RPRH

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Responsible Parenthood andReproductive Health Act 0f 2012RA 10354

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Definition of terms

Responsible Parenthood Its is the ill and abilit! of parent"s# to respond to the needs

and aspiration of the famil! and children$ It is the shared responsibilit! beteen parents to determine

and achieve the desired number and timin% of their onaspirations$

&eneral Information

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Definition of terms

Reproductive Health "RH# It is the state of complete ell'bein% in matters relatin% to

one(s se)ual and reproductive life$ It implies that people are able to have a responsible* safe*

consensual* and capabilit! to reproduce and the freedom todecide if* hen* and ho often to do so$ +urther* it impliesthat men and omen attain e,ual relationships in mattersrelated to se)ual relations and reproduction$

&eneral Information

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Definition of terms

Republic Act 10354 It is an act providin% for a national polic! on responsible parenthood and

reproductive health$ -he la* hich stemmed from the stron% advocac! of sta.eholders and the

commitment of the &overnment* is a point for conver%ence of multi'sectoral

efforts toard the improvement of health outcomes of the countr!$ It mandates the %overnment to ade,uatel! address the needs of +ilipinos on

responsible parenthood and reproductive health$ It aims to empoer the +ilipino people* especiall! omen and !outh*

throu%h informed choice and a%e' and development'appropriate education$

-he la also %uarantees access to information* facilities and services mostespeciall! for the poor b! ensurin% stable and sustainable reproductivehealth pro%rams are in place throu%h partnerships beteen national andlocal %overnments in collaboration ith civil societ! or%ani/ation* basicsectors* academe* and private sector$

&eneral Information

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Principles of RPRH a

-he ri%ht to ma.e free and informed decisions

-he provision of effective and ,ualit! RH careservices

-he provision of truthful information and educationon RH

-he pre'ferential access to the poor and themar%inali/ed

&eneral Information

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enefits of RPRH a

Improve access to services thru nhanced ervice Deliver! etor.s "D# throu%h facilit!

mappin% and population matchin% ith facilities6 Provision of mobile health clinics in &IDAs6

Improved PhilHealth covera%e of RH services6 nsured suppl! of RH commodities particularl! in the

procurement and distribution of +P supplies6 Hirin% and trainin% of s.illed health professionals6

ational and local %overnment cooperation in implementation6 Participation of the Private ector* Academe* asic ector and

78s6 and 7ontinuous monitorin% and revie of pro%rams

&eneral Information

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enefits of RPRH a

nhanced access to RH information b! tren%thenin% of informed choice and voluntarism leadin%

to an understandin% of the full ran%e of services6 Availabilit! of RP and RH information throu%h health

promotion and communication campai%ns andconsultations6 and

Development of a%e' and development' appropriateeducation$

&eneral Information

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Roles and +unctions of ocal &overnment in the Implementation ofthe a

nsure the provision of the full ran%e of RPRH care services*includin% all +P methods * supplies and commodities* both naturaland artificial* hich are le%al* medicall! safe* non'abortifacient* toall clients at appropriate level of care

nsure that all health facilities have an ade,uate number andade,uate trainin% for s.illed health professionals for reproductivehealth care$

8r%ani/e the ervice Deliver! etor.

stablish or up%rade all public health facilities in the D

nsure that barriers to1 RH care for persons ith disabilities"P9Ds# are responded to$

:ap the available RH services public and private health facilities$

8perational tructure

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7onduct maternal* fetal* and infant death revies and usethe results of the revie to improve service deliver!$

Implement an effective and ell'tar%eted distributionpro%ram of RH supplies and commodities supplied b! D8H$

upport the promotion of comprehensive RH educationinformal and informal learnin% settin%s in school and incommunities*

8r%ani/e implementin% and coordinative mechanism for the

implementation of the RPRH a$ Au%ment the %aps in the +P commodities and supplies

provided b! D8H$


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Procure* operate and maintain mobile health care services":H7# to deliver RH care and services particularl! to itsindi%ent constituents$

tren%then its pre'marria%e orientation for applicants for

marria%e license* ithout e)emption* based on the ;oint&uidelines of D8H* P8P78: DI& and D9D$

Assi%n RH officer of the Da! ho ill ensure access of all clientssee.in% RH care* in ever! public health facilit! at all levels of care$

Initiate participation and en%a%ement of civil societ!

or%ani/ations "78s# in the implementation of the RPRH a inthe localit!$

Appropriate funds for the implementation of the RPRH a$


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:onitorin% of the Implementation of the

A monitorin% and evaluation ":

