LOCAL ADVOCACY PLAN 2 COMPLETION REPORT Submitted to 3RG- Philippines April 30, 2004

• '~I. •

Project Partner: Central Luzon Group Women's Education, Development, Productivity and Research Organization (WEDPRO, Inc.) or

Research and Advocacy Organization

for Women's Empowerment and Social Change, Inc.

I. Introduction

On May 17, 2003, WEDPRO conducted a forum on "Sexual and Reproductive Health as a Social Justice Concern" in Angeles City as part of its Local Advocacy Plan 1 (LAP 1) with Lakambini, another organization with the Central Luzon cluster. The output was a documentation of SRHR issues and views of women on: (1). Reproductive Tract Infections (R'I'Is) I Sexually Transmitted Diseases (STDs); (2) Abortion; (3) Violence Against Women (VAW). Assessment of the forum revealed that there are gaps at the knowledge level of women necessary for advocacy work, hence the need for implementation of Local Advocacy 2 (LAP2).

Through the National Conference of SRHR partners, WEDPRO adopted the , following for its LAP 2:

National Goal

To have an environment that supports and promotes the exercise of our sexual and reproductive health and rights (SRHR for all!)

Advocacy themes, messages and agenda

Advocacy Theme Advocacy Message Advocacv Agenda
VAW&SRHR Women and girl victim- Implement educational
survivors of violence must and other empowering
know and exercise their right interventions that enable
to access. SRH information, all women and girls,
counseling and other services especially victims-
that support their reproductive survivors of violence to
choices. exercise their SRHRs. Advocacy Theme Advocacy Message Advocacy Agenda
U nsafe Abortion is a Unsafe abortion has grave Call for all sectors to
".
Public Healtb Issue impact on the health and lives implement a
of hundreds of thousands of comprehensive public
Filipino women and girls and awareness campaign on
therefore must be the concern the issues, impact and .
of everyone. their responsibility in
addressing unsafe
abortion.
SRH Social justice Service providers must at all Enhance and sustain
Issues times respect, protect and service providers' skills,
fulfill the sexual and knowledge and
reproductive health rights of all understanding of health
clients regardless of class, age, equity, human rights and
civil status, race, ethnicity, ethics in fulfilling their
sexual orientation, gender public health obligations
identity, religious and political as well as create
beliefs and (dis )ability. opportunities for
practicing their skills. In terms of mechanism, the project aims to come-up with an organized CommunityBased Communication Stars (CBCS}I that:

a) Can discuss basic reproductive health framework and its practical translation;

b) Respect human rights of persons and allow themselves to become means towards protection and fulfillment of these rights.

II. Local Advocacy Accomplishments

A. t\ctivities Conducted / Outputs or Outcomes / Changes in the Plan

1. Contact Building

IIi October 2003, VlEDPRO identified the communities where CBCS would be tapped. These communities are barangays of Angeles City, namely; Amsic, Anunas, Capaya and Margot.

WEDPRO considered the presence of women from these barangays who were memberbeneficiaries ofIntegrated Socio-Economic Program (ISEP) of WED PRO since 1997 and the ongoing conduct of assessment of willingness of communities for further involvement in undertakings with WEDPRO.

I They are community women who are usually consulted by community members regarding the reproductive health concerns.

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With initial data gathered from barangays Anunas and Margot, the two became priority project sites for this Project. In October 2003, WED PRO initiated community profiling!

house-to-house interviews in barangays Margot and Anunas. ..,

2. Identification of CBCS Candidates in Anunas and Margot

In November 2003 participants in the May 17, 2003 Forum and other community women who were interviewed during the community profiling in two barangays were identified as CBCS for SRHR candidates. The list included twenty (20) women from Anunas and eleven (11) from Margot. The CBCS candidates in two barangays are listed in Appendix 1.

3. Development of Discussion Framework for CBCS Capacity Building

3.1 Situational Analysis

Situational analysis was done per barangay .. Two (2) to Three (3) days before the actual day of activity, the Community Mobilization Officer and.! or Community Mobilization Assistant of WED PRO conducted house-to-house visits to personally invite participants identified in the long list of CBCS candidates. Barangay Captains of respective barangays were also informed and invited to the activities through formal letters and personal communications. Sample ofletter to a Barangay Captain is shown in Appendix 2.

Except for Margot, all barangays have members of Nagkakaisang Kababaihan ng Angeles City (NAGKAi who contributed in the facilitation and ease of communication with CBCS candidates ..

topics in barangay health fora were YAW, STDI mVI AIDS, contraception and abortion. However, level of discussions varies from one community to another depending on the local issues or current situations in the area.

Data gathered include health issues and concerns in respective barangays, action(s) taken, whom they approach for assistance and who extends support in terms of reproductive health. Participants in the barangay became aware that there must be an allotted amount, which is at least 5% ofthe barangay budget for Gender and Development (GAD). The budget could be incorporated ill their barangay development plans through gender mainstrearning activities, for which their activities as CBCS can be supported.

Various methods were employed during the sessions to efficiently gather relevant data on SRHR such as creation of workshop groups, presentation of output by group, plenary discussions, and community mapping.

2 A group of womer composed of victims-survivors of prostitution and urban poor women

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3.1.1 Margot

Situational analysis in Margot (Appendix 3 and 4) was conducted on December 6 and 13,2003. Sixteen (16) women attended the first session while thirteen (13) attended th~ . second (Appendix 5 & 6).

There was reported case of trafficking in the barangay, which was aired in television networks a month before the forum. Some women in Margot, along with those who came from Sapangbato, a nearby barangay, were promised of work abroad but were "kept" in a subdivision in Parafiaque City in Metro Manila. Through discussions, participants

. became aware that trafficking in women is a form of V AW.

In terms of reproductive health concerns, participants recognize the need for regular check-up like breast examination and pap smear. They are also acceptors of pills and injectibles. However, access and limited information prevent them from regularly using contraceptives. Apart from this, there are also myths that some methods like tubal ligation have adverse side effects. They heard stories like that of woman from the community who got pregnant a few months after the operation. Worst, there was a case wherein a woman was not able to walk again after ligation.

