Recommendations : 1. The State should review and seriously address the bottlenecks raised by the DSWD – IP unit, other recommendations from existing studies and critiques and good strategies used in other countries to enhance or strengthen the program for IP communities. Undertake measures that effectively address not only of the beneficiaries but of the community to prevent further impacts on personal relations and community cohesion. 2. Primary to this is to ensure the full and effective participation of indigenous peoples particularly the women in all stages of the 4Ps and MCCT from conceptualization to implementation consistent with the respect and recognition of their rights to free, prior and informed consent, traditional knowledge and customary laws. Indigenous women should be treated as equal partners with potentials and contributions in development not as mere beneficiaries. 3. The State should report more on the substantial outcomes of the program with disaggregated data. B. Article 12 : Healthcare (On Women’s Access to Reproductive Health services ) The government, in its report has reported on “implementing health reforms to rapidly reduce maternal and newborn mortality” (paras 126, 127 and 133) as part of its comprehensive program to invest on human resources while adhering to its commitments to the MDGs. Like the CCT program above, adherence to commitments been the driving force more than state obligation. The poor state of basic services, especially in the countryside reflects a history of neglect and disregard. Despite the health reforms being implemented by the government, indigenous women and girls continue to suffer from illnesses and diseases that are preventable and curable. This is due to lack of access to quality health care. Indigenous communities in GIDAs lack functional health care facilities and if there are facilities there are no skilled health care professionals on duty. If there are skilled health care providers on duty, they are on schedule basis which limits tlheir availability and service. If there are even health facilities for birthing or for other health care needs, it is kilometers away from the communities and hours before it can be reached for timely birthing or treatment. Transportation costs are additional burden to reach a far off health facility. In addition, medicines in health facilities in indigenous communities are limited and costly, if not, none at all. Discrimination and stereotypes, continue to perpetuate unequal treatment of indigenous women and   16