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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