Responsible Parenthood and Reproductive Health Law (Republic Act No. 10354) The spirit of the Republic Act No. 10354 was to allow women to choose freely whichever method of family planning they see fit. As countries become richer, females bear fewer and fewer children while it was common for our grand-grandparents to have 6 to 7 children, most couples today settle for just 2 to 3 kids. The reason for this global phenomenon is simple: as women enjoy greater economic opportunities, larger incomes, and empowerment (in a broad sense), rearing children becomes more and more costly – both in terms of money and time. (JC PUNONGBAYAN October18.2018) “The fewer the children the easier to invest in all of them and give them good education,” he said (Socioeconomic Planning Secretary Ernesto Pernia) Many women today still find it difficult to achieve their desired fertility, especially poor women because of lack of knowledge. This much is true in the Philippines, as reported by the 2017 National Demographic and Health Survey (NDHS). The latest data of (NDHS) shows that the poorest fifth of Filipino women not only have the most number of children on average, but they also have the highest level of “unwanted fertility,” or the gap between actual and desired number of children. And that shows of how much we need the contraceptives. But the percentage of women who want to space or limit childbearing are not using any contraceptive method – otherwise referred to as “unmet demand” for RH goods and services – is also highest among the poorest (unmet need for family planning is highest from the poorest income group) Because of lack of access: not only are RH goods and services unaffordable to many poor women, but supplies may also be dearer near where they live. Information about the use and effectiveness of such products also does not reach many of the poor. The government must be aggressive in implementing the RPRH law by providing better access to family planning services and contraceptives. (https://www.philstar.com/headlines/2018/09/09/1849870/neda-chief-urgesfull-implementation-rh-law#KUCBEvZWzpW3mvtd.99) Most of those in the relationship are not ready to have a child and make an abortion. Abortion is common in the Philippines with about 70 women inducing abortion every hour and about 11 women hospitalized every hour from unsafe abortion complications in 2012. Unsafe abortion is the third leading cause of maternal death and is a leading cause of hospitalizations, says (Atty. Clara Rita Padilla Philippine Safe Abortion Advocacy Network on June.19,2018) The main reason of this research is to bring awareness towards Responsible Parenthood and Reproductive health Act of 2012 (Republic Act No. 10354) that contraceptives are made to be available for free and that information about family planning can be made easily accessible at public hospitals. It will not affect their decision on choosing the size of their family. And it is not only for sake of the health of our young women and mother but also for the future of their children.
Reproductive Health as a Law Four years after when the reproductive health law was passed in the debate, but this is not being implemented across the country because of the anti-pro of local officials. There is an investigation of human rights which started in march and found out that some local government “disregard and disrespect” the women’s choice of family planning methods even if supplies are available. In manila they continue to give fund for the artificial contraceptives although it does not ensure access their distribution. The responsible parenthood and reproductive health Act of 2012 offers reproductive health care services for family planning like maternal, infant and child health services to help mother or parents. The commissioner Karen Gomez and Gwen PimentelGana says that there is a direct campaign in Sorsogon City saying that the artificial contraceptives can cause cancer and abortion. In this campaign, some see the disinformation or misinformation about artificial contraceptives. Base on the study of commission on Human Rights (CHR), they found that the low income of women, rural women, indigenous women disabilities, lesbian, bisexual, transwomen and even Muslim women continue to suffer discrimination, disinformation and misinformation about use of contraceptives. When women are deprived of correct information on reproductive health and rights, there is also violation of women’s right, said by CHR commissioner. There is excess on Reproductive Health (RH) commodities on the facilities that was visited by CHR except in Sorsogon City. Gana says that despite of RH Law harrowing the reality is that the Philippines continue to have one of the highest maternal mortality rates in Asia-pacific region. Because of misconception of the people, the reproductive health matters must not be allowed to continue and the much influence of government and policies must be lessened (Pazzibugan, 2016).
