Case Study On Teenage Pregnancy
Case Study On Teenage Pregnancy
S. No. 649
•19 JUL22 P I 56
AN ACT
PROVIDING FOR A NATIONAL POLICY IN PREVENTING TEENAGE
PREGNANCIES, INSTITUTIONALIZING SOCIAL PROTECTION FOR
TEENAGE PARENTS, AND PROVIDING FUNDS THEREFOR
EXPLANATORY NOTE
The 1987 Constitution assures that the State protects and promotes the
welfare o f the youth and their health. Article II, Section 13 stipulates that, "The
State recognizes the vital role o f the youth in nation building x x x " while Section 15
states that, "The State shall protect and promote the right to health o f the people
and instill health consciousness among them ."
One o f the most pressing health concerns involving the youth for years now is
teenage pregnancy. "According to the United Nations Population Fund (UNFPA)
State o f the World Population Report of 2017, the Philippines has the third highest
adolescent birth rate among 11 Southeast Asian nations, trailing Laos and
Thailand."1
education and those from the poorest households are more likely to have begun
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"Program for Young Parents: Implementing Guidelines", Department o f Health, Philippines
childbearing than young women with higher education levels and those from
wealthiest households."
both the mother and the baby is at threat because bearing a child at an early age is
quaiified as "high risk pregnancy". In terms o f education, the young mother and her
partner usuaily quit school to attend to their child. In terms o f employment, the
young parents are forced to find work, even at disadvantaged terms, to support
their child. With regard to social aspect, the couple, especially the young mother are
usually criticized and discriminated in their communities.
This bill provides for the "Prevention o f Adolescent Pregnancy Act o f 2019" I t
seeks to formulate a National Program on the Prevention on Teenage Pregnancy
(NPPTP) that will be a priority program o f the Population Commission (POPCOM). I t
also proposes to create Information and Service Delivery Network for Adolescent
Health and Development (ISDN for AHD) in various levels o f the government,
participated in by private organizations, that will provide health services for
adolescents. Further, Comprehensive Sexuality Education (CSE) shall be a
compulsory part o f education in all levels under the auspices o f the Department of
Education (DepEd).
In line with the goal to squarely address this concern, the bill seeks to create
a National Information System on the Prevention of Teenage Pregnancy to
comprehensively assesses, monitor and evaluate the programs implemented under
this measure.
SENATE
O H iif ol tl)e & ftrrt« rp
S. No. 649
•19 22 P 1 56
AN ACT
PROVIDING FOR A NATIONAL POLICY IN PREVENTING TEENAGE
PREGNANCIES, INSTITUTIONALIZING SOCIAL PROTECTION FOR TEENAGE
PARENTS, AND PROVIDING FUNDS THEREFOR
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1 responsive health service providers: Provided, furthermore, That adolescents shall
2 not be denied access to clinical services and modern methods o f contraceptives if and
3 when they seek to avail of the aforementioned healthcare services.
4 The Council shall ensure that ASRH training are integrated in the pre-service
5 curriculum training o f Barangay Health Workers (BHWs), front-line health care
6 providers, and social workers. The said training shall include topics such as, but not
7 limited to: consent, adolescent sexual and reproductive health, effective contraception
8 use, disease prevention, HIV/AIDS and the more common STIs, hygiene, healthy
9 lifestyles, and prevention o f gender and sexual violence.
10 Linkages and referral systems shall be established in educational institutions in
11 order to bridge gaps in between CSE and access to SRH services for in-school
12 adolescents. For Out-of-School Youths (OSYsO and other groups, a community peer
13 educator could be chosen to advocate accessing SRH services and distribution of
14 commodities.
15 In cases of pregnant adolescents, a wider spectrum o f SRH services shall be
16 made available to them spanning the pre-natal, antenatal, and post-natal stages of
17 pregnancy and its respective health care requirements.
18 Provision of reproductive health services to adolescents shall be based on the
19 principles of non-discrimination and confidentiality, the rights of adolescents, their
20 evolving capacities, and as a life-saving intervention.
