30% ‘sin tax’ for condoms and contraceptive pills?

Here’s the latest data on the Philippine HIV rates from the National Epidemiology Center of the Department of Health:

The 388 new HIV cases recorded in April were 67 percent higher compared to the 233 recorded during the same month in 2012… the April cases – 368 males and 20 females – have a median age of 28 years, with those in the 20 to 29 age group comprising 61 percent.  Except for 32 drug users who were infected due to needle sharing, all new cases acquired the virus through sexual contact, with male-to-male sex accounting for 81 percent.

The Philippine Reproductive Health Law seeks to prevent HIV rise and other sexually transmitted diseases (Sec IV. Definition of Terms, letter q, no. 5).  So how would the RH law do it? The RH Law would target families, especially the women, by promoting the use of contraceptive pills and condoms.  But nowhere does the RH law talks about homosexuals, and males having sex with males (MSM) account for 80 percent of the new HIV cases!  HIV is a real reproductive health disease and not some fuzzy add-on to the definition of reproductive health such as “”mental and social well-being” and “safe, consensual and satisfying sex life”–things that cannot be measured precisely, unless the government would require women to undergo psychological exams during their menstrual periods and require them also to make a logbook of the times they had intercourse, name of their partners, contraceptives used, and satisfaction rating in a 0 to 100 scale–and these data would be sent to the Office for Safe and Satisfying Sex which would be under either the DOH or the Office of Sen. Pia Cayetano.  Indeed, sex would then be more fun in the Philippines.

That’s why I believe that the RH Law is not really about women’s reproductive health but population control by promotion of promiscuity, with the Philippine government-ensured promise of safe sex.  If the government is intent on stopping HIV rise, the answer is not giving condoms for free to gays and their boy toys, but to educate them on the risks of the homosexual act.  It is ironic that the government increases “sin taxes” on liquor and cigarettes, claiming that these are bad for your health, while on the other hand saying nothing about MSM, fornication, and adultery which are not only bad for the sexual health (you can get HIV or AIDS), but also bad according to the RH Law’s all-encompassing definition of reproductive health:

(p) Reproductive Health (RH) refers to the state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes. This implies that people are able to have a responsible, safe, consensual and satisfying sex life, that they have the capability to reproduce and the freedom to decide if, when, and how often to do so. This further implies that women and men attain equal relationships in matters related to sexual relations and reproduction.

The reason for this is that MSM, fornication, and adultery destroys the family, which is the bedrock of our country. These are mental and social ills–things that should not be promoted with government funding but rather should be discouraged and disapproved through additional taxes and forbidding their advertisements in TVs, radios, train stations, movie houses, billboards, and other public places.  In this task, the government would have a major ally: the Catholic Church.

MSM is bad for the health, just like liquor, cigarettes, and chemical contraceptives. That is why condoms for MSM and contraceptive pills for women should have health warnings, such as the following:

“Condoms do not prevent the spread of HIV and 80% of males having sex with males acquire HIV.  Use this condom at your own risk  Note that a used condom is a medical waste.  These should be placed in sealed plastic bags and given to authorized government health personnel for proper disposal.  Note that each purchase of a condom pack already includes a sin tax of 30 percent.  This is for the proper disposal of your used condoms.  Unauthorized disposal of medical waste will be prosecuted accordingly.”

“This contraceptive pill has many side effects like head-aches and irregular monthly cycles.  At worse, you can’t have a baby again.  Use at your own risk.  Note that a sin tax of 30% was included in your purchase of the contraceptive pill.  This is for the cleaning of the environmental pollution of our creeks and rivers where your chemical-rich urine will go which can potentially make fishes gay and unable to reproduce.”

If the government would not buy condoms and pills, then the Church has no problem with the RH Law.  Let those who need them buy them with their own money and at their own risk with an additional 30% tax, instead of taxing Catholics who cannot use condoms and pills in good conscience.  In this way, the RH Law would not need any budget, because it would be able to earn its funding from the 30 % sin taxes for condoms and pills.  And oh, haven’t I yet mentioned about giving another 30% additional importation tarriff for condoms and pills? Thus, let us pass the RH Law and give it a Php 1 budget.

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ANC: Three Ang Kapatiran Party senatorial bets file their candidacy

THE EDITED TRANSCRIPT:

KOKO: We’ll gonna go to Linda Homilla live at the Comelec. She is joined by more senatorial aspirants. Go ahead, Linda.

LINDA: Thanks, Koko. Well, we have here Mr. Lito David, Mr. JC de los Reyes, and Atty Marwil Llasos. Gentlemen, good afterrnoon. Thank you for joining us. Let me talk first to JC. Of course, a familiar face to our voters having run in 2010 presidential elections. How are you, JC.

JC: I am ok.

LINDA: What made you decide to run again.

JC: I was nominated by the party. I accepted. And my goal is to push the party platform and its principles.

LINDA: And of course Lito you also ran in 2010 as a senatorial candidate of JC.

LITO: I was asked again by the party. And I follow wishes of the party.

LINDA: And Atty. Llasos, you are a new comer to the party.

MARWIL: Yes, I am a political virgin. I am new to these things. That is why it is an experience for me.

LINDA: Of course, I am assuming that you will all have a central platform and legislation. And I’ll ask JC to be the spokesman.

JC: That’s what makes the Ang Kapatiran Party different. If there is someone who does not abide to the platform and principles, we remove him. Everybody will have to adhere to one symphony orchestra and one conductor. And that conductor is our platform. We are here to push the platform. Legislate the anti-political dynasty. Go all out against the pork barrel system. Those funds should be aligned to the priority projects of the smallest barangay. Then gun control that the Ang Kapatiran has been fighting for a long time. And fight for the FOI.

LINDA: I’ll ask you about the current issues. FOI—you are for FOI. How about the Cyber-Crime Law which is all the rage right now? Are you for it or amending it?

(JC gives the mike to Marwil)

MARWIL: Actually, yesterday I was interviewed in the radio. I said there are good provisions in the Cyber-Crime Provision Act. But there was inserted that is not good and this is fearsome because it is so repressive, for example the libel that was inserted in the Cyber-Crime Prevention Act. This is oppressive and is not proper to the democracy that must reign in our country. The Filipino people has no way out here. What gives me the reason to run for Senate in the coming elections, I saw that it is possible to insert a provision in the law that was not debated and the senators does not know. No public hearing. That is so contrary to the idea of parliamentary democracy: debate, discuss, and consult the Filipinos, especially the stakeholders in the law. So I see if that is how it is done, there is no hope for the people, it is time to change.

LINDA: Next issue: Reproductive health bill. There is a possibility that they may not pass it. There is a possibility that it may be carried over to the next Congress.

LITO: We will fight it out. In our party our stand is that it is not needed, because there are laws. And it is already in the mandate of the Department of Health the things that must be done for women, mothers, infants, and babies to be born. You do not need a new law if the intention is just money, because those who make condoms and contraceptives will have their life simpler. No more marketing is needed because the government will buy from them. And you know how much money one gets from those contraceptives and condoms? That one brand of condom how much they sold last year? 4 million pieces, 2 million pills, 1 million injectables, and 300,000 IUDs. That is big money. Especially if you put government money there. And the government will spend millions and millions for something that is not needed by our women.

LINDA: Alright. Thank you very much for your time gentlemen and we wish you luck in the coming campaign. Koko, Those are the candidates for Ang Kapatiran party.

KOKO: Thank you very much, stay tuned.

Devices of Death: Privileged speech of Cong. Karlo Nograles during the RH Bill hearing

From Mind Talk:

DEVICES OF DEATH

By: Cong. Karlo Alexei Nograles
Representative, Davao City, 1st District
(Privileged Speech delivered during the RH Bill Hearing, June 8, 2011)

Madam Speaker, Majority Leader, dear colleagues, good day.

I rise today on a subject that demands this august Chamber’s gravest concern: the dismal failure of a major government agency to discharge its mandated function in law to protect and promote the health of Filipino mothers, shield and protect motherhood from peril, and safeguard their maternal functions.The regulation of providers of drugs and medicines is reposed bylaw, R.A. No. 3720, the Food, Drug, and Cosmetic Act in the Food and Drug Administration or FDA, a regulatory agency under the Department of Health. It is mandated to ensure the safety, efficacy and good quality of all food and drug products being made available to the general public pursuant to Section 2 which provides: “It is hereby declared the policy of the State to insure safe and good quality supply of food, drug and cosmetic, and to regulate the production, sale, and traffic of the same to protect the health of the people.”

On April 19, 1992, the Consumer Act of the Philippines, R.A. No. 7394, went into effect. According to Article II, “It is the policy of the State to protect the interests of the consumer, promote his general welfare and to establish standards of conduct for business and industry. Towards this end, the State shall implement measures to achieve the following objectives: a) Protection against hazards to health and safety.”

