Reproductive Health Bill

1. Reproductive Health Bill

2. Introduction • Reproductive Health and Population Development Act of 2008 • House Bill No. 5043 • RH Bill of 2010

3. History • An Act Providing for a Comprehensive Policy on Responsible Parenthood, Reproductive Health and Population Development and for Other Purposes • Proposed in 1998, during the 15th Congress, • RH Bills filed are those authored by (1) then House Minority Leader Edcel Lagman of Albay (and others)

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

5. Declaration of Policy • 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.

6. Elements of RH Bill • Responsible Parenthood • Family Planning • Reproductive Health • Reproductive Health Rights • Gender Equality • Gender Equity • Reproductive Health Care • Reproductive Health Education (Mandatory, age-appropriate) • Male involvement and participation • Reproductive tract infection (RTI) • Basic Emergency Obstetric Care • Comprehensive Emergency Obstetric Care • Maternal Death Review • Skilled Attendant • Skilled Attendance • Sustainable Human Development (family size) • Population Development

7. Function of DOH 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

8. c. To ensure active and full participation of the private sector and the citizenry 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

9. e. To facilitate the involvement of NGOs 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

10. 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, pre-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 • (6) Provision of information and services addressing the reproductive health needs of the poor, senior citizens, women in prostitution, and women and children in war and crisis situations.

11. g. To direct all public hospitals to make available to indigent mothers, upon the mothers request, the procedure of ligation without cost to her

12. h. 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

13. Prohibited Acts • 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

14. 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

15. Prohibited Acts 3. Refuse to provide reproductive health care services to an abused minor and abused pregnant minor 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

16. Prohibited Acts 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:

17. 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

18. Prohibited Acts 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;

19. 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;

20. Prohibited Acts d) Any person who shall falsify a certificate of compliance as required in Section 14 of this Act; e) Any person who maliciously engages in disinformation about the intent or provisions of this Act.

21. Penalties • Imprisonment ranging from one (1) month to six (6) months or a fine ranging from P10,000.00 to P50,000.00 or both; such fine and imprisonment at the discretion of the court. • An offender who is an alien shall, after service of sentence, be deported immediately without further proceedings by the Bureau of Immigration.

22. CBCP Stand 1. We are deeply concerned about the plight of the many poor, especially of suffering women, who are struggling for a better life and who must seek it outside of our country, or have recourse to a livelihood less than decent. 2. We are pro-life. We must defend human life from the moment of conception or fertilization up to its natural end. 3. We believe in the responsible and natural regulation of births through Natural Family Planning for which character building is necessary which involves sacrifice, discipline and respect for the dignity of the spouse. +NEREO P. ODCHIMAR, D.D.Bishop of TandagPresident, CBCPJanuary 30, 2011 http://www.cbcpnews.com/?q=node/14472

23. 4. We believe that we are only stewards of our own bodies. Responsibility over our own bodies must follow the will of God who speaks to us through conscience. 5. We hold that on the choices related to the RH bill, conscience must not only be informed but most of all rightly guided through the teachings of one’s faith. 6. We believe in the freedom of religion and the right of conscientious objection in matters that are contrary to one’s faith. The sanctions and penalties embodied in the proposed RH bill are one more reason for us to denounce it.

24. CBCP Objections 1. We object to the non-consideration of moral principles, the bedrock of law, in legislative discussions of bills that are intended for the good of individuals and for the common good. 2. We are against the anti-life, anti-natal and contraceptive mentality that is reflected in media and in some proposed legislative bills. 3. We object strongly to efforts at railroading the passage of the RH bill. +NEREO P. ODCHIMAR, D.D.Bishop of TandagPresident, CBCPJanuary 30, 2011 http://www.cbcpnews.com/?q=node/14472

25. 4. We denounce the over-all trajectory of the RH bill towards population control. 5. We denounce the use of public funds for contraceptives and sterilization. 6. We condemn compulsory sex education that would effectively let parents abdicate their primary role of educating their own children, especially in an area of life – sexuality – which is a sacred gift of God.

26. Government’s Stand • freedom of choice with no bias for either modern or natural method of family planning • it is about health and rights, not demographics • individuals are provided free, full access to relevant, adequate and correct information on reproductive health and human sexuality by the State and professional private practitioners • gender equality and women empowerment and their protection, promotion and guarantee are central elements • aims to ensure birth and care of healthy children

27. Government’s Stand • promotes responsible parenting • promotes breastfeeding through joint effort between local government and national government • abortion remains a crime and is punishable by law but post abortion complications shall be treated, counseled in a humane, nonjudgmental and compassionate manner • respect for, protection and fulfillment of reproductive health rights of children to adults are guaranteed

28. Government’s stand • aims to uplift the quality of life of people, especially the poor, the needy and marginalized • aims to seek active participation of government and non government organization • the RH Bill does not legalize abortion • aims active participation between government, non government and people's organizations and communities

29. Thank you.