21 Sec. 13. Social Protection fo r Teenage Mothers o r Parents. - A comprehensive
22 social protection service shall be provided to adolescents who are currently pregnant
23 and their partners in order to prevent repeat pregnancies and to ensure their well
24 being while assuming the responsibilities o f being young parents. Such services shall
25 include the following:
26 (a) Maternal health services including pre-natal, ante-natal, and post-natal
27 check-ups and facility-based delivery;
28 (b) Post-natal family planning counselling and services for either or both
29 teenage parents;
30 (c) Personal PhilHealth coverage, making mandatory enrolment and
31 membership of indigent teenage mothers;
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1 (d) Training, skills development, and support to livelihood programs for the
2 household of the teenage parents especially for the indigents;
3 (e) Continuing CSE for teenage parents;
4 (f) Workshops on couples counselling, parenting, and positive discipline for
5 the impending parents; and
6 (g) Psycho-social support and mental health services for teen mothers.
7 Adolescent mothers and their partners shall be entitled to maternal and
8 paternal leave, respectively, especially if both are employed. Suspension, forced
9 resignation and other discriminatory acts in the workplace against pregnant girls shall
10 be prohibited.
11 The LGUs through the Local Social Welfare and Development (LSWD) and/or
12 the Population Office shall implement a continuing CSE program for teenage mothers
13 and fathers with technical assistance from the Council.
14 Sec. 14. Socid! Protection in Coses o f Sexudi Violence, — Strengthened social
15 protection mechanisms against violence for adolescents, especially for girls, shall be
16 provided. Expectant and current mothers whose pregnancies were the result o f sexual
17 violence shall be given access and support to legal, medical, and psycho-social
18 services. Furthermore, the Council shall reinforce the capacities of health facilities in
19 providing comprehensive care for adolescents in case of sexual violence.
20 Health service provides, particularly the BHWs, other primary health care
21 providers, and local population officers shall be given confidentiality and safeguarding
22 guidelines and tools for spotting sexual exploitation and abuse of adolescents. A
23 referral pathway shall be created by the Council to ensure that identified sexual abuse
24 and exploitation survivors are assisted and properly handled.
25 Sec. 15. Socidi Protection in Coses o f Humonitorion o r Emergency Situotions.
26 “ The local ISDN shall be bolstered in the events of humanitarian crises or emergency
27 situations. The local ISDN shall ensure swift and efficient delivery o f SRH services to
28 vulnerable adolescents and young pregnant girls. Increased vigilance shall be
29 practiced in cases o f gender violence, sexual assault, and exploitation in these
30 situations. All incidence o f the aforementioned situations shall be immediately
31 addressed by the local ISDN through appropriate channels.
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1 Special attention shall be given to young mothers who are at the late stages o f
2 pregnancy in case of (premature) labor. In order to ensure delivery o f SRH of
3 adolescents and adolescent expectant parents, LCDs shall incorporate adolescent SRH
4 specific content and safeguards in their local Disaster Risk Reduction and Management
5 Plans.
6 Sec. 16. Care an d Management fo r First Time Parents. - All pregnant teens,
7 especially the poor and hard-to-reach groups, shall have access to skilled care
8 throughout their pregnancy, delivery, and post-natal periods. SRH providers shall
9 strive to provide as many teenage mothers with their birth plans that details their
10 intended place of childbirth delivery, availability o f transport to these health care
11 institutions, and respective costs. Special attention shall be given to younger pregnant
12 mothers during obstetric care.
13 Workshops, classes, and seminars for first time parents shall be provided with
14 ante- and post-natal education. These classes shall include topics such as, but not
15 limited to: infant feeding and care, positive discipline, responsible parenthood, and
16 safe sex practices. The classes shall be made available free o f charge and at time
17 most convenient for the teen parents.
18 Educational institutions shall be encouraged to develop and establish support
19 mechanisms that will encourage the return o f teen mothers and parents, for instance:
20 in-school day-care and breastfeeding stations.
21 Sec. 17. Encouraging Maie Invoivement. —The Council shall develop programs
22 that will promote male involvement in the prevention of early and unintended
23 pregnancies. These programs shall include topics such as, but not limited to:
24 responsible fatherhood, couples counselling, avoiding gender violence, life skills, and
25 co-parenting strategies. These programs shall emphasize the roles and responsibilities
26 o f being a father and promote their active involvement.
