Challenges and barriers in accessing RH goods and services  Lack of awareness on the available RH goods and services during times of calamities, crisis and displacement.  Discrimination in providing services and supplies. In some cases, the granting of these goods and services are based on kinship and political affiliations. “Palakasan” system, or “kila-kilala” system is very prevalent.  Non-availability of on-call health workers. Sometimes there are no personnel in health centers.  Lack of medicines and other medical supplies.  Attitude problems of some heath workers at the LGU level. Some are not approachable/ accommodating, and do not use simple, layman’s terms that can be easily understood by the community members.  Lack of technical training of health workers. There are instances where the health workers are not well-equipped with knowledge on the RH goods and services.  Absence of midwives. Midwives hesitate to go to the community of participants because of fear of huge waves (Sicogon).  Anxiety over family planning procedures; side effects of contraceptives.  Discrimination against IPs. With all the issues surrounding the availability and accessibility of RH goods and services during times of crisis, it is not surprising that the participants remark that the State does not provide enough RH goods and services during times of displacement / crisis / calamity / development aggression. E. Recommendations  Information dissemination. Education campaigns should be conducted to increase awareness of the community people on women’s reproductive health and the RH goods and services available in Barangay Health Centers, as well as services available during displacement and development aggression. These activities will 95

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