During the second session, a woman Barangay Councilor, Nerissa Agustin attended. She was open to the idea of working with WEDPRO and women volunteers for SRHRrelated undertakings as part ofbarangay plan. WEDPRO noted this. and would ensure that this opportunity would be integrated in the action plans of the CBeS.

3.1.2 Anunas

Situational analysis in Anunas (Appendix 7 & 8) was conducted on January 7 and 21, 2004. Ten (10) women attended the first session while eleven (13) attended the second. Participants were composed ofNAGKA members, ISEP member-beneficiaries and their relatives and neighbors (Appendix 9 & 10).

The sessions were focused on the importance of bringing the SRHR in the communitylevel discussions. Some of the SRHR-related recognized at this level were: being familiar with one's body, hormonal changes and other reproductive health concerns. In terms of abortion, spontaneous and induced abortions were cited and differentiated, stressing that there are cases of abortion that are necessary when women's lives are at risks or facing difficult circumstances such as products of incest or rape or unwanted pregnancies or result of V AW.

Issues raised were: 1) lack of awareness of women's rights in relation to YAW incidence; 2) experience of abortion due to health problems and risks; 3) undergoing unsafe abortion due to non-affordability of safe abortion; 4) Health problem of infant as a result ofRTI of mother during conception; 5) unsafe sex practices of husband that transmitted SrD to her wife; 6) insensitivity of service providers in the hospitals and 7) lack of comprehensive

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health services in the barangay. Women in Margot and women in Anunas have shared myths about family planning methods such as presence of myoma as side effect of ligation and ineffectiveness of IUD and injectibles.

The session made the women aware that many issues are interconnected. VA W related cases that are prevalent among couples or partners are results of non-awareness of rights as well as belief that men must dominate and must exercise full control over their wives

or partners as proof of masculinity. Thus, women made statements that SRHR must be prioritized in barangay programs and that corresponding budget should be appropriated to undertakings for promotion of SRHR.

3.1.3 Amsic and Capaya

LAP2 covers two (2) out offour (4) barangays where WEDPRO is involved. However, since WEDPRO has contact persons in Amsic and Capaya and women from these communities showed willingness and interest, hence. the two (2) communities were included as sites of influence of the Project and extended WEDPRO's own budget for their sessions:

. WEDPRO and community leaders from these barangays decided to combine their sessions by exchange visits. The first session was held in Capaya on March 13, 2004 with women from Amsic as visiting participants. The second was in Amsic on March 20, 2004 with women from Capaya as visiting participants. For these groups, WEDPRO invited at least five (5) in each barangays, with member ofNAGKA coming from each community as contact person.

3.2 General Orientation on Gender and Rights, Health and Paralegal Concerns of Women

Result of situational analyses in four barangays identified topics that need to be focused on for the development of discussion framework for CBCS capacity building (Appendix 11). On March 27,2004, forty- two (42) women attended the general orientation activity (Appendix 12). Resource persons were Ms. Maloy Tiongson for Gender and Rights, Ms. Aida Santos for Health and Atty. Eleanor Conda for Paralegal Concerns. All three of them are WEDPRO Working Board of Trustees. Aside from them, also present during the session was Ms. Flor Caagusan, another Working Board of Trustees who assisted in the workshops. The objective of the session was to provide background on the topics as well as to initiate inquisitive attitude for participants attend detailed community-level discussions to be held in their respective barangays.

Materials distributed for the participants' information and reference for future discussions include the following: 1) program of activity; 2) Kasaysayan ng Pandaigdigang Araw ng Kababaihan; 4) Batas Tungkol sa Trafficking; 5) Isang Sulyap Tungkol sa Anti-VAWC; at 6) Batas sa Panggagahasa.

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3.2.1 Gender and Rights

Difference of gender and sex were tackled. It was emphasized that sex is being male or' female and the characteristics that could not be changed since birth like reproductive organs while gender refers to the expectations and attributions of society since to a male or female.

Through interactive sessions and a game, participants shared their views and perspectives on attitude to sex, role of men and women in family and society, dominance of men, and cases on V AW. It was revealed that some participants are still bounded by divisive role of men and women in society. For instance, they would believe that women are more inclined to nurturing old parents. Majority of the participants though have expressed hope on the equality of role of men and women in status and decision-making in the family as well as active participation in society.

3.2.2 Health

Discussions on birth spacing, family planning methods, decisions on sex practices of couples or partners, and pregnancy were tackled. Information was gathered through questions that were answered individually by participants.

It was revealed that birth spacing of children of some participants are very close as ages between the eldest and the youngest are close. Only seventeen (17) out of forty-two (42) participants have adopted or have occasionally used modern planning methods.

One concern, which was given attention, is the fact that bodies of young women may not be ready for sexual activities and are not built for early pregnancies. It was also shared that women become vulnerable to diseases like ovarian cancer when their sexual activities are not matched to the capacity of their bodies. At this point, it was emphasized that women should know that beyond morality, there are factual reasons why women should not engage in early practice of sex, early being associated to other elements such as biological and psychological readiness. Similarly, adult women were also informed that lots of nutrients are drawn by pregnancy and therefore, birth spacing is very important aside from other considerations such as economic capacity.

It was emphasized that consultation to doctors or midwives is important before using any family planning method since some have side effects may occur if not fittedto one's body. For instance if there is no proper medical assessment in terms of harmonizing pills and the biological make up and capacity of women, using pills may cause excessive hair fall, gain or loss of weight or develop skin diseases. This was related to some adverse effects of pills, not because of the practice of using pills per se, but the malpractice. Hence, appropriate usage was enjoined from the participants.

Use of condom was explained to be effective not only in avoiding pregnancy but protection against sexually transmitted diseases. Tips on how to prevent condoms from

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loosing its physical effectiveness were also shared with the participants, such as storing condoms in temperatures that are bearable by the material that compose it like rubber. Caution was raised in keeping condoms wallets or pockets as these are usually exposed to

h ~ -

eat.

