sA comprehensive summary with key research findings and citations included.

1. POLICY BRIEF Released by Likhaan Center for Women’s Health Inc., in partnership with: Acosta Foundation • BALAOD Mindanaw • Bangsamoro Women Solidarity Forum • Brokenshire WomanCenter • Institute
of Primary Health Care - Davao Medical School Foundation • Mahintana Foundation • Pinay Kilos • Sahaya sin Kawman • Tarbilang Foundation • United Youth of the Philippines - Women
Why Investing in Family Planning Makes Sense
The right number of children at the right time: Poor women
Wealth Births per Woman
these are sensible ideals, preferred by most women and couples to bear the most
Group* Wanted Actual Unplanned
number of
give their children proper care and a better future. These are also
unplanned Highest 1.6 1.9 0.3
guaranteed as human rights in the Constitution. The upper 20% of births Fourth 2.2 2.7 0.5
families enjoy these rights quite easily. Ten well-off 0.9 0.5 Middle 2.4 3.3 0.9
0.3
women will, on average, end up with just 3 unplanned Second 2.9 4.2 1.3
unplanned births
children among them. A similar-sized group from the 1.3 – 1.9
per woman Lowest 3.3 5.2 1.9
poorest 40% will end up with 13 to 19. Poor women POOR WOMEN *20% of families in each group.
bear the most number of unplanned births. Philippines, NDHS 2008.
Meeting Women’s Contraceptive Needs in the Non-use of effective family in distant regions.
Philippines (2009), a study by the Guttmacher
Institute and the UP Population Institute, shows
planning is the main cause % poor among women at risk for unintended
the scale of this problem and how the government All women who are having sex but do not want pregnancy who are not using any method
can protect lives, wellbeing and public funds to get pregnant soon or ever face the risk of ARMM 87
through sufficient investments in modern family unintended pregnancy. Correct and consistent use MIMAROPA 79
of modern FP greatly reduces this risk. The study Zamboanga Pen. 78
planning (FP). E. Visayas 78
estimates that 92% of unintended pregnancies
Unintended pregnancies are wide­ occurred in women who were not using any
Caraga
W. Visayas
75
73
spread & their impact severe effective method: Cagayan Valley 66
The study estimates that in 2008: • 68% had no method at all; and SOCCSKSARGEN 65
• 54% of all pregnancies were unintended; • 24% used traditional methods. N. Mindanao 64
Bicol 62
• 1.9 M unintended pregnancies occurred; Poor people face the most risk Philippines 53
• 560,000 of these pregnancies ended in induced Poor women, families and regions have the least
abortions; access to FP supplies, ser­ ices and information.
v When poor women do get pregnant, they are also
• 90,000 women were hospitalized after these The study shows that: the ones least able to:
abortions; • hen asked why they don’t use contraceptives,
w • have a skilled birth attendant or deliver in a
• 1,000 women died from abortion complications; the poorest women cite lack of access twice health facility, increasing their risk of death and
• 1,600 more died from births and miscarriages more often than wealthier women; disability; and
from unintended pregnancies; and • 3% of women not using any method are poor—
5 • access emergency obstetric care in case of
• 33% of births were spaced too closely, which they belong to the bottom 40% of families; this complications, putting their lives in more
led to more infant deaths and injuries. biased impact on poor people rises much further danger.
Investing in the family planning needs of women saves lives & public funds
TOTAL COST 10.0 If all women at risk for unintended pregnancy use modern methods only,
IN B PESOS 9.3 the study estimates that annually, there would be:
8.5 • 2,100 women saved from maternal deaths;
FP services 2.9
1.9 • 800,000 less unplanned births;
& supplies
• 500,000 less induced abortions; and
Health 4.0 • 200,000 less miscarriages.
care for The combined costs for family planning and maternal and newborn care
3.5 3.2
unintended will actually fall by P800 million, since:
pregnancies
0.6 • family planning would increase from P1.9 to P4.0
billion; but
Health care • medical costs for unintended pregnancies
for intended 3.9 3.9 3.9 would fall from P3.5 to P0.6 billion; and
pregnancies • medical costs for planned pregnancies
would remain the same at P3.9 billion.
