Reproductive Health Bill (RH Bill)

LGUs shall deploy adequate number of midwives with a ratio of 1 fulltime skilled birth attendant to 150 deliveries per
year.
LGUs, national and local government hospitals and other public health units shall conduct annual maternal death review
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OPEN FORUM
Questions: How is privacy protected when someone is using contraceptives? Answers: On this program, because it is a government funds there is really no exact term for privacy, because you get it from midwife. So only the couples can avail it. The misconceptions that once RH Bill is being passed contraceptives will be given to schools etc. were wrong.
Questions: What can the public do to support the RH BILL? Answers: You have a very important role. Help us to disseminate the information. Help us reveal the truth. Help us campaign for the passage of this bill. In the history of the world Mexico was the last country to pass the RH Bill. It is a highly populous country and the church always block the passage of this bill but due to political will of their prime minister together with the secretary of health they pursue the RH BILL. Mexico was among the top five Roman Catholic worshipers around the globe, but fortunately they have now RH Bill. Mexico is much more religious in terms of their religious practices compare to us but indeed they successfully have this RH Bill. What we can do to help is to inform others, help us explain the importance of RH Bill. You can have forums, seminars to help us explain the content of RH Bill and correct the misconceptions that mislead our people.
Questions: Is RH Bill for contraception only or it encompasses abortion as well? Answers: Abortion is a No No. It is stated on its Section 12 that abortion faces a penal crime. But therapeutic
THE RH AGENDA: Clearing the Controversies
ii Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service The RH Agenda: Clearing the Controversies August 27,2011 Red Cross Youth Training Center, 3rd Floor, Philippine National Red Cross Building Bonifacio Drive, Iloilo City
NAME OF STUDENTS
MONDAY GROUP 4-7PM

ABILO, Michelle S. ALEJAN, Rhea Grace A. ALEJANDRIA, Ana Mae M. BARABONA, Herbert F. BOTANTE, Darlene Rose D. BUENVENIDA, Marife M. CALIPES, Juanih J. CASQUEJO, Florida B. GALLEGO, Christy Jim C. GEPANA, Jeserie J. GRECIA, Vida ann C. GRIO, MeryllRossane A. IGNACIO, Katherine Joy T. JARDELEZA, Miriam Joy D. JIMOGA-ON, Charity Mae G. JURILLA, Karen Choie C. LAMES, Jinky R. MAGNO, Alvia D.
MELENDEZ, Alyssa Mae D. NAVARRO, Ilnora Y. OLANDAY, Jamaea Marie E. PACLIBAR, Ma. Jorly P. PALADA, Rayjan Isaac G. PEREGIL, Jon Robert C. QURESHI, Azaria Amor L. REBOLLOS, Pearl Joy L. SALAO, Leane May V. SALINAS, Marizza Jean C. SALONGA, Ira Hope D. SAMPIANO, Ainee O. SOLATORIO, Mary Faith S. SUMINDOL, Irish Joy C. YSON, Romy Mari Z. YU, Mary Clecile B.
iii Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service The RH Agenda: Clearing the Controversies August 27,2011 Red Cross Youth Training Center, 3rd Floor, Philippine National Red Cross Building Bonifacio Drive, Iloilo City
NAME OF STUDENTS WEDNESDAY 4-7PM

ARCHEBUQUE, Gerson A. AUSTRIA, Angela Liz C. BEDIA, Ruth Angustia B. BELORIA, Ma. Fatima T. CORONADO, Ivy Joy G. DIGNADICE, Zynie B. ESTORES, Sharmaigne June N. GALLEGO, Grace A. MAGBANUA, April Ann Q. MALONES, Joel Mikhail D. MARMOLEJO, JojiEsper B. MAYORMENTE, ROSS Petand R. MENDOZA, Fiona Nika J. MONROY, Kathrine Rose M. MORALES, Jephthan Angelo B. NAVISAGA, Melchor N. OQUENDO, Milton B. PRIAS, May Angeline I. SARTORIO, Ryan L. SOMBITO, Selwyn Jon A. SOMOLLO, Ronald Ben Z.
iv Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service The RH Agenda: Clearing the Controversies August 27,2011 Red Cross Youth Training Center, 3rd Floor, Philippine National Red Cross Building Bonifacio Drive, Iloilo City
NAME OF STUDENTS SATURDAY 7-1OAM

ALABADO, Ryan R. ARMONIO, Mary Kathrina U. BARRIOS, Anna Lee D. BAYLON, James G. CAMUS, Lovella S. DONASCO, Mark Kevin Lee T. DONASCO, Shallemar Sharie Jean T. ESGUERRA, Eliza Rowena E. FIGUEROA, Ralph Lauren T. FLORES, Rosemarie F. GAVINO, Peter John T. HOFILEA, Ammi A. LLAUDERES, Arianne Marie P. LOSANTA, Jinna Jane N. MARMOLEJO, Arlie M. MASICAMPO, Merycar T. NANINI, Jovijean E. QUINDOR, Mary Divine Dare Casyl A. SALVACION, Marianne Wynjen D. SALVANTE, Ayra Andrea L. SALVANTE, Praxides L. SANDHU, Harjeet M. SIPACIO, Nizi Li J. SOGUILO, Anamor M. SONIDO, Fritzie Joy P. VILLASPIN, Jedd Q.
v Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service
The RH Agenda: Clearing the Controversies August 27,2011 Red Cross Youth Training Center, 3rd Floor, Philippine National Red Cross Building Bonifacio Drive, Iloilo City
Central Philippine University
Vision
A University committed to Exemplary Christian Education for Life (EXCEL) and responsive to the needs of the total person and the world.
Mission
The mission of Central Philippine University is to carry out a program of spiritual, intellectual, moral, scientific, technological, and cultural training, and allied studies under influences which strengthen Christian faith, build up character and promote scholarship, research and community service.
vi Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service
Central Philippine University School of Graduate Studies