When a participant was asked how come she has thirteen children. She revealed that they were practicing withdrawal method, which obviously failed. It was then explained that said method is one of the most ineffective since even before a man withdraws his penis from penetrating a woman's vagina, there could be sperm cells coming out ofthe man's penis, and therefore, could impregnate a woman. Some men may not be honest enough and have actually started excreting sperm cells just before penetrating women's vagina.

3.2.3 Paralegal Concerns

The concept of "law" was discussed as a guideline that sets limitations to persons on

what to .do and what not to do. It also gives protection to people as those who violate laws could be punished and penalized.

Some laws in the civil code that are gender-biased were tackled in the form of questions such as: Who are allowed to marry? In our society is it only between men and women that love be observed, that intimacy and sexual relationships be practiced? Why is it that women must carry the surname of her husband when under the civil law she has an option to retain her own surname?

On matters of fidelity, adultery vs. concubinage was tacked. It was explained that adultery was defined as a married woman who engaged herself in sexual intercourse with a man who is not his husband even at least once. While for a married man to be charged with concubinage, it must be proven that either he engaged himself in sexual intercourse under scandalous circumstances or he let the other woman to live in conjugal house or he lives with the woman and they act like couples.

The laws Anti-trafficking in persons, Anti-rape, and Anti-Violence Against Women and their Children were introduced. It was emphasized that the anti-rape law is now a "crime against a person", unlike in revised penal code wherein rape, acts oflasciviousness and seduction were considered as "crimes against chastity". In trafficking and Vl~~WC, activities or acts that are considered public crimes, were also given with participants actually citing provisions from the texts of the laws.

3.3 Identification of Final CBCS members

Final list of CBCS (Appendix 13) was arrived at using the following criteria: 1) openness to articulate SRHR; (2) potential source of reliable information; 3) respected by community members; and 4) willingness to attend and undergo further training sessions; (5) with initiative to do related activities.

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III. Learning and Recommendations

A. Challenges and Hindrances

It is indeed normal for projects to encounter challenges during implementation but these were not enough to downgrade the level of performance of the project. These challenges were transformed into opportunities.

Some difficulties that were addressed were:

1. During contact building with participants, women were very much occupied coping for their families' survival. The project continued even with longer time interval in between activities with sessions scheduled only on Saturdays at 1-5 pm.

2. CBCS candidate individuals are usually involved in other communitylevel activities. Thus, activities were worked out towards integration of CBCS tasks to their existing roles the communities.

On the other hand, some CBCS candidates particularly in Margot have small children or grandchildren that prevents them from participating in activities held outside of their barangay. Thus, in most cases, women were encouraged to bring along with them their kids and the project hired service vehicle to convey participants going to and from the venue.

3. The continuum of.knowledge level is very wide. In the development of discussion framework for CBCS (Draft in Appendix 14) capacity building, some participants had attended previous training sessions with WEDPRO while there were women who came to know about the topics only in this project, particularly those who are new to the communities and those who have just turned to age enough to attend educational sessions. In order to address the gap, phased-training sessions were adopted to provide venue for knowledge sharing between participants.

B. Observation on the Changed Beliefs / Attitudes Towards SRHR

The intended spheres of involvement of WEDPRO in four barangays of Angeles City are beyond LAP2 implementation. Therefore, at present, wherein CBCS are just newly organized and intensive training not yet completed with the target audience, it is very hard to assess any changes in their beliefs and attitudes toward SRHR. However, with the enthusiasm and openness, level of participation in discussions, and willingness that CB'::S are showing, influence on policy makers and other people in the barangay regarding SRHR concerns could be ensured.

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C. Local Resources Mobilized

Instead of conducting sessions in a hotel or expensive venues, sessions were held in .,. houses of CBCS during respective barangay-level discussions. For general assemblies, barangay Anunas has always been the venue, it being the most accessible and with a venue that could accommodate the number of women

D. Local Issues that Need to Be Addressed in the Immediate Future

Common among the four barangays in Angeles are VAW- related cases, particularly among couples or partners. With the passage of the law on Anti-VA WC, training and orientation on barangay leaders must be conducted for them to be aware of their duties, in particular, in the issuance of Baran gay Protection Orders (BPO) to YAW victims.

Situational analyses revealed that there is really limited information and access of women and girls to wide range of contraceptive services in Anuanas, Capaya, and Margot. Women would say that they have to buy contraceptives either from the health center or outside the barangay. In case of Amsic, presence of Family Planning Organizations of the Philippines (FPOP) helped lessen the problem on lack of supply of contraceptives.

In an activity with DKT-Philippines on April 17, 2004, Ms. Evelinda Mariano, Acting Population Officer of Angeles City was disappointed to know about the problem of lack of supply of contraceptives. She stressed that there was even over supply of contraceptives distributed by City Health Office among service providers in barangays. She stressed however, that people should start to program buying of these health products in the future since at present, the trend is loweringof budget and expenditures on health products for free distribution.

With these prevailing issues, Ms. Mariano committed to have dialogue with health service providers, particularly the midwives, in the presence of WED PRO and community members. A date has already been scheduled for this meeting.

E. Next Steps

Scheduling and fund-raising are ongoing for the following:

1. Next Priority Activities witb Women CBCS

Following are the priority activities with CBCS and other community women:

1.1 CBCS Planning Sessions

1.2 Series offora per topic per barangay (Topics: Gender and Rights, Health and Paralegal Concerns of Women

·1.3 Conduct of Assessment

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2. Young Women, Adult Men and Young Men as CBCS

CBCS would certainly playa major role in sharing their knowledge to' . fellow women intheir respective barangays. They could definitely influence the women's beliefs and attitudes toward SR.HR However, they would need counterparts from the community for a more holistic and sustainable approach. Thus, training sessions on Gender and Rights, Health and Paralegal Concerns would also be conducted separately for young women and men (aged 13-25, regardless of civil status), and also for adult men.

3. Report Card System as Advocacy Strategy

After elections, grading parameters like report card system would be developed in such a way to effectively assess performance of individual local and national elected officials on SRHR

This process would assist community members through the CBCS in making informed decisions regarding leadership in their respective communities.

