1. DISCRIMINATORY EFFECT OF RHPOLICIESONVULNERABLE/MARGINALIZED
SECTORS
Among IP birth attendants, it was raised how women are disadvantaged with the prohibition
of their practice, compounded by the physical inaccessibility (as much as 15 kilometers) of
health centers, lying-in clinics, and hospitals. The inadequacy of health service was also
raised, along with the deprivation of quality health service from IP birth attendants who have
never had women die in their care and the deprivation of the option services that are
guaranteed of availability, accessibility and affordability. In the case of an IP woman who
welcomed modern FP program, she was forced to avail of RH goods and services through
private service providers given that health centers could not accommodate her medical
condition nor give her the immediate and adequate medical attention she required.
The promotion of population control also goes against the values of IPS regarding the
sustainability of the population to ensure guardians of their ancestral domain.
Women from the urban poor also experience inconsistent provision of RH goods and services
such in the case of a woman in Calaanan Relocation Site who had to pay for her second
Implanon when it had been free during her first visit. Another woman in the same site had
to pay for contraceptive through “donations” but during pregnancy delivered her babies
without paying through PhilHealth. A woman in Macabalan always had to pay for
contraceptives and check-ups.
The youth, especially those with sexually transmitted diseases (STDs), face challenges of
parental intervention when it comes to RH services such as mandatory parental consent and
breaches of confidentiality of their medical information.
Other cases include law prohibitions of HIV testing for patients below 18 years of age.
Women cannot avail of family planning services without the consent of their husband, and
teenage mothers cannot avail it without the consent of their mothers. Along with traditional
methods of birthing, IP birth attendants are prohibited from delivering infants along.
2. LACK OF ADEQUATE RESPONSE TO INTERSECTING VULNERABILITIES
Among PWDs. These include accounts from KAGAY-AN PLUS of communication barriers
between deaf massage therapists and clients. DAMOR claims that doctors do not directly talk
to pregnant deaf women to give explanation because of communication barriers. Cases
include a deaf mother who had a miscarriage without fully understanding why, and whose
second pregnancy incurred communication problems resulting to the need for a Caesarian
Section operation. There is also a gap in communications between deaf and community. If
there is a deaf who wants to avail the projects, there is no interpreter available or if there is
one available they have to pay for it and the deaf do not gain any information during the visits
of Barangay Health Workers. There is also no explanation for the prescribed medicine given
to deaf patients. No government agency provides for interpreters. The situation is even more
challenging for PWDs who also happen to have HIV; in fact, they are more vulnerable to HIV
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