the provision of interpreters). The State also has weak to gather data on discrimination,
leaving the NGOs to fulfill this task.
6. Reproductive Health National Inquiry Report of the Commission
a. Despite passage of and current national implementation of the Responsible Parenthood
and Reproductive Health Act (Reproductive Health Law), challenges continue on de facto
availability, accessibility, sufficiency, and adequacy of reproductive health services and
information.
b. There is apparent criminalization of traditional and indigenous home births in many local
government ordinances, while DOH claimed that penalization of home births was not
adopted as a policy. The DOH explains the same as a misinterpretation by the LGUs of
the DOH’s encouragement of facility based deliveries. With the proliferation of such
ordinances, and the outcry of indigenous groups and women in geographically isolated
and disadvantaged areas (GIDA), representatives from the DOH admit the need to review
and for once clarify the Department’s stand.
c. In many instances, health facilities are inaccessible or absent in geographically
inaccessible areas, and in cases where they are present and accessible, challenges are
posed as to the sufficiency of facilities and equipment and of the supplies of the
commodities available. There is also acknowledgment from health workers that there is
difficulty in meeting the standards of doctor/nurse/midwife ratio to population served.
d. In Mindanao, concerns have been raised on the failure to engage indigenous and
religious leaders in the reproductive health agenda and to engage them in information
dissemination on reproductive health and rights. Barriers in accessing reproductive health
services include lack of information and misinformation on reproductive health, breakdown
of service delivery networks, religious and cultural barriers, and unprofessional and / or
unethical practices of health service providers. Instances of misinformation due to religion
or culture have also been documented which were shown to have affected women and
men’s willingness to access reproductive health services. In some cases, while women
are generally aware of the available services, they are unwilling to avail of such services
due to misplaced religious beliefs or cultural practices. For instance, while a ‘fatwa’ has
been issued on the acceptability of reproductive health in Islam, not all Moro women are
aware of the same. For indigenous peoples, while elders claim that it is not against
indigenous culture, some women refuse to avail of services believing they are breaking
cultural or that they have to seek the consent of their husbands. These led to
recommendations on the need to improve information dissemination not only on available
goods and services, but also to include men, traditional and religious leaders in the
reproductive health agenda.