Global Health in the Philippines

I am extremely grateful for my experience in the CFHI Global Health in the Philippines program. From the people, the culture, and the history, I am undoubtedly impacted by the things I’ve learned and seen from my time in the program. We started with our first week in Manila where we got to learn about the different parts of the Philippine health system as well as how it fit into the context of Philippines history. The local coordinators, Dr.Katrina and Dr.Lopao were incredibly passionate about the information and history they were sharing with us which made our discussions super engaging and insightful! Not only that but I appreciated how they constantly checked in on us and made sure that we were okay throughout our time in Manila. The local team on the island were also incredibly welcoming. Our group rotated around the different Barangay Health Clinics and had the opportunity to learn about their unique health system on the island. In our free time we were able to explore the island, try different foods, and talk with the locals and BHW’s (Barangay Health Workers). In our 3 weeks here, something that I’ll never forget is the empathy and compassion of the entire health team. From each health clinic we visited and the conversations we had with the staff, it was clear to see how dedicated everyone was in providing the best care even with the obstacles that might come from being on an island. Furthermore, the context and insight provided by our local preceptor is something I know will continue to impact and shape how I think about medicine in the future and in my studies. Something I also really appreciated about CFHI as a whole, was their emphasis on ethical engagement. From their thorough onboarding and the support from the US team, Local team, and alumni, I felt assured that I wasn’t expected to do anything beyond observation. Especially as a second year undergrad, I felt that there wasn’t really anything medical that I would have been qualified to do. Something that really resonated with me was their rule of thumb “If you wouldn’t be allowed to do it here, don’t do it there”. This aspect is something that I feel is extremely unique to CFHI and what made me look into this program in the first place! Overall, my CFHI Global Health Program in the Philippines was extremely informative and worthwhile! I fully recommend it to anyone who is going into medicine or global health or is even just curious about it to apply for a program. Wherever you are in your journey, you are sure to gain valuable information and insight that will continue to impact you long after your program.

THE PROGRAM The Global Health in the Philippines program has been a one-of-a-kind experience for me! I was assigned to Carabao Island, San Jose, Romblon, Philippines, for a 4-week program that started last June 21, 2025, and ended yesterday, July 19, 2025. From the first week of the program in Manila, the local coordinator and the medical director gave us a quick overview of the historical context of health systems of the Philippines through visits to museums, hospitals, and public health discussions with primary care physicians. That gave us a context before our assignment on an island to have a grasp of the public health systems of the Philippines. From our 2nd to 4th week of the program, I shadowed our local preceptor doing general check-ups for the residents, and observed maternal and child health check-ups. It was truly eye-opening as it gave me a first-hand experience in seeing how the patients and the healthcare workers work hand-in-hand to deliver healthcare in the island. EXPERIENCES IN THE ISLAND I really hope more people will be assigned to Carabao Island! The locals are very kind, friendly, and warm, and will really check up on you from time to time to see how your experiences on the island have been so far. The healthcare workers, particularly the Barangay Health Workers (BHWs), midwives, and nurses, are very hands-on as they always teach us new information about the locals’ perspective in healthcare. Moreover, the Municipal Health Officer, Doc Ian, is also very kind and hands-on. He is very friendly and tries to involve us through shadowing him in consultations with patients and check-ups with pregnant women to see how it works on the island. This became our weekly routine, and we truly enjoyed it. I miss everyone on the island! The location of the island is also very pretty; we always watch the sunset and walk by the beach after our duty to appreciate the beauty of the island. In the afternoon, we eat local snacks and delicacies to have a legit taste of Filipino food. One of the best things in the island is the halo-halo and barbeque, which I never tried before anywhere else in the Philippines. I wish I had more of those before leaving. FEEDBACK I would highly recommend the program to anyone who is looking for a Global Health experience! If you are looking for a sign that this is the program fit for you, this is the sign! It gave me a new perspective and exposure in viewing primary healthcare, local health delivery, and local ethnomedicinal practices engraved into the island's culture in the Philippines. As a Health Sciences graduate, this public health experience is one of the best I have had that I will never trade for anything else. I hope more students, both local and international, get this experience at least once in their lives! I truly loved every single day and the people behind the success of the program. Thank you so much, CFHI, the local team, Doc Lopao, Doc Joel, Doc Kat, Doc Ian, and the generous sponsor of the Friends of the Philippines Scholarship for making this experience possible! I’m forever grateful!

