Professional Documents
Culture Documents
I. Rationale
About 28% of the country’s population are young people aged 10-24 years old.
According to the United Nations, the number of youth is projected to grow 7% by 2030.
Increase in the population of young people are due to several factors and comes with
various effects.
The Young Adult Fertility and Sexuality Study (YAFSS) 4 reveals that there is an
increasing proportion of adolescents who engage in early sexual encounters resulting in
teenage pregnancy of 1 out of 10 adolescents aged 15-19 years old (NDHS,2017).
Unplanned pregnancies may be attributed as well to sexual exploitation and early
marriages - the pandemic making the projections higher.
With the rise of sexual encounters among the adolescents, the Department of
Health (DOH) reported that 29% of the HIV cases in March 2020 are below 24 years
old. In Asia and the Pacific, the Philippines have the fastest growing number of
HIV/AIDS cases with 31 newly diagnosed cases per day.
Under the Republic Act 10354 or the Responsible Parenthood and Reproductive
Health (RPRH) Law of 2012 and its Implementing Rules and Regulations (IRR), the
Department is mandated to give adolescents age-appropriate reproductive health
education for their safety and well-being and in addition, to offer counseling and
psychosocial support services, and facilities for information on the prevention of risky
behaviors including addiction, prevention and diagnosis of and proper management and
treatment of STIs; and information and referral to service providers on all RPRH
concerns. The Department of Education, in response, issued Department Order 31 s.
2018 entitled Policy and Guidelines on Comprehensive Sexuality Education to integrate
key concepts of reproductive health in the curriculum of Kindergarten to Grade 12.
Basic medical assessments and health education activities have also been conducted in
schools through the Department Order 28, s. 2018 or the Oplan Kalusugan sa DepEd
program.
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II. Scope
This policy shall apply to all learners of public and private elementary and junior
and senior high schools, learning centers for Special Education and Alternative
Learning Systems and laboratory schools of State Universities and Colleges (SUCs)
and Local Universities and Colleges (LUCs) except when certain provisions are
applicable only to public schools.
For the purpose of this Order, the following terms are defined:
a. Adolescents refers to young people between the ages of ten (10) to nineteen (19)
years who are in transition from childhood to adulthood. (RA 10354: RPRH Law)
c. Child Abuse refers to the maltreatment of the child whether habitual or not, which
includes any of the following:
e. Life Skills are adaptive and positive behavior that enables individuals to deal
effectively with the demands and challenges of everyday life such as decision
making, goal setting, and communication skills (WHO).
f. Reproductive Health refers to the state of complete physical, mental and social
well-being and not merely the absence of disease or infirmity, in all matters relating to
the reproductive system and to its functions and processes (RA 10354: RPRH Law).
g. Service Delivery Network (SDN) refers to the network of health facilities and
providers within the province- or city-wide health systems, offering a core package of
health care services in an integrated and coordinated manner. This is similar to the
local health referral system as identified in the Local Government Code (RA 10354:
RPRH Law).
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h. Sexually Transmitted Infection (STI) refers to any infection that may be acquired or
passed through sexual contact. This type of infection may also be transmitted through
the use of IV (sharing of intravenous drug needles, contaminated drug transfusions,
among others), or vertically during childbirth and breastfeeding (RA 10354: RPRH Law).
j. Peer Facilitators are trained learners who support and encourage other learners to
understand adolescent health concerns including child rights, responsibilities, values
and life skills.
k. Peer Navigators are learners who link their peers to the needed health services. They
assist their peers in accessing services through supportive communication to facilitate
the first consultation, compliance to recommendations and follow-up care. They are
expected to be knowledgeable on the provisions of the referral network and have
access to communication lines within the network. Peer navigators provide support
without judgement and with respect to their peers’ right to privacy and confidentiality
This DepEd Order sets the guidelines for the implementation of the ARH Program of the
Department following principles under the Convention on the Rights of the Child (CRC)
in relation to sexual and reproductive health (UNFPA, 2009).
● The right to the highest attainable standard of health, Including the right to
reproductive health.
● The right to impart and receive information and the right to education, Including
complete and correct information about SRH.
● The right to confidentiality and privacy, Including the right to obtain RH services
without consent of a parent, spouse or guardian.
● The right to be free from harmful traditional practices, Including female genital
cutting and forced early marriage.
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● The right to be free from all forms of physical and mental abuse and all forms of
sexual exploitation, Including sexual violence, domestic violence and sexual
exploitation.