27 These programs shall also serve as an avenue to encourage the uptake of SRH
28 services and information o f boys and young men.
29 Sec. 18. Designating February o f Every Year as the Month fo r Raising Public
30 Awareness on Preventing Teenage Pregnancy a n d Conduct o f Nationwide
31 Communication Campaign. - To raise public consciousness on the issues on teenage
32 pregnancy and generate support from various stakeholders, the entire month of
13
1 February shall be designated as Month for Preventing Teenage Pregnancy, which shaii
2 be observed nationwide. Schoois and other stakeholders shall hold activities with the
3 objective of raising awareness and generate critical actions to address the issues of
4 increasing teenage pregnancy.
5 Further, the Council, in collaboration with relevant agencies including the CSOs
6 and private sector shall develop, launch, and sustain a nationwide campaign for the
7 prevention o f teenage pregnancy.
8 Sec. 19. Integration o f Local Program fo r the Prevention o f Teenage Pregnancy
9 inSKPrograms. - Strategies and programs which aim to prevent incidence o f teenage
10 pregnancies shall be integrated in the SK programs at the local community level using
11 the ten p>ercent (10% ) SK funds. In the absence o f the SK, the Task Force on Youth
12 Development (TFYD) shall undertake the responsibility o f integrating teenage
13 pregnancy prevention programs in the barangay youth council's activities. The Council
14 shall issue guidelines to ensure the implementation o f this provision.
15 The SK/TFYD shall likewise implement programs and activities that aim to
16 develop the pxitentials and skills o f adolescents to make them more productive
17 members o f the society. The topics o f the said programs and activities are inclusive
18 of, but are not limited to: leadership trainings and life skills seminars that can be done
19 together by the teens and their families together. The SK/TFYD shall encourage youth
20 participation in these activities as means o f diverting the focus and potentials of
21 adolescents into more meaningful and productive endeavors.
22 The SK/TFYD shall enlist the support of the local barangay council, the local
23 Council for the Protection o f Children, and the barangay health center to be able to
24 provide a more complete array of services, activities, and programs.
25 Sec. 20. Residential Care Facilities fo r Disadvantaged Women. - The existing
26 residential care facilities for disadvantaged women of the Department o f Social Welfare
27 and Development (DSWD) shall be capacitated to accommodate the needs of pregnant
28 girls. The management of the said facilities shall coordinate with their respective
29 locality's ISDN to provide SRH information and services to their residents.
30 In order to effectively serve their pregnant teen residents, these centers shall
31 employ the following personnel: a case worker, an on-call obstetrician-gynecologist,
32 full-tim e midwife or nurse, and a psychologist.
14
1 I f there is an identified demand and need for a residential care facility to be
2 built and established, the local ISDN shall prioritize the city or municipality with the
3 highest rate o f teen pregnancy.
4 Sec. 21. Creation o f a National Inform ation System on the Prevention o f
5 Teenage Pregnancy. - The Council shall endeavor to create a system that will
6 comprehensively assess and effectively monitor and evaluate the status, success, and
7 efficacy of the National Program o f Action for the Prevention o f Teenage Pregnancy
8 and the NPPTP.
9 The existing Young Adult Fertility and Sexuality Study shall be renamed
10 Adolescent Health and Development Survey and be carried out every four (4) years to
11 conduct surveys and collect age- and gender-disaggregated data. Its topics shall
12 cover a wider range o f topics and indicators extending beyond adolescent sexuality
13 and reproductive health. Its coverage shall include topics such as, but not limited to:
14 education, adolescent health, and labor.
15 Existing surveys such as the National Demographic and Health Survey, Family
16 Health Survey, Family Planning Survey, and Maternal and Child Health Survey shall
17 begin the collection o f data-disaggregated at age 10-14 and include never-married
18 women in data collection in order to have a more accurate picture.
19 Research and data collected from the assessment and evaluation shall be stored
20 in a public database.