After all, there is a clear and express constitutional mandate that: “The State shall protect consumers from trade malpractices and from substandard or hazardous products,” Article XVI, Section 9 of our Constitution.

Pursuant to Article VI of the Consumer Act, it is the Department of Health, through the Food and Drug Administration, that is responsible to the public with respect to drugs, devices and substances.

Section 4 of the Consumer Act defines “drugs” to mean articles recognized in the current official United States Pharmacopeia-National Formulary, official Homeophatic Pharmacopeia of the United States, official National Drug Formulary, or any supplement to any of them; and number two, articles intended for use in the diagnosis, cure, mitigation, treatment or prevention of disease in man or other animals.

Among the drugs, Madam Speaker, that fall under this definition are the oral contraceptives administered to women and mothers, the injectible contraceptive Depo Provera and the so-called “morning-after pill”.

The same section defines a “device” as an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including any component, part or accessory which is recognized in the official United States Pharmacopeia National Formulary or any supplement to them; two, intended for use in the diagnosis of disease or other condition or in the cure, mitigation, treatment or prevention of disease in man or other animals.

Among the devices administered to women and mothers as contraceptives are the Intra-Uterine Device or IUD, and in recent times, the suction device known as the Manual Vacuum Aspirator or MVA.Both are allowed to be used and actually form part of the family planning devices used by the Department of Health.

We shall now see, Madam Speaker, in what manner these contraceptive drugs, substances and devices are supposed to cure, mitigate, treat or prevent disease in women and mothers.

First, the oral contraceptives. The so-called high-dose contraceptive pills bring about changes in the environment of the endometrium, that is the uterine lining of the woman, making implantation more difficult. When the high-dose pill functions via this last mechanism, it is an abortifacient if the woman experienced a “breakthrough” ovulation.

These pills have, for the most part, been pulled from the United States market due to their dangerous side effects. Naturally, they are still dumped relentlessly on poor women in developing countries.

The low-dose biphasic and triphasic pills on the other hand function in essentially the same manner as the high-dose pill. However, a much higher percentage of ovulation occurs in women who use the low-dose pills. This means that women who use these pills frequently conceive,and that low-dose pills prevent implantation of the new human individual, thereby acting more often as true abortifacients.

The Mini-Combination Pill functions by inhibiting ovulation and causing changes in the cervical mucus. However, their primary mode of operation is abortifacient, because they prevent implantation by causing changes in the endometrium.

Then, of course, there is the Mini-Pill. The primary mechanism of these pills have not been pinpointed, although women who use them almost always ovulate. Therefore, these pills function primarily as abortifacients.It is known that pills which contain only progestin alter the cervical mucus. They also interfere with implantation by affecting the endometrium and suppressing ovulation in some patients by reducing the presence of follicle-stimulating hormone(FSH).

This mechanism, Madam Speaker, is confirmed by the United States Food and Drug Administration (FDA), which stated that “Progestin-only contraceptives are known to alter the cervical mucus, exert a progestinal effect on the endometrium, interfering with implantation, and, in some patients, suppress ovulation.”

The manufacturers of the minipills also acknowledge this mode of action. For example, Syntex Laboratory spokesman, Rush Wilks, announced that “its progestin-only pill “… did not interfere with ovulation… It seems to affect the endometrium so that a fertilized egg cannot be implanted.”

In other words, Madam Speaker, the pill is now truly “birth control” not conception control, as was originally intended.

According to United States Federal courts, the birth control pill has been classified as “unavoidably unsafe.” This means that, implicit in a woman’s consent to use the pill, even if she is not entirely informed of its dangers, is an acknowledgment of physical risk.

This legal classification means that women damaged by the pill have a much harder time recovering damages. Dr. John Hildebrand, an expert in the field, estimates that more than 500 women die every year because of pill-induced effects. This startling number is confirmed by figures provided by the Alan Guttmacher Institute and one of the foremost abortionists in the United States, Warren Hern.

It is ironic, Madam Speaker, that the same pill pushed so hard as part of the supposed solution to “excessive illegal abortion deaths” now kills five times as many women per year as illegal abortions themselves did before Roe v Wade.

The most dangerous and well-documented side effects commonly associated with the pill are heart attacks and strokes. The eight-year Nurse’s Health Study at Harvard Medical School found that pill users are 250% as likely to have heart attacks and strokes than those who do not use the pill because the pill excessively increases blood clotting ability.

Now, let us talk about breast cancer. The Fertility and Maternal Health Drugs Advisory Committee is a panel of medical experts that meet to advise the commissioner of the United States Food and Drug Administration.

The committee evaluated a study by Dr. Clifford R. Kay of the Royal College of General Practitioners of Manchester, England. Kay studied 46,000 women,half of which were pill users and half of which were non-users. He found that pill users were more than three times more likely to develop breast cancer than non-users between the ages of 30 and 34.

A second study by researchers at the Boston University School of Medicine, the University of Pennsylvania and New York’s Memorial Sloan- KetteringCancer Center completed in 1988, showed that the longer women took the pill, the greater their chances of contracting breast cancer. The risk of developing breast cancer was found to be twice as great by age 45 for women who had used the pill for less than 10 years and four times as great for women who had used the pill for more than 10 years.

Now, another type of drug, Madam Speaker, is themorning-after pill or emergency contraception. Postinor Levonorgestrel believed to act to prevent ovulation, fertilization and implantation. This was approved for sale and distribution in the Philippines by the Bureau of Food and Drugs as an emergency contraceptive. By reason of its abortifacient action, Abay Pamilya Foundation asked the Department of Health on May 8, 2001 to cancel its product registration.The public hearings conducted by the DOH revealed the following uncontroverted data about the morning-after pill, Postinor:

1. Levonorgestrel has a high pre-implantation emergency abortifacient action. According to authorities cited by the petitioners in DOH and based on learned medical treatises, the Levonorgestrel approach clearly has an anti-developmental impact on the endometrium of the woman.Work by Kubba, et. al.(1986), specifically referred to Levonorgestrel noting itsability to change the nature of the hormonal receptors within the endometrium.

Dr. Rabone (1990), reported that Levonorgestrel caused a reduction on the number of estrogen and progesterone receptors within the endometrium. The concentration of these receptors is critical for the normal development of endometrium to a stage that will support implantation.

Simon and co-workers have also reported that altered estradiol/ progesterone ratios or E2/P which will occur with high doses of Levonorgestrel are associated with the impairment of endometrial receptivity.

2. Inhibition of implantation. The administration of relatively large doses of estrogen or “morning-after” pills for several days beginning shortly after unprotected sexual intercourse usually does not prevent fertilization but often prevents implantation of the blastocyst. Postconception administration of hormones prevent implantation of the blastocyst and is sometimes use in cases of sexual assault or leakage of acondom.

3. The abortifacient action of Levonorgestrel was not denied by its Philippine importer. The drugs inserts submitted by the importer-distributor, Euro-Generics International, Philippines, reads: Clinical Pharmacology, Levonorgestrel is believed to act to prevent ovulation,fertilization and prevent implantation.

4. Gedeon Ritcher Ltd., the drugs manufacturer, was aware of the moral and ethical implications of Levonorgestrel. The 2001 petition in the DOH, citing Thaler Gy, stated, “Gy. Thaler of Gedeon Richter, Limited, the manufacturer of Postinor (Levonorgestrel 0.75 milligrams), has unwittingly acknowledged the seriousness of this debate by noting that the promotion and use of the morning-after pill involves ethical and moral questions.”

Thus, the morning-after pill, Levonorgestrel, whether marketed as Postinor or some other brand, and any estrogen or progesterone with an abortifacient action is not registrable under Philippine law.

However, Madam Speaker, Levonorgestrel Mirena, as an IUD or intra- uterine device, can be ordered by an OB-gynecologist through the medrep. And Levonorgestrel is also available in several other names here in the Philippines, namely: Logynon, Nordet, Charlize, the Trust pill and Lady.These are all available in your local drugstore.

Now, Republic Act No. 5921, or an Act Regulating the Practice of Pharmacy and Setting Standards of Pharmaceutical Education in the Philippines, provides in Section 37 that “No drug or chemical product or device capable of provoking abortion or preventing conception as classified by the Food and Drug Administration shall be delivered or sold to any person without a proper prescription by a duly licensed physician.”

The reality, however, the reality, however, Madam Speaker, is this—contraceptive pills can be purchased by any person regardless of age, sex or civil status over the counter. I have personal experience purchasing contraceptive pills myself without prescription, Madam Speaker, when I purchased several birth control pills on May 25, 2011 and again on June 2, 2011 just to prove how easy it is to purchase these pills.

More dangerously, Madam Speaker, in the May 30, 2011 Senate committee hearing, last week, that discussed three Senate bills protecting the unborn, former DOH Secretary Alberto Romualdez stated, under oath, that contraceptive pills can also be ingested as emergency contraception by altering the dosage. Let me just say this, Madam Speaker, birth control pills, purchased very easily without prescription, can be used for abortion by just doubling the dosage for a period of five days.