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IV. Expenditure Report1

Official Liquidation Report

Date: April 30, 2004

Amount Received: Php 9,000.00 (Second tranche)

Budget Items Expenses (Php)
Supplies 1,895.50
Food 5,670.00
Venue Rental 500.00
Transportation 1,041.50
Documentor 3,000.00
Resource Person 0
Communication I Contingency 576 .. 00
Total Expenses Php 12, ,683.00 preh,bh. n. Jt

~~UNIJ,*Z.

Printed Name and Signature

Organization

Date: __ --,-- _

~};r:v~B~ ~

M~ 1', i:

Printed Name and SlQrnltU (lead Person of Local Advocacy Group)

Date: _

Checked by:

Printed Name and Signature (3RG Admin and Finance)

Witnessed by:

atda1'~

/riP It" ;::- { !-"M!lJ'

Printed Name and Signature Printed Name and Signature

(Group Member) (3RG-Phils. Secretariat Coordinator)

Approved Iby:

1 Does not include liquidation of the first tranche

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v. Appendices

Appendix 1

Appendix 2

Appendix 3

Appendix 5

Appendix 6

Appendix 7

Appendix 8

Appendix 9

Appendix 10

Appendix 11

Appendix 12

Appendix 13

Appendix 14

Appendix 15.

Long List of eBeS Candidates in Anunas and Margot

Sample Letter to Barangay Captain

Documentation of Sessions in Margot

Photos of Sessions in Margot

Attendance, Barangay Forum in Margot: Session 1

Attendance, Barangay Forum in Margot: Session 2

Documentation of Sessions in Anunas

Photos of Sessions in Anunas

Attendance, Barangay Forum in Anunas: Session 1

Attendance, Barangay Forum in Anunas: Session 2

Photos of Gender-Responsive Training on Health and Paralegal Concerns of Women

Attendance, Gender- Responsive Training on Health and Paralegal Concerns of Women

Final List of eBCS

Draft Discussion Framework for CBCS Capacity Building

Official Receipts and Acknowledgement Receipts

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Appendix 1. Long List of CBCS Candidates

ANUNAS MARGOT
Elma Balungaya Myrna Gomez
Nannie Torribio Raquel Quilla
Luz Terrible Beverly Somera
Corazon Esguerra Norma Lopez
Purisisima Querijero Rolita Duhan
Mirasol Guma Elisa Nantes
Carmel ita Verso Gina Soriano
Tina Torres Jean Calinao
Divina de Guzman Annaliza Soriano
Mylene Mercado Senia Paras
Mila Gamboa Zenaida Flores
Primitiv8 Yanga
Lolita de Guzman
Delia Toribio
Gina Zurita
Genoveva Santos
Evelyn Pangilinan
Arcelia Garcia.
Maybelline Marquez
Eliza Flores 13

Appendix 2. Sample Letter to Barangay Captain

DD~2

.........

. ' .' '>'.":.'::. :'.;~.~.~~." .. '~ .. ".':~:. • :.:,::.: .. ::-: .. >: .: :-.: ..

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.:- .~:lIIt<. :

<~::;;-~:",!;:;:'.;.,'j.

Enero 29, 2004

KGG. EDGARDO AGAPITO Punong Barangay

Anunas, Angeles City

Ginoo:

Ang WEDPRO Inc. ay nagsasagawa ng pag-oorganisa sa mga kababaihan ng Angeles City simula pa noong 1987_ Sa ilalim ng programang Integrated Socio-Economic Program (ISEP) ng WEDPRO, ilan sa mga kababaihan ng inyong barangay ay naging aktibong kalahok ng micro-finance at ilang mga pagsasanay tulad ng pagluluto, pananabi, iba pang maaaring pagkakakitan at edukasyon patungkol sa karapatan ng mga kababaihan.

Sa kasalukuyan po ay binabalikan namin ang mga barangay na aming dating kinikilusan. Kaugnay po nito, sa darating na Linggo, Enero 31, 2004 sa ganap na ika-I :00 ng hapon ay magkakaroon po ng barangay forum ukol sa sekswal at karapatang pangreproduktibo ng mga kababaihan na gaganapin sa bahay ng isa sa mga dati naming kasamahan sa inyong barangay. Kami po ay mag-aanyaya ng 25 kababaihan sa inyong lugar. Kayo rin po ay inaaanyayahan namin upang saksihan ang nasabingfornm_

Kung maaari rin po sana ay hihingi kami ng kopya ng barangay profile 0 anuman.g mga datos upang magamit sa aming pag-aaral at layuning muling pagtulong sa kababaihan ng Anunas.

Inaasahan po naming ang inyong suporta.

Maraming salamat po.

Gumagalang,

Olivia M. Melendrez Community Mobilization Officer

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Appendix 3. Documentation of Sessions in Margot

Forum on Sexual and Reproductive Health Rights (SRHR) Bgy. Margot, Angeles City

A. First Session,

December 6, 2003

1:00-5:30 pm

.'i- .

The program started at 2: 15 pm when the participants arrived. The venue used was the residence of Myrna Gomez, an ISEP member. Barangay Captain Jose Bagang was invited but failed to attend. Nevertheless, aside from members, attendees were their relatives, . neighbors and even their children.

Program

• Prayer by one ofthe Participants 8 Ice Breaker by Puring

• Introduction of Participants

• Briefing on the Forum

• Grouping Session

• Plenary

• Snacks

• Community Mapping

• Plenary

• Closing

Introduction

Materials distributed were Emergency Contraception (in English and Filipino versions) and 3RG calendar containing 13 SRHR. Background on Sexual and Reproductive Health was discussed. Topics such as YAW, SID! IDVI AIDS, contraception and abortion were introduced for

workshops and FGDs. .

Workshop and Plenary

The participants were divided into two groups on the basis of their house locations. Those who are neighbors were put together in a group. Following issues and health concerns matrices are the result of the workshop.

