Cases include the TRO in Implanon, which according to the CHO happened to be preferred even by Muslim women. This was affirmed during the Public Hearing. 2. INCONSISTENT AVAILABILITY, ACCESSIBILITY, SUFFICIENCY AND ADEQUACY OF RH GOODS AND SERVICES RH goods and services can be unavailable in the area. Cases include a woman in Brgy. Masepla who had to go to another barangay to give birth; the barangay center in Brgy. Masepla to be always closed; a woman in Brgy. Talusangay unable to avail of information services on birth control; the lack of medical staff in Brgy. Ayala; the lack of facilities and equipment for delivery, breastfeeding and isolation within the city jail; and the lack of medicines in health center in Brgy. Masepla. Cases include charging patients P800 in Brgy. Mangusu and Brgy. Sangalo the gasoline consumption for ambulance services; a woman from Brgy. Mangusu whose birthing was delayed because the ZCMC did not have the transport service required to transfer her to another center; and a woman in Brgy. Ayala, suffering from bleeding because of a breast tumor rupture, whose transfer from one center to another was delayed because there was no ambulance available. While RH goods and services may be available, they can be inaccessible. Cases include a woman in Brgy. Masepla who had to buy needed medicines from another barangay or city. This was affirmed in the Public Hearing, with the addition that this is a particular problem for those living in far-flung areas. Cases include a charge of P800 in Brgy. Mangusu and Brgy. Sangalo the gasoline consumption for ambulance services; a woman from Brgy. Mangusu whose birthing was delayed because the ZCMC did not have the transport service required to transfer her to another center; and a woman in Brgy. Ayala, suffering from bleeding because of a breast tumor rupture, whose transfer from one center to another was delayed because there was no ambulance available. While RH goods and services may be both available and accessible, they can be inadequate. Cases include delayed attention to pregnant women who were about to give birth in ZCMC; a woman in Brgy. Masepla who had availed of pills without receiving explanation about its use; delayed arrival of ambulance resulted to the death of a newborn in Brgy. Masepla; an inmate in the city jail who suffered bleedings, for which her mattress was taken out although she was taken care of by the Bureau; an inmate from the city jail who had to avail of private hospital services amounting to P3,500 for her myoma operation because ZCMC was already full; an inmate in the city jail who was pregnant upon coming in and since the delivery of her baby has not received updates of the latter from her in-laws; a women preferring to have homebirths because of experiences of discomfort in birthing clinics and hospitals; and a woman in Brgy. Masepla who did not receive enough of needed medicines. 2. IMPROVABLE PUBLIC USE OF RH GOODS AND SERVICES Among couples who practice FP, almost half use modern FP methods. The government project4Ps proved to be a mechanism for raising awareness on RH. 46

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