KUHA KO LANG TO YANG NASA TAAS YUNG SYNTHESIS PINASA KAY DOC VIC In Republic act 10354, or the Responsible Parenthood and Reproductive Health Act of 2012. The key objectives included in the act were public access to relevant information and education on medically safe legal, ethical, affordable, effective and quality reproductive health services, methods, devices and supplies. It is also tells that the government would provide sex education to public schools students ages 10 to 19 on the awareness of reproductive health. I n the Roman Catholic Churches hierarchy, surveys said that they were 70 percent of its own adherents agreed to the use of contraceptives by public and sex education for the youth. The law continued to criminalize abortion, does not provide free access to contraception and it allows sex education on religious grounds. RH bill limits its access of contraception to just 5 million household that were identified poor. In official 2012 economic growth it estimate that 6.6 percent of the population suffering in poverty and continues to rise over 50 percent and unemployed remains at 11 percent. The country has more than103 million people or the 12th largest population in the world. Because of the contradiction of the church to the state about contraceptive, the perception of the people to contraception is different. The reproductive rights reported that an estimated 560,000 abortion every year are being performed in the back part of the clinic and an estimating1, 000 dying due to the crude method and painful use. Because of the economic crisis the RH bill are formed. This solution is created by the senate to reduce the case of abortion and to control the population, but the church disagrees with the RH law. (Pastran, 2013) This article showed the rights on the people on free access to contraceptives to control the economic crisis here in the Philippines. In now present year the Department of Health plans the distribution of condoms in school as part of its business unusual strategy to reduce the sharp rise in the number of HIV and AIDS among the young people in the Philippines. And also, DOH wants to teach parent to have safe sex at home as part of the strategy. The Department of Education will counsel the students first before the distribution of contraceptives. Because the rising of the HIV and AIDS cases the head of the Episcopal Commissions on health care of the Catholic Bishop Conference urged the youth to do their part in educating in the public on the occasion of the world AIDS day. The DOH considered the distribution of condoms in school as a call for the attention of the world health organization (WHO) to make HIV self-testing kits available to the public. (Enano, Aurelio & Santos)
The following challenges appear to cut across the different KRAs: (a) limited government capacity to manage programs at scale asshown by itsinability to fully absorb budgets and accelerate service provision at required level; (b) weak research and development that leads to poor design of and implementation of programs, as shown by gaps in the understanding of specific drivers of diseases like HIV; (c) uneven LGU(Local Government Unit ) support that leads to variation in local performance on ASRH(Adolescent Sexual and Reproductive Health), MNCHN(Maternal, Neonatal, Child Health and Nutrition), FP (Family Planning)and other RH services; (d) weak monitoring and evaluation system which impedes the regular collection and use of a standard set of reliable data needed to accurately monitor and evaluate performance across different KRAs, and (d) legal barriers such as the SC(supreme court) TRO that threatens the future supply of contraceptives, and prevents effective delivery of FP programs. A possible explanation isthat health strategies, programs and projects have relatively long gestation period, hence, it takes time before these are implemented at scale and their effects on RPRH outcomes are realized. It is also likely that poor health outcomes are indicative of bigger underlying problems like poverty and the fragmentation of service delivery and financing owing to devolution. In this case, a more comprehensive multispectral approach may be necessary to see significant improvements in RPRH outcomes. Meanwhile, the high rates of maternal and neonatal mortality, adolescent pregnancy, increasing HIV prevalence and growing number of VAWC (Violence Against Women and Children) cases, among others, 3rd Annual Report on the Implementation on the RPRH Act of 2012 10 underscore the need to revisit the direction and strategies being used in the last three KRAs (Key Results Area) Recently, the President issued Executive Order (EO) No. 12 mandating the attainment of couples’ desired family size through the strengthening of the FP program and the empowerment of families against poverty. The DOH and POPCOM (Commission on Population)may use this as opportunity to exact stronger multisectoral commitments to aggressively scale up MNCHN(Maternal, Neonatal, Child Health and Nutrition), FP, ASRH, HIV and VAWC service delivery, with corresponding multi-year budgets to ensure uninterrupted service delivery in the short to medium term. While collaboration mechanisms among various government agencies, private sector, CSOs (Civil Society Organization )and development partners have been forged, agency or institutional accountabilities have to be regularly monitored by an oversight agency to enforce and speed up compliance to their respective mandates in the RPRH Law.