21 Sec. 22. Implementation Structure. — A "Teenage Pregnancy Prevention
22 Council" to be integrated as a sub-committee of the National Implementation Team of
23 the Responsible Parenthood and Reproductive Health (RPRH) Law shall be established
24 to be composed o f the following:
25 (a) The Department o f Health (DOH) Secretary as the Chairperson;
26 (b ) The POPCOM Board o f Commissioners Chair as Co-Chairperson;
27 (c) Senior officials, at least Undersecretary level of the National Youth
28 Commission (NYC), DepEd, DSWD, Department o f Interior and Local
29 Government (DILG), CHED, and Technical Education and Skills
30 Development Authority (TESDA) as ex-officio members;
31 (d) Five members appointed by the Chairperson who are persons with
32 knowledge, expertise, accomplishment, and with no less than five-year
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1 experience in the fields o f public health, adolescent rights and social
2 protection, education, psychology, and social welfare: Provided, That
3 one qualified member is appointed is each field: Provided further, That
4 majority of these appointed members are female; and,
5 (e)Tw o representatives o f children and youth appointed by the Council
6 Chairperson from various nationally-represented youth organizations:
7 Provided, That one is male and one is female.
8 The POPCOM shall serve as the secretariat o f the Council.
9 The appointment of members shall be in accordance with the rules and
10 procedures as prescribed by the POPCOM, taking into account the approximate
11 proportion between men and women.
12 The Council shall have the powers and duties as follows:
13 (a) To propose legislative and administrative policies on the prevention of
14 adolescent pregnancy;
15 (b ) To develop operational guidelines for government agencies and private
16 organizations in the development and implementation of comprehensive
17 strategies and programs for prevention and adolescent pregnancy,
18 including sexual violence;
19 (c) To monitor implementation o f the provision o f the law;
20 (d ) To conduct research and generate evidence on the drivers o f teenage
21 pregnancy to inform programs and policies; and,
22 (e ) To provide relevant agencies and private organizations with
23 recommendations and solutions to challenges and gaps in the course of
24 implementing the program.
25 At the national level, the Council agency members shall have the following
26 duties and functions in accordance with their mandates and in relation to the
27 implementation of this Act:
28 (a) The Commission on Population shall:
29 (1) Develop and coordinate with the relevant agencies the NPPTP as
30 part of the national population program;
31 (2) Implement a program for the training o f parents and guardians
32 in effectively guiding adolescents on ASRH issues;
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1 (3) Set-up the National Information System on the Prevention of
2 Teenage Pregnancy that shall be used for plan and program
3 development, and monitoring and evaluation (M&E) o f indicators
4 at all levels;
5 (4) Take the lead in the nationwide and community-based campaign
6 for the prevention of teenage pregnancy, including the
7 development and maintenance o f the web portal for relevant
8 online information and services; and,
9 (5) Serve as the secretariat of the Council.
10 (b ) The DepEd and CHED shall:
11 (1) Ensure the development and promotion of CSE standards and its
12 corresponding learning modules for teachers and students;
13 (2) Ensure the comprehensive training o f all teachers, guidance
14 counsellors, and school administrators on CSE;
15 (3) Lead the delivery and implementation o f CSE in all public and
16 private basic education and tertiary educational institutions, as
17 well as in non-formal educational settings;
18 (4) Ensure the incorporation o f CSE in the module o f 'uture
19 educators; and,
20 (5) Guarantee quality assurance o f educational institutions in terms
21 of CSE delivery compliance through the PASBE accreditation.
22 (c) The DOH shall:
23 (1) Ensure the availability and provision o f ASRH information,
24 services, and commodities in all public and private health
25 facilities;
26 (2) Ensure the training o f health service providers in providing
27 adolescent-friendly and responsive health services; and,
28 (3) Support and provide technical assistance in the capacity building
29 o f existing ISDNs and establishment o f new ISDNs at the local
30 level.
