The key areas for PEN implementation included using the PEN approach to restore service delivery and management in primary health care facilities in Region 8, training health workers on PEN implementation and providing required materials and PEN implementation tools. Monitoring visits that included supportive supervision were also conducted in primary health care facilities in six provinces in Region 8. These assessed the use of the PEN protocols, availability of PEN implementation tools and whether the implementation targets for Region 8 had been met.

Disasters complicate the management of noncommunicable diseases (NCDs) by disrupting access to and delivery of health care, including medicines. Following Typhoon Haiyan in the Philippines in November 2013, much of the health infrastructure was destroyed and health service delivery was severely affected. This left many people with NCDs vulnerable as medicines were destroyed or washed away, food was scarce, and access to medicines and drugs and quality health care was difficult.