culturally sensitive services and facilities and of efforts to bring services to those living in
inaccessible areas. We hope to have more of these.
There is also dynamics in the family that says contraception should be based on
the couple’s decision, with the decision of the husband often times prevailing. In these
cases, male spouses become barriers and couples are unable to arrive at a joint decision.
We have documented instances where women who stood and took a stand for themselves
were beaten after, those whose explanations of “we have to, because we cannot afford to
bring up one more child” were met with violence. We have to ensure that in these cases,
there should be protection and remedies for these women. We have to ensure that
women are able to choose without fear of being subjected to different forms of violence.
In sum, discrimination, disrespect, disregard, disinformation and dynamics bring
about many practices and policies that turn into barriers leading to the disempowerment
of women, violation of their human rights, and violation of specific laws like the Magna
Carta of Women and the Responsible Parenthood and Reproductive Health Law.
In terms of context, we must include in the discussion the plight of our health
workers --- in the government, in NGOs and in communities. During the inquiry and the
fact finding we heard the complaints of doctors, midwives, nurses, and many Barangay
Health Workers (BHWs). As volunteers, BHWs cater to the entire community receiving
minimal and sometimes no allowance at all. BHW allowances are dependent on the LGU,
and their appointment are often politicized. They are however very significant in the
delivery of health services in the community level. Overburdened and underpaid, BHWs
continue to partner with the LGU and the DOH in delivering services to the community, a
task that should be duly recognized and compensated. In the case of doctors, nurses and
midwives, we’ve often heard that there simply aren’t enough. The standard patient to
doctor, nurses or midwife ration is often unmeet, especially in the case of Doctors. In
Sorsogon, for instance, one doctor is in charge of eight RHUs. She sees 200 clients a day.
If we divide this by 8 hours, without any break at all, you will only get to see a patient for
25 or 35 seconds. These are realities on the ground. And while we’ve heard many
accounts that health workers often mistreat persons with disability and indigenous
peoples, we also know that many of these health workers are also in dire circumstances
that do not create an enabling environment for them to mind their manners when dealing
with patients. Not excusing such attitude, the Commission sees the urgency of addressing
5