Current methods If Natural If modern
used by women at FP methods methods
Investing in universal access to family planning
risk (49% modern only* only* makes sense. It would benefit poor people,
& 22% trad’l.) protect women’s lives, promote healthy families
and save public funds for use in more social
* Used by all women at risk for unintended pregnancy: married, or unmarried
& sexually active in past 3 months, able to become pregnant, do not want any development programs.
more children or do not want a child in the next 2 years. Read the full report at
http://www.likhaan.org/content/meeting-womens-contraceptive-needs-philippines

2. POLICY BRIEF Released by Likhaan Center for Women’s Health Inc., in partnership with: Acosta Foundation • BALAOD Mindanaw • Bangsamoro Women Solidarity Forum • Brokenshire WomanCenter • Institute
of Primary Health Care - Davao Medical School Foundation • Mahintana Foundation • Pinay Kilos • Sahaya sin Kawman • Tarbilang Foundation • United Youth of the Philippines - Women
Bakit Matinong Patakaran ang Pagsuporta sa Family Planning
Tamang bilang ng anak sa tamang panahon: Mga babaeng
ito’y matitinong pangarap, gusto ng karamihan ng babae’t mag-asawa para mahirap ang may
Antas ng Pagsilang ng Bawat Babae
Yaman*
mabigyan ng tamang pag-alaga at mas magandang kinabukasan ang mga pinakamaraming Gusto Aktwal Di-planado
anak. Garantisado rin ang mga ito bilang karapatang pantao ng Saligang anak na wala sa Tuktok 1.6 1.9 0.3
plano. Ika-apat 2.2 2.7 0.5
Batas. Madali lang ito para sa 20% ng pamilyang nasa tuktok. Sa 10
Gitna 2.4 3.3 0.9
maykayang babae, may 3 lang na di-planadong anak na 0.9 0.5 0.3
Ikalawa 2.9 4.2 1.3
mailuluwal. Pero sa sinlaking grupo ng pinakamahirap na 1.3 – 1.9 di-planadong pagsilang
bawat babae Ilalim 3.3 5.2 1.9
40%, 13–19 ang mabubuo. Mga babaeng mahirap ang
MAHI
RAP NA KABABAIHAN
*20% ng pamilya sa bawat antas.
may pinakamaraming anak na wala sa plano. Philippines, NDHS 2008.
Pinapakita ng Meeting Women’s Contraceptive Di-paggamit ng epektibong family sobrang pagpabigat sa mga mahihirap na tao.
Needs in the Philippines, isang pag-aaral ng
Guttmacher Institute at UP Population Institute,
planning ang pinag-uugatan % mahirap sa mga babaeng nasa panganib ng di-
sinadyang pagbubuntis at wala kahit anong FP
ang laki ng problemang ito at kung paano May panganib na “maaksidente” ang lahat ng
ARMM 87
maaalagaan ng gobyerno ang buhay, kagalingan at babaeng nakikipagtalik pero ayaw pa, o ayaw MIMAROPA 79
pondong publiko kung may sapat na pagpuhunan nang mabuntis. Sa tama’t tuloy-tuloy na gamit Zamboanga Pen. 78
sa modernong family planning (FP). ng modernong FP, liliit ang panganib. Ayon sa E. Visayas 78
pag-aaral, 92% ng di-sinadyang pagkabuntis ay Caraga 75
Laganap ang di-sinadyang pagbu­ mula sa mga babaeng walang gamit na epektibong W. Visayas 73
buntis at matindi ang epekto nito paraan: Cagayan Valley
SOCCSKSARGEN
66
65