Vision
A graduate school of distinction committed to serve and respond to the needs of the total person and to produce Christian leaders and professionals who excel in the discovery and utilization of knowledge and skills for national and global advancement.
Mission
The School of Graduate Studies commits to offer programs which integrate Christian values in various professions; support and engage in independent or collaborative research with external organizations to help advance and improve the state of knowledge, attitude and skills of its faculty, students, and graduates; establish local, national and international linkages for cooperative pursuits; enhance the leadership skills of professionals served by its programs and their capabilities for making sound decisions and discrimination in their commitments, loyalties and allegiances.
vii Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service The RH Agenda: Clearing the Controversies August 27,2011 Red Cross Youth Training Center, 3rd Floor, Philippine National Red Cross Building Bonifacio Drive, Iloilo City
Acknowledgement
The success of this seminar will not be possible if not for the hardwork, cooperation and contribution of each members of the group coming from all three sections of TFN batch 2011. We would like to extend our heartfelt gratitude to the following people who helped us transform our vision for this seminar into reality: To our beloved seminar adviser and TFN Professor Dr. Lilia A. Delicana, for giving us her overwhelming support and guidance throughout the whole process; To Hon. Janette L.Garin for giving us time despite her busy schedule and for imparting us her knowledge regarding this sensitive topic; To our DeanDr.Fely P. David for the approval and support to our seminar; To the Philippine Red Cross Community Health and Nursing Service Iloilo Chapter, our sponsor for providing us a venue for our seminar; To the respective families and members of the group for the unwavering support and love to each member and for emotional and financial assistance in making this gathering a success; To the guest and participant for spending their time and effort in coming and attending this event; And above all to God Almighty for giving us the gift of strength, wisdom, courage and patience to complete this task.
viii Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service The RH Agenda: Clearing the Controversies August 27,2011 Red Cross Youth Training Center, 3rd Floor, Philippine National Red Cross Building Bonifacio Drive, Iloilo City
Table of Contents
PART PAGE
Central Philippine University Vision and Mission CPU School of Graduate Studies Vision and Mission Acknowledgement Table of Contents List of Appendices Seminar Proceedings Objectives Registration Programme Invocation Philippine National Anthem Opening Remarks House Rules Introduction of Guest Speaker (Speakers Profile) Lecture Proper Open Forum Awarding of Token and Plaque of Appreciation to the Guest Speaker Closing Remarks Closing Prayer Summary, Analysis & Evaluation Summary of the Seminar Analysis Evaluation from Participants Insights and Experiences (Compilation of Reaction Papers) Appendices
v vi vii viii ix 1 2 3 4 5 6 7 8 9 10 23 25 26 27 28 29 30 32 36
ix Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service The RH Agenda: Clearing the Controversies August 27,2011 Red Cross Youth Training Center, 3rd Floor, Philippine National Red Cross Building Bonifacio Drive, Iloilo City
List of Appendices
Appendix A. B. C. D. E. F. Photo Documentation Financial Report Communication Materials Certificates c/o Arlee Seminar Kit Registration Forms
Page 101 Page Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service The RH Agenda: Clearing the Controversies August 27,2011 Red Cross Youth Training Center, 3rd Floor, Philippine National Red Cross Building Bonifacio Drive, Iloilo City
Program Proceedings
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Seminar Objectives
This seminar aims to enhance knowledge and awareness of nurses in Reproductive Health Bill
Specifically after the end of the lecture-discussion; the will be able to:
participants
1. Define what is RH Bill 2. Identify the scope of RH Bill 3. Determine its impact on Family Planning Practices 4. Determine its effects on economy and population 5. Develop awareness and role in health education
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Registration
The members of the registration committee were able to come early to our venue to set-up the registration table before the participants arrive. Despite the bad weather, the participants still managed to come and attend the seminar. Out of 160 participants, 117 came. Wearing their semi-formal attire they directly signed for the registration and attendance. A seminar kit was then given to every participant who came. The kit was composed of certificate of attendance, 2 pieces of paper and a ball pen for the open forum, candies and a copy of the programme. Everything went well and the program ran smoothly.
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Programme
Invocation
Ruth Bedia, R.N.
National Anthem
Opening Remarks
Arlie M. Marmolejo
Orientation to the Seminar
Fiona Mendoza, R.N.
Introduction of the Speaker
Zynie Dignadice, R.N.
Discussion Proper
Cong. Janette L. Garin, M.D. Representative, 1st District Iloilo
Open Forum
Giving of Certificate of Appreciation and Tokens
Closing Remarks
Dr. Lilia A. Delicana
Closing Prayer
Milton Oquendo, R.N. & Fiona Mendoza, R.N. Masters of Ceremony
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Invocation
Opening Prayer:
Loving heavenly Father, we come to you asking for your blessing and help as we are gathered together. We pray for guidance in the matters at hand and ask that you would clearly show us how to conduct our work with a spirit of joy and enthusiasm. Give us the desire to find ways to excel in our work. Help us to work together and encourage each other to excellence. We ask that we would challenge each other to reach higher and farther to be the best we can be. We ask this in the name of the Lord Jesus Christ. Amen
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Philippine National Anthem
Page 7
Opening Remarks
A pleasant morning to each and everyone Let me begin by offering deep thanks to our honorable guest speaker Cong. Janette L. Garin, to our adviser Prof. Lilia A. Delicana, fellow facilitators and participants who gathered in this event. I would like to give special gratitude to our guest today for accepting our invitation to be the resource speaker in this event. Thank you for your commitment and for your courage. We are all aware of the continuous debate over the publicity of RH bill. Its release garnered various standpoints from different areas of endeavor church, politics and society. One issue that created a mass of speculations, controversies and fleeting assumptions from individual of varying degrees of societal standing rich, poor, male, female, young, old, married and not. Everyone has their own stand and each gives a single viable reason for either destruction or formation of the bill. However the question is how much of the contents and provisions of the RH Bill do we really understand? Today, we bear witness to the clear-up of issues as far the RH Bill is concerned. Let us be enlightened with the facts that surround the bill and let us scrutinize the truths behind the passing of this bill In behalf of my class in Theoretical Framework in Nursing with seminar on problems in nursing, I welcome you all to our seminar entitled: THE RH AGENDA: Clearing the Controversies a seminar about the RH Bill and its coverage.
Thank you for your precious time and effort.
Once again, Good Morning.
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House Rules
Page 9
Introduction of the Speaker