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8perational tructure of RA 10354

-he RPRH a is to be >ointl! implemented b!different concerned a%encies* each focusin% on oneor several aspects of the pro%ram and contributin% tothe attainment of its overall %oal* and ill becoordinated b! the ational Implementation -eamat the national level$


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ational Implementation -eam "I-#

D8H A8 2015'002 provides for the creation of theI-$ It is composed of representatives fromconcerned %overnment a%encies and civil societ!or%ani/ations$ 7urrentl!* the 7hair of the I- isformer ecretar! of Health Dr$ speran/a 7abral*D8H Assistant ecretar! Dr$ Paul!n ;ean ?bial as7o'7hair and P8P78:(s )ecutive Director* Dr$

;uan Antonio Pere/ III as @ice'7hair and Head ofecretariat$


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ational Implementation -eam "I-#

:embers of the I- are D8H* P8P78:* +DA*D9D* DA* Depd* DI&* PhilHealth* AP7*P79* 7DA* ?AP and 78s$


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Re%ional tructures

-he same structure ill be replicated at the differentre%ions throu%h the RPRH a Re%ionalImplementation -eams "RI-s#$ -he RI-s ill becomposed of the same a%encies as the I-composition* but the RI-s can e)pand membershipto include other or%ani/ations$


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ead a%enc! in the implementin% the RPRH education foradolescents

-he Department of ducation "Depd# is mandated b! the a to formulate a curriculum includin%concepts and messa%es on reproductive health$ -heational Implementation -eam "I-# created a-echnical 9or.in% &roup for 7omprehensivee)ualit! ducation "-9& on 7# to support theDepd as 7hair* P8P78: as ecretariat* and D8H*

D9D* 7* and 78s as members$

RPRH ducation for Adolescents

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9hat are other venues here RPRH ducation can be inte%ratedB

Depd shall include RPRH education in the-eacher'7hild'Parent "-7P# activities ith theob>ective of ensurin% that parents or %uardians areli.eise e)posed to RPRH education$


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ervices Provided to In'school Adolescents

Private and public schools* as avenues fordevelopment* shall provide !oun% people a supportiveenvironment here the! have access to the folloin%services ith re%ards to teena%e problems* amon%

others 7ounselin% and ps!cho'social support services +acilities for information on prevention of ris.! behaviors*

includin% addiction6

+acilities for information on prevention and dia%nosis and propermana%ement=treatment of -Is6 and

+acilities for information and referral to service providers on allRPRH concerns$


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8ther A%encies Providin% RPRH ducation for Adolescents

everal %overnment a%encies and 78s have also initiatedtheir on RPRH education for adolescents$

P8P78: in collaboration ith &?s conduct ?4? teentrails and maintain teen centers in school and communities

D8H provide counselin% and services on adolescentse)ualit! and health

D9D developed !outh development sessions "D# for4Ps beneficiaries

P8PD@'education have been inte%rated in selected schools7 conducts various for a on se)ualit! and reproductive

health for !outh amon% others


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Ho ill Responsible Parenthood and Reproductive Healtheducation be fundedB

-he funds for the implementation of provisions onRPRH education shall be included in the annual

bud%et of the Depd* 7ommission on Hi%herducation* -echnical ducation and .illsDevelopment A%enc!* and other concerned a%encies$


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9hat a%enc! ill monitor the implementation of the RPRHeducationB

Depd is mandated to institute re%ular monitorin%and reportin% on the inte%ration of RPRH educationand information in the formal and non'formal*communit!'based education and indi%enouslearnin% s!stems$


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-he tate shall provide a%e' and development'appropriate responsible parenthoodand reproductive health education to adolescents and school'a%e children

-his shall be tau%ht b! ade,uatel! trained teachers and educators in formal andnon'formal educational s!stem $

7omplete* accurate and relevant a%e' and development' appropriate informationon RPRH* respectful of culture and reli%ious conviction* shall be inte%rated in theschool curriculum hich shall include the folloin% topics

Ri%hts of the 7hild 7hild Health and utrition 7hild and Adolescent Development &ender and Development ife s.ills

A%e'appropriate e)ualit! ducation Population and development Prevention of -Is* includin% HI@ Reco%nition and elimination of %ender'based violence


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ervice Deliver! etor. "D#

-he D as defined in D8H A8 2014'004CDefinin% the ervice Deliver! etor. for ?niversalHealth 7areE* is primaril! a netor. of public andprivate +P or :7H service providers$

-he! are identified or desi%nated to population$

-he facilities that are part of the D ma! includethose that are outside the %eo%raphic and political

boundaries of the province or cit!* if deemednecessar!* to refer clients for services$