I. 1. Health Issues Raised by Group 1

Mga Isyu Ukol sa Mga Halimbawa Ginawang Aksyon Sinong Tumulong/.
SRHR Nilapitan
Ectopic Pregnancy Excessive bleeding N agpaultrasound Kagawad Noemi
(ubas ubas) sa higaan di akala 3 months Ocampo
. . pregnant,
pmapansm ng 15

ospital kailangan ng Inoperahan sa ONA
salinan ng 4 'bags ng
dugo, walang pera
, Huwebes dinala,
Lunes pa
naoperahan
Miscarriage bleeding niraspa Kamag-anak
Ligation Nabuntis after few TinuJoyang
months, natakot ang pagbubuntis
iba na magpatali
Ligation Natakot dahil ang
nanay pagkatapos
magpatali di na
nakalakad pa uli A. 2. Health Concerns Raised by Group 1

Health Concerns Sitwasyonl Para Pangangailangan Kanino Lalapit
Kanino
Regular Pap smear kababaihan OB-Gyne WEDPRO
Medical Check-up Pangkalahatan doktor WEDPRO B. 1. Issues Raised by Group 2

Mga Isyu Mga Halimbawa Ginawang Aksyon Sinong Tumulongl
Nilapitan
YAW Seloso ang lalake, Nagsumbong ang parnilya
kahit walang babae sa nanay niya
ginagawa ang babae at kinausap ng
na masama, ay nanay ang LalOO na
pinaghihinalaan g nangakong di na
may relasyon sa iba niya uulitin
na rrunsan ay
umabot sa pananakit
na pisikal C. 2. Health Concerns Raised by Group 2

Health Concerns Cases Needs From whom
expected
Pap smear at breast Para maging aware At least every six Barangay Health
examination ang mga kababaihan months check-up Workers
sa kanilang
kalusugan at 16

I maiwasan ang kanser

A case of murdered woman partner in Amsic as well as that of Maria Teresa Carlson was cited as specific cases of V A W. However, results of the workshops showed that they do not consider

V AW as a problem in their place as they claim that their husbands are not capable of doing harm to them. Nevertheless, a case of wife battering due to jealousy was cited but accordingly was solved inside the family. It was evident that issue of abuse of women in intimate relationships (AWIR) in the barangay is still a private matter, which they do not want to discuss. This was made clear when we were doing community profiling. That time, we heard a case of wife and children battering against the neighbor of an ISEP member. Unfortunately, the case was never mentioned even during the focus group discussion.

VA W was linked with the issue on women trafficking in Angeles City was tackled. It was revealed that the participants were unaware of the issue until they watched the "Imbestigador" expose on GMA 7. It was only Carlota Cunanan, one ofthe missing victims they could identify, although there are many reported victims in Margot.

Some issues raised were growth of structures en reproductive organs or "ubas-ubas" (which was mistaken to pregnancy); miscarriage and ligation.

A woman was mistaken as 3-month's pregnant. Result of ultrasound revealed that the woman has reproductive structures "ubas-ubas" in local term. She was taken to the Ospital ng Angeles (ONA) due to excessive bleeding. She needed four bags of blood. Due to lack of money for the operation, it took several days before she was attended. Her relatives helped them as well as a woman barangay counselor, for the hospital bill.

A case of miscarriage was also cited and the woman has to undergo an operation. ("raspa"). Relatives helped her for the medication.

M)1h effect of ligation has brought fear to some women in the barangay to undergo such family planning method. A case of pregnancy a few months after the treatment was done brought realization that the method is ineffective. Also, one of the participants shared that her friend outrightly negates of ligation despite the danger of bearing many children since she believes that her mother's ligation had caused her to be limp.

During the plenary, it was revealed that there are no enough medicines and emergency contraceptives available in the barangay health clinic. Thus, services such as regular pap smear, breast examination and general check-up must be available to them through the barangay health clinic. On the other hand, one group expects services from WEDPRO, citing that the last pap smear they had was from WEDPRO clinic.

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In order to maintain good health, a group expressed their need to undergo regular exercise. They need an instructor to train them.

Community Mapping and Plenary

The participants accomplished the community mapping activity as one group. Landmarks and social services structures were highlighted such as major road, elementary school, barangay health clinic, barangay hall, playground and church. It is indeed interesting to note that houses of ISEP members and forum participants were drawn with names.

Initial. Analysis

Most community members in Margot still consider A WIR as a private matter, which could be solved by the immediate family alone. Despite this, sustained educational discussions and forums could raise their level of awareness and understanding of the issues.

Very few issues on SRHR were raised. Tackling the matters may be uncomfortable to them at first session. The reason perhaps is the lack of sufficient information and available options on SRHR Very evident is the prevalence of early marriage and myths regarding family planning methods and emergency contraception. Nevertheless, most participants expressed their willingness to be trained and be part of the CBCS team. It is hoped that the next session WOULd bring them comfort to raise related concerns.

B. Second session December 6, 2003 8:00-11:45 am

The session started when majority of the women participants arrived. It appeared that some women were just nearby the venue waiting for the other participants. Nevertheless, the forum started at about 9:00 am. Thirteen women attended. Majority was present during the first session. Others failed to attend while there were newcomers enjoined to participate. Materials on emergency contraception, both English and Filipino versions, and 3rg calendar of 13 SRHR were distributed to newcomers.

Output on the first session were discussed and validated. It was revealed that the idea of emergency contraception in the barangay is accepted. There are available pills and injectables coming from the health center. However, schedule of distribution is irregular due to lack of supply.

Upon carefully expounding on the tasks and responsibilities of Community-Based Communication Stars (CBCS), the participants divided themselves in a group. Even those who failed to attend but present during the first session were volunteered. There was also a memberbeneficiary of micro finance who could not attend sessions was volunteered since she is a midwife. It was explained though that CBCS works entail sharing of time and purely voluntarism. WEDPRO 'could just find a way to cover snacks of CBCS. Despite lack of monetary gains, participants committed to take part.

18

There were four groups formed based on locations. Neighbors were grouped together. Compositions per group is as follow:

II. Group 1 Group 2 Group 3 Group 4
1. Jean 1. Sinia 1. Raquel 1. Nanna
2. Rolly 2. Nida C. 2. Myrna 2. Aning
3. Charry 3. Luz 3. Maritess 3. Imlay
4. Saling. 4. Leony 4. Annie 4. Annaliza
5. Lucila 5. Glo s. Pining 5. Gina
6. Beth 6. Merly
7. NidaF. From the groups, four contact persons or prospective CBCS are Charry Somera, Nida Canlas, Annie Soriano and Norma Lopez.

