CHR NATIONAL INQUIRY ON REPRODUCTIVE HEALTH contradict the RPRH Law and weaken its implementation. Policy and legal barriers to the implementation of the law include the TRO on Implanon issued by the Supreme Court, the required consent from parents for adolescents to access RH services and to have themselves tested for HIV, the practice of requiring husbands’ consent for their wives’ access to RH services, particularly IUD insertion and tubal ligation, and the absolute ban on abortion, which has led to unsafe abortions and to stigma in the access and availability of Post Abortion Care (PAC). The absence and unavailability of emergency contraceptives, and the provision in the contracts of nurses in the Nurses Deployment Program (NDP) of Region X providing dismissal in case of pregnancy, as well as the criminalization of traditional and indigenous home births in many local government ordinances are also areas of concern. The decision in Imbong vs. Ochoa and the declaration of the Supreme Court in upholding the rights of “conscientious objectors” and the voiding of penalties for government officers refusing to implement the RPRH Law also barred its full implementation. The Imbong ruling was invoked by Sorsogon City’s Mayor Lee in refusing to implement the law. It is also used by some government health facilities and health service providers to require parental consent before providing RH services to minors, and spousal consent for tubal ligation of married women. 2. Despite the passage of and current national implementation of the RPRH Law, challenges on de facto availability, accessibility, sufficiency, and adequacy of RH services and information remain The National Inquiry documented experiences which ranged from having excess of commodities to inadequacy, insufficiency, and inaccessibility in the provisions of 37 RH commodities and services for women. Bearing the brunt of the latter are women in vulnerable and marginalized sectors (e.g. lesbian, bisexual and transgender women, women with disabilities, Moro and indigenous women, and women living in geographically inaccessible areas). In many instances, health facilities are inaccessible or absent in remote areas. Even in cases where they are present and accessible, facilities, equipments and supplies of commodities are insufficient. 3. Barriers in accessing RH services include lack of information and misinformation on RH, breakdown of service delivery networks, religious and cultural barriers, and unprofessional or unethical practices of health service providers Misinformation and Lack of Information on RH One of the barriers identified across the cluster areas is misinformation and lack of information on RH. In Sorsogon City, the CHR found that the LGU gives misleading information against modern family planning methods through sponsored radio programs and “Pro-life” conventions. This affected women’s willingness to avail of RH services and goods. The misinformation included claims that artificial contraceptives cause cancer and associating contraceptive use with abortion. Active religious resistance on artificial RH commodities also exist in Sorsogon City and in some areas of Leyte and Samar. Breakdown of Service Delivery Networks The National Inquiry also documented breakdown in the service delivery network and coordination among government hospitals, rural health units, and lying-in clinics, which often resulted to maternal deaths. Women living in geographically isolated areas who have

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