to being able to avail of contraceptives for themselves and vaccination for their children, as
well as RH counseling for minors.
However, there are cases when these goods and services are not available. These include the
experience of a woman in Marikina, who during a visit to the health center found that there
were no pills available; the account of a health worker in a lying-in clinic In Manila saying
that they do not have PAC services; the account of a resident in Tondo who observed of Gat
Andres Bonifacio Hospital that maternity beds cater to 3 to 5 pregnant women at a time; the
case of a mother in Tondo who was not able to access FP services so that she reached having
8 children; the account of a senior citizen from Brgy. Tatalon in Quezon City attesting to the
lack of a health center in their area by 2015 but of a health center in neighboring Victoria
Avenue that has sufficient number of health workers and adequate RH goods and services.
During the public hearing, Likhaan also emphasized how a “pro-life” stance on RH remains
the status quo among service providers. There are still cases when women cannot access
contraceptives or other FP services.
Women cited being able to avail of free RH goods and services; but also cited policies that
prevented them from fully benefiting from these. In Marikina, women who wanted to
undergo certain services, were required to secure the consent of their husband or immediate
relatives, the strict implementation of which was affirmed by the Marikina CHO. As one
health worker explained about IUD injectable: “Ma-aavail basta may consent ang mag-asawa.
[Pagwalang consent,] hindi pwede. [Paghiwalay na, annulled na sila, wala na silang
pakialamanan sa isa’t isa,] relatives pipirma sa consent.”
The TRO on Implanon also prevented women from accessing effective contraceptives both
in Marikina and Manila. Home birthing, still practiced by some women, is penalized both in
Marikina in Manila.
The Marikina CHO cited initial insufficiency of RH supplies from the DOH led to continued
teenage pregnancy and population growth in the city. In response, the Contraceptive SelfReliance Ordinance was issued through which the city funded contraceptive needs to
complement the supply from the DOH. Information drive in schools was improved for
students and teachers.
4. IMPROVABLE PUBLIC RECEPTION OF RH GOODS AND SERVICES
Three issues fall under this cluster. They are the following.
Improvable use of FP goods and services. From Sta. Elena Health Center in Marikina, data show
that 64,843 women avail of FP; between the ages of 15-49, 23% use FP methods or 12,781
from 55,116 persons for January to March 016; while teenage pregnancy persists. In Manila,
19 maternal deaths were recorded in 2015, although this is in face of maternal risk factors
beyond the provisions of the RH Law.
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