During the workshop, Nerissa Agustin, one of the barangay councilors attended the forum. It was only that time when the women participants were made aware of the Gender and Development (GAD) fund. Being a former staff of WED PRO and a woman councilor, 'Nerissa Agustin gave a word to support the future undertakings ofCBCS and bring the matter to the council upon having dialogue with WEDPRO and CBCS.

It was explained that the next sessions would be joint CBCS meetings with barangay Anunas after series of fora have been conducted in Anunas. Key persons from each team would be invited.

19

Appendix 4. Photos of Sessions in Margot

Figure 1. Women Participants Doing Community Mapping

Figure 2. Marlea Muiiez ioroducing the CBCS concept,

20

.~;. .

Appendix 5

Attendance, Barangay Forum in Margot: Session 1

21

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Appendix 6

Attendance, Barangay Forum in Margot: Session 2

23

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Appendix 7. Documentation of Sessions in Margot

Sexual and Reproductive Health Rights (SRHR) A. First Session

January 7,2004

Barangay Anunas, Angeles City 1:00 -5:00 p.m.

The forum was held at the house of Maybelline Marquez. A nipa hut near her house was used as venue for the activity.

At about 2:00 pm, majority of the women participants arrived when some of them were fetched by May. There were ten (10) participants from Purok 1 and Purok 4. Majority of the women were members of Integrated Socio-Economic Program (ISEP) of WEDPRO, three (3) are members ofNAGKA including the owner of the venue.

Materials on Emergency Contraception., English and Filipino versions were distributed along with calendar of 13 SRHR.

It was explained that the same activities were conducted in Margot, health issues and concerns were raised on the series of fora. However, discussions on trafficking was more intensive in Margot since recently, there were victims of trafficking from the barangay.

Meanwhile, in Anunas, participants were more open on several cases of Violence Against Women (VAW) in the community. Thus, it was explained that Anti- VAWC has recently been passed just waiting for the signature of PGMA. One participant, Annie Querijero was proud stating that she was part of the consultation on crafting of the bill held at Ateneo de Manila University. Since she is an active member of barangay police she committed herself in the implementation ofbarangay protection order (BPO) whenever there are V A W cases.

It was also revealed that Annie is planning to run as councilor in the coming barangay election. She would like to ensure that the Gender and Development (GAD) budget would be appropriated to welfare services of women, which would include livelihood and health services.

In order to have better grasps on the perspectives of women on issues of SRHR, statements were prepared. Using small pieces of paper, each participant was asked to react on each statements whether she agrees (sang-ayon), disagrees (di-sang-ayon) or undecided (di-alam) Following is the list of statements and discussions:

1. Hin4i buo .angaking pagkababae kung di ako magkakaanak. Six women answered they agreed stating that having children is the reason of buiding a family. Three disagreed arguing that "ang pagiging babae ay kasarian., kahit di ka magkaanak, ikay mananatiing babae dahil sa iyong mga iba pang kakayanan". Only one answered she 90es not know since she is not married.

2S

2. Kailangan ko lang pagtuunan ng pansin aug aking paugreproduktibong kalusugan sa edad ng pagbubuntis I panganganak. All participants are aware that . reproductive health is otherwise. It was explained that RH is from "from womb to tomb".

3. Ang mga babae lamang aug kailangang gumamit ng mga paraan ng pagpaplano ng pamilya dahil sila aug magbubuntis. All participants raise awareness on vasectomy and use of condoms when mutually agreed by partners. However, they shared that there is still low acceptance on vasectomy within the community since men believed that the method could decrease their sexual appetite.

4. Aug lalaki ang masusunod kung kallan at paano magtatalik. The participants believe that sexual activities must be decided and agreed upon by partners. One participant confided that the issue used to be a problem with her partner, but since her involvement with various training of WEDPRO, she became aware of her rights as a woman and discussed it with her partner.

5. Ako ay masama kung sakaling di ko ituloy aug pagbubuntis. The participants are definitely against abortion. However, they are aware that there are cases when women cannot do away with abortion.

6. Wala kong krapatang reproduktibo kung hindi. ako kasal 0 kung wala ako sa edad ng pagbubuntis / panganganak. Many of the participants are not married with their partners, thus disagreed with the issue saying that marriage has nothing to do with reproductive health.

7. Maganda at epektibo aug serbisyong ibinibigay og gobyeroo para sa mga babae.

The participants were made aware that the national government is not supportive on the. use of modern methods as it only advocates for the use of National Family Planning (NFP). The participants shared that barangay has no effective program on reproductive health. Barangay health clinic mainly caters on general health such as

vaccines of children. .

Some important issues raised during the forum were:

• IUD not effective. There was a case a woman had IUD but still got pregnant after two months. She decided to remove the IUD. After that, pregnancy became more frequent for her.

• There were also cases where injections are not effective

• A. woman who got myoma was believed to be the effect of ligation

• Since majority of women participants were involved in WEDPRO activities, they are aware of the importance of reproductive health care like regular pap smear. They could only recall two years ago, there was free pap smear in the barangay.

26

• One participant shared that since she is aware of importance of undergoing a regular pap smear, she avails services of private doctors. However, it takes long period before she could get the result. Once, she had a test from Perpetual clinic, it took a year until she learned that the doctor passed away without giving the result of her test.

• One participant shared that some medical practitioners are insensitive. Once she had a pap smear test, a speculum was inserted readily inside her vagina without any care. It was the reason according to her why many are afraid of the test.

• The participants are aware of the social hygiene in Balibago but believe that the clinic is "exclusive" to women in entertainment industry.

When it was already 5:00 pm, the participants were invited for the next session on February 21, same time, same ve.nue. It was explained that they would be divided into groups for workshops.

Sexual and Reproductive Health Rights (SRHR) B. Second Session'

January 21, 2004

1:00 ~5:00 p.m.

