During the National Inquiry, women with disabilities told stories that highlight the inability of service providers to provide disability-inclusive services, and the prevalence of gender-and-disability insensitive and discriminatory treatment. In several instances, reasonable accommodation was not observed among health facilities nor considered in health services. There were also accounts that frontline service providers including health service providers (HSPs), municipality/provincial/city social welfare officers, Philippine National Police (PNP) and barangay Violence Against Women (VAW) desk officers lack sensitivity to the needs and rights of women with disabilities. For instance, a woman with disability from Cebu shared that persons with disabilities face a multitude of challenges in accessing sexual and reproductive health (SRH) services. These include not only long queues, distant health facilities, and unfriendly physical structures; they also include high costs, negative attitudes of service providers, and negative perceptions by able-bodied people that persons with disabilities should be asexual.25 Another woman with disability from Cebu also shared that, “Service providers are not trained to have the special skills needed to handle women with disabilities.” She shared how health care providers get shocked when they receive pregnant women with disabilities at health facilities. She stressed that, “Catering to persons with disabilities requires particular skills, and at the moment we do not have them.” Women with disabilities also reported the unavailability or absence of personnel that provide assistance to mobility impaired and deaf or hearing impaired women with disabilities in hospitals and health centers. The public hearing in NCR surfaced that companions of women with disabilities who provide assistance for their mobility and communication needs were not allowed in maternity wards and delivery rooms. These narratives highlight the continuing gaps in health service providers’ ability to provide disability-responsive and disability-inclusive services. Due to limited understanding of disabilities, women with invisible disabilities such as those with chronic illnesses and those with psychosocial, cognitive, and hearing impairments are often denied “reasonable accommodation.”26 There are reports of 25 Woman with Mobility Impairment, Cebu Fact Finding Mission 26 It is the ‘necessary and appropriate modification and adjustments not imposing a disproportionate or undue burden, where needed in a particular case, to ensure to persons with disabilities the enjoyment or exercise on an equal basis with others of all human rights and fundamental freedoms’ requiring that State parties guarantee to persons with disabilities equal and effective legal protection against discrimination on all grounds. See ‘necessary and appropriate modification and adjustments not imposing a disproportionate or undue burden, where needed in a particular case, to ensure to persons with disabilities the enjoyment or exercise on an equal basis with others of all human rights and fundamental freedoms’ requiring that State parties guarantee to persons with disabilities equal and effective legal protection against discrimination on all grounds. See UN CRPD. 02 September 2016. CRPD/C/GC/3. 12

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