● The right to equality and non-discrimination, Including the right to access RH
services, regardless of age or marital status and without consent of parent,
guardian or spouse.
● The right to participate. Including the right to express views and participate on
matters related to SRH .
● All actions taken should be in the best interest of the child.
The right to reproductive health includes the right to complete physical, mental and
social well-being and not merely the absence of disease or infirmity, in all matters
relating to the reproductive system and to its functions and processes. Strategies for
service delivery focuses on positive development which are to build socio-emotional and
life skills, promote positive behavior, engage in civil society and enhance one’s
wellbeing for personal, community and economic development.
Specific Objectives:
1. Ensure safe spaces for adolescents in schools and the provision of basic
adolescent health services.
2. Capacitate Guidance Counselors, Guidance teachers, ARH Focal Persons, and
other health and teaching personnel in handling various adolescent health
concerns.
3. Ensure implementation of promotive and preventive programs and activities that
will develop positive behaviors and capacity to make informed choices in
reproductive health.
4. Strengthen system for recording, reporting, and analysis in relation to sexual and
reproductive health concerns, including but not limited to teenage pregnancy,
sexually transmitted infections, HIV/AIDS, child abuse and gender based-
violence particularly sexual abuse and exploitation, for effective planning,
implementation, monitoring and evaluation of programs.
5. Engage public and private partners, and local communities for program
implementation and sustainability.
6. Allocate funds for the delivery of ARH programs and projects.
V. Activities
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1.1.4.2. Prenatal/Ante natal care
1.1.4.3. Post-partum care
1.1.4.4. Infant and child care
1.1.5. Teen parent support
1.1.6. HIV/AIDS and other Sexually Transmitted Infections (STIs)
1.1.7. Protection against child abuse and Gender-based Violence
1.1.7.1. Psycho-social support
1.1.7.2. Medical assessment
1.1.7.3. Legal concerns
1.1.7.4. Temporary shelter
3. Adolescent friendly services outside the school premises shall be identified. The list
shall include service providers willing to be part of the SDN and agree to a MOU
including:
4. The services offered by the school and the list and contact details of the service
providers who are part of the SDN, shall be made available through postings in the
school grounds and in online platforms accessible to the school community.
4. A telephone, mobile and online helpline shall be made available for each school. It
shall be manned by designated personnel, peer facilitators or SDN partners trained
on ADEPT, Basic First Aid and Psychological First Aid, and with up-to-date
information on the service providers for case management and referrals. Recorded
details of the calls and messages received shall be analyzed over time and used for
program planning.
1. Basic reproductive health care services such as sexual and reproductive health
(SRH) assessment and counselling, menstrual hygiene services, nutrition
supplementation and vaccinations, psychological first aid (PFA) for victims of abuse
and gender-based violence and referral to Adolescent Friendly Health Facilities,
shall be made available in schools.
2. During disasters and public health emergencies, ensure delivery of ARH services
including advocacy campaigns on sexual and reproductive health rights, child safety
and well-being, Rapid Psychosocial Assessment, Mental Health and Psychosocial
Support, health counseling, and referral using applicable modalities. Menstrual
hygiene kits, HPV and MRTd vaccinations, iron and folic acid, and deworming
tablets shall be made available.
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3. The conduct of Psychosocial Screening shall be through a localized psycho-social
assessment tool that shall be administered to the learners using the following
methods, as applicable.
● Self-administered questionnaire via printed forms or via secured online forms for
each school, given at the beginning and at the end of the school year; and
● Interview of a trained personnel as scheduled by the SDN.
3. Adolescents shall be provided with proper venues, for each governance level, to
raise their concerns or support prior to the issuance of policies, activities, and its
respective monitoring and evaluation. Supreme Student Government
representatives shall be part of at least one consultative meeting. Learner comments
and recommendations shall be gathered through survey conducted prior to the
release of a DepEd issuance.
1. Teaching and learning resources for the ARH, complementary to the standards of
comprehensive sexuality education (CSE) shall be developed using up-to-date
information from trusted learning resources. Pertinent materials shall be uploaded in
official learning platforms online, posted in strategic locations in the schools and
shall used in the education and promotional school campaigns.
2. Sexual and reproductive health education and promotion activities in schools shall
be conducted throughout the school year. These may be in the form of seminars,
symposiums, fora, webinars, film showings, contests regarding SRH, school
conferences, workshops and trainings for learners, school personnel and parents or
legal custodians.
