resistance to artificial RH commodities have also been found in Sorsogon City and in
some areas of Leyte and Samar.
The fact finding and public hearing also documented the breakdown in the service
delivery network and coordination among government hospitals, rural health units
and lying in clinics which often resulted to maternal deaths. For many women living
in geographically inaccessible areas and whose pregnancies are complicated, referral
to major government hospitals are required. However, several accounts have been
documented of lying ins and RHUs needing to refer patients to government hospitals
but were faced with challenges on transportation, coordination, and the absence of
needed facilities to respond to the emergency. Complaints have been gathered as well
on the attitude of some government health service providers and the lack of
professionalism resulting to the low morale of referring midwives and nurses and the
patients’ lack of trust and confidence in the ability of government hospitals to respond
to their needs.
In addition to the issues/attitudes of health workers and health service providers,
common unprofessional and unethical practices surfaced including requiring
donations for RH goods and services that are supposed to be free; mistreating women
seeking Post Abortion Care, refusing services to a woman seeking surgery due to her
transgender identity, her disability, or HIV Status, delaying or refusing medical
services to women for various reasons including concerns over records to their lack
of capacity to pay. All these served as barriers to women’s effective access to RH
services and information.
On the Availability, Accessibility, Adequacy and Affordability of RH Services for
Vulnerable/Marginalized Women
The fact finding and public hearing purposively conducted targeted data gathering on
the availability, accessibility, adequacy and affordability of RH services and
information for vulnerable and marginalized women. The barriers and denial of RH
services and information provided above were likewise experienced by women in the
vulnerable and marginalized sector, but these are further exacerbated by their
different vulnerabilities and different experiences of discrimination.
Discriminatory Policies render marginalized women more vulnerable
In the five cluster areas, the Commission found that women from the marginalized
sector are most vulnerable to the effects of discriminatory policies that hinder full
access to RH Services.
In Sorsogon City, the Mayor’s “Pro-Life” EO and the resulting pull out of artificial
contraceptives affected women living in geographically isolated and disadvantaged
areas, those who are in the informal sector, and those who are dependent on their
husbands and without means to purchase their own contraceptives. EO 003 further
discriminates against these vulnerable/marginalized women as it requires them to
pay for contraceptives they could have received for free were it not for the adoption
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