Let me go to another drug, the Depo-Provera injectible. Depo-Provera was banned as a contraceptive in the US in 1978. While this is so, it is endorsed by agencies such as the International Planned Parenthood Federation and the World Health Organization for use in the Third World. But our Consumer Act, our Consumer Act states in Article XXXIII that “Banned or severely restricted drugs for health and safety reasons in their country of origin shall be banned and confiscated, or its uses severely restricted, whichever is appropriate, by the Department. The Department shall monitor the presence in the market of such drugs and cause the maintenance and regular publications of an updated consolidated list thereof.”

Madam Speaker, Depo-Provera is imported, available and administered widely in the Philippines.

But warnings on its safety are not unknown to the Department of Health: Loss of bone mineral density, thromboembolic disorders, cancer risks, ectopic pregnancy, anaphylaxis and anaphylactod reaction, convulsions, bleeding irregularities, excessive weight gain, fluid retention—these are among the drug’s dangerous effects. Banned in the United States, Depo-Provera can be purchased in your favorite drugstore for P117.00. And it goes by the names, Depotrust, Lyndavel, and Provestin.

Apart from the drugs, let’s now talk about devices; namely, the intrauterine device and the manual vacuum aspirator.

First, the IUD. What is an intrauterine device? The intrauterine device is a foreign body made of a non-reactive plastic such as polyehtylene inserted in the uterus of the woman to prevent implantation of the developing human being. Some IUDs include active chemicals such as progesterone or copper which slowly diffuse into the uterus for an enhanced abortifacient effect. How do IUDs work?The different IUDs have different modes of action.They prevent sperm from fertilizing ova, release ions, primarily copper, that interfere with fertilization.They thicken the cervical mucus and inhibits sperm capabilities. These are all contraceptive effects. But IUDs also irritate the endometrium or the lining of the uterus of the woman and make it inhospitable for the blastocyst or the very early developing human being. Thus, an abortifacient effect. There is some disagreement among medical authorities over the contraceptive effects of IUDs, but these experts do agree that IUDs prevent implantation.

The American Medical Association’s Committee on Human Reproduction has said that, “The action of IUDs would seem to be a simple local phenomenon. That these devices prevent implantation of an already fertilized ovum has been accepted as the most likely mechanism of action.”The U.S. Food and Drug Administration, FDA, which studies birth control methods before releasing them to the market, has observed that “IUDs seem to interfere in some manner with the implantation of the fertilized egg in the lining of the uterine cavity. The IUD does not prevent ovulation.”

The other device as I mentioned, is the manual vacuum aspirator,known more popularly as the MVA. This is a device for uterine evacuation.Meaning, suction of the contents of the womb. The MVA uses an aspirator with a cylinder, a plunger, and a bulb attached to the cannula with one or two apertures. According to literature describing and marketing the device, the indications for uterine aspiration using this device are : number 1, endometrial biopsy; number 2, treatment of incomplete abortion; and number 3, Madam Speaker, first-trimester abortion.

If the device is an instrument to procure an abortion, then it falls under the definition of an imminently hazardous product defined in Section 4 of the Consumer Act Section 4 of the Consumer Act, to wit, and I quote: “Imminently hazardous product means a consumer product which presents an unreasonable risk of death, serious illness or severe personal injury.”

A device of death, the MVA is purchased by local DOH agencies in some local government units.

In a case study in the Philippines entitled: Planning for a Sustainable Supply of Manual Vacuum Aspiration Instruments, a Guide for Program Managers, it appears that in this country, the key partners in the importation and use on the abortive device MVA are the DOH, Pangasinan Province, the NGO EngenderHealth, the local commercial distributor, the Packcard Foundation, and U.L.S. A.I.D. The local direct contractor of the MVA in the Philippines is BDM Enterprises.

I therefore ask, Madam Speaker, do these oral contraceptives, the morning-after pill, depo-provera, the IUD and the manual vacuum aspirator, cure, mitigate, treat or prevent disease? Are they safe for women and mothers?

Madam Speaker, no government can bargain away the public health. The people themselves cannot do it, much less their servants. And as public officers, our health officials can only execute the law, not disobey it. How can our government officers, whose sworn duty is to protect and preserve the health of our countrymen, allow such hazardous drugs and devices, abortifacients and carcinogens to be openly sold and distributed in our country?

I therefore call on this House to initiate an immediate investigation on the serious failure of our health agencies in exercising its strict mandate to defend and safeguard the health of Filipinos, particularly our women, in accordance with the letter, spirit and intent of our laws.

Thank you, Madam Speaker. Thank you, dear colleague.

Comparison of Reproductive Health Bills 5043 and 96 with annotations by Fr. Melvin Castro

Republic of the Philippines

HOUSE OF REPRESENTATIVES

Quezon City, Metro Manila

FOURTEENTH CONGRESS

FIRST REGULAR SESSION

HOUSE BILL NO 5043

Republic of the Philippines

HOUSE OF REPRESENTATIVES

Quezon City, Metro Manila

FIFTEENTH CONGRESS

FIRST REGULAR SESSION

HOUSE BILL NO. 96

AN ACT PROVIDING FOR A NATIONAL POLICY ON REPRODUCTIVE HEALTH, RESPONSIBLE PARENTHOOD AND POPULATION DEVELOPMENT, AND FOR OTHER PURPOSES AN ACT PROVIDING FOR A NATIONAL POLICY ON REPRODUCTIVE HEALTH, RESPONSIBLE PARENTHOOD AND POPULATION AND DEVELOPMENT, AND FOR OTHER PURPOSES
Be it enacted by the Senate and the House of Representatives of the Philippines in Congress assembled: Be it enacted by the Senate and the House of Representatives of the Philippines in Congress assembled:
SECTION 1. Short Title. – This Act shall be known as the “Reproductive Health and Population Development Act of 2008“. SECTION. 1. Title. – This Act shall be known as the “The Reproductive Health and Population and Development Act of 2010.”
SEC. 2. Declaration of Policy. – The State upholds and promotes responsible parenthood, informed choice, birth spacing and respect for life in conformity with internationally recognized human rights standards.

The State shall uphold the right of the people, particularly women and their organizations, to effective and reasonable participation in the formulation and implementation of the declared policy.

This policy is anchored on the rationale that sustainable human development is better assured with a manageable population of healthy, educated and productive citizens.

The State likewise guarantees universal access to medically-safe, legal, affordable and quality reproductive health care services, methods, devices, supplies and relevant information thereon even as it prioritizes the needs of women and children, among other underprivileged sectors.

SEC. 2. – Declaration of Policy.- The State recognizes and guarantees the exercise of the universal basic human right to reproductive health by all persons, particularly of parents, couples and women, consistent with their religious convictions, cultural beliefs and the demands of responsible parenthood.

Moreover, the State recognizes and guarantees the promotion of gender equality, equity and women’s empowerment as a health and human rights concern. The advancement and protection of women’s human rights shall be central to the efforts of the State to address reproductive health care. As a distinct but inseparable measure to the guarantee of women’s human rights, the State recognizes and guarantees the promotion of the welfare and rights of children.

The State likewise guarantees universal access to medically-safe, legal, affordable, effective and quality reproductive health care services, methods, devices, supplies and relevant information and education thereon even as it prioritizes the needs of women and children, among other underprivileged sectors.

The State shall address and seek to eradicate discriminatory practices, laws and policies that infringe on a person’s exercise of reproductive health rights.

This is dangerous policy.  Centered only on repro health as a policy and all CEDAW agenda.
SEC. 3. Guiding Principles. – This Act declares the following as basic guiding principles:

a. In the promotion of reproductive health, there should be no bias for either modern or natural methods of family planning;

b. Reproductive health goes beyond a demographic target because it is principally about health and rights;

c. Gender equality and women empowerment are central elements of reproductive health and population development;

d. Since manpower is the principal asset of every country, effective reproductive health care services must be given primacy to ensure the birth and care of healthy children and to promote responsible parenting;

e. The limited resources of the country cannot be suffered to, be spread so thinly to service a burgeoning multitude that makes the allocations grossly inadequate and effectively meaningless;

f. Freedom of informed choice, which is central to the exercise of any right, must be fully guaranteed by the State like the right itself;

g. While the number and spacing of children are left to the sound judgment of parents and couples based on their personal conviction and religious beliefs, such concerned parents and couples, including unmarried individuals, should be afforded free and full access to relevant, adequate and correct information on reproductive health and human sexuality and should be guided by qualified State workers and professional private practitioners;

h. Reproductive health, including the promotion of breastfeeding, must be the joint concern of the National Government and Local Government Units(LGUs);

i. Protection and promotion of gender equality, women empowerment and human rights, including reproductive health rights, are imperative;

j. Development is a multi-faceted process that calls for the coordination and integration of policies, plans, programs and projects that seek to uplift the quality of life of the people, more particularly the poor, the needy and the marginalized;

k. Active participation by and thorough consultation with concerned non-government organizations (NGOs), people’s organizations (POs) and communities are imperative to ensure that basic policies, plans, programs and projects address the priority needs of stakeholders;

l. Respect for, protection and fulfillment of reproductive health rights seek to promote not only the rights and welfare of adult individuals and couples but those of adolescents’ and children’s as well; and

m. While nothing in this Act changes the law on abortion, as abortion remains a crime and is punishable, the government shall ensure that women seeking care for post-abortion complications shall be treated and counseled in a humane, non-judgmental and compassionate manner.

