Behavior and outlook of health service providers. Although not generalizing, almost all the Regions cited examples of negative attitudes from some health personnel / service providers. Among the behaviors noted were:  Some health workers in barangays do not explain very well the things that need to be explained regarding RH.  Insensitivity of some Barangay Health Workers to the PWDs and elderly has been noted.  Some health workers have attitude problems, sanitary issues, and gender sensitivity issues. Some women patients would sometimes hear negative comments coming from the health workers.  There are instances of dealing with insensitive health workers, giving them “cold treatment”, particularly for example towards women in prostitution. This discourages them from going back for health services.  Quality of counseling is low due to bulk of patients, when it should be one at a time. Sometimes in the barangay there are only BHWs who are not trained to do family planning counseling. Many go to big hospitals, but the rural people could not because of distance.  Some volunteer health workers still need to be educated on proper implementation of medical procedures.  The local language terms used in sexuality/RH education come out as vulgarsounding, which is a factor that hampers the learning of community members.  Doctors are only scheduled in the centers once a month.  Mindset of medical practitioners that pregnancy and delivery is no one else’s responsibility but the mother alone.  Some health workers are also hesitant to deal with HIV patients because of scarcity of supplies Availability of RH Goods and Services for Marginalized Women. Where there are available RH goods and services, these are also available to marginalized women, except, in some cases, for the youth. The barangay health centers are open to all stakeholders in 18

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