A front liner in advancing the advocacy on maternal health and child mortality in order for the Philippines to attain its MDG Goal, Congresswoman Janette Petilla Loreto-Garin, a medical doctor who trained in Obstetrics and Gynecology, is a champion in pressing for the passage of the Cheaper Medicine Act, Reproductive Health Bill, Amendment to the Physician Act and other health measures in the Philippine Congress. This 15th Congress, she is serving as the Senior Deputy Majority Leader of the House of Representatives of the Republic of the Philippines. Concomitantly, she sits as the Senior Vice-Chair of the Committee on Population and Family Affairs, as well as the Committee on Health. Born in Baybay Leyte on December 11, 1972, Congresswoman Janette L. Garin has dedicated her life to excellence. She graduated cum laude with a degree of Bachelor of Science in Medical Technology at the Divine Word University in Tacloban City. She was also an academic scholar and a consistent topnotcher of the Deans List of the St. Lukes College of Medicine. Her performance in Congress facilitated recognition in various government sectors and NGOs where she became one of the most sought after speaker, resource person, debater and sometimes lecturer, both in the Philippines and abroad. She then became a Board Member of the Philippine Legislators on Community and Population Development and became a regular Presentor of the Asian Forum of Parliamentarians on Population and Development. Further exposure into the International Community prompted her to be elected as member of the International Board of the Parliamentary Network on the World Bank (PNoWB). This lady solons medical experience led her to understand the plight of women and the less privileged, and commits herself to use the political power delegated to her as legislator to push for health measures that would lead Filipinos to enjoy quality lives. A woman of wit and humor, Congresswoman Janette Petilla Loreto-Garin will forever remain a doctor by heart
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Lecture Proper
SALIENT FEATURES OF HB 4244
THE RESPONSIBLE PARENTHOOD, REPRODUCTIVE HEALTH AND POPULATION DEVELOPMENT ACT OF 2011
JANETTE LORETO-GARIN, M.D. SENIOR DEPUTY MAJORITY LEADER REPRESENTATIVE, 1ST DISTRICT OF ILOILO AUGUST 26, 2011
NEGROS ORIENTAL CONVENTION CENTER
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STATUS OF THE RH BILL

2ND READING
Presently, the RH bill is on its 2nd reading in the House of Representatives. Interpellations resumed this 2nd Regular Session where the sponsors of the RH bill are defending its contents and explaining its merits. Included in the list of priority measures of the Executive during the LEDAC meeting.
RATIONALE OF RH BILLS
1. INFORMED CHOICE (government to provide comprehensive RH services and information but women and couples to decide their FP preferences) 2. RIGHT to HEALTH (advances the right and improves the health of women, couples, and individuals) 3. SUSTAINABLE HUMAN DEVELOPMENT (fosters development by addressing high fertility and population growth rates, especially among the poor, which exacerbates poverty)
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HIGH MATERNAL MORTALITY RATIO OR ABOUT 3-5T WOMEN DYING/YEAR

300
Number of Women Dying
250 200 150 100 50 0
NDHS 93
209
WHO
NDHS 98
172
200 FPS 06 162
1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006
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Page 14
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SALIENT FEATURES OF THE RH BILL
TO ESTABLISH RH CARE PROGRAMS TO:

