measures to mitigate the impact of the “Pro-Life Ordinance” by deploying nurses and midwives and by ensuring availability of artificial contraceptives through the Nurse Deployment Program (NDP) and partner NGOs. However, such measures are temporary as the NDPs are under contract, not integral to the LGUs, and they are required to serve several barangays at a time. The delivery of RH services by the NDPs are likewise constrained by the Mayor’s outright prohibition and they expressly discouraged/prevented from making use of LGU facilities such as Barangay Health Center and Rural Health Units in dispensing family planning commodities. The Commission has documented several accounts of women from far flung barangays and those who cannot afford to spend for transportation to the city proper whose RH needs remain unmet as direct effects of the Mayor’s “Pro-Life” Executive Order. Availability, Accessibility, Sufficiency and Adequacy of RH Services and Information In terms of Availability, Accessibility, Sufficiency and Adequacy of RH Goods and Services, the Commission documented experiences which ranged from excess in terms of commodities as in the case of Marikina, to inconsistency in the provisions of these goods, facilities and services to their inadequacy, insufficiency, and inaccessibility, particularly to women who are vulnerable and most marginalized – lesbian, bisexual and transgender women, women with disabilities, Moro and Indigenous women and women living in geographically inaccessible areas. In many instances, health facilities are inaccessible for women in geographically inaccessible areas, and in cases where they are accessible, challenges are posed as to the sufficiency of facilities and of supplies of the commodities available. Interviews in government health facilities and with government health workers and service providers often yielded positive results with claims that there is an excess of RH commodities and goods. In all government facilities visited, except in Sorsogon City, the Barangay Health Centers and Rural Health Units were able to show and share with the Commission the full range of family planning commodities available. Most shared that they have not yet experienced the effect of the PhP1 Billion cut on RH commodities and that the lack of supplies they experience are not from lack of available supply but a matter of timely seeking re-supply from RHU’s and the DOH. There were admissions however that facilities could still be improved in barangay health centers, RHUs and lying in clinics. There is also acknowledgment that standards of doctor/nurse/midwife ratio to patients/clients served is not followed in all of the facilities visited. Accounts from interviews with community members and CSOs continue to reveal inconsistency in the availability, accessibility, sufficiency and adequacy of RH services and information. Across the five cluster areas, accounts of health centers seeking donations were still documented, there were also accounts of health centers refusing to dispense and provide RH commodities by reason of discrimination and at times favoritism, there were accounts of unethical and unprofessional behavior of health workers, and of delays in referral resulting in maternal deaths, in the island provinces of Mindanao, there were accounts that health centers are unmanned due to security 5

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