There were also cases of walk-in clients to hospitals who did not undergo counseling, and whom the Medical Center found too complicated to treat because there would be no record of the patients’ medical condition. Cases also include how RH is not implemented during disasters or calamities since the people are more concerned with basic needs and services such as food and shelter. In addition, there is concern over the lack of privacy when taking a bath in evacuation centers. Another case is the lack of ambulance necessary for emergencies. People are also uninformed of services particularly regarding teenage pregnancy. POPCOM also cited that women are still dying because of pregnancy complications including home deliveries. 3. IMPROVABLE PUBLIC RECEPTION OF RH There is low participation of men in the RH agenda. Observations include how no male goes to the barangay health center for vasectomy or to avail of any RH services. THE DENIAL AND/OR BARRIERS IN ACCESSING RH 1. WEAK INSTITUTIONAL/ HUMAN RESOURCE CAPACITY Cases include the account of a Family Planning Coordinator that there is a lack for doctors who can perform vasectomy. There is also a lack of coordination mechanisms among service providers. For the NMMC, this leads to late referrals that pose serious concern, such as referred patients that are already on the brink of death or patients suffering from toxic and serious medical conditions. The number of health workers is also insufficient. For every three barangays, only one midwife is assigned. From the account of ICCW, there is only one medical doctor for every 20,000 people, one midwife for every 7,000 people, and one BHW for every 960 households. 2. UNPROFESSIONAL/UNETHICAL HEALTH WORKER PRACTICES Cases include barangay health centers asking for “donations” from patients. There is also the account of a Family Planning Coordinator on the attitude of some health workers who may not be well-versed on RH. 3. PRESENCE OF CULTURAL RESISTANCE The ICCW noted that there is difficulty in encouraging women for checkups. AVAILABILITY, ACCESSIBILITY, ADEQUACY AND AFFORDABILITY SERVICES FOR VULNERABLE/MARGINALIZED WOMEN OF RH 41