Table 2.

Strategies initiated to address some of the challenges posed by the pandemic.

Challenges	Strategies
Limited or complete disruption of clinic hours	Guidelines from the Philippine Pediatric Society and University of the Philippines Manila were distributed defining the conduct of telemedicine consultations Collaboration with subspecialists was continued remotely through available telemedicine platforms The utilization of telemedicine consultations were maximized through use of online platforms, phone calls and SMS for continued patient follow-up.
Distribution of medical food, supplies, and medicine	Stakeholder coordination was strengthened including Local Government Units and the Department of Health—Centers of Health Developments’ abilities to assist the NBSCCs in the meeting patients’ medical needs.
Safety of both NBSCC staff and patients during face-to-face consultations	Personal protective equipment were provided for NBSCC staff members. Distancing and mask protocols were established for clinic visits and were strictly enforced.