Despite the above-mentioned international and domestic legal frameworks for
reproductive health and rights and the rights of persons with disability, systemic
and structural barriers continue to hinder enjoyment of these rights. Globally,
women and girls with disabilities ‘face multiple barriers to realizing their
rights: environmental, physical and informational accessibility issues, including
lack of resources and inadequate access to services, as well as widespread
discrimination, stereotyping and social stigma.‘3 These barriers were discussed
in part during the Philippines’ review under UNCRPD (2018), and CEDAW
(2016). They were also documented by CSOs working with women with
disabilities.
The recently conducted review of the Philippines by the Committee on
UNCRPD reiterated continuing challenges and gaps with respect to access to
reproductive health services of persons with disabilities. It observed continuing
lack of data on persons with disabilities and of the need for government
programming that takes into account the intersecting forms of discrimination
that women with disabilities experience, including in access to information
and services on responsible parenthood and reproductive health (RPRH) and
gender-based violence. The Committee also expressed concern about the
“limited sexual reproductive health education, services, and rights available to
women and girls with disabilities” and on the “prejudice and discrimination of
families, service providers and the wider public that prevent women and girls
from accessing health care.”4
Even prior to the UNCRPD’s concluding observations in 2018, the UN CEDAW
Committee and research from and with WWDs already surfaced intersecting
and different forms of discrimination, othering, and exclusions. In 2016, the
CEDAW Committee noted with concern how judicial and legal procedures
are not sufficiently accessible to persons with disabilities,5 how programs
and institutions fail to institutionalize accessibility for women with all forms of
disabilities,6 and how the State failed to develop operational guidelines for
Ibid.
UN CRPD Committee. Concluding observations on the initial report of the Philippines’ (16
October 2018) CRPD/C/PHL/CO/1
5
UN CEDAW Committee. Concluding observations on the combined seventh and eighth periodic
reports of the Philippines. (25 July 2016). CEDAW/C/PHL/CO/7-8. para 14
6
Ibid., para 16
3
4
‘high-quality, age-appropriate education on sexual and reproductive health
and rights for all girls and boys, including those with disabilities’7
Research conducted with WWDs in the Philippines further support the
observation that WWDs, because of the ‘intersectionality of prejudice and
discrimination,’ are more likely to ‘experience violations of their sexual and
reproductive rights, compared to women without disability.’8 For instance,
interviews conducted with women with disabilities during a participatory action
group research reveal numerous barriers to sexual and reproductive health; to
wit:
Findings from interviews with women with disabilities highlighted
numerous barriers to sexual and reproductive health including
limited availability of accessible services; women’s limited
awareness about sexual and reproductive health and when and
how to access appropriate information and services; negative
attitudes of service providers and communities in relation to
disability and sexual and reproductive health; and experiences of
violence and abuse. Women with disabilities also wanted more
information about sexual and reproductive health and greater
access to services.9
These observations are consistent with the findings of the 2016 RH Inquiry of
the Commission, supporting the need to further document the lived experiences
of WWDs through a National Inquiry specifically focusing on the reproductive
health and rights of WWDs. With funding support from the United Nations
Population Fund (UNFPA), the Commission undertook a National Inquiry from
March to October 2019.
Ibid., para 16
Alexandra Devine, Raquel Ignacio, Krystle Prenter, Lauren Temminghoff, Liz Gill-Atkinson,
Jerome Zayas, Ma Jesusa Marco & Cathy Vaughan (2017) “Freedom to go where I want”:
improving access to sexual and reproductive health for women with disabilities in the Philippines,
Reproductive Health Matters, 25:50, 55-65, DOI: 10.1080/09688080.2017.1319732
9
Ibid.
7
8