1. Increase awareness and access to appropriate, affordable quality RH services. 2. Provide accurate education and counseling on the full range of legal and medically-safe FP methods. 3. Provide maternal care services. 4. Increase male involvement in RH. 5. Prevent abortion and manage post-abortion complications. 6. Address the RH needs of adolescents. 7. Prevention and treatment of diseases of reproductive systems. 8. Provide education in information on human sexuality and responsible parenthood in schools, workplaces. 9. Provide information and services addressing RH needs of the poor, senior citizens, women in prostitution, differently-abled persons, women and children in war crisis situations. 10. Ensure adequate and full range of supplies, facilities and equipment.
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MIDWIVES FOR SKILLED BIRTH ATTENDANCE

LGUs shall deploy adequate number of midwives with a ratio of 1 fulltime skilled birth attendant to 150 deliveries per year.
EMERGENCY OBSTETRIC CARE

Each province and city shall ensure the establishment or upgrading operation of hospitals with adequate and qualified personnel that provide emergency obstetric care. 1 CEMOC and 4 BEMOC for every 500,000 population
ACCESS TO FAMILY PLANNING

PhilHealth 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.
MATERNAL AND NEWBORN HEALTH CARE IN CRISIS SITUATIONS

LGUs and DOH maternal and neonatal health care services will be given proper attention in crisis situations such as disasters and humanitarian crises.
FP SUPPLIES AS ESSENTIAL MEDICINE

Safe, effective and legal family planning products and supplies shall be part tional Drug Formulary of the Na-
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PROCUREMENT AND DISTRIBUTION OF FP SUPPLIES

DOH shall spearhead the efficient procurement, distribution to LGUs and usage-monitoring for the whole country.
INTEGRATION OF FP & RP IN ANTI-POVERTY PROGRAMS

Integrate family planning and responsible parenthood component into all anti-poverty programs of government, with corresponding fund support.
MATERNAL DEATH REVIEW

BENEFITS FOR SERIOUS AND LIFE-THREATENING RH 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.
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MOBILE HEALTH CARE SERVICE (MHCS)

Each district shall be provided with a MHCS van to deliver health care goods and services to its constituents, especially the poor and needy, and disseminate knowledge and information on RH.
MANDATORY AGE-APPROPRIATE RH EDUCATION

Reproductive Health and Sexuality Education in an age-appropriate mannershall be taught by adequately trained teachers starting from Grade 5 up to Fourth Year High School.
MULTI-MEDIA CAMPAIGN
DOH to initiate and sustain a nationwide multi-media campaign to raise the level of public awareness on the urgent need to protect and promote reproductive health and rights and population and development.
ADDITIONAL ROLE OF LGUS
LGUs to ensure that poor families receive preferential access to services, commodities and programs for family planning. Strengthen role of Population Officers BHWs capacity-building on FP
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PROHIBITED ACTS
1.Health Care Service Providers withhold information or restrict dissemination and intentionally provide incorrect on RH programs and services refuse to perform legal and medically-safe rh care and services. refuse to extend quality care and services and information on account of marital status, gender, sexual orientation , age, religion, etc.
2.Public Official Restrict legal and medically-safe RH care and services, including family planning.
3.Employers
Require an employee or applicant to submit to sterilization as a condition for continued employment
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PENALTIES
Imprisonment ranging from 1-6 months or a fine of P10,OOO to P20,OOO or both fine and imprisonment
APPROPRIATIONS
Amounts appropriated in the current in the annual GAA for RH and FP under the DOH and POPCOM. Additional funds be included in subsequent GAA.
When does life begin?
Fertilization is the meeting of the egg and the sperm; Conception is not a medical term but is a process.
While it cannot be identified when life actually begins, doctors acknowledge that pregnancy happens with implantation, not with fertilization. After fertilization, it takes 6 to 7 days for the fertilized egg to travel along the fallopian tube. The implantation of the fertilized egg in the uterus happens 11 to 14 days after fertilization. 4070% of the time, the fertilized egg does not reach implantation stage. This is the reason why it takes some time before a pregnancy test does not indicate positive a few days or even more than a week after fertilizationfertilized egg does not equate with pregnancy; pregnancy happens upon implantation. 85% of the time, sex will not lead to pregnancy. A fertilized ovum is not viable until it is implanted.
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CONTRACEPTIVES VS. ABORTIFACIENTS

Contraceptives prevent the meeting of the sperm cell and the egg cell, thus preventing fertilization. (There is no contraceptive that works to prevent the implantation of the fertilized egg in the uterus. In the same manner, a contraceptive taken when a woman is already pregnant cannot stop the pregnancy, i.e., a contraceptive cannot abort a fetus. ) On the other hand, abortifacients intend to stop a pregnancy and
work after a fertilized egg has been implanted in the uterus.
PROPOSED AMENDMENTS FROM AUTHORS:

a.Sec. 13 on Roles of LGUs. The BHWs and volunteers should be capacitated to help implement the RH Act instead of giving priority to family planning work. b.Sec 15 on MHCS: The procurement and operation of MHCS shall be funded by national government instead of the congressional PDAF. c.Sec. 16 on RH & Sexuality Education: Opt out provision for parents d.Remove Sec. 20 on Ideal Family Size e.Remove Sec. 21 on Employers Responsibilities f.Delete Sec. 28(e) on Prohibited Acts: any person who maliciously engages in disinformation..
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PROPOSED AMENDMENTS FROM THE EXECUTIVE