SEC. 3. Guiding Principles. – This Act declares the following as guiding principles:

a. The right to make free and informed decisions, which is central to the exercise of any right shall not be subjected to any form of restraint or coercion,  and free exercise must be fully guaranteed by the State like the right itself.

b. Respect for, protection and fulfillment of reproductive health and rights seek to promote not only the rights and welfare of adult individuals and couples but those of adolescents and children as well.

c. Since human resource is a principal asset of the country, effective reproductive health care services must be given primacy to ensure maternal health, birth of healthy children and their full human development and responsible parenting.

d. The provision of accessible, affordable and effective reproductive health care services is essential in the promotion of people’s right to health.

e. The State shall promote, without bias, all modern natural and artificial methods of family planning that are medically safe, legal and effective.

f. The State shall promote a program that: (1) enables individuals and couples to have the number of children they desire with due consideration to the health of women and resources available to them; (2) achieves equitable allocation and utilization of resources; (3) ensures effective partnership among the national government, local government units and the private sector in the design, implementation, coordination, integration, monitoring and evaluation of people-centered programs to enhance quality of life and environmental protection; and (4) conducts studies to analyze demographic trends towards sustainable human development.

g. The provision of reproductive health care and information shall be the joint responsibility of the National Government and Local Government Units.

h. Active participation by non-government, women’s, people’s, civil society organizations and communities is crucial to ensure that reproductive health and population and development policies, plans, and programs will address the priority needs of the poor, especially women.

i. While nothing in this Act changes the law against abortion, the government shall ensure that all women needing care for post-abortion complications shall be treated and counseled in a humane, non-judgmental and compassionate manner.

j. Reproductive health goes beyond a demographic target because it is principally about health and rights.

k. Gender equality and women empowerment are central elements of reproductive health and population and development.

l. The limited resources of the country cannot be suffered to be spread so thinly to service a burgeoning multitude that makes the allocations grossly inadequate and effectively meaningless.

Again, this reinforces the thrust on repro health as the main concern of the country giving no regard to other health concerns.

Population control introduced.

Abortion definitely endorsed.

Population control rationalized.

SEC. 4. Definition of Terms. – For purposes of this Act, the following terms shall be defined as follows:

a. Responsible Parenthood – refers to the will, ability and commitment of parents to respond to the needs and aspirations of the family and children more particularly through family planning;

b. Family Planning – refers to a program which enables couple, and individuals to decide freely and responsibly the number and spacing of their children and to have the information and means to carry out their decisions, and to have informed choice and access to a full range of safe, legal and effective family planning methods, techniques and devices.

c. Reproductive Health -refers to the state of physical, mental and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes. This implies that people are able to have a satisfying and safe sex life, that they have the capability to reproduce and the freedom to decide if, when and how often to do so, provided that these are not against the law. This further implies that women and men are afforded equal status in matters related to sexual relations and reproduction.

d. Reproductive Health Rights – refers to the rights of individuals and couples do decide freely and responsibly the number, spacing and timing of their children; to make other decisions concerning reproduction free of discrimination, coercion and violence; to have the information and means to carry out their decisions; and to attain the highest standard of sexual and reproductive health.

e. Gender Equality – refers to the absence of discrimination on the basis of a person’s sex, in opportunities, allocation of resources and benefits, and access to services.

f. Gender Equity – refers to fairness and justice in the distribution of benefits and responsibilities between women and men, and often requires. women-specific projects and programs to eliminate existing inequalities, inequities, policies and practices unfavorable too women.

g. Reproductive Health Care – refers to the availability of and access to a full range of methods, techniques, supplies and services that contribute to reproductive and sexual health and well-being by preventing and solving reproductive health-related problems in order to achieve enhancement of life and personal relations. The elements of reproductive health care include:

1. Maternal, infant and child health and nutrition;

2. Promotion of breastfeeding;

3. Family planning information end services;

4. Prevention of abortion and management of post-abortion complications;

5. Adolescent and youth health;

6. Prevention and management of reproductive tract infections (RTIs), HIV/AIDS and other sexually transmittable infections (STIs);

7. Elimination of violence against women;

8. Education and counseling on sexuality and sexual and reproductive health;

9. Treatment of breast and reproductive tract cancers and other gynecological conditions;

10. Male involvement and participation in reproductive health;,

11. Prevention and treatment of infertility and sexual dysfunction; and

12. Reproductive health education for the youth.

h. Reproductive Health Education – refers to the process of acquiring complete, accurate and relevant information on all matters relating to the reproductive system, its functions and processes and human sexuality; and forming attitudes and beliefs about sex, sexual identity, interpersonal relationships, affection, intimacy and gender roles. It also includes developing the necessary skills do be able to distinguish between facts and myths on sex and sexuality; and critically evaluate. and discuss the moral, religious, social and cultural dimensions of related sensitive issues such as contraception and abortion.

i. Male involvement and participation – refers to the involvement, participation, commitment and joint responsibility of men with women in all areas of sexual and reproductive health, as well as reproductive health concerns specific to men.

j. Reproductive tract infection (RTI) – refers do sexually transmitted infections, sexually transmitted diseases and other types of-infections affecting the reproductive system.

k. Basic Emergency Obstetric Care – refers to lifesaving services for maternal complication being provided by a health facility or professional which must include the following six signal functions: administration of parenteral antibiotics; administration of parrenteral oxyttocic drugs; administration of parenteral anticonvulsants for pre-eclampsia and iampsia; manual removal of placenta; and assisted vaginal delivery.

l. Comprehensive Emergency Obstetric Care – refers to basic emergency obstetric care plus two other signal functions: performance of caesarean section and blood transfusion.

m. Maternal Death Review – refers to a qualitative and in-depth study of the causes of maternal death with the primary purpose of preventing future deaths through changes or additions to programs, plans and policies.

n. Skilled Attendant – refers to an accredited health professional such as a licensed midwife, doctor or nurse who has adequate proficiency and the skills to manage normal (uncomplicated) pregnancies, childbirth and the immediate postnatal period, and in the identification, management and referral of complication in women and newborns.

o. Skilled Attendance – refers to childbirth managed by a skilled attendant under the enabling conditions of a functional emergencyobstetric care and referral system.

p. Development – refers to a multi-dimensional process involving major changes in social structures, popular attitudes, and national institutions as well as the acceleration of economic growth, the reduction of inequality and the eradication of widespread poverty.

q. Sustainable Human Development – refers to the totality of the process of expending human choices by enabling people to enjoy long, healthy and productive lives, affording them access to resources needed for a decent standard of living and assuring continuity and acceleration of development by achieving a balance between and among a manageable population, adequate resources and a healthy environment.

r. Population Development – refers to a program that aims to: (1) help couples and parents achieve their desired family size; (2) improve reproductive health of individuals by addressing reproductive health problems; (3) contribute to decreased maternal and infant mortality rates and early child mortality; (4) reduce incidence of teenage pregnancy; and (5) enable government to achieve a balanced population distribution.

SEC. 4. Definition of Terms. – For the purposes of this Act, the following terms shall be defined as follows:

1. Adolescence – refers to a life stage of persons aged 10 to 19.

2. Adolescent Sexuality – refers to, among others, the reproductive system, gender identity, values or beliefs, emotions, relationships and sexual behavior of young people as social beings.

3. AIDS (Acquired Immune Deficiency Syndrome) – refers to a condition characterized by a combination of signs and symptoms, caused by Human Immunodeficiency Virus (HIV) which attacks and weakens the body’s immune system, making the afflicted individual susceptible to other life-threatening infections.

4. Anti-Retroviral Medicines (ARVs) – Antiretroviral drugs are medications for the treatment of infection by retroviruses, primarily HIV.

5. Basic Emergency Obstetric Care – refers to lifesaving services for maternal complications being provided by a health facility or professional, which must include the following six signal functions: administration of parenteral antibiotics; administration of parenteral oxytocic drugs; administration of parenteral anticonvulsants for pre-eclampsia and eclampsia; manual removal of placenta; removal of retained products; and assisted vaginal delivery.

6. Comprehensive Emergency Obstetric Care – refers to basic emergency obstetric care including performance of caesarian section and blood transfusion.

