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Building Coalitions to Promote Women's Health : The Philippines Example

 

 

 

 

The Philippines is largely (85 per cent ) a Roman Catholic country -one reason why Philippines are quite conservative in terms of women's status and rights. Traditional views about women have  affected their health, particularly maternal mortality (2in 1,000 live births), the prevalence of sexually transmitted diseases reproductive tract infections and treated problems, domestic violence and other forms of violence such as rape and incest, and women's nutritional health (more than half of Filipino pregnant and lactating women are anemic). Abortion is illegal, but various estimates place the number of clandestine abortions between 150,000 and 750,000 per year.

The 1993 National Demographic Survey shows that while 97 per cent of married women of reproductive age know about family planning methods and 93 per cent are aware of where they could obtain services or commodities, only 24 per cent are using a modern method of family planning. 

The Women's Health Care foundation (WHCF) and its sister NGO, the Institute for Social Studies (ISSA), were founded in 1980 in an attempt to respond to the health needs of  Philippine women. At that time I was Executive Director of both. We started providing comprehensive reproductive health services and information to women in 1980, in pursuit of the goal to promote women's  health and protect their rights. The staff felt isolated and sometimes discouraged by the lack of interest, even amongst personal friends in political circles. In 1987, a new Constitution was being drafted and there was a move to include the right of the unborn in it. 

There was then a cell for all women's groups to come together at the Constitutional Convention Hall to proclaim their organizational concerns to the drafters of the Constitution. WHCF and ISSA paraded with the other women with a big cloth tapestry which urged women to unite for the right to control their fertility and their bodies, and to make their own reproductive decision. Some women  were attracted by our concern and approached us. We become acquainted with these women and saw that they dealt with issues which were actually relevant to our economic oppression, violence non-participation in political affairs, environmental degradation, foreign intervention, lack of basic services etc, while we were the  only ones to bring up the issue of reproductive rights and health. The others saw that this was a basic concern of all women whatever issue their organization was involved in. 

We thought we had achieved victory when the right of the unborn was not included in the Bill of Rights. We naively assumed that there would no longer be any attempt to insert this provision. We did not realize the power and cunning of conservative forces determined to place " protection of the life of the unborn" in another section, and so we were caught unawares when this phrase and the sanctity of family life were included under state policies. But in the end- probably to assuage those who resisted this concept the provision provided for equal protection of the life of the mother and the life of the unborn form conception . The right of the unborn was placed there to prevent the adoption of the doctrine used in the case of Roe vs. Wade in the US, which paved the way for the legalization of abortion. 

We were elated, though, about the provision for the state to defend the right of a couple to determine their family size according to  their religious conviction and the demands of responsible parenthood, and for the state policy of recognizing the family as a basic autonomous social institution. 

Seizing opportunities  

One event which galvanized the pro-choice advocates to come together was when we got  hold of a copy of an Executive Order draft which Cory Aquino was being asked to sign. She was still exercising sole legislative powers in early 1987. This was to be considered the "new policy on population welfare". It would direct all government agencies to "desist from setting goals as to ideal population levels and ideal family size" and from advocating, promoting, or dispensing advocating, contraceptives, including IUDs", the assumption of this order was that " promoting contraception fomented sexual promiscuity which had perverse consequences such as marital infidelity, prostitute and proliferation of sexually transmitted diseases". Only natural family planning would be promoted by the government, and funding to NGOs which were involved in contraceptive distribution and sterilization would have to be terminated.

WHCF and ISSA called a meeting of the women we had met  at the constitutional Convention, and other women and men whom wife knew would be concerned about  this Executive Order. The body decided to send telegrams to president Aquinas and letters and press releases to newspaper editors, to protest against it. 

We felt quite victorious when the executive Order was not  signed. But we resolved to continue to be vigilant about  moves to curial our reproductive rights. Thus a new organization was founded, which we called Woman Health Philippines, aimed at promoting the Filipino woman's right to health and reproductive freedom. Membership included health workers and professionals, law practitioners, researchers and academics, religious and grassroots women, mainly as individuals. 

Other big events contributed to the building and strengthening of coalitions among women. One was the first National Convention of Health NGOs which was organized in 1989 by the Department of Health with support from Japanese sources. WHCF/ISSA was  chosen as chair of the organizing committee while Woman Health was the  Secretariat. Around 500 delegates from all over the country participate in the five Convention. Reproductive health and rights, naturally was one of the five issues tackled, and recommendations on all the issues were documented. A directory of health NGOs in the Philippines was also an output of the Convention. The NGOs in the Philippines was also  an out put  of the convention. The NGOs become aware of the women's  health and rights advocates, and many women found strength in joining  each other. 

Creating new women's organizations 

WHCF and ISSA " co-mothered" other organizations -like the  Philippine NGO Council for  Family Planning, Health, and Welfare (PNGOC)- to assist smaller NGOs and share resources; then the BUKAL, which was concerned about  government health policies and  programmers and, much later, the Remedies AIDS Foundation and the NGO Network for HIV/AIDS. They were also co-mother of LAW (Legislative Agenda for Women); WomanHealth; the Alliance form Women's Health; KALAKASAN (against violence to women); SIBOL, which aimed at proposing bills to promote women's  rights ; women's Vote for  Health and Family planning, which supported certain candidates during  the 1992 national electrons; and Marching for life Coalition (to support family planning and HIV/AIDs programs of government and other). WHCF/ISSA also joined other networks. 