Removal of the word sexual orientation in the provision against discrimination in the Declaration of Policy (Sec. 2) [ACCEPTABLE TO AUTHORS] Sec. 3 Guiding Principles. Par.(a). Freedom of choice, within the limits set by the constitution and which is central to the exercise of rights Sec. 3 (e). The State shall promote, without bias, all effective natural and modern methods of family planning that are medically safe and legal provided that the State may provide additional funding support to promote natural methods of family planning. [ACCEPTABLE TO AUTHORS] Sec. 7. Access to Family Planning All accredited health facilities shall provide full range of modern family planning methods, except in case of specialty hospitals and hospitals owned by a religious group provided, that these hospitals may render such services on an optional basis. [ACCEPTABLE TO AUTHORS] Sec. 16. Mandatory Age-Appropriate Reproductive Health and Sexuality Education. Instead of Grade Five to Fourth Year High School, it will be from GRADE SIX [ACCEPTABLE TO AUTHORS] Sec. 16(a). Values formation, with due regard to religious affiliation; [ACCEPTABLE TO AUTHORS] Sec. 20. Ideal Family Size deletion of and encouraging 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.[ALREADY PROPOSED BY THE AUTHORS] Sec. 28. Prohibited Acts deletion of Par. (a)(2) for vagueness: Refuse to perform legal and medicallysafe reproductive health procedures on any person of legal age on the ground of lack of third party consent or authorization. Sec. 28(b). Any public official charged with the duty to implement the provisions of this act who, personally or thru a subordinate, prohibits or restricts the delivery of legal and medically safe RH care services[ACCEPTABLE TO AUTHORS]
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Open Forum
The discussion proper would not be a success without clarifying and understanding the concept itself. All participants are free to raise their questions and doubts regarding the topic and write it in a piece of paper included in the seminar kit. The facilitator gathers it all after the speaker finished her discussion. One of them also is tasked to read it one by one. Each questions and clarifications raised were clearly and spontaneously answered.
Questions: How is privacy protected when someone is using contraceptives? Answers: On this program, because it is a government funds there is really no exact term for privacy, because you get it from midwife. So only the couples can avail it. The misconceptions that once RH Bill is being passed contraceptives will be given to schools etc. were wrong.
Questions: What can the public do to support the RH BILL? Answers: You have a very important role. Help us to disseminate the information. Help us reveal the truth. Help us campaign for the passage of this bill. In the history of the world Mexico was the last country to pass the RH Bill. It is a highly populous country and the church always block the passage of this bill but due to political will of their prime minister together with the secretary of health they pursue the RH BILL. Mexico was among the top five Roman Catholic worshipers around the globe, but fortunately they have now RH Bill. Mexico is much more religious in terms of their religious practices compare to us but indeed they successfully have this RH Bill. What we can do to help is to inform others, help us explain the importance of RH Bill. You can have forums, seminars to help us explain the content of RH Bill and correct the misconceptions that mislead our people.
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Questions: Is RH Bill for contraception only or it encompasses abortion as well? Answers: Abortion is a No No. It is stated on its Section 12 that abortion faces a penal crime. But therapeutic abortion is allowed now. Example is the Case of H-mole where the mother can suffer if the child is not to be therapeutically aborted. But induced abortion is a NO NO on this Bill. RH is not only on contraception as mention earlier; Family Planning is one of its cores. We have RH Education. When you say RH Education, it is not Family Planning per se. You dont teach children or school children to practice some calendar methods or to use condoms. You teach them about sexuality, what happens to their body when they reach puberty. What is the risk involved? It is not just Family Planning but it is a totality of human development that it incorporated on the ten programs of RH Bill
Questions: Recently there was a debate of issues on RH Bill on ABS CBN program, May I know what you felt during that time and where you satisfied how did the debate ended. Answers: This debate is somehow controversial. I respect ABS CBN so much but as compared to the grand debate conducted by the GMA it was more organized and there were guidelines. We ask for guidelines for the HARAPAN debate on ABS but they didnt give guidelines. It was a good debate but there were some questions that have no certain topics. On the other debate what was good about it because it has a certain topic, like it was saying RH and poverty. One side will debate on how it help poverty and other side will defend on it will not help poverty.
Questions: How do you package the proper implementation of the RH Bill? How can you make sure that the health care providers will do their job properly? Is their a penalty? Answers: In terms of implementation, the implementers of this RH Bill are the exceptions for the penalty, since it is covered of the PHILHEALTH as what stated on the RH Bill. Health care providers especially the government health care providers were mandated to implement RH Bill. But if you are a private practitioner you have the option to refer.
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Awarding of Tokens and Plague of Appreciation