7. Employer – refers to any natural or juridical person who hires the services of a worker. The term shall not include any labor organization or any of its officers or agents except when acting as an employer.

8. Family Planning – refers to a program which enables couples and individuals to decide freely and responsibly the number and spacing of their children, acquire relevant information, and have access to a full range of safe, legal, affordable and effective modern natural and artificial methods of preventing and spacing pregnancy.

9. Gender Equality – refers to the absence of discrimination on the basis of a person’s sex, sexual orientation and gender identity in opportunities, allocation of resources or benefits and access to services.

10. Gender Equity – refers to fairness and justice in the distribution of benefits and responsibilities between women and men, and often requires women-specific projects and programs to end existing inequalities.

11. Healthcare Service Providers – refers to (a) health care institution, which is duly licensed and accredited and devoted primarily to the maintenance and operation of facilities for health promotion, disease prevention, diagnosis, treatment, and care of individuals suffering from illness, disease, injury, disability or deformity, or in need of obstetrical or other medical and nursing care; ((b) a health care professional, who is a doctor of medicine, nurse, or midwife; (c) public health worker engaged in the delivery of health care services; and (d) barangay health worker who has undergone training programs under any accredited government and non-government organization and who voluntarily renders primarily health care services in the community after having been accredited to function as such by the local health board in accordance with the guidelines promulgated by the Department of Health (DOH).

12. HIV (Human Immunodeficiency Virus) – refers to the virus which causes AIDS.

13. Male Responsibility – refers to the involvement, commitment, accountability, and responsibility of males in relation to women in all areas of sexual and reproductive health as well as the protection and promotion of reproductive health concerns specific to men.

14. Maternal Death Review – refers to a qualitative and in-depth study of the causes of maternal death with the primary purpose of preventing future deaths through changes or additions to programs, plans and policies.

15. Modern Methods of Family Planning – refers to safe, effective and legal methods to prevent pregnancy such as the pill, intra-uterine device (IUD), injectables, condom, ligation, vasectomy, and modern natural family planning methods which include mucus, Billings, ovulation, lactational amenorrhea, basal body temperature, and Standard Days methods.

16. People Living with HIV (PLWH) – refers to individuals whose HIV tests indicate that they are infected with HIV.

17. Population and Development – refers to a program that aims to: (1) help couples and parents achieve their desired family size; (2) improve reproductive health of individuals by addressing reproductive health problems; (3) contribute to decreased maternal and infant mortality rates and early child mortality; (4) reduce incidence of teenage pregnancy; (5) enable government to achieve a balanced population distribution; and (6) recognize the linkage between population and sustainable human development.

18. Reproductive Health – refers to the state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes. This implies that people are able to enjoy responsible and safe sex, that they have the capability to have children and the freedom to decide if, when and how often to do so. This further implies that women and men attain equal relationships in matters related to sexuality and reproduction.

19. Reproductive Health Care – the access to a full range of methods, techniques, facilities and services that contribute to reproductive health and well-being by preventing and solving reproductive health-related problems. It also includes sexual health, the purpose of which is the enhancement of life and personal relations. The elements of reproductive health care include:

a. maternal, infant and child health and nutrition, including breastfeeding

b. family planning information and services;

c. proscription of abortion and management of abortion complications;

d. adolescent and youth reproductive health;

e. prevention and management of reproductive tract infections (RTIs), HIV and AIDS and other sexually transmittable infections (STIs);

f. elimination of violence against women;

g. education and counseling on sexuality and reproductive health;

h. treatment of breast and reproductive tract cancers and other gynecological conditions and disorders;

i. male responsibility and participation in reproductive health;

j. prevention and treatment of infertility and sexual dysfunction; and

k. reproductive health education for the youth.

20. Reproductive Health Care Program – refers to the systematic and integrated provision of reproductive health care to all citizens especially the poor, marginalized and those in vulnerable situations.

21. Reproductive Health Rights – the rights of individuals and couples to decide freely and responsibly whether or not to have children; to determine the number, spacing and timing of their children; to make allied decisions concerning reproduction free of discrimination, coercion and violence; to have relevant information; and to attain the highest condition of sexual and reproductive health.

22. Reproductive Health and Sexuality Education – refers to a lifelong learning process of providing and acquiring complete, accurate and relevant information and education on reproductive health and sexuality through life skills education and other approaches.

23. Reproductive Tract Infection (RTI) – refers to sexually transmitted infections, and other types of infections affecting the reproductive system.

24. Responsible Parenthood – refers to the will, ability and commitment of parents to adequately respond to the needs and aspirations of the family and children by responsibly and freely exercising their reproductive health rights.

25. Sexually Transmitted Infections (STIs) – refers to any infection that may be acquired or passed on through sexual contact.

26. Skilled Attendant – an accredited health professional – such as a midwife, doctor or nurse – who has been educated and trained to develop proficiency in the skills needed to manage normal (uncomplicated) pregnancies, childbirth and the immediate postnatal period, and in the identification, management and referral of complications in women and newborns; traditional birth attendants or traditional midwives – trained or not – are excluded from this category.

27. Skilled Birth Attendance – childbirth managed by a skilled attendant plus the enabling conditions of necessary equipment and support of a functioning health system, including transport and referral facilities for emergency obstetric care.

28. Sustainable Human Development – refers to bringing people, particularly the poor and vulnerable, to the center of development process, the central purpose of which is the creation of an enabling environment in which all can enjoy long, healthy and productive lives, and done in a manner that promotes their rights and protects the life opportunities of future generations and the natural ecosystem on which all life depends.

What do they mean by manual removal of placenta? Abortion ba ito.

Anti discrimination provision na ito.

-do-

take note, this is the beginning of the entry of abortion clinics

this makes men jointly responsible in the rh effort, e.g. Sterilization or vasectomy

eto na nga ba.

Na introduce na ang mga programa nila

sugar coated pa yung pop control. bottom line ay reduce population pa rin

wow and ganda ng definition. Akala mo para sa kabutihan ng lahat. Bakit di

ba nag eenjoy ngayon ng safe sex. Why the law?

Naka specify na ang entry ng abortion..

sex education na.

Take note. This launches the program nationwide.

Careful sa language. Ginawa ng skills education. Delikado ito.

SEC. 5. The Commission on Population (POPCOM). – Pursuant to the herein declared policy, the Commission on Population (POPCOM) shall serve as the central planning, coordinating, implementing and monitoring body for the comprehensive and integrated policy on reproductive health and population development. In the implementation of this policy, POPCOM, which shall be an attached agency of the Department of Health (DOH) shall have the following functions:

a. To create an enabling environment for women and couples to make an informed choice regarding the family planning method that is best suited to their needs and personal convictions;

b. To integrate on a continuing basis the interrelated reproductive health and population development agenda into a national policy, taking into account regional and local concerns;

c. To provide the mechanism to ensure active and full participation of the private sector and the citizenry through their organizations in the planning and implementation of reproductive health care and population development programs and projects;

d. To ensure people’s access to medically safe, legal, quality and affordable reproductive health goods and services;

e. To facilitate the involvement and participation of non-government organizations and the private sector in reproductive health care service delivery and in the production, distribution and delivery of quality reproductive: health and family planning supplies and commodities to make them accessible and affordable to ordinary citizens;

f. To fully implement the Reproductive Health Care Program with the following components:

(1) Reproductive health education including but not limited to counseling on the full range of legal and medically-safe family planning methods including surgical methods;

(2) Maternal, pen-natal and post-natal education, care and services;

(3) Promotion of breastfeeding;

(4) Promotion of male involvement, participation and responsibility in reproductive health as well as other reproductive health concerns of men;

(5) Prevention of abortion and management of post-abortion complications; and

(6) Provision of information and services addressing the reproductive health needs of the poor, senior citizens, women in prostitution, differently-abled persons, and women and children in war AND crisis situations.

g. To ensure that reproductive health services are delivered with a full range of supplies, facilities and equipment and that service providers are adequately trained for reproductive health care;

h. To endeavor to furnish local Family Planning Offices with appropriate information and resources to keep the latter updated on current studies and research relating to family planning, responsible parenthood, breastfeeding and infant nutrition;

i. To direct all public hospitals to make available to indigent mothers who deliver their children in these government hospitals, upon the mothers request, the procedure of ligation without cost to her;

j. To recommend the enactment of legislation and adoption of executive measures that will strengthen and enhance the national policy on reproductive health and population development;

k. To ensure a massive and sustained information drive on responsible parenthood and on all methods and techniques to prevent unwanted, unplanned and mistimed pregnancies, it shall release information bulletins on the same for nationwide circulation to all government departments, agencies and instrumentalities, non-government organizations and the private sector, schools, public and private libraries, tri-media outlets, workplaces, hospitals and concerned health institutions;

l. To strengthen the capacities of health regulatory agencies to ensure safe, high-quality, accessible, and affordable reproductive health services and commodities with the concurrent strengthening and enforcement of regulatory mandates and mechanisms;

m. To take active steps to expand the coverage of the National Health Insurance Program (NHIP), especially among poor and marginalized women, to include the full range of reproductive health services and supplies as health insurance benefits; and

n. To perform such other functions necessary to attain the purposes of this Act.