31 (d) The DSWD shall:
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1 (1 ) Take the lead in providing social protection for adolescent
2 parents, especially in cases of sexual violence, abuse, and
3 exploitation;
4 (2) Ensure the provision of social protection for adolescent in
5 humanitarian and/or emergency situations;
6
(3) Equip their existing Distressed Centers for Disadvantages Women
7 with increased capacity to accommodate more residents; and,
8 (4) Promote CSE for adolescents with special needs and in difficult
9 circumstances.
10 (e ) The NYC shall:
11
(1) Ensure the integration of ASRH and CSE promotion in the SK or
12 TFYD and LYDC programs and projects;
13 (2) Capacitate the SK or TFYD and LYDC in the implementation of
14 this Act at the local level;
15
(3) Conduct workshops, classes, and seminars for first time parents,
16
in partnership with DOH, DSWD, and other concerned Council
17 members and relevant agencies.
18 (f) The DILG shall:
19
(1) Ensure the compliance of LCDs in the implementation o f this Act
20
by including the implementation o f ASRH programs as a qualifying
21
requirement of the Seal o f Good Local Governance; and,
22 (2) Assist the local ISDNs through their League of Provinces, League
23
o f Cities, League o f Municipalities and League o f Barangays.
24 (g ) The TESDA shall:
25
(1) Provide social protection to adolescent parents by providing skills
26 training and livelihood support; and,
27
(2) Encourage enrolment in technical-vocational courses for
28
adolescent parents who are not fully equipped to return to in
29 school education.
30 (h ) The CWC shall:
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1 (1) Integrate in its development and strategic frameworks issues and
2 concerns from children-specific to teen pregnancy and ensure the
3 adoption o f such frameworks by the LGUs and other stakeholders;
4 (2) Vigorously advocate for the awareness and prevention of teen
5 pregnancy;
6 (3) Develop, adopt, and implement, in a manner consistent with
7 adolescents' evolving capacities, legislation, policies, and
8 programs that will promote children and adolescent health and
9 development.
10 At the local level, the Provincial Population Office and the Provincial Health
11 Office shall organize and lead the coordination of local ISDNs. The two offices shall
12 headline the implementation of the NPPTP at the local level.
13 The LCD's City or Municipal Population and Health Officers shall become the
14 local ISDN s point person. With assistance from the Council and provincial
15 coordinators, the local SK/TFYD/LYDC, shall adapt the NPPTP to their localities and be
16 responsible for its implementation, monitoring, and evaluation. The LGUs shall enlist
17 the participation o f children, adolescents, and youth-oriented groups as well as CSOs
18 and NGOs as much as possible. Specific strategies shall be designated to reach
19 marginalized and vulnerable adolescent sub-sectors.
20 Sec. 23. Annual Allocations. — All concerned government agencies including
21 the LGUs shall include in their annual budget the necessary funds for strategies and
22 activities within their mandates that are contributory to the implementation of this Act.
23 Agencies and LGUs may also utilize their Gender and Development (GAD) budget in
24 implementing programs and activities to carry out this Act.
25 Sec. 24. Implem enting Rules and Regulations. — Within one hundred twenty
26 (120) days upon the effectivity of this Act, the Council shall be organized to formulate
27 the Implementing Rules and Regulations of this Act.
28 Sec. 25. Reporting Requirements. - Before the end o f April each year, the
29 Council shall submit to the President o f the Philippines and Congress an annual
30 consolidated report, which shall provide a definitive and comprehensive assessment
31 o f the implementation of its programs and those of other government agencies in
32 relation to the implementation of this Act and recommend priorities for executive and
19
1 legislative actions. The report shall be printed and distributed to all national agencies,
2 the LCDs, NGOs and private sector organizations involved in said programs.
3 Sec. 26. Separability Clause. - I f any part, section, or provisions o f this Act is
4 held invalid or unconstitutional, other provisions not affected thereby shall remain in
5 full force and effect.
6 Sec. 27. Repealing Clause. - All other statutes, executive orders, and
7 administrative issuances or rules and regulations contrary to or inconsistent with the
8 provisions of this Act are hereby repealed, amended or modified accordingly.
9 Sec. 28. Effectivity. - This Act shall take effect fifteen (15) days after its
10 publication in at least two (2) newspapers o f general circulation.
11
12 Approved,
20