Finally, after almost two hours of lecture and sharing of knowledge, the seminar came to an end. Congresswoman Garin had lived up to the expectations, as a resource speaker, of every participants of the said seminar. Controversies regarding the RH bill were clarified and the participants were satisfied. The awarding of certificate of appreciation to the speaker was facilitated by Ms. Ignacio, Mr. Marmolejo and Mrs. Mendoza (CPU C.I.). The certificate of attendance was also distributed by the facilitators of the seminar to the participants.
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Closing Remarks
Good afternoon everyone! In behalf of the TFN classes under Dr. Lilia A. Delicana, I would like to thank you all for coming here today despite the relentless and unpredictable weather. I hope that you have been cleared about the controversies regarding the Reproductive Health Bill. To our resource speaker, the Hon. Janette L. Garin, Representative, 1st District of Iloilo, thank you Maam for sharing us your time and expertise. To our professor, Dr. Lilia A. Delicana, thank you for the support and advices. To the organizers, for making this event possible and successful. Again, thank you so much. May the love of God impel us all. Have a nice day ahead everyone.
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Closing Prayer
Lord of Day and Night... Of beginnings and endings as we come to the end of our time together we thank you for what has been accomplished here today. May the matters discussed serve as a catalyst to move us forward and cause us to advance and see growth in all areas of our lives. May we leave here recognizing You are the God of all wisdom and You are willing to lead us forward. For these and all other graces, we are thankful. As You have blessed our coming together, Now bless our departure and journeys homeward. This we pray in the name of the Lord Jesus. Amen
Page 28 Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service The RH Agenda: Clearing the Controversies August 27,2011 Red Cross Youth Training Center, 3rd Floor, Philippine National Red Cross Building Bonifacio Drive, Iloilo City
Summary, Analysis & Evaluation
Page 29
Summary of the Seminar

As students of MAN 601: Theoretical Framework in Nursing, we were tasked to organize a seminar as one of the competencies for this course. The most daunting task was to choose a topic that is a current trend relevant to the nursing profession. We are all aware about the continuous debate over the issue of the RH Bill. It has been long proposed to be a law in our country. Over decades it has garnered various reactions, comments from different areas of endeavor this includes our church, politics and the society at large. Its release created a mass of speculations and controversies. Whether you are rich, poor, male, female, young, old, married and not, everyone has their own opinion whether they are in favor of it or not. However the question is how much of the contents and provisions of the RH Bill do we really understand? In connection with this, the Theoretical Framework in Nursing with Seminars on Problems in Nursing class of the School of Graduate Studies of Central Philippine University conducted the 4-hour seminar entitled, THE RH AGENDA: Clearing the controversies, at the Philippine Redcross Building Iloilo Chapter, with Cong. Janette L. Garin, as the resource speaker last Agust 27, 2011. This seminar generally aims to enhance the participants knowledge and awareness in Reproductive Health Bill There were 160 registered participants who actively participated in the said seminar. A Pre-registration fee of 100 Php was collected from each participant that includes the seminar kit, certificate of participation and snacks. On site registration is 120 Php. An evaluation form was also given to gain opinions that will certainly be of value in helping the seminar organizers improve in the course.
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Analysis of the Seminar

One of the most controversial issues in the Philippines to date is the Reproductive Health Bill. As health care providers, nurses must be aware of the components and the provisions set by this bill as we would be directly involved in the implementation should it be passed. Hence, the seminar The RH Agenda: Clearing the Controversies. The first time the Reproductive Health Bill was proposed was in 1998. During the present 15th Congress, one of the RH Bills filed was authored by Iloilo Representative Janette L. Garin, which is the HB 101. HB 101 defines reproductive health care as 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 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 attain equal relationships in matters related to sexual relations and reproduction. One of the main concerns of the bill, according to the Explanatory Note, is that the population of the Philippines makes it the 10th most populous nation in the world today, that the Filipino womens fertility rate is at the upper bracket of 206 countries. It states that studies and surveys show that the Filipinos are responsive to having smaller-sized families through free choice of family planning methods. It also refers to studies which show that rapid population growth exacerbates poverty while poverty spawns rapid population growth. And so it aims for improved quality of life through a consistent and coherent national population policy.
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The major provisions of the RH Bill are the following:

The bill mandates the government to promote, without bias, all effective natural and modern methods of family planning that are medically safe and legal. Although abortion is recognized as illegal and punishable by law, the bill states that 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. The bill calls for a multi-dimensional approach integrates a component of family planning and responsible parenthood into all government anti-poverty programs. Under the bill, age-appropriate reproductive health and sexuality education is required from grade five to fourth year high school using life-skills and other approaches. The bill also mandates the Department of Labor and Employment to guarantee the reproductive health rights of its female employees. Companies with less than 200 workers are required to enter into partnership with health care providers in their area for the delivery of reproductive health services. Employers are obliged to monitor pregnant working employees among their workforce and ensure they are provided paid half-day prenatal medical leaves for each month of the pregnancy period that they are employed. The national government and local governments will ensure the availability of reproductive health care services, including family planning and prenatal care. Any person or public official who prohibits or restricts the delivery of legal and medically safe reproductive health care services will be meted penalty by imprisonment or a fine.
Polls and debates are stirred from the provisions of the bill. Several groups have their own opinion regarding its components. With this information, we as health care providers are now aware of our responsibilities and tasks should the bill be passed. This seminar did not aim to formulate a stand from the participants but rather to enhance theirknowledge about the bill. As professional nurses and Filipino citizens, we should be concerned about the welfare of our fellowmen. Therefore we should use this information towards the betterment of our nation.
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Evaluation from Participants