The membership of the Board of Commissioners of POPCOM shall consist of the heads of the following AGENCIES:

1. National Economic DevelopmentAuthority (VEDA)
2. Department of Health (DOH)
3. Department of Social Welfare and Development (DSWD)
4. Department of Labor and Employment (DOLE)
5. Department of Agriculture (DA)
6. Department of the Interior and Local Government (DILG)
7. Department of Education (DepEd)
8. Department of Environment and Natural Resources (DENR)
9. Commission on Higher Education (CHED)
10. University of the Philippines Population Institute (UPPI)
11. Union of Local Authorities of the Philippines (ULAFI)
12. National Anti-Poverty Commission (NAPQ
13. National Commission on the Role of Filipino Women (NCRFW)
14. National Youth Commission (NYC)

In addition to the aforementioned, members, there shall be three private sector representatives to the Board of Commissioners of POPCOM who shall come from NGOs. There shall be one (1) representative each from women, youth and health sectors who have a proven track record of involvement in the promotion of reproductive health. These representatives shall be nominated in a process determined by the above-mentioned sectors, and to be appointed by the President for a term of three (3)years.

SEC. 6. Midwives for Skilled Attendance. -Every city and municipality shall endeavor to employ adequate number of midwives or other skilled attendants to achieve a minimum ratio of one (1)for every one hundred fifty (150) deliveries per year, to be based on the average annual number of actual deliveries or live births for the past two years. SEC. 5. Midwives for Skilled Attendance. – The Local Government Units (LGUs) with the assistance of the Department of Health (DOH), shall employ an adequate number of midwives to achieve a minimum ratio of one (1) fulltime skilled birth attendant for every one hundred fifty (150) deliveries per year, to be based on the annual number of actual deliveries or live births for the past two years; Provided, That people in geographically isolated and depressed areas shall be provided the same level of access.
SEC. 7. Emergency Obstetric Care. – Each province. and city shall endeavor to ensure the establishment and operation of hospitals with adequate and qualified personnel that provide emergency obstetric care. For every 500,000 population, there shall be at least one (1) hospital for comprehensive emergency obstetric care and four (4) hospitals for basic emergency obstetric care. SEC. 6. Emergency Obstetric Care. – Each province and city, with the assistance of the DOH, shall establish or upgrade hospitals with adequate and qualified personnel, equipment and supplies to be able to provide emergency obstetric care. For every 500,000 population, there shall be at least one (1) hospital for comprehensive emergency obstetric care and four (4) hospitals for basic emergency obstetric care; Provided, That people in geographically isolated and depressed areas shall be provided the same level of access.
SEC. 7. Access to Family Planning. All accredited health facilities shall provide a full range of modern family planning methods, except in specialty hospitals which may render such services on optional basis. For poor patients, such services shall be fully covered by PhilHealth Insurance and/or government financial assistance.

After the use of any PhilHealth benefit involving childbirth and all other pregnancy-related services, if the beneficiary wishes to space or prevent her next pregnancy, PhilHealth shall pay for the full cost of family planning for the next three (3) years. The benefit payments shall be channeled to appropriate local or national government health facilities.

This is the funder of all other related pregnancy services (?)
SEC. 8. Maternal Death Review. – All LGUs, national and local government hospitals, and other public health units shall conduct maternal death review in accordance with the guidelines to be issued by the DOH in consultation with the POPCOM. SEC. 8. Maternal Death Review. – All Local Government Units (LGUs), national and local government hospitals, and other public health units shall conduct annual maternal death review in accordance with the guidelines set by the DOH. May statistics pa ata.
SEC. 9. Hospital-Based Family Planning. -Tubal ligation, vasectomy, intrauterine device insertion and other family planning methods requiring hospital services shall be available in all national and local government hospitals, except: in specialty hospitals which may render such services on an optional basis. For indigent patients, such services shall be fully covered by PhilHealth insurance and/or government financial assistance.
SEC. 10. Contraceptives as Essential Medicines. – Hormonal contraceptives, intrauterine devices, injectables and other allied reproductive health products and supplies shall be considered under the category of essential medicines and supplies which shall form part of the National Drug Formulary and the same shall be included in the regular purchase of essential medicines and supplies of all national and lord hospitals and other government health units. SEC. 9. Family Planning Supplies as Essential Medicines. – Hormonal contraceptives, intrauterine devices, injectables and other safe and effective family planning products and supplies shall be part of the National Drug Formulary and the same shall be included in the regular purchase of essential medicines and supplies of all national and local hospitals and other government health units. Essential medicine na pala ang lahat ng contraceptives, etc.
SEC. 11. Mobile Health Care Service. -Each Congressional District shall be provided with a van to be known as the Mobile Health Care Service (MHOS) to deliver health care goods and services to its constituents, more particularly to the poor and needy, as well as disseminate knowledge and information on reproductive health: Provided, That reproductive health education shall be conducted by competent and adequately trained persons preferably reproductive health care providers: Provided, further, That the full range of family planning methods, both natural and modern, shall be promoted.

The acquisition, operation and maintenance of the MRCS shall be funded from the Priority Development Assistance Fund (PDAF) of each Congressional District.

The MHCS shall be adequately equipped with a wide range of reproductive health care materials and information dissemination devices and equipment, the latter including but not limited to, a television set for audio-visual presentation.

SEC. 10. Procurement and Distribution of Family Planning Supplies. – The DOH shall spearhead the efficient procurement, distribution to LGUs and usage-monitoring of family planning supplies for the whole country. The DOH shall coordinate with all appropriate LGU bodies to plan and implement this procurement and distribution program. The supply and budget allotments shall be based on, among others, the current levels and projections of the following:

a. number of women of reproductive age and couples who want to space or limit their children;

b. contraceptive prevalence rate, by type of method used; and

c. cost of family planning supplies.

DOH ang distribution channel.
SEC. 11. Benefits for Serious and Life-Threatening Reproductive Health Conditions. – All serious and life threatening reproductive health conditions such as HIV and AIDS, breast and reproductive tract cancers, and obstetric complications shall be given the maximum benefits as provided by PhilHealth programs.
SEC. 12. Mandatory Age-Appropriate Reproductive Health Education. – Recognizing the importance of reproductive health rights in empowering the youth and developing them into responsible adults, Reproductive Health Education in an age-appropriate manner shall be taught by adequately trained teachers starting from Grade 5 up to Fourth Year High School. In order to assure the prior training of teachers on reproductive health, the implementation of Reproductive Health Education shall commence at the start of the school year one year following the effectivity of this Act. The POPCOM, in coordination with the Department of Education, shall formulate the Reproductive Health Education curriculum, which shall be common to both public and private schools and shall include related population and development concepts in addition to the following subjects and standards:

a. Reproductive health and sexual rights;

b. Reproductive health care and services;

c. Attitudes, beliefs and values on sexual development, sexual behavior and sexual health;

d. Proscription and hazards of abortion and management of post-abortion complications;

e. Responsible parenthood.

f. Use and application of natural and modern family planning methods to promote reproductive health, achieve desired family size and prevent unwanted, unplanned and mistimed pregnancies;

g. Abstinence before marriage;

h. Prevention and treatment of HIV/AIDS and other, STIs/STDs, prostate cancer, breast cancer, cervical cancer and other gynecological disorders;

i. Responsible sexuality; and

j. Maternal, peri-natal and post-natal education, care and services.

In support of the natural, and primary right of parents in the rearing of the youth, the POPCOM shall provide concerned parents with adequate and relevant scientific materials on the age-appropriate topics and manner of teaching reproductive health education to their children.

In the elementary level, reproductive health education shall focus, among others, on values formation.

Non-formal education programs shall likewise include the abovementioned reproductive Health Education.

SEC. 13. Mandatory Age-Appropriate Reproductive Health and Sexuality Education. – Age-appropriate Reproductive Health and Sexuality Education shall be taught by adequately trained teachers in formal and non-formal educational system starting from Grade Five up to Fourth Year High School using life-skills and other approaches. Reproductive Health and Sexuality Education shall commence at the start of the school year immediately following one year from the effectivity of this Act to allow the training of concerned teachers. The Department of Education (DEPED), Commission on Higher Education (CHED), TESDA, Department of Social Welfare and Development (DSWD), and the Department of Health (DOH) shall formulate the RH and Sexuality Education curriculum. Such curriculum shall be common to both public and private schools, out of school youth, and enrollees in the Alternative Learning System (ALS) based on, but not limited to, the following contents: psycho-social wellbeing, legal aspects of RH, demography and RH and physical wellbeing.