There was a delay of the start of the forum since heavy rain feU at 2:00 pm. Some participants informed us that they could not come since they could not bring along with them their kids because of the rain. The participants waited for the rain to stop before coming to the venue. They have just arrived when Marlea, also affected by the heavy rain during her travel, arrived at the venue. Nevertheless, the forum proceeds with eleven (11) women participants.

3rg materials such as calendar of 13 SRHR and Emergency Contraception (English and Filipino versions) were distributed to those who failed to attend during the first session.

Issues and advocacy agenda on SRHR were discussed:

I. Topic / Discussions
Theme
SRHR not openly ~ It is very important to be familiar with one's own body.
discussed before ~ Women have unique and special needs since women have
menstruation, become pregnant bear child, menopause, etc. Along
with these are hormonal changes in the women's body.
~ Menstrual pains called" dysmenorrhea", usually equated with myths
such as eating sour food, if not given attention could result to myoma.
YAW ~ Male partners should understand hormonal changes occurring in
women's body, as these could result to mood shifts even early in the 27

100

I. Topic ! Discussions
Theme
morning. More often, these mood shifts could result to ".
misunderstandings that could lead to VA W.
>- There are many forms of VA W, not only physical but intellectual,
financial abuse, which result to loss of dignity of women. Maria
Teresa Carlson's case was cited.
Abortion >- Cases of abortion must be clear since there are abortions that are
necessary when women's lives are at risk.
>- Induced abortions happen when fetus! baby was moved into wrong
positions as a result of accidents or when husbands beating their
wives
>- Spontaneous I accidental abortions happen when women are
malnourished, lack calcium or with high blood pressure that reduced
her capacity to bear and deliver normally.
Participants were divided into groups. Residents of Pur ok 4 were grouped together since only two participants were able to attend. Purok 1 residents were divided into two groups according to location. Neighbors were grouped together. The outputs of workshop are as follow:

Il. Group 11 Purok 4

Issues and Cases Ginawang Aksyon Sinong Tumulong
Concerns Sinong Nilapitan
YAW Asawang babae Hurningi ng tulong Lumapit barangay
binubugbog - officials pero di
naging sugarol tinulungan: away
mag-asawa lang
Karapatan ng Di kayang Lumayas sa bahay Police hinati ang
Kababaihan ipagtanggol ang anak
sarili
SRHR Walang programa
ang barangay dito
STDsl mV-AIDS N agkaroon ng Dinala ang baby sa barangay
impeksyon. Itinuloy hospital
pa rin pagbubuntis
kahit di
nagpapagamot:
nahawa ng bata
Contraception I Walang programa
Family PLanning ang barangay
Abortion May-asawa pero Lumapit sa doctor- Kaibigan tumulong
nabuntis ng iba tinanggihan; Doctor/ attendant
nagpainject . lumapit 28

There was a case of wife battering of a woman who has five children. As an escape goat, she learned to engage herself in gambling, which worsened the situation. When she could not bear anymore the battering, she' managed to report to barangay officials. Like the usual scenario, the . officials were not able to extend support to them telling them that the situation is a matter of couple's concerns.

A case of a man who is habitually engaged in gambling activities resulting to lack of support to families was shared. The wife was forced to take on the responsibilities. She reported to police station in Friendship. As a result of negotiation, there was division of children custody. There was even selling division of properties. After 4-6 months of separation, they are now again living

together. .

One of the participants shared that she had experience abortion as much as six times in a private

. doctor. She has many children. Her husband is always drunk, always forcing her to have sex in spite of her difficulties when pregnant. When she is pregnant she always get skinny and get confined, had dextrose in hospital. These were the reasons why she resorts to abortion. Aware of her rights, she is now refusing to engage in sexual contact. The relationship exists right with her husband is purely companionship.

Another case of abortion was cited. Her husband is a foreigner, living abroad. He had a sexual relationship with another man and got pregnant. Consequently, she is planning to go abroad and her requirements are already complete. Unready for the consequences of opportunity cost, she decided to undergo abortion. She consulted a doctor but was turned down. She was made aware about the doctor doing safe abortion but learned that the process would cost at least fifty thousand pesos (Php 50, 000.00). Unable to afford safe abortion, she resorted into taking psychotec, quinine, had injection and antibiotics at the same time. Luckily, she survived.

After a check-up, a woman was found to have a reproductive tract infection (RTI), She did not bother to undergo treatment and medication. She even got pregnant. After three (3) weeks of delivery, her child had meningitis that affected the brain. The child's disease, accordingly, was a side effect of the woman's RTI.

A participant from Group 1 shared that she has been staying in Anunas since 1980 and got married in 1985. Since then, she has never known any barangay program for women. According to her, there is a volunteer named Perla who occasionally tap the services ofDra. Galvez- Alonzo for contraception. However, the schedule is irregular and very rare. The participant stressed that contraceptive programming in barangay is very relevant for effective family planning.

GROUP 2

Issues and Cases Ginawang Aksyon Sinong Tumulong
Concerns Sinena Nilapit~
YAW Binubugbog ng Nagtitiis pa rin WALA Ayaw nya
aswang Ialaki, babae kahit humingi ng tulong
pinapalayas, namatayan na ng 29

Issues and Cases Ginawang Aksyon Sinong Tumulong
Concerns Sinong Nilapitan
- inaabuso ng sekswal anak
Karapatan ng Sapilitang pinakasal Humingi ng tulong Tiyahin - wala ring
Kababaihan ng mga magulang. sa mga tiyahin magawa
Ngayon naman
gustong
papuntahing Japan
F amily Planning Maraming anak Walang~awa
SRHR Nagpaligate - Gusto nya rill, barangay
foreigner ang asawa, kinunsinti pa ng
once a year lang magulang
purnunta dito
Contraception! Walang programa
Family Planning ang barangay
Abortion May-asawa perc Lumapit sa doctor- Kaibigan tumulong
I nabuntis ng iba tinanggihan; Docter! attendant
nagpainject lumapit A participant was able to observe marks in her neighbors face and body. She managed to ask and shared that her husband batters her repeatedly, despite that they have already nine (9) children. She invited the woman to join the forum to be aware of her rights. At first, she agreed but later on changed her mind.

Her niece was only sixteen years old when her parents wanted her to go to Japan to earn a living for them. The child eloped with her boyfriend as a means of rebellion. The parents then decided to force their daughter to marry her boyfriend. Despite being married the parents still force the girl to go to J apan, even forcing her to stay in promotion agency. The girl's relatives like the participant could not meddle since the parents would not allow them.

A woman she knows has four children. Each has each own father. Her mother advised her to undergo tubal ligation in order not to get pregnant anymore. The participants perceive the situation as the mother giving consent to the wrong doings of her daughter.

ill. GROUP 3

Issues and Cases Ginawang Aksyon Sinong Tumulong
Concerns Sinong Nilapitan
YAW Nakitang Napadaan lang sya. W ALA. Ayaw nya
binubugbog ang Di humingi ng humingi ng tulong
taga kanila tulong. Ayaw mag-
asawa lang daw.
Karapatan ng Karamihan sa mga Walang aksyon Walang tumulong
Kababaihan babae, walang alam
sa kanilang rnga
karapatan, kahit 30

Issues and Cases Ginawang Aksyon Sinong Tumulong
Concerns Sinong Nilapitan
binubugbog di
nagrerekalamo
SRHR Walang nagtuturo
Contracepcion Bawat punta sa Gusto nya rin, barangay
center walang kinunsinti pa ng
available na pills magulang
kaya walang
naibibigay na gamut
sa mgaina.
STD Nahawahan ng Kinailangang ilabas Mga kamag-anak
asawa ng herpes ang agad dahil namatay
babae samantalang sa loob ng tiyan ang
buntis. bata
- nakipaghiwalay
Abortion May-asawa pero Lumapit sa doctor- Kaibigan tumulong
nabuntis ng iba tinanggihan; Doctor/ attendant
nagpainject .lumapit
1 month pa lang Nang namamanhid Kaibigan/ kumare
pinahilot na pero 6 na ang katawan,
months bago dinala sa ospital
tuluyang lumabas A participant from Group 3 shared that she was just walking along one of the houses in Anunas when she witness the beating of the woman by her husband. All the while she thought that the man was kind and not capable of physically abusing his wife. All the people around witnessing acted as if watching a movie and said that they could not do any action since it is a couple's quarrel.

There are real cases of wife abuse in the barangay as shared by the participants. However, most women, except those who attended training sessions of WED PRO and! or members ofNAGKA, are not aware of SRHR.

There are no pills and medicines available for mothers.

A man, despite the fact that he has no stable income has been hooked into illegal drugs using valium and syrup. Due to lack of support, her wife resorted into doing laundry works of her neighbors. Their constant quarrels has lead to beating the wife wherever he would want without considering what parts of the body would be hit. Added to the wife's suffering was when the husband was infected with an SID due to unsafe sex to different partners such as with women in prostitution and even with gays. Even with the disease, the husband is still forced sex with his wife still happen. As a consequence, the woman got pregnant. At seven months, she had no choice but to abprt the baby who was already dead in her womb.

31

When learned that she was a month pregnant, a woman started seeing the "manghihilot". It was only after six months when she felt the numbness and so was rushed into the hospital. She had to undergo "raspa", while on process, the doctor, instead of concentrating on attending to her need,

kept on whispering to her ear, blaming her for what happened and saying she had abortion. ., •.

It was announced that there would be series of gender -responsive training in March with other barangays. Thus, After the session, the private swimming pool, near May's house was visited as' . a possible venue to the series of trainings.

32

'.Ij. •

Appendix 8

Photos of Sessions in Anunas

33

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:Egun" 2. Annie Querijero Reports Health Issues and Concerns in Purok 4, Anunas

34

Appendix 9

Attendance, Barangay Forum in Anunas: Session 1

35

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Appendix 10

Attendance, Barangay Forum in Anunas: Session 2

37

ATTENDANCE

Forum on Sexual and Reproductive Health Rights (SRHR) Purok 1, Barangay Anunas, Angeles City

February 21,2004,2:00 pm

Name

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Signature

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Appendix 11

Photos of Gender-Responsive Training on Health and Paralegal Concerns of Women

39

I

Figure 1. Young and Adult Women Participants in General Orientation on Gender and Rights, Health and

Paralegal Concerns of Women

Figure 2. Maloy Tiongson Discussing on Gender and Rights

40

Figure 3. Aida Santos Conducting Workshop on SRHR

Figure 4. Eleanor Conda Discussing on Legal Concerns of Women

41

Appendix 12

Attendance: Gender-Responsive Training on Health and Paralegal Concerns of Women

42

Gender Responsive Training on Health and Paralegal Concerns of Women Anunas, Angeles City

March 27,2004

1:00 - 5:00 pm

NAME

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BARANGAY

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Gender Responsive Training on Health and Paralegal Concerns of Women Anunas, Angeles City

March 27,2004

1 :00 - 5:00 pm

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Appendix 13. Final List of CBCS

Margot Anunas Capaya Amsic
'~,j. •
1. Jean Calinao 1. May Marquez 1. Aga Guevarra 1. Carolina Frias
2. Rolita Duhan 2. Annie Querijero 2.Carmelita de la Cruz 2. Yolanda Guiao
3. Renata Calinao* 3. Lanie Castillo 3. Carmen Magtoto
4. Arcelia Garcia 4. Lydia Cleofe
5. Tina Torres" 5. Rebecca Yandan
6. Joan Jaramilla* * alternates/ contact persons in case of absence of CBCS

45

Appendix 14

Draft Discussion Framework for CBCS Capacity Building

46

Appendix 13. Final List of CBCS

Margot Anunas Capaya Amsic
.;J. •
1. Jean Calinao 1. May Marquez 1. Aga Guevarra 1. Carolina Frias
2. Rolita Duhan 2. Annie Querijero 2Tarmelita de la Cruz 2. Yolanda Guiao
3. Renata Calinao* 3. Lanie Castillo 3. Carmen Magtoto
4. Arcelia Garcia 4. Lydia Cleofe
5. Tina Torres* 5. Rebecca Yandan
6. Joan Jaramilla* * alternates/ contact persons in case of absence of CBCS

45

· Appendix 15

Official Receipts and Acknowledgment Receipts

48