Upload
cassydelarosa
View
215
Download
0
Embed Size (px)
Citation preview
8/19/2019 RPRH
1/39
Responsible Parenthood andReproductive Health Act 0f 2012RA 10354
8/19/2019 RPRH
2/39
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
8/19/2019 RPRH
3/39
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
8/19/2019 RPRH
4/39
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
8/19/2019 RPRH
5/39
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
8/19/2019 RPRH
6/39
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
8/19/2019 RPRH
7/39
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
8/19/2019 RPRH
8/39
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
8/19/2019 RPRH
9/39
Roles and +unctions of ocal &overnment in the Implementation ofthe a
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$
8perational tructure
8/19/2019 RPRH
10/39
Roles and +unctions of ocal &overnment in the Implementation ofthe a
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$
8perational tructure
8/19/2019 RPRH
11/39
:onitorin% of the Implementation of the
A monitorin% and evaluation ":
8/19/2019 RPRH
12/39
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$
8perational tructure
8/19/2019 RPRH
13/39
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$
8perational tructure
8/19/2019 RPRH
14/39
ational Implementation -eam "I-#
:embers of the I- are D8H* P8P78:* +DA*D9D* DA* Depd* DI&* PhilHealth* AP7*P79* 7DA* ?AP and 78s$
8perational tructure
8/19/2019 RPRH
15/39
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$
8perational tructure
8/19/2019 RPRH
16/39
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
8/19/2019 RPRH
17/39
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$
RPRH ducation for Adolescents
8/19/2019 RPRH
18/39
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$
RPRH ducation for Adolescents
8/19/2019 RPRH
19/39
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
RPRH ducation for Adolescents
8/19/2019 RPRH
20/39
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$
RPRH ducation for Adolescents
8/19/2019 RPRH
21/39
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$
RPRH ducation for Adolescents
8/19/2019 RPRH
22/39
RPRH ducation for Adolescents
-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
RPRH ducation for Adolescents
8/19/2019 RPRH
23/39
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
8/19/2019 RPRH
24/39
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$
Deliver! of RPRH ervices
8/19/2019 RPRH
25/39
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$
Deliver! of RPRH ervices
8/19/2019 RPRH
26/39
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#$
Deliver! of RPRH ervices
8/19/2019 RPRH
27/39
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$
Deliver! of RPRH ervices
8/19/2019 RPRH
28/39
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%$E
Deliver! of RPRH ervices
8/19/2019 RPRH
29/39
Reproductive Health "RH# 7are
Reproductive health care refers to the access to a fullran%e of methods* facilities* services and suppliesthat contribute to reproductive health and ell'bein%
b! addressin% reproductive health'related problems$It also includes se)ual health* the purpose of hich isthe enhancement of life and personal relations$
Deliver! of RPRH ervices
8/19/2019 RPRH
30/39
-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$
Deliver! of RPRH ervices
8/19/2019 RPRH
31/39
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
8/19/2019 RPRH
32/39
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
Deliver! of RPRH ervices
8/19/2019 RPRH
33/39
-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$
Deliver! of RPRH ervices
8/19/2019 RPRH
34/39
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$
Deliver! of RPRH ervices
8/19/2019 RPRH
35/39
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$
Deliver! of RPRH ervices
8/19/2019 RPRH
36/39
&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$
Deliver! of RPRH ervices
8/19/2019 RPRH
37/39
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
Deliver! of RPRH ervices
8/19/2019 RPRH
38/39
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
Deliver! of RPRH ervices
8/19/2019 RPRH
39/39
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
li f i