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2.1. Recommended Oplan Kalusugan sa DepEd (OKD) One Health Week Activities
for ARH education and promotion, conducted within the first quarter of the school-
year are:
2.1.1. Conduct of Rapid Psycho-social Assessment (baseline)
2.1.2. Set-up of stations to deliver services based on HEEADSSS
2.1.3. Learning booths for sexual and reproductive health
2.1.4. Parenting Seminar
2.1.5. Others, based on school and community priorities
5. To ensure the standards and quality of messages in the delivery of ARH education
and promotion activities, DepEd and other relevant stakeholders shall refer to the
Comprehensive Sexuality Education (CSE) Framework in DepEd Order no. 31,
series of 2018 and CSE Standards for the Philippines (refer to Annex 1).
D. Capacity Building
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Implementing guidelines for the systems identified in this policy shall be released
accordingly. As such, program implementation shall follow the roadmap enclosed (refer
to Annex 2).
1. The DepEd, together with government and non-government partners, shall form the
ARH Technical Working Group.
2. Through a collaborative planning workshop, the TWG shall map available resources
and discuss the needs of specific regions in the implementation of the program.
Prioritization of LGU sites shall be based on the following:
a. High unmet need and burden of teenage pregnancy
b. School leadership and management capacity
c. Presence of facilities that provide ARH Services
d. Government Commitment
e. Presence of private sector support
Schools shall establish a support system for the implementation of the program.
It shall include mechanisms for the activities stated in Section V of this Policy. Other
identified needs of the localities, in relation to SRH services in schools, shall be
addressed by the ARH Technical Working Group.
Delivery of ARH services shall follow the systems placed. Monitoring and
evaluation activities shall be conducted every school year for policy review and program
planning.
The ARH Program shall involve different offices for the effective and efficient services.
As such, subgroup of the Oplan Kalusugan Technical Working Group (TWG) shall be
created, namely ARH TWG, for each governance level covering different services.
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Central Office
i. harmonizing key messages of the CSE with other programs and learning
materials which shall be updated periodically;
ii. developing age, developmentally and culturally-appropriate reproductive health
learning materials complementary to CSE;
iii. ensuring access to reproductive health learning resources and information
materials on adolescent friendly service providers;
iv. designing capacity building programs for effective service delivery;
v. delivery of health, child protection, gender and development, and other
services for learner well-being;
vi. setting guidelines for reproductive health education and services during
disasters and public health emergencies;
vii. creating partnerships to address continuous learner education with concerns
such as early pregnancy, gender-based violence and HIV/AIDS or sexually
transmitted diseases to provide appropriate interventions;
viii. conducting health promotion advocacies to teachers, parents and students
utilizing various platforms;
ix. Provide technical assistance to field implementers;
x. conducting regular monitoring and evaluation activities for the program;
xi. ensure adolescent participation in crafting program plans and activities; and
xii. allocating funds for the program.
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Regional Offices
Composition
ARH Focal Person (Lead Implementer)
Child Protection Coordinator
Gender and Development Focal Person
Comprehensive Sexuality Education Focal Person
Youth Formation Coordinator
Guidance and Counselling Focal Person
IPEd Coordinator
ALS Coordinator
Partnership Coordinator
Representative from Field Technical Assistance Division
Representative from Quality Assurance Division
Representative from the Policy, Planning and Research Division
Partner Agencies / Organizations
1. The Schools Division Offices shall create the SDO ARH TWG.
Composition
ARH Focal Person (Lead Implementer)
CSE Focal Person
Child Protection Coordinator
GAD Focal Person
ALS Focal Person
IPEd Focal Person
Youth Formation Coordinator
Guidance and Counselling Focal Person
Student Government Representative
Representative from the Social Mobilization and Networking Section
Partner Agencies / Organizations
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d. Issue contextualized policies for the implementation of the program.
e. Engage other partners and stakeholders in the delivery of services.
f. Conduct capacity building activities to schools.
g. Provide technical assistance to schools.
h. Conduct monitoring and evaluation activities.
i. Consolidate and analyze data for program planning.
j. Design strategies to address risks of adolescents in the area.
k. Incorporate the ARH activities in the Work and Financial Plan
l. Utilize resources, as appropriate, in line with agreements made with partners.
m. Provide feedback to the Regional TWG.
Schools
1.The Schools shall create a School ARH TWG. In addition, a student-led ARH TWG
shall be formed.
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c. Engage with SDN members to assist in service delivery.
d. Utilize resources as appropriate, in line with agreements made with partners
e. Review and assess program implementation