Before entering the Child Family Health International (CFHI) program, I viewed health systems through a narrow lens, one shaped by textbooks, urban hospitals, and structured medical training. But thanks to the Friends of the Philippines Scholarship, I was given the opportunity to step outside of that frame and experience the kind of education that no classroom can offer: an immersion into the reality of Philippine healthcare with all its complexities and contradictions. Our first week in Manila laid the foundation for what would become a life-changing experience. Our visit to Dr. Jose Rizal’s monument reminded us that healing and patriotism are intertwined: doctors have long played a role not just in curing diseases, but also in caring for the nation itself. From there, we explored the Carlos Francisco’s four-panel mural, “The Progress of Medicine in the Philippines.” This artwork painted the story of our country’s journey through time, how our roots in faith-based and spiritual healing evolved toward modern medicine, and how colonial history, cultural belief systems, and science continue to coexist, sometimes in harmony, but also sometimes in tension. I learned about the Philippines’ top ranking in the World Risk Index which is a reminder of how geography, poverty, and politics shape our people’s health. We discussed how some rural areas still resist Western medicine and how paradoxes fill our healthcare system: burdened by limited resources and poor implementation of written laws. In Manila, I began to understand that everything is connected, that health is deeply intertwined with structural building blocks, financing, and local governance. I learned that decentralization led to fragmented care resulting to disparities in funding and outcomes. The Philippine General Hospital, although 2–3 hours away from provinces like Cavite, remains the hospital of choice for many. This tells us not only about the centralization of trust, but also about the underdevelopment of rural health systems. I also learned about the determinants of health and saw how health is not just about the delivered services, but also about systems upheld or neglected. Throughout our week-long stay in Manila, we were confronted by difficult truths yet despite all this, we were reminded to remain hopeful because sincerity, equity, and community-centered care are still possible, and still worth fighting for. We then proceeded to travel to San Jose, Romblon, or more commonly known as Carabao Island. The island’s natural beauty was truly breathtaking with its crystal-clear waters, lush landscapes, and kind-hearted people who welcomed us warmly and shared stories with us. In the seminar hosted by the Department of Health entitled, “PuroKalusugan,” I learned that Barangay Health Workers (BHWs) are the lifeblood of the community as they are the first point of contact for healthcare and manage everything from maternal care to public health initiatives. Their unwavering passion and resilience left a lasting mark on me. I also saw the dedication of the Municipal Health Officer and Rural Health Unit (RHU) staff. Some of them wear multiple hats of responsibilities which made me realize that healthcare is not just clinical, it is political, emotional, and deeply human. I then began to understand that being a doctor is not just about treating disease: it is about listening, empowering, and standing in solidarity with the people. I saw how trust in the healthcare system begins with community-centered care and how the presence of sincere and compassionate physicians like Dr. Joel Buenaventura, Dr. Paolo Medina, and Dr. Ian Buluag, can inspire renewed hope and belief in a system that too often overlooks the realities faced by those it aims to serve. This scholarship did not just support my travel and learning, it shifted my perspective entirely. It challenged me to step outside of my comfort zone and confront the complexities of our healthcare system not as an outsider, but as someone who belongs to the very fabric of it. Professionally, it helped me develop a deeper sense of cultural humility, systems thinking, and social accountability. I have come to see that global health is not about sweeping interventions or short-term fixes. It is about building relationships, understanding context, and remaining grounded in empathy. It is about asking the hard questions: Why are things this way? What can we do to change it? How can we help? I have come to see that the foundation of meaningful healthcare lies in recognizing the humanity in every patient. Every Filipino is born into a system shaped by debt, politics, and deep contradictions, yet each person still deserves dignity and quality care. Hope and hopelessness often coexist and it is our duty as future healthcare workers to help tip the balance toward hope through meaningful action, unwavering advocacy, and compassionate service. I am deeply grateful to Child Family Health International and the Friends of the Philippines Scholarship for opening my eyes to these truths. This was more than an immersion: it was a personal reckoning, a reframing of my purpose, and a reminder of why I chose this path in the first place. Because in the end, when life gives you tangerines, sweet, sour, and complex they may be, you do not just eat them. You learn to taste them fully, share them with others, and let their flavor shape the journey ahead. Throughout this program, I found parts of myself I did not know I had lost. In the stories of patients and health workers, I heard echoes of my own family, community, and dreams that first led me to the path of medicine. Standing in places where care is offered with little more than heart and hope, I began to see my identity not just as a student or future doctor, but as someone deeply rooted in the struggles and strength of the Filipino people. These experiences did not just educate me, they moved me in ways I could not even begin to imagine. There were moments of awe and then moments of heartbreak: standing in under-resourced areas, hearing the stories of overworked health workers, and seeing both the brilliance and the brokenness of our systems. Yet I also found hope, in the laughter of the children we met, in the passion of the doctors who choose to stay, in the hospitality of everyone who welcomed us with open arms, and in the small victories that happen quietly with each passing day. This journey peeled back the layers of privilege and perspective, and what was left was something raw, real, and resolute: a clearer sense of who I am, who I want to be, and who I am called to serve. This was my kilometer zero: the point where everything shifted and began. I now carry with me a deeper understanding, a renewed purpose, and a heart forever changed. This experience opened the world to me and allowed the world to transform me in return.