The participants were asked to evaluate the seminar on a scale of one to five, where: 5 Strongly Agree 4 Agree 3 Needs improvement 2 Disagree 1 Strongly Disagree The topic, speaker, physical set-up and organization of the program were the components of the seminar to be evaluated. The topic was rated based on relevance of the topic to the nursing profession, whether it was an interesting topic, and if the audience learned a lot from the lecture. The speaker was evaluated based on knowledge and mastery of the content, skilful method and manner of presentation, level of presentation appropriate to the audience, clarity and speaking ability, organization and presentation and adequacyof discussion period. The physical set-up was rated based on conductivity for learning, cleanliness and orderliness and clarity of audio-visual equipment. The organization of the program was evaluated based on selection of the resource speaker, flow of registration, accommodation, presentation of the program, quality of lecture materials and seminar kits and if the objectives were met. The total scores corresponding to each component of the evaluation were totalled and averaged. The following are the average scores for each element of the seminar. The highest average was given to the skillful method and manner of presentation by the speaker with the score of 98.43%. The lowest average with 80% was given to lecture materials and seminar kits.
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TOPIC 96.07%-relevance to the topic to the nursing profession 97.6%- interesting topic 96.07% - learned a lot from the lecture SPEAKER 97.25%- knowledge and mastery of the speaker 98.43% -skilful method and manner of presentation 92.5% -level of presentation appropriate to the audience 98 % -clarity and speaking ability 96.07% -organization of presentation PHYSICAL SET-UP 92.9% -adequate discussion period 93.7% -venue is conductive for learning 93.3% -cleanliness and orderliness 94.11%- clarity of audio visual equipment ORGANIZATION OF THE PROGRAM 93.7% -selection of resource speaker 90.8% -registration is smooth flowing and organized 89.8% - accommodation 87.8% -presentation of the program 80% -lecture materials and seminar kits 94.9%- objectives met The ratings were also tallied, determining the frequency and percentage of participants rating the different areas as 5, 4, 3, 2, or 1.The following table is the summary of the frequencies and percentages of the evaluation results with comments and suggestions from the participants.
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Frequency Table of Seminar Evaluation Results AREAS TO BE RATED Topic Relevance of the topic to the nursing profession. Interesting topic. Learned a lot from the lecture. Guest Speaker Knowledge and mastery of the content. Skillful method and manner of presentation. Level of presentation appropriate to the audience. Clarity and speaking ability. Organization and presentation. Adequate discussion period. Physical Set-up Venue is conductive for learning. Cleanliness and orderliness. 5 f 45 45 41 44 46 43 45 42 35 38 35 % 88.24 88.24 80.39 86.27 90.20 84.31 88.24 82.35 68.63 74.51 68.63 76.47 80.39 62.75 54.90 47.06 37.25 76.47 f 4 6 10 7 4 7 5 8 14 10 15 10 9 15 20 23 22 11 4 % 7.84 11.76 19.61 13.73 7.84 13.73 9.8 15.69 27.45 19.61 29.41 19.61 17.65 29.41 39.22 45.1 43.14 21.57 f 1 0 0 0 1 1 1 1 2 3 1 1 1 4 3 4 9 1 3 % 1.96 0 0 0 1.96 1.96 1.96 1.96 3.92 5.88 1.96 1.96 1.96 7.84 5.88 7.84 17.65 1.96 f 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 2 % 1.96 0 0 0 0 0 0 0 0 0 0 1.96 0 0 0 0 1.96 0 f 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 % 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Clarity of audiovisual 39 equipment. Organization of the Program Selection of the resource 41 speaker. Registration is smooth 32 flowing and organized. Accommodation. Presentation of the program. Lecture materials and seminar kits. Objectives met. 28 24 19 39
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Comments/Suggestions The lecture is very informative and some issues of RH bill were cleaned and the objective of the topic is met. Very informative =) Thanks for the food =) Very good! =) Please cancel if not on time! Thank you! No lunch? Always remember Psalm 129 go further and seek forward, further up and youll find GLORY It is very educational but i think it would be better if there are other features and started on time. Next time start on time! Worth the wait. The topic was explained very clearly and thoroughly. The objectives are met. There should be two speakers to ensure the continuity of the programs flow. In case where there are only one speaker and disaster strikes. The participants will get bored and probably leave. Nice venue though. Excellent topic. It was unfortunate that it rained because only few people attended the seminar. Also, the speaker was late. But the wait was worth it because the topic was excellent as well as the speaker. The seminars objectives were met. It has increase my awareness regarding RH bill. Very good seminar!
Page 36 Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service The RH Agenda: Clearing the Controversies August 27,2011 Red Cross Youth Training Center, 3rd Floor, Philippine National Red Cross Building Bonifacio Drive, Iloilo City
Insights and Experiences (Compilation of Reaction Papers)
Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service
Monday Group
Finance, Registration & Advertisement
Wednesday Group
Program & Physical Set-up
Saturday Group
Food, Communication & Certificates
Page 49
Central Philippine University School of Graduate Studies Theoretical Foundations in Nursing in collaboration with Philippine Red Cross Community Health and Nursing Service The RH Agenda: Clearing the Controversies August 27,2011 Red Cross Youth Training Center, 3rd Floor, Philippine National Red Cross Building Bonifacio Drive, Iloilo City
Appendices
Photo Documentation
Preparation
Setting of registration by the Registration Committee
Registration
Participants and facilitators waiting for their turn to sign for the attendance
The Venue and the Participants
Participants waiting for the arrival of guest speaker Cong. Janet Garin
Pictorials with the Guest Speaker
The seminar facilitators with Cong. Janet Garin
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Giving of Certificate
The giving of the certificate of appreciation to Dr. Garin
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Seminar Kit
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MONEY LIQUIDATION FOR THE RH BILL SEMINAR

