- In relation to reproductive health, there is a lack of PWD-sensitive health facilities and service providers. (CAR) - Interpreters are also needed in visiting health centers. Deaf women lack access to information on HIV, which is why many engage in unsafe sex. Because audio announcements are used for making barangay services known in the communities, many deaf persons miss out on information and access to reproductive health services. The same radio announcements are used for information about calamities. (Region 10)  Lack of employment and livelihood opportunities for PWDs despite having finished college, and even if they are employed, they are subjected to discrimination. For deaf people, employers immediately think communication will be impossible. A participant in Region 11 noted that 85% of deaf mutes are unemployed. In Region 9, a woman with crutches was questioned not just about her performance but also her ability to handle unavoidable emergency cases like fire since she was with crutches. The employers tend to be doubtful of their capabilities regardless of educational achievements. (Also highlighted in Regions 2, 3, 6,9, 10, 11).  Difficulty in accessing education. Schools lack interpreters for deaf students which hampers the provision of inclusive education. Many schools do not have PWD friendly facilities such as ramps or hand rails. Some PWDs who are enrolled in school become victims of discrimination and bullying (Region 3, 10, 11)  In Region 2, participants lamented the absence of higher education institutions for the Deaf. In Cagayan Province, there is no school offering college degrees for the Deaf. The nearest is in Isabela, but not all Deaf can afford to go there. This explains the large number of Deaf who are not in school.  Specifically to women who are mentally ill, it was noted in Region 6 that there is not enough shelter for women who are mentally ill and street children, thus, they are easily subjected to sexual abuse. Some of them even get pregnant.  In Region 3, non-issuance of Philhealth cards to PWDs has been noted. In Region 9, it was noted that PWDs need to renew their PhilHealth, membership every after one or two years, unlike the lifetime membership of the Senior Citizens. 62