Deliver! of RPRH ervices

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9ho can produce famil! plannin% "+P# suppliesB

-he D8H shall procure and distribute to &?s andmonitor the usa%e of +P supplies for the holecountr!$ -he D8H shall coordinate ith allappropriate local %overnment bodies to plan andimplement this procurement and distributionpro%ram$

&?s ma! procure* distribute and monitor +P and

other RH commodities to au%ment e)istin% suppl!folloin% RA F1G4 and its amended implementin%rules and re%ulations$


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7ontraceptive Products re'certified as non'abortifacient b! the +DA

-he +ood and Dru% Administration "+DA# has beenre'certified most of the contraceptive productsavailable in the mar.ets as non'abortifacient$

-he updated list to recertified products can beobtained from +DA$

&overnment a%encies can no procure commoditiesthat are alread! listed in the Philippine ational

Dru% +ormular! "PD+# and have been issued +DAcertification$


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9hat RH services are currentl! bein% covered b! PhilHealthreimbursementB

ilateral tubal li%ation"-#* reversal of - and normal spontaneous deliver! ith -$

o scalpel @asectom!"@# and reversal of @$

Interval intrauterine devices "I?Ds# insertion$ Post'partum I?D insertion "PPI?D# can onl! be

availed as part of the post'partum component of the :aternal 7are Pac.a%e ":7P#

8ral contraceptive pills "87Ps# can onl! be availed as part of the post'partum component of the :7P$

+P procedures done durin% outreach activities* provided that the doctor and the facilit! are both

PhilHealth'accredited$ +or mobile teams* PhilHealth ill provide reimbursement if the mobile team is

licensed as part of the hospital b! the D8H ureau of +acilit! ervices "H+#

:ana%ement of complications of RH procedures$

Pop smear is not !et covered b! PhilHealth$ Hoever* the visual inspection ith acetic acid "@IA#

hen done in accredited facilities* is covered in the pac.a%e for cervical cancer and the Primar! 7are

enefit "P7#$


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9hat are the roles of baran%a! volunteersB

-he baran%a! volunteers such as aran%a! ervicePoint 8fficers* aran%a! Population 9or.ers* H9sand 7H-s* are responsible in the promotion of RPRHparticularl! in increasin% the aareness and

reco%nition of health ris. and prompt individuals tosee. and utili/e RH care services$

-he! are e)pected to conduct interpersonalcommunication and counselin% "IP77#* demand%eneration and referral on RPRH care services and theresuppl! of condoms and oral contraceptive pills toclients at the level of baran%a! health stations as ell$


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7an civil societ! or%ani/ations "78s# and theprivate sector be en%a%ed to provide RPRH servicesB

-he D8H and &?s are encoura%ed to en%a%e 78sand private institutions in the provision ofReproductive Health 7are ervices in theirrespective localities to au%ment the services provided

b! the public health facilities$

P8P78:(s upplemental &uideline os$ 5 < Cprovided for the 8perational &uidelines in 78

n%a%ement for Addressin% ?nmet eed for :odern+amil! Plannin%$E


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Reproductive Health "RH# 7are

Reproductive health care refers to the access to a fullran%e of methods* facilities* services and suppliesthat contribute to reproductive health and ell'bein%

b! addressin% reproductive health'related problems$It also includes se)ual health* the purpose of hich isthe enhancement of life and personal relations$


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-he 12 RH lements

+amil! plannin% information and services hich shall include as a first priorit! ma.in% omen of reproductive a%e full! aare of their respective c!cles to ma.e them aare of henfertili/ation is hi%hl! probable* as ell as hi%hl! improbable6

:aternal* infant and child health and nutrition* includin% breastfeedin%6

Proscription of abortion and mana%ement of abortion complications6

Adolescent and !outh reproductive health %uidance and counselin%6

Prevention* treatment and mana%ement of reproductive tract infections "R-Is#* HI@ and AID and other se)uall! transmittable infections "-Is#6

limination of violence a%ainst omen and children and other forms of se)ual and %ender' based violence6

ducation and counselin% on se)ualit! and reproductive health6

-reatment of breast and reproductive tract cancers and other %!necolo%ical conditions and

disorders6:ale responsibilit! and involvement and men(s reproductive health6

Prevention* treatment and mana%ement of infertilit! and se)ual d!sfunction6

Reproductive health education for the adolescents6 and

:ental health aspect of reproductive health care$


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9ho are conscientious ob>ectorsB