CLASS FUNDS: 76 Students X 300 php (each contribution) = 22,800 php LIST OF EXPENSES: Tarpaulin ------------------------------------------5500 Registration (receipts, pens, etc)-------------753 Food (participants)-------------------------------4050 Food (speaker, adviser) -----------------------141.50 Certificate Frame --------------------------------100 Paper sticker -------------------------------------29.75 Parchment Paper -------------------------------270 Tube ice -------------------------------------------240 Drinks ----------------------------------------------1955.10 Table napkin -------------------------------------19 Print (ink) -----------------------------------------500 Kits -------------------------------------------------1700 Corsage -------------------------------------------70 Token (Barong Hablon) -------------------------1400 Wine -----------------------------------------------553.50 Documentation ----------------------------------1000 -----------------------------------------------------------TOTAL EXPENSES: 18,281.85 PHP
INCOME FROM THE SEMINAR: PRE REGISTRATION FEES -------- 6100 ONSITE FEES --------------------------- 960 _____________________ TOTAL: 7060 PHP
22, 800 php (CLASS FUNDS) + 7,060 php (INCOME) = 29, 860 php (TOTALMONEY) 29, 860 php (TOTALMONEY) - 18,281.85 (TOTAL EXPENSES) = 11,578. 15 php (TOTAL MONEY LEFT)

Reproductive Health Bill (RH Bill)

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Reproductive Health Bill (RH Bill)

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LGUs shall deploy adequate number of midwives with a ratio of 1 fulltime skilled birth attendant to 150 deliveries per

THE RH AGENDA: Clearing the Controversies

MONDAY GROUP 4-7PM

THE RH AGENDA: Clearing the Controversies

NAME OF STUDENTS WEDNESDAY 4-7PM

THE RH AGENDA: Clearing the Controversies

NAME OF STUDENTS SATURDAY 7-1OAM

THE RH AGENDA: Clearing the Controversies

Central Philippine University

THE RH AGENDA: Clearing the Controversies

Central Philippine University School of Graduate Studies

THE RH AGENDA: Clearing the Controversies

THE RH AGENDA: Clearing the Controversies

THE RH AGENDA: Clearing the Controversies

THE RH AGENDA: Clearing the Controversies

THE RH AGENDA: Clearing the Controversies

THE RH AGENDA: Clearing the Controversies

THE RH AGENDA: Clearing the Controversies

Ruth Bedia, R.N.

Orientation to the Seminar

Fiona Mendoza, R.N.

Introduction of the Speaker

Zynie Dignadice, R.N.

Cong. Janette L. Garin, M.D. Representative, 1st District Iloilo

Giving of Certificate of Appreciation and Tokens

Dr. Lilia A. Delicana

Milton Oquendo, R.N. & Fiona Mendoza, R.N. Masters of Ceremony

THE RH AGENDA: Clearing the Controversies

THE RH AGENDA: Clearing the Controversies

Philippine National Anthem

THE RH AGENDA: Clearing the Controversies

Thank you for your precious time and effort.

Once again, Good Morning.

THE RH AGENDA: Clearing the Controversies

THE RH AGENDA: Clearing the Controversies

Introduction of the Speaker

THE RH AGENDA: Clearing the Controversies

NEGROS ORIENTAL CONVENTION CENTER

THE RH AGENDA: Clearing the Controversies

STATUS OF THE RH BILL

THE RH AGENDA: Clearing the Controversies

HIGH MATERNAL MORTALITY RATIO OR ABOUT 3-5T WOMEN DYING/YEAR

Number of Women Dying

250 200 150 100 50 0

200 FPS 06 162

THE RH AGENDA: Clearing the Controversies

THE RH AGENDA: Clearing the Controversies

THE RH AGENDA: Clearing the Controversies

SALIENT FEATURES OF THE RH BILL

TO ESTABLISH RH CARE PROGRAMS TO:

THE RH AGENDA: Clearing the Controversies

MIDWIVES FOR SKILLED BIRTH ATTENDANCE

EMERGENCY OBSTETRIC CARE

ACCESS TO FAMILY PLANNING

MATERNAL AND NEWBORN HEALTH CARE IN CRISIS SITUATIONS

FP SUPPLIES AS ESSENTIAL MEDICINE

THE RH AGENDA: Clearing the Controversies

PROCUREMENT AND DISTRIBUTION OF FP SUPPLIES

INTEGRATION OF FP & RP IN ANTI-POVERTY PROGRAMS

MATERNAL DEATH REVIEW

BENEFITS FOR SERIOUS AND LIFE-THREATENING RH CONDITIONS

THE RH AGENDA: Clearing the Controversies

MOBILE HEALTH CARE SERVICE (MHCS)