2. LACK OF ADEQUATE RESPONSE TO INTERSECTING VULNERABILITIES RH goods and services remain inaccessible to various marginalized sectors. Cases include a woman from Brgy. Tulungatung whose ‘special child’ did not receive needed medicine; the unavailability of vitamins for children especially for the malnourished in Brgy. Tulungatung; the unavailability of contraceptives in Brgy. Tulungatung; the lack of a lying-in center or ambulance in Brgy. Tulungatung; a woman whose child died for lack of medical attention in the Grand Stand Evacuation Center in Brgy. Masepla; a 6-month pregnant woman who has not had any prenatal checkup yet because the health center is always closed. Discriminatory practices are also evident towards various marginalized sectors. Cases include discrimination against IDPs and the distribution of expired medicines in Brgy. Tulungatung; requiring donations from IDPs before needed medicine is released in Brgy. Tulungatung; the lack of dedication and work ethic of health workers in Brgy. Tulungatung; charging recipients for contraceptives, and syringes for immunization in Brgy. Tulungatung; IDPs in Brgy. Taluksangay made to pay membership fee of (P70) before receiving services. BARRIERS/CHALLENGES ENCOUNTERED BY STATE AND OTHER HEALTH SERVICE PROVIDERS 1. UNSUPPORTIVE POLICY ENVIRONMENT The TRO in Implanon also directly hinders them from distributing the already available 21,000 pieces of Implanon packs. Cultural resistance is also considered a hindrance with 42% of eligible users employing FP. 2. LACK OF SUPPORT FOR HEALTH WORKERS Cases include one health worker in Brgy. Taluksangay who chose to work abroad for better pay. Related to this is the lack of human resources for service providing institutions. Limited resources curtail their implementation of the RH Law. This entails the insufficient number of health workers, and the insufficient budget and supply for medication. Interviewees shared that there is only one midwife and one nurse in main health center, and there is one city health center covering 6-7 barangays. Also in the Zamboanga City Medical Center, which caters not only to Zamboanga City but Basulta as well, the FP program has 5 consultants while there are 400 hospital beds catering to 600 patients. They also report insufficient number of health workers. Security issues are also prevalent in the area. Cases include the testimony from Pinay Kilos on security issues as barrier to RH Law implementation. This was affirmed during the public hearing, with the explanation that health workers get discouraged to go on duty in areas of high security risk. 48