Reproductive Health (RH) Care

Reproductive health care refers to the access to a full range of methods, facilities, services and supplies that contribute to reproductive health and well-being by addressing reproductive health-related problems. It also includes sexual health, the purpose of which is the enhancement of life and personal relations.

The 12 RH Elements

  1. Family planning information and services
  2. Maternal, infant and child health and nutrition including breastfeeding
  3. Proscription of abortion and management of abortion complications
  4. Adolescent and youth reproductive health guidance and counseling
  5. Prevention, treatment and management of reproductive tract infections, HIV and AIDS and other sexually transmittable infections
  6. Elimination of violence against women and children and other forms of sexual and gender-based violence
  7. Education and counseling on sexuality and reproductive health
  8. Treatment of breast and reproductive tract cancers and other gynecological conditions and disorders
  9. Male responsibility and involvement and men’s reproductive health
  10. Prevention, treatment and management of infertility and sexual dysfunction
  11. Age- and development- appropriate RH education for adolescents in formal and non-formal educational settings
  12. Mental health aspect of RH care

(RA 10354 Section 4q, 1-12)

What is Service Delivery Network (SDN)?

The SDN, as defined in DOH AO 2014-0046 on “Defining the Service Delivery Network for Universal Health Care”, is primarily a network of public and private FP or MNCHN service providers. They are identified or designated to cater to the RPRH service needs of the priority population. The facilities that are part of the SDN may include those that are outside the geographic and political boundaries of the province or city, if deemed necessary, to refer clients for services.

Who can procure family planning (FP) supplies?

The DOH shall procure and distribute to LGUs and monitor the usage of FP supplies for the whole country. The DOH shall coordinate with all appropriate local government bodies to plan and implement this procurement and distribution program. (RA 10354 IRR Rule 8 Section 8.01)

LGUs may procure, distribute and monitor FP and other RH commodities to augment existing supply following RA 9184 and its amended implementing rules and regulations. (RA 10354 Section 10 and IRR Rule 8 Section 8.09)

Are there contraceptive products that were already re-certified as non-abortifacient by the Food and Drug Administration (FDA)?

The FDA has already re-certified most of the contraceptive products available in the market as non-abortifacient. The updated list of re-certified products can be obtained from FDA.

Government agencies can now procure commodities that are already listed in the Philippine National Drug Formulary (PNDF) and have been issued FDA certification.

What RH services are currently being covered by PhilHealth reimbursement?

  • Bilateral Tubal Ligation (BTL), reversal of BTL and normal spontaneous delivery (NSD) with BTL.
  • No Scalpel Vasectomy (NSV) an d reversal of NSV.
  • Interval intrauterine devices (IUDs) insertion. Post-partum IUD insertion (PPIUD) can only be availed as part of the postpartum component of the Maternal Care Package (MCP).
  • Oral contraceptive pills (OCPs) can only be availed as part of the post-partum component of the MCP.
  • FP procedures done during outreach activities, provided that the doctor and the facility are both PhiIHealth-accredited. For mobile teams, PhilHealth will provide reimbursement if the mobile team is licensed as part of the hospital by the DOH Bureau of Facility Services (BHFS).
  • Management of complications of RH procedures.
  • Pap smear is not yet covered by PhilHealth. However, the visual inspection with acetic acid (VIA) when done in accredited facilities, is covered in the package for cervical cancer and the Primary Care Benefit (PCB) package.

What are the roles of barangay volunteers?

The barangay volunteers such as Barangay Service Point Officers, Barangay Population Workers, BHWs and CHTs, are responsible in the promotion of RPRH particularly in increasing the awareness and recognition of health risk and prompt individuals to seek and utilize RH care services.

They are expected to conduct interpersonal communication and counseling (IPCC), demand generation and referral on RPRH care services and the resupply of condoms and oral contraceptive pills to clients at the level of barangay health stations as well. (RA 10354 IRR Rule 5 Section 5.03 and Rule 12 Section 12.01)

Can civil society organizations (CSOs) and the private sector be engaged to provide RPRH services?

The DOH and LGUs are encouraged to engage CSOs and private institutions in the provision of Reproductive Health Care Services in their respective localities to augment the services provided by the public health facilities. (RA 10354 IRR Rul2 12 Section 12.01)

POPCOM’s Supplemental Guidelines Nos. 5 and 6 provided for the “Operational Guidelines in CSO Engagement for Addressing Unmet Need for Modern Family Planning.”