataan ‘Youth Council’ chairpersons, and civilsociety organizations. 4More than100 barangay community leadersparticipated in consultation and capacity-buildingworkshops, organized in collaboration with theUniversity of the Philippines, College of PublicHealth. These workshops aimed to improve andalign Pasig City’s budgeting and planningprocesses to barangays’ health and well-being needsand priorities. Activities Capacity building Leadership Research & evidence - Created collaborative platforms forbarangay leaders, CSOs, and sectorsto co-develop aligned solutions.- Integrated Health Promotion Officeinto governance processes toembed health in all decisions.- Formalized participation of LocalHealth and School Boards inurban planning, supported by cityguidelines. - Strengthened guidelines forevidence-based planning across cityand barangay levels.- Improved data sharing and analysisthrough formalized coordinationbetween barangays and healthworkers.- Facilitated the participation ofRural Health Physicians in barangaymeetings through a Local HealthBoard resolution and a cityordinance on barangay committeesto

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