AVAILABILITY, ACCESSIBILITY, ADEQUACY AND AFFORDABILITY SERVICES FOR VULNERABLE/MARGINALIZED WOMEN OF RH 1. LACK OF POLICIES FOR VULNERABLE/MARGINALIZED SECTORS RH goods and services can be inaccessible for the urban poor. Health centers can be too far from residents, as in the case of a woman from the Block Ridgeview Resettlement Area, so that the children in their barangay who are getting sick do not immediately get medical aid.Ms. Evelyn Cabling of Quinaondan, Samar recounts her experience: “Nung naisip ko na manganganak na ako, pumunta ako sa Balangiga District Hospital pero sabi ng doctor ko na hindi pa ako manganganak dahil hindi pa stretched yung cervix ko. So pinauwi kami dahil sabi niya na yung lumabas na tubig sa akin ay ihi lang. Pero kinabukasan biglang sumakit ang tiyan ko sabay labas ng bata. Paglabas ng bata napansin ng BHW na Malaki yung pusod. Tapos sinamahan kami ng midwife na nagpa-anak sa akin sa ospital dahil nga natatakot sila sa laki ng pusod ng anak ko. Nung pumunta kami sa ospital ni-refer din naman kami sa EVRMC dahil hindi daw nila kayang matugunan yung kondisyon ng anak ko. Pagdating naming sa EVRMC, grabe na man yung trato nila sa amin. Tatlong beses nilang kinunan ng dugo yung anak ko dahil lagi daw nawawala yung sample na dugo ng anak ko. Hindi kami nakakahingi ng result dahil iba-iba yung nag-duduty.” 2. LACK OF ADEQUATE RESPONSE TO INTERSECTING VULNERABILITIES Services for IDPs are inadequate. According to Ms. Duma of the FDC during their roving and house-to-house visits in coastal areas, relocation sites, and evacuation centers, the constituents did not mention any hygiene kits and other RPRH commodities coming from the DOH. She personally encountered an MHC personnel who refused to give her medicine for her husband who was at the time suffering from hypertension. In times of disasters, provision of RH goods and services are affected. BARRIERS/CHALLENGES ENCOUNTERED BY STATE AND OTHER HEALTH SERVICE PROVIDERS 1. LACK OF SUPPORT FOR HEALTH WORKERS Ms. Duma of the FDC said that funds received by BHWs are insufficient. She explained, “Nakaka-avail lang sila ng incentives or honorarium after 3 months so paano yan? Kaya hindi nagwowork at effective. Dahil kulang na kulang kahit funds po ay wala. Dapat iyon ang bibigyan ng importansya. Bigyan ng malaking sweldo dahil nagtatrabaho para sa ating kalusugan.” This is consistent with the observation by the SB Development Consulting who pointed out that there is an uneven distribution of the stipends of the BHWs. Funding support is also a challenge for CSOs advocating for RH. A nurse from Samar cited that there is also lack of human health resource: one doctor serves 150 to 200 patients; 1 nurse serves 20,000 patients; and 1 midwife serves 5,000 patients – 38