The National Inquiry also documented breakdown in the service delivery network and coordination among government hospitals, rural health units, and lying in clinics which often resulted to maternal deaths. For many women living in geographically inaccessible areas and whose pregnancies are complicated, referral to major government hospitals are required. However, several accounts have been documented of lying ins and RHUs needing to refer patients to government hospitals but were faced with challenges on transportation, coordination, and the absence of needed facilities to respond to the emergency. Complaints have been gathered as well on the attitude of some government health service providers and the lack of professionalism resulting to the low morale of referring midwives and nurses and the patients’ lack of trust and confidence in the ability of government hospitals to respond to their needs. Unprofessional/unethical practices of health workers In addition to the issues/attitudes of health workers and health service providers, common unprofessional and unethical practices surfaced including requiring donations for RH goods and services that are supposed to be free; mistreating women seeking Post Abortion Care, refusing services to a woman seeking surgery due to her transgender identity, her disability, or HIV Status, delaying or refusing medical services to women for various reasons including concerns over lack of records to their lack of capacity to pay. All these served as barriers to women’s effective access to RH services and information. In General Recommendation 24, the CEDAW Committee discussed State obligation in the provision of RH services and in the elimination of barriers to access of RH services, it explicitly stated that States should report on the “measures taken to eliminate barriers that women face in gaining access to health care services and what measures they have taken to ensure women timely and effective access, 15” the Committee identified the following barriers as among those that the State has to address as part of its obligation under CEDAW, they are: “requirements or conditions that prejudice women’s access such as high fees for health care services, the requirement of preliminary authorization by spouse, parent of hospital authorities, distance from heath facilities and absence of 15 GR 24, CEDAW Committee, Women and Health, par. 21 24