Age-appropriate reproductive health and sexuality education shall be integrated in all relevant subjects and shall include, but not limited to, the following topics:

a. Values formation;

b. Knowledge and skills in self protection against discrimination, sexual violence and abuse, and teen pregnancy;

c. Physical, social and emotional changes in adolescents;

d. Children’s and women’s rights;

e. Fertility awareness;

f. STI, HIV and AIDS;

g. Population and development;

h. Responsible relationship;

i. Family planning methods;

j. Proscription and hazards of abortion;

k. Gender and development; and

l. Responsible parenthood.

The DepEd, CHED, DSWD, TESDA, and DOH shall provide concerned parents with adequate and relevant scientific materials on the age-appropriate topics and manner of teaching reproductive health education to their children.

Sex education mandated.
SEC. 12. Mobile Health Care Service. – Each Congressional District shall be provided with at least one Mobile Health Care Service (MHCS) in the form of a van or other means of transportation appropriate to coastal or mountainous areas. The MHCS shall deliver health care goods and services to constituents, more particularly to the poor and needy, and shall be used to disseminate knowledge and information on reproductive health. The purchase of the MHCS shall be funded from the Priority Development Assistance Fund (PDAF) of each Congressional District. The operation and maintenance of the MHCS shall be subject to an agreement entered into between the district representative and the recipient focal municipality or city. The MHCS shall be operated by skilled health providers and adequately equipped with a wide range of reproductive health care materials and information dissemination devices and equipment, the latter including, but not limited to, a television set for audio-visual presentations. All MHCS shall be operated by a focal city or municipality within a congressional district. Funding from PDAF pa pala. Dito kaya magkakaron ng vasectomy etc? Parang sa India.
SEC. 13. Additional Duty of Family Planning 0ffice. – Each local Family Planning Office shall furnish for free instructions and information on family planning, responsible parenthood, breastfeeding and infant nutrition to all applicants for marriage license. SEC. 14. Additional Duty of Family Planning Office. – Each local Family Planning Office shall furnish free instructions and information on family planning, responsible parenthood, breastfeeding and infant nutrition to all applicants for marriage license.
SEC. 14. Certificate of Compliance. – No marriage license shall be issued by the Local Civil Registrar unless the applicants present a Certificate of Compliance issued for free by the local Family Planning Office certifying that they had duly received adequate instructions and information on family planning, responsible parenthood, breastfeeding and infant nutrition. SEC. 15. Certificate of Compliance. – No marriage license shall be issued by the Local Civil Registrar unless the applicants present a Certificate of Compliance issued for free by the local Family Planning Office certifying that they had duly received adequate instructions and information on family planning, responsible parenthood, breastfeeding and infant nutrition.
SEC. 15. Capability Building of Community-Based Volunteer Workers. – Community-based volunteer workers, like but not limited to, Barangay Health Workers, shall undergo additional and updated training on the delivery of reproductive health care services and shall receive not less than 10% increase in honoraria upon successful completion of training. The increase in honoraria shall be funded from the Gender and Development (GAD) budget of the National Economic and Development Authority (NEDA), Department of Health (DOH) and the Department of the Interior and Local Government (DILG). SEC. 16. Capability Building of Barangay Health Workers. – Barangay Health Workers and other community-based health workers shall undergo training on the promotion of reproductive health and shall receive at least 10% increase in honoraria, provided that those receiving less than P1,000 monthly shall receive at least 20% increase upon successful completion of training. This increase in honoraria shall be funded from the Gender and Development (GAD) budget and from the national fund on Financial Assistance to Local Government Units or its equivalent as provided for in the annual General Appropriations Act.
SEC. 16. Ideal Family Size. – The State shall assist couples, parents and individuals to achieve their desired family size within the context of responsible parenthood for sustainable development and encourage them to have two children as the ideal family size. Attaining the ideal family size is neither mandatory nor compulsory. No punitive action shall be imposed on parents having more than two children. SEC. 17. Ideal Family Size. – The State shall assist couples, parents and individuals to achieve their desired family size within the context of responsible parenthood for sustainable development and encourage them to have two children as the ideal family size. Attaining the ideal family size is neither mandatory nor compulsory. No punitive action shall be imposed on parents having more than two children. Na mention na ang 2 children as the ideal family size.
SEC. 17. Employers’ Responsibilities. – Employers shall respect the reproductive health rights of all their workers. Women shall not be discriminated against in the matter of hiring, regularization of employment status or selection for retrenchment.

All Collective Bargaining Agreements (CBAs) shall provide for the free delivery by the employer of reasonable quantity of reproductive health care services, supplies and devices to all workers, more particularly women workers. In establishments or enterprises where there are no CBAs or where the employees are unorganized, the employer shall have the same obligation.

SEC. 18. Employers’ Responsibilities. – The Department of Labor and Employment (DOLE) shall ensure that employers respect the reproductive rights of workers. Consistent with the intent of Article 134 of the Labor Code, employers with more than 200 employees shall provide reproductive health services to all employees in their own respective health facilities. Those with less than 200 workers shall enter into partnerships with hospitals, health facilities, and/or health professionals in their areas for the delivery of reproductive health services.

Employers shall furnish in writing the following information to all employees and applicants:

a. The medical and health benefits which workers are entitled to, including maternity and paternity leave benefits and the availability of family planning

services;

b. The reproductive health hazards associated with work, including hazards that may affect their reproductive functions especially pregnant women; and

c. The availability of health facilities for workers.

All employers with 200 employees nakatali na dito.
SEC. 18. Support of Private and Non-government Health Care Service Providers. – Pursuant to Section 5(b) hereof, private reproductive health care service providers, including but not limited to gynecologists and obstetricians, are encouraged to join their colleagues in non-government organizations in rendering such services free of charge or at reduced professional fee rates to indigent and low income patients.
SEC. 19. Multi-Media Campaign. – POPCOM shall initiate and sustain an intensified nationwide multi-media campaign to raise the level of public awareness on the urgent need to protect and promote reproductive health and rights. SEC. 19. Multi-Media Campaign. – The DOH shall initiate and sustain a heightened nationwide multi-media campaign to raise the level of public awareness of the protection and promotion of reproductive health and rights including family planning and population and development.
SEC. 20. Reporting Requirements. – Before the end of April of each year,the DOH shall submit an annual report to the President of the Philippines, the President of the Senate and the Speaker of the House of Representatives on a definitive and comprehensive assessment of the implementation of this Act and shall make the necessary recommendations for executive and legislative action. The report shall be posted in the website of DOH and printed copies shall be made available to all stakeholders. SEC. 21. Reporting Requirements. – Before the end of April of each year, the DOH shall submit an annual report to the President of the Philippines, the President of the Senate and the Speaker of the House of Representatives. The report shall provide a definitive and comprehensive assessment of the implementation of its programs and those of other Government agencies and instrumentalities, civil society and the private sector and recommend appropriate priorities for executive and legislative actions. The report shall be printed and distributed to all national agencies, the LGUs, civil society and the private sector organizations involved in said programs.

The annual report shall evaluate the content, implementation and impact of all policies related to reproductive health and family planning to ensure that such policies promote, protect and fulfill reproductive health and rights, particularly of parents, couples and women.

This ensures the mdg monitoring function.
SEC. 20. Implementing Mechanisms. – Pursuant to the herein declared policy, the DOH and the Local Health Units in cities and municipalities shall serve as the lead agencies for the implementation of this Act and shall integrate in their regular operations the following functions:

a. Ensure full and efficient implementation of the Reproductive Health Care Program;

b. Ensure people’s access to medically safe, legal, effective, quality and affordable reproductive health goods and services;

c. Ensure that reproductive health services are delivered with a full range of supplies, facilities and equipment and that service providers are adequately trained for such reproductive health care delivery;

d. Take active steps to expand the coverage of the National Health Insurance Program (NHIP), especially among poor and marginalized women, to include the full range of reproductive health services and supplies as health insurance benefits;

e. Strengthen the capacities of health regulatory agencies to ensure safe, legal, effective, quality, accessible and affordable reproductive health services and commodities with the concurrent strengthening and enforcement of regulatory mandates and mechanisms;

f. Facilitate the involvement and participation of non-government organizations and the private sector in reproductive health care service delivery and in the production, distribution and delivery of quality reproductive health and family planning supplies and commodities to make them accessible and affordable to ordinary citizens;

g. Furnish local government units with appropriate information and resources to keep them updated on current studies and researches relating to family planning, responsible parenthood, breastfeeding and infant nutrition; and

h. Perform such other functions necessary to attain the purposes of this Act.