Although Corazon Aquino proclaimed, in her July 1989 State of The Nation Address before Congress, that family planning would be one of her priority programs where choice would be a principle, she actually allowed the Catholic religion to stifle the program. The right of the  unborn become the primary consideration of her administration and was used to campaign against the government family planning program. Aquino's " cafeteria approach" announcement was also criticized because it was perceived as acceptance of the preconditions of the World Bank loan to her government. 

In early 1990, a dialogue was held between the Roman catholic church and the government, represented by the Department of Health regarding the Philippine Family Planning Program. At that  time, the Population Commission was headed by a very conservative cabinet member who believed that there was no need to promote the use of contraceptives. The Secretary of Health held the opposite view, and he was able to take over the family planning service component of the population program. This was not approved by the Church, and the result was this dialogue. 

However, no women was invited to the dialogue. ISSA became concerned, and invited women's health advocates framework for the government family planning program. As a result of this gathering the women  agreed to formulate a common position  on family planning population  issues and  carry out necessary activities in relation to this position. Manifesto entitled " Women NGOs stand n health and Family panning " was drawn up, and the signatories formed the alliance  of 21 Women representing health , the  universities, labor, peasantry, feminists, media and other  social and development organizations. 

Lobbying and media activities

The alliance ( later called alliance for Women's Health or AWH) called upon the state to ensure that  all women  enjoy reproductive rights, that the constitutional provision of the  separation of church and state be respected ( In the light of the  strong lobby of the Catholic Church to deny self determination to women" ) , and that all conditions and support systems that  would enable women to practice this right. Attention to young children and men on reproductive rights, and participation of women in all phases of policy and  program formulation, implementation, and evaluation, were also demanded. Finally, the government was called upon to give  due recognition, support  and protection to women NGOs while guaranteeing their autonomy in carrying out their work.

A copy of the alliance manifesto was sent to the Secretary of Health and a meeting with him was requested. The Chief of Staff represented the Department of Health in the meeting. 

He assured the women that the Department agreed with their beliefs and would do its best to carry it out. However, he asked the women to understand the government's difficulties in dealing with the issues of adolescent sexuality and abortion. He impressed upon the women that NGOs can deal with these issues in a more flexible way, and urged us to work with the Department on getting data necessary in planning services for women, and providing services which the government is not able to. He said that he and the Secretary knew how  we felt, having been NGO members prior to their governmental appointments. He promised that women would be asked to review policies and plan programs with them. 

WHCF/ISSA and other members of the alliance became active in senate and congressional public hearings on bills and resolutions relevant to women's  health and rights issues. Staff of the lawmakers recognized the expertise of the alliance leadership to expound on human rights issues, particularly on efforts by pro-life senators to introduce laws that  would favor the unborn child over the mother . These included increasing penalties for health  professionals who perform abortion, punishing women for taking  dangerous, banning IUDs and contraceptive Pills because they are abortificient, etc. It goes  without saying that profilers had women in their panel who tended to bring pictures of stillborns and dead fetuses or  infants, claiming these were  aborted. In contrast, pro-choice  women and men had facts, statistics and scientific studies to prove their point. As a result, these anti women bills did not pass the first Congress after the  1987 EDSA revolution. The same bills were refilled during the second Congress. But  again, nothing was passed. 

 Women's health advocates are often invited onto radio and TV Programs, where they are asked to articulate their positions on issues such as the Roman Catholic church's opposition to  the family planning program and to including prophecies women on the official delegation to the Cairo conserve; on single parenthood; domestic violence; on charges that  pornographic materials were being developed and  circulated by family planning and  HIV/AIDS organizations; sexual harassment; sexuality and homosexuality. Articles are written about  them in newspapers and  magazines, and  they contribute letters to the editors and write articles themselves on these issues  or as reactions to pronouncements by individuals in government, religious or other institutions. 

The alliance is one of seven NGO net works that make up the National Steering Committee in charge of the NGO preparations for the Beijing Conference. A series of consultations in different regions of the Philippines have been held on the issues which women want to raise at the Conference, on their perception of developments since the Nairobi Conference, on official country report, on the NGO country report, and the platform for action of the preparatory conferences for the Beijing  meeting. We also participated in the Asian Regional Preparatory Meeting . 

Although many women have been reached through consultation, publicity, and other activities of women's health advocates, there are many more Filipino women who are powerless and unaware of their rights, or who think that their happiness is determined solely by their reproductive role, and who believe in the official pronouncements of their  Church hierarch. There is still much to do, particularly on consciousness raising and education, on providing adequate and proper health and other basic services and information  on making low and policy makers as well as program implementers more aware of their responsibilities to promote women's rights s human rights, and to help women gain the high status and income that  would realize the rights the Constitution, and other nations, local and international legal documents which our government signed, had promised them. 

Working together empowers us 

In spite of the difficulties  which are  normal when strong personalities come together  to work on a common purpose , the activities  planned by the National steering Committee and implemented by the various networks have been fairly successful. These activities have also made the women aware of what different organizations are  doing , and have brought many of them together, realizing that cooperation brings synergy to our efforts, and makes us a more formidable force against those who want to neglect or downstate these efforts. 

We also realize that there are still only a few of us in our country who are willing  and able to contribute our energies to promote and protect women's  health and right . But if we hold  hands  with others, both women and men , in other courtiers, and continue to share our burdens as well as our triumphs , we shall make our works a better  one for  the next generation - our children whom we  must teach to continue the struggle which was passed on to us by our own mothers and  fathers, and the women and  men who through the centuries did their best for all of us. 

 


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