B. Service Delivery With the new adjusted mCPR target of 30 percent of all women of reproductive age by 2022, the 2019 mCPR target has been set to 27 percent, with a one percent increase per year from the 25 percent baseline in 2017. In 2019, the FHSIS reported an mCPR of 27.7 percent which is higher than the annual target. It must be noted that while the FHSIS data showed a higher mCPR, there are still challenges in gathering FHSIS reports from the LGUs. The FHSIS covers only the public sector and does not account for FP use outside the program, thus, is not considered a “true” prevalence, rather it accounts only for service statistics. There is also a problem in terms of data quality due to various factors such as: 1) increased workload pressure of primary care health professionals who provide these reports; 2) inflation of data due to non-dropouts for lactational amenorrhea method (LAM); and 3) tedious monitoring forms, among others. Hence, in 2020, the program plans to monitor mCPR using the Family Planning Estimation Tool, a statistical model used by the United Nations Population Division to eliminate the current challenges in the FHSIS reporting. However, the Program will still be utilizing the FHSIS report in terms of quarterly monitoring of service statistics. Figure 19 illustrates the variations in the status of family planning users for five years as reported in the FHSIS. Current users have significantly increased over the years, with a steep improvement noted in 2017, when the Supreme Court (SC) Temporary Restraining Order (TRO) on contraceptives was lifted. In addition, an almost flat or slow progress in current FP use was observed in 2015 to 2016 as evidenced by the SC TRO. During this period, the number of drop-outs significantly increased due to fear of using contraceptives specially, Progestin Subdermal Implant. Further, false and incorrect information were circulating, specially on social media. However, since the lifting of the SC TRO drop-outs further declined up to the current reporting year. While current use and drop-outs considerably improved in 2019, new acceptors remained flat over the years. In fact in 2019, the number of new acceptors declined by 236,253 in 2019. The decrease can possibly be attributed to: 1) persistent use of traditional methods among couples or women of reproductive age; 2) inability of the program to respond to needs of FP clients because of supply chain management challenges; 3) fear of side effects; and 4) persistent misinformation received by clients from unreliable sources, among others. In the 2017 NDHS, health concerns and fear of side effects remain as the most common reasons for non-acceptance and dropping out of a method, respectively. Figure 19: Status of Family Planning Users, 2015-2019 Source: DOH Field Health Service Information System, 2015-2019. 53 2019 Annual Report Responsible Parenthood and Reproductive Health Act of 2012

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