Tulong Ugnayan ng Lingap At gabaY (TULAY):Co-designing Philippines Community Physical Rehabilitation The 2030 Agenda for Sustainable Development sets out the plan of action for people, planet and prosperity, building on the Millennium Development Goals. Goal 3 aims to ensure healthy lives and promote well-being for all at all ages. The TULAY project focuses on its specific goals and targets, namely: To reduce, by one third, early death from non-communicable diseases through prevention and treatment and promote mental health and well-being (SDG3.4); and achieve widespread health coverage, including access to quality essential health-care services (SDG3.8). Aim: To design, with the help of patients, carers and health workers, a self-managed programme of activities that helps people recover from physical illness, such as stroke. Background: Rehabilitation is a vital part of recovery from illness and yet, currently, in the Philippines, outside of large cities, there is little help provided. Unlike the UK, where there are very effective rehabilitation programmes, in the Philippines, these are almost non-existent. The Philippines is classified as a lower middle income economy (LMIC) with a population of almost 115 million. It is a collection of many islands, which are connected via boats, and other transport is limited. The need to provide community-based rehabilitation has been accepted by the national governmental. Local governments provide primary care through rural health units and barangay (village) health stations, led by municipal and barangay health workers in a mainly privately funded health care system. This programme will based on the successful Bridges scheme (https://www.bridgesselfmanagement.org.uk/workshop/). The joint team of researchers and health professionals from the UK and Philippines will work together with stroke survivors and families to improve recovery care delivery within the community setting. This programme can then be adapted for use in other LMICs and for other physical conditions in the Philippines. Method: we will use a mixture of methods to find out about current services, what people want and then co-design the programme, and train local health workers and village people to deliver it. The University of Plymouth and De La Salle University have spent time with policy makers, clinicians, and patient/carer groups, as well as the Philippine Academy of Rehabilitation Medicine (PARM) and national therapy organisations to involve them in this work. Dissemination: We will share the results of the research widely within the Philippines using social media and other resources. Papers will be published in journals and conference presentations made. Through the involvement of key people from regional and central government and the national insurance scheme, we aim to have this model approved as part of the Philippines’ Universal Healthcare Scheme, to help others to manage themselves after physical illness. The team of researchers have expertise in the practice and evaluation of rehabilitation; development of self-management programmes; Philippines-based telehealth and public health programmes; and research implementation and evaluation. The programme progresses the team’s research and clinical work, and will strengthen the health system, to improve patient and family health within 5 years, using an wide-ranging partnership model respecting diversity and culture.