1. DISCRIMINATORY EFFECT OF RHPOLICIESONVULNERABLE/MARGINALIZED SECTORS Among IP birth attendants, it was raised how women are disadvantaged with the prohibition of their practice, compounded by the physical inaccessibility (as much as 15 kilometers) of health centers, lying-in clinics, and hospitals. The inadequacy of health service was also raised, along with the deprivation of quality health service from IP birth attendants who have never had women die in their care and the deprivation of the option services that are guaranteed of availability, accessibility and affordability. In the case of an IP woman who welcomed modern FP program, she was forced to avail of RH goods and services through private service providers given that health centers could not accommodate her medical condition nor give her the immediate and adequate medical attention she required. The promotion of population control also goes against the values of IPS regarding the sustainability of the population to ensure guardians of their ancestral domain. Women from the urban poor also experience inconsistent provision of RH goods and services such in the case of a woman in Calaanan Relocation Site who had to pay for her second Implanon when it had been free during her first visit. Another woman in the same site had to pay for contraceptive through “donations” but during pregnancy delivered her babies without paying through PhilHealth. A woman in Macabalan always had to pay for contraceptives and check-ups. The youth, especially those with sexually transmitted diseases (STDs), face challenges of parental intervention when it comes to RH services such as mandatory parental consent and breaches of confidentiality of their medical information. Other cases include law prohibitions of HIV testing for patients below 18 years of age. Women cannot avail of family planning services without the consent of their husband, and teenage mothers cannot avail it without the consent of their mothers. Along with traditional methods of birthing, IP birth attendants are prohibited from delivering infants along. 2. LACK OF ADEQUATE RESPONSE TO INTERSECTING VULNERABILITIES Among PWDs. These include accounts from KAGAY-AN PLUS of communication barriers between deaf massage therapists and clients. DAMOR claims that doctors do not directly talk to pregnant deaf women to give explanation because of communication barriers. Cases include a deaf mother who had a miscarriage without fully understanding why, and whose second pregnancy incurred communication problems resulting to the need for a Caesarian Section operation. There is also a gap in communications between deaf and community. If there is a deaf who wants to avail the projects, there is no interpreter available or if there is one available they have to pay for it and the deaf do not gain any information during the visits of Barangay Health Workers. There is also no explanation for the prescribed medicine given to deaf patients. No government agency provides for interpreters. The situation is even more challenging for PWDs who also happen to have HIV; in fact, they are more vulnerable to HIV 42

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