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. 26

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