the communities. Contraceptives are distributed to those who need these regardless of gender, marital status, cultural affiliation, etc. Some of the issues noted are:  As has been repeatedly mentioned, women in rural, far-flung areas have the least access to RH goods and services.  “Palakasan” or “padrino” system - Participants relayed that only those who know someone in the health center, office or facility will be able to access services. Connections or political affiliations serve as crucial factors in terms of who will be assisted by LGUs and offices.  PWDs have difficulty accessing RH services since some services are offered in facilities or sites far from their residences, there are no ramps or hand rails, and there are no interpreters. Several PWDs do not possess vehicles to access assistance from RH service providers.  Youth – in some areas, contraceptives are not made available to the youth. There are no adolescent, and youth medical services including sex education for teenagers. As a result, early pregnancy often happens. Due to the issues and barriers to accessing RH services mentioned in previous paragraphs, many women in the marginalized sectors often hesitate to seek services in their communities. Availability of RH Goods and Services during Displacement and Development Aggression. For many of the Regions, while RH goods and services are available during times of displacement / calamity/ development aggression, these are not sufficient. They are consistent in saying that these are not prioritized during times of crisis. In Region 11, during the typhoon Pablo, some of the experiences were detailed as follows:  There were pregnant women who got sick, and some suffered from TB because the response arrived late. It took a long time for the goods and services to arrive because there were debris everywhere. 19

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