7onscientious ob>ectors refer to practicin% s.illedhealth professional "private or public# hich ma!include doctors* nurses or midives and other publichealth or.ers* ho refuse to provide le%al andmedicall! safe reproductive health competence* onthe %rounds that doin% so is a%ainst their ethical orreli%ious convictions$

7ritical Issues

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Re,uirement to become conscientious ob>ectors

Practicin% s.illed health professionals "public orprivate# must be re%istered as conscientiousob>ectors at the D8H

Private s.illed health professionals shall post anotice at the entrance of the clinic or place ofpractice* enumeratin% the reproductive healthservices the! refuse to provide

Public s.illed health ho are conscientious ob>ectorsshall e)plain to the client the limited ran%e ofservices the! can provide


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-o hat e)tent can conscientious ob>ectors ithhold their servicesB

conscientious ob>ectors :a! refuse to disseminate information on RH pro%rams and

services but is liable for providin% false or misleadin%information6

:a! refuse to provide RH services and refuse to refer a patientto the appropriate RH provider but not in emer%enc!* lifethreatenin% or serious cases$


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7an minors access +P servicesB

:inors are not alloed access to modern methods offamil! plannin% ithout ritten consent from aparent of a le%al %uardian$

Provision of +P information and counsellin% tominors does not re,uire consent from a parent or ale%al %uardian$


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7an private Hospitals refuse to provideRH servicesB

Hospitals oned and operated b! a reli%ious %roup*or is classified as a non'maternit! specialt! hospitalsma! refuse to provide RH services$

Additionall!* said e)empted health facilities cannot be re,uired to refer patients e)cept in emer%enc! orlife threatenin% situations$


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&uidelines for mplo!ers to provide +P services in the or.place

Article 134 of the abor 7ode of the Philippines "7P# sates thatestablishments hich are re,uired b! la to maintain a clinic shallprovide free +P services to their emplo!ees hich shall include* butnot be limited to* the application or use of contraceptive pills andintrauterine devices$

-he RPRH a reiterates this re,uirements to establishments ithmore than 200 emplo!ees$ stablishments ith less than 200emplo!ees are encoura%ed to provide +P services to their or.ers$

-he a also mandates D8H to coordinate ith the Department of

abor and mplo!ment to revie* develop* and=or prescribeincentive bonus schemes for establishments or enterprises to ma.efamil! plannin% services available to female or.ers$


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7an public officials be conscientious ob>ectors B

Public officials "both elected and appointed# can also be conscientious ob>ectors and ma! refuse tosupport the implementation of RH pro%rams$

Hoever* the! are liable if the! personall! orthrou%h a subordinate Prohibit or restrict the deliver! of le%al RH services* includin%

famil! plannin% +orce* coerce or induce an! person to use such services Refuse to allocate* approve or release an! bud%et for RH

services


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7ritical issues

RA 10354 finall! became implementable hen the supreme 7ourt ofthe Philippines declared on April G* 2014 that the RH la is notunconstitutional

In its decision* the Hi%h 7ourt upheld the core provision of theRPRH a* Hoever* the folloin% provision ere stuc. don full or

Partiall! ection * onl! insofar as it "a# re,uires private health facilities* non'maternit!

specialt! hospitals* and hospitals oned b! reli%ious %roups to refer patients not inan emer%enc! or life'threatenin% situation to another health facilit! hich isconvenientl! accessible "b# provides access to famil! plannin% and RH services tominors ho have been pre%nant or had a miscarria%e ithout a parental consent$

ection 23'A'1* hich punishes RH providers* re%ardless of their reli%ious belief* ho fail or refuse to disseminate information re%ardin% RH services and pro%rams

ection 23'A'2'i* hich allos a married individual not in a life'threatenin% case toaccess RH procedures ithout the consent of the spouse


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7ritical issues

ection 23'A'3* insofar as it punishes an RH provider ho fails torefer an! non'life'threatenin% case to another RH provider

ection 23'* insofar as it punishes an! public officer ho refuses tosupport RH pro%rams

ection 1* hich mandates a 40'hour pro bono service b! private

and non%overnment RH service providers* includin% %!necolo%istsand obstetricians* as a prere,uisite for PhilHealth accreditation

ection 3$01'A and ; of the RH la Implementin% Rules andRe%ulations "IRR#* hich defines abortifacients as primaril!Einducin% abortion instead of simpl! inducin% abortion

ection 23'A'2'ii* hich prohibits RH service providers from refusin%to perform le%al and medicall!'safe reproductive health procedureson minors in non'life'threatenin% situations ithout parentalconsent

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