The Population Commission, (POPCOM) as an attached agency of DOH, shall serve as the coordinating body in the implementation of this Act and shall have the following functions:

a. Integrate on a continuing basis the interrelated reproductive health and population development agenda consistent with the herein declared national policy, taking into account regional and local concerns;

b. Provide the mechanism to ensure active and full participation of the private sector and the citizenry through their organizations in the planning and implementation of reproductive health care and population and development programs and projects;

c. Conduct sustained and effective information drives on sustainable human development and on all methods of family planning to prevent unintended, unplanned and mistimed pregnancies.

Ang daming trabaho ng DOH at LGU. Mabigat ata ito. Kaya ba nila ito?

Eto pala role ng pop com.  Finally lumabas na ang papel nila.

SEC. 21. Prohibited Acts. – The following acts are prohibited:

a) Any health care service provider, whether public or private, who shall:

1. Knowingly withhold information or impede the dissemination thereof, and/or intentionally provide incorrect information regarding programs and services on reproductive health including the right to informed choice and access to a full range of legal, medically-safe and effective family planning methods;

2. Refuse to perform voluntary ligation and vasectomy and other legal and medically-safe reproductive health care services on any person of legal age on the ground of lack of spousal consent or authorization.

3. Refuse to provide reproductive health care services to an abused minor, whose abused condition is certified by the proper official or personnel of the Department of Social Welfare and Development (DSWD) or to duly DSWD-certified abused pregnant minor on whose case no parental consent is necessary.

4. Fail to provide, either deliberately or through gross or inexcusable negligence, reproductive health care services as mandated under this Act, the Local Government Code of 1991, the Labor Code, and Presidential Decree 79, as amended; and

5. Refuse to extend reproductive health care services and information on account of the patient’s civil status, gender or sexual orientation, age, religion, personal circumstances, and nature of work; Provided, That all conscientious objections of health care service providers based on religious grounds shall be respected: Provided, further, That the conscientious objector shall immediately refer the person seeking such care and services to another health care service provider within the same facility or one which is conveniently accessible: Provided, finally, That the patient is not in an emergency or serious case as defined in RA 8344 penalizing the refusal of hospitals and medical clinics to administer appropriate initial medical treatment and support in emergency and serious cases.

b) Any public official who prohibits or restricts personally or through a subordinate the delivery of legal and medically-safe reproductive health care services, including family planning;

c) Any employer who shall fail to comply with his obligation under Section 17 of this Act or an employer who requires a female applicant or employee, as a condition for employment or continued employment, to involuntarily undergo sterilization, tubal ligation or any other form of contraceptive method;

d) Any person who shall falsify a certificate of compliance as required in Section 14 of this Act; and

e) Any person who maliciously engages in disinformation about the intent or provisions of this Act.

SEC. 22. Prohibited Acts. -The following acts are prohibited:

a) Any healthcare service provider, whether public or private, who shall:

1. Knowingly withhold information or restrict the dissemination thereof, and/or intentionally provide incorrect information regarding programs and services on reproductive health, including the right to informed choice and access to a full range of legal, medically-safe and effective family planning methods;

2. Refuse to perform legal and medically-safe reproductive health procedures on any person of legal age on the ground of lack of third party consent or authorization. In case of married persons, the mutual consent of the spouses shall be preferred. However in case of disagreement, the decision of the one undergoing the procedure shall prevail. In the case of abused minors where parents and/or other family members are the perpetrators as certified to by the Department of Social Welfare and Development (DSWD), no prior parental consent shall be necessary; and

3. Refuse to extend health care services and information on account of the person’s marital status, gender, sexual orientation, age, religion, personal circumstances, or nature of work; Provided, That, the conscientious objection of a healthcare service provider based on his/her ethical or religious beliefs shall be respected; however, the conscientious objector shall immediately refer the person seeking such care and services to another healthcare service provider within the same facility or one which is conveniently accessible; Provided, further, That the person is not in an emergency condition or serious case as defined in RA 8344 penalizing the refusal of hospitals and medical clinics to administer appropriate initial medical treatment and support in emergency and serious cases.

b) Any public official who, personally or through a subordinate, prohibits or restricts the delivery of legal and medically-safe reproductive health care services, including family planning; or forces, coerces or induces any person to use such services.

c) Any employer or his representative who shall require an employee or applicant, as a condition for employment or continued employment, to undergo sterilization or use or not use any family planning method; neither shall pregnancy be a ground for non-hiring or termination of employment.

d) Any person who shall falsify a certificate of compliance as required in Section 15 of this Act; and

e) Any person who maliciously engages in disinformation about the intent or provisions of this Act.

SEC. 22. Penalties. – The proper city or municipal court shall exercise jurisdiction over violations of this Act and the accused who is found guilty shall be sentenced to an imprisonment ranging from one (1) month to six (6) months or a fine ranging from Ten Thousand Pesos (P10,000.00) to Fifty Thousand Pesos (P50,000.00) or both such fine and imprisonment at the discretion of the court. If the offender is a juridical person, the penalty shall be imposed upon the president, treasurer, secretary or any responsible officer. An offender who is an alien shall, after service of sentence, be deported immediately without further proceedings by the Bureau of Immigration. An offender who is a public officer or employee shall suffer the accessory penalty of dismissal from the government service.

Violators of this Act shall be civilly liable to the offended party in such amount at the discretion of the proper court.

SEC. 23. Penalties. – Any commission of the foregoing prohibited acts or violation of this Act shall be penalized by imprisonment ranging from one (1) month to six (6) months or a fine of Ten Thousand (P 10,000.00) to Fifty Thousand Pesos (P 50,000.00) or both such fine and imprisonment at the discretion of the competent court; Provided That, if the offender is a public official or employee, he or she shall suffer the accessory penalty of dismissal from the government service and forfeiture of retirement benefits. If the offender is a juridical person, the penalty shall be imposed upon the president or any responsible officer. An offender who is an alien shall, after service of sentence, be deported immediately without further proceedings by the Bureau of Immigration.
SEC. 23. Appropriations. – The amounts appropriated in the current annual General Appropriations Act for reproductive health and family planning under the DOH and POPCOM together with ten percent (10%) of the Gender and Development (GAD) budgets of all government departments, agencies, bureaus, offices and instrumentalities funded in the annual General Appropriations Act in accordance with Republic Act No. 7192 (Women in Development and Nation-building Act) and Executive Order No. 273 (Philippine Plan for Gender Responsive Development 1995-2025) shall be allocated and utilized for the implementation of this Act. Such additional sums as may be necessary for the effective implementation of this Act shall be Included in the subsequent years’ General Appropriations Acts. SEC. 24. Appropriations. – The amounts appropriated in the current annual General Appropriations Act for reproductive health and natural and artificial family planning under the DOH and POPCOM and other concerned agencies shall be allocated and utilized for the initial implementation of this Act. Such additional sums necessary to implement this Act; provide for the upgrading of facilities necessary to meet Basic Emergency Obstetric Care and Comprehensive Emergency Obstetric Care standards; train and deploy skilled health providers; procure family planning supplies and commodities as provided in Sec. 10; and implement other reproductive health services, shall be included in the subsequent years’ General Appropriations Acts. Na simplify na ang source of funding.  Kasi nadistribute na earlier sa other sources.
SEC. 24. Implementing Rules and Regulations. – Within sixty (60) days from the effectivity of this Act, the Department of Health shall promulgate, after thorough consultation with the Commission on Population (POPCOM), the National Economic Development Authority (NEDA), concerned non-government organizations (NGOs) and known reproductive health advocates, the requisite implementing rules and regulations. SEC. 25. Implementing Rules and Regulations. – Within thirty (30) days from the effectivity of this Act, the Department of Health, National Economic and Development Authority, Department of Education, and the Department of Social Welfare and Development, in sustained and meaningful consultation with non-government, women’s, people’s, and civil society organizations, shall jointly promulgate, the rules and regulations for the effective implementation of this Act. At least 30% of the members of the drafting committee shall come from aforesaid organizations. Full dissemination of the Implementing Rules and Regulations to the public shall be ensured. 30% from NGO’s?  Ang bigat ng role nila.
SEC. 25. Separability Clause. – If any part, section or provision of this Act is held invalid or unconstitutional, other provisions not affected thereby shall remain in full force and effect. SEC. 26. Separability Clause. – If any part or provision of this Act is held invalid or unconstitutional, other provisions not affected thereby shall remain in force and effect.
SEC. 26. Repealing Clause. – All laws, decrees, Orders, issuances, rules and regulations contrary to or inconsistent with the provisions of this Act are hereby repealed, amended or modified accordingly. SEC. 27. Repealing Clause. All other laws, decrees, orders, issuances, rules and regulations which are inconsistent with the provisions of this Act are hereby repealed, amended or modified accordingly.
SEC. 27. Effectivity. – This Act shall take effect fifteen (15) days after its publication in at least two (2) newspapers of national circulation. SEC. 28. Effectivity. – This Act shall take effect fifteen (15) days after its publication in at least two (2) newspapers of general circulation.