Tinatantya ng pag-aaral na sa 2008: • 68% ang wala kahit anong gamit; at
• 24% ang nag-tradisyonal na paraan. N. Mindanao 64
• 4% ng mga pagbubuntis ay di-sinadya;
5 Bicol 62
• .9 M di-sinadyang pagbubuntis ang naganap;
1 Mahihirap ang mas nanganganib Philippines 53
• 60,000 ng pagbubuntis na ito ang ipinalaglag;
5 Mahihirap na babae, pamilya at rehiyon ang
• 0,000 ang naospital matapos magpalaglag;
9 Kapag nabuntis ang mahihirap na babae, sila rin
pinakakaunti ang naaabot na serbisyo, suplay at
• ,000 babae ang namatay mula sa
1 ang may pinakamaliit na kapasidad na:
impormasyon sa FP. Ayon sa pag-aaral:
komplikasyon ng pagpapalaglag; • magpaanak sa isang propesyonal (skilled
• a pag-usisa bakit hindi nagkokontraseptibo,
s
• ,600 pa ang namatay dahil nakunan o
1 birth attendant) o sa loob ng pagamutan,
doble magsabi ang pinakamahirap na hindi kasi
nanganak mula sa di-sinadyang pagbubuntis; at kaya tumataas ang panganib na mapinsala o
abot-kaya kumpara sa mas nakakaangat
• 3% ng panganganak ay sobrang ikli ang
3 mamatay; at
• 3% ng babaeng wala kahit anong FP ang
5
pagitan, na nagdulot ng dagdag na pagkamatay • makagamit ng pagamutan o emergency obstetric
mahirap—nasa pinamababang 40% ng mga
at pinsala sa mga sanggol. care kapag may komplikasyon, kaya lalo pang
pamilya; sa mga malayong rehiyon, higit pa ang
nanganganib ang buhay.
Di-matatapon ang buhay at pondong publiko kung susuportahan ang family planning
BUONG Kung lahat ng babaeng nasa panganib ay gagamit ng modernong paraan
GASTOS, 10.0 lamang, tinatantya ng pag-aaral na taun-taon:
B PISO 9.3
• 2,100 babae ang di-mamatay mula sa pagbubuntis at panganganak;
8.5
Serbisyo’t 2.9 • 800,000 ang mababawas sa pagsilang na wala sa plano;
1.9
suplay ng FP • 500,000 ang mababawas sa pagpapalaglag; at
• 200,000 ang mababawas sa makukunan.
Gastos 4.0 Makakatipid pa ng P800 M sa kabuuang gastos sa FP at pag-alaga sa
medikal sa
di-sinadyang
3.5 3.2 nanay at sanggol dahil:
pagbubuntis • tataas ang gastos sa FP mula P1.9 tungo P4.0 bilyon; pero
0.6
• bababa ang medikal na gastos sa di-sinadyang
pagbubuntis mula P3.5 tungo sa P0.6 bilyon; at
Gastos
• mananatili sa P3.9 bilyon ang medikal na
medikal sa 3.9 3.9 3.9
sinadyang gastos sa planadong pagbubuntis.
pagbubuntis Matinong patakaran ang pagsuporta sa
Gamit ngayon ng mga Kung Kung FP para sa lahat ng nangangailangan.
babaeng nasa panganib Natural moderno Makikinabang ang mahihirap, maliligtas ang
(49% moderno & 22% FP lang* lang na buhay ng kababaihan, maitataguyod ang kalusugan
trad’l.) paraan*
ng pamilya, at makakatipid ng pondo na magagamit
* Gamit ng lahat ng mga babaeng nasa panganib ng di-sinadyang pagbubuntis: sa dagdag pang programa para sa panlipunang
may asawa o kung wala ay nakikipagtalik sa nakaraang 3 buwan, kayang mag­ - kaunlaran.
buntis, at ayaw na ng anak o ayaw sa susunod na 2 taon. Ang buong ulat ay nasa
http://www.likhaan.org/content/meeting-womens-contraceptive-needs-philippines