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	<title>Ang Kape Ni LaTtEX &#187; Kalusugan</title>
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		<title>The Philippine reproductive health policy: a loosely guarded secret?</title>
		<link>http://blog.kapenilattex.com/2007/10/01/the-philippine-reproductive-health-policy-a-loosely-guarded-secret/</link>
		<comments>http://blog.kapenilattex.com/2007/10/01/the-philippine-reproductive-health-policy-a-loosely-guarded-secret/#comments</comments>
		<pubDate>Mon, 01 Oct 2007 04:50:36 +0000</pubDate>
		<dc:creator>Jon Limjap</dc:creator>
				<category><![CDATA[Buhay]]></category>
		<category><![CDATA[CJ]]></category>
		<category><![CDATA[Kalusugan]]></category>
		<category><![CDATA[Melynn]]></category>
		<category><![CDATA[Pamilya]]></category>
		<category><![CDATA[Pulitika]]></category>

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		<description><![CDATA[My daughter CJ will turn three this December, and increasingly, the most usual question that people pop when we talk about kids is &#8220;wala pa bang kasunod yan?&#8221; I usually laugh it off, but sometimes it becomes irritating when the questions grow in number. I mean, sometimes the way the question is asked almost sounds [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://images.kapenilattex.com/albums/userpics/normal_Boracay2007-P9012231.JPG" title="The Limjap family at Boracay" alt="The Limjap family at Boracay" align="right" height="149" width="200" />My daughter CJ will turn three this December, and increasingly, the most usual question that people pop when we talk about kids is &#8220;wala pa bang kasunod yan?&#8221; I usually laugh it off, but sometimes it becomes irritating when the questions grow in number. I mean, sometimes the way the question is asked almost sounds like insinuating the lack of sexual activity.</p>
<p>So for the record, yes, my wife and I have a wonderful sex life. I wonder if knowing that will make them happy. <img src='http://blog.kapenilattex.com/wp-includes/images/smilies/icon_razz.gif' alt=':P' class='wp-smiley' /> </p>
<p>Of course I digress.</p>
<p>When they prod further, I usually just say that &#8220;birth control works&#8221;, but what I fail to say is that our chosen birth control method is courtesy of the government. And we got it for a very low cost.</p>
<p>Yes &#8212; the government actually has an effective birth control policy, at least for our case. But it&#8217;s a loosely guarded secret.</p>
<p><span id="more-189"></span></p>
<p>You see, back in 2004, as part of the mandatory pre-marital orientation conducted by the <a href="http://www.doh.gov.ph/" title="Department of Health">Department of Health</a> as a requisite for getting your marriage license, we got the following information. Note that this is all lifted from memory:</p>
<ul>
<li>The Department of Health facilitates various birth control measures at their health centers for free.Â  For example, a woman can have an <a href="http://en.wikipedia.org/wiki/IUD" title="IUD">intra-uterine device (IUD)</a> planted into her uterus <em>for no cost</em>. This is the birth control measure that my wife availed of a few months after giving birth &#8212; however she gave a small contribution of a couple of hundred pesos to the health worker just to make sure she takes extra care of her, <em>if you know what I mean</em>. They can also give away condoms, injectable shots, and contraceptive pills, subject to availability.</li>
<li><a href="http://www.philhealth.gov.ph/" title="PhilHealth">PhilHealth</a> covers the cost for sterilization methods, like <a href="http://en.wikipedia.org/wiki/Tubal_ligation">tubal ligation</a> and no scalpel <a href="http://en.wikipedia.org/wiki/Vasectomy" title="vasectomy">vasectomy</a> (<a href="http://www.engenderhealth.org/res/offc/steril/nsv/" title="No Scalpel Vasectomy">NSV</a>). For the &#8220;macho&#8221; guys here who don&#8217;t like the idea of vasectomy but whom I might call sissies for being afraid to put their balls under a knife (wait &#8212; no scalpel means no knife, right?), the <a href="http://www.engenderhealth.org/res/offc/steril/nsv/" title="No Scalpel Vasectomy">detailed procedure for NSV can be found here</a>, instruction manual style. If the illustrations make you cringe &#8211; don&#8217;t tell me I didn&#8217;t warn you. It&#8217;s not for squeamish pansies.</li>
<li><strike><strong>Men who avail of no scalpel vasectomy will actually be given money</strong> to the tune of <strong>5,000 pesos</strong> by the government (not sure if it&#8217;s thru PhilHealth or <a href="http://www.sss.gov.ph/" title="SSS">SSS</a>). I was amused when I heard this &#8212; be sterile and get paid? And keep your semen to boot? Cool!Â </strike></li>
</ul>
<p>(<strong>UPDATE: </strong>After asking around, I have not been able to verify this from more recent attendees of the seminar. Has it been canceled? Or does my memory fail me?</p>
<p><strong>UPDATE 2: </strong>My wife verified this with the DOH and they say that the incentives system must have been a program of the LGU concerned, but DOH definitely does not give any such incentives. The rest of the information above, however, is accurate.)</p>
<p>For the record, the orientation also included details on natural family planning, for the benefit of those who believe that artificial contraception is a sin or who have medical conditions that prevent them to avail of artificial contraceptive methods.</p>
<p>Anyway I forgot all about these things until a few weeks ago when a conversation with a friend (again, with the dreaded &#8220;wala pa bang kasunod yan question&#8221;) led to him asking how my wife availed of the IUD. He&#8217;s planning to get married and raise a family, and the information proved vital. But then he asked me &#8212; is there any article or document that you could show me regarding it. And so I searched.</p>
<p>That&#8217;s when I realized that the information is <em>not</em> available online.</p>
<p>I <a href="http://www.google.com.ph/search?q=2003+reproductive+health+act&amp;ie=utf-8&amp;oe=utf-8&amp;aq=t&amp;rls=org.mozilla:en-US:official&amp;client=firefox-a">have tried for</a> <a href="http://www.google.com.ph/search?q=Philippine+House+Bill+812&amp;ie=utf-8&amp;oe=utf-8&amp;aq=t&amp;rls=org.mozilla:en-US:official&amp;client=firefox-a">days searching through</a> <a href="http://google.com">Google</a> but all I found was muck; pro-life debates, details of the law in its proposal stages, etcetera, but not the enacting law itself. No Reproductive Health Act of 2003 (HB 812 &#8212; which I initially believed to contain the details for this program) search results reveal anything substantiative <a href="http://www.thenewstoday.info/2007/08/03/solon.drums.up.support.for.reproductive.health.bill.on.family.planning.day.html">other than a news article</a> containing comments about the bill.</p>
<p>So other than that orientation, I have no other evidence of the benefits. That leads me to believe that the entire thing is a secret kept by the government from <strike>sexually-repressed/deprived</strike> celibate <strike>prudes</strike> conservatives. Unfortunately it has a terrible consequence &#8212; <em>many of the people who NEED to know about it do not</em>. That includes live-in partners among the poor, especially those who do not have money to get married or get a marriage license.</p>
<p>Even for those who know about it, religious influences or the belief that it will cost too much money (as if having yet another child doesn&#8217;t cost too much money!) prevent them from availing of the program. Access to health centers, and in a broader sense &#8212; access to health centers with qualified health care professionals is another problem. Unscrupulous health workers who might ask for &#8220;donations&#8221; for the procedure might be another hurdle to those who have absolutely nothing to spare.</p>
<p>Now I understand that there are people who would not trust government health centers if their life depended on it. An alternative exists &#8212; <a href="http://www.friendlycare.com.ph" title="FriendlyCare">FriendlyCare</a> clinics are run by a non-profit organization and provide<a href="http://www.friendlycare.com.ph/family_planning.htm"> <strong>free</strong> family-planning related health services</a>, including sterilization procedures I mentioned above, as well as temporary contraceptives such as injectable contraceptives, pills and condoms. They even provide cycle beads for those who prefer natural.</p>
<p>So if you&#8217;re running into the trouble of having too many children, avail of these benefits now. Before you (or your wife) gets pregnant again!</p>
<p>Do NOT take my word for it, however &#8212; if you want more information regarding the above go to your nearest health center, and your obstetrician-gynecologist as well for good measure. You can also visit your <a href="http://www.friendlycare.com.ph/contact_us.htm">nearest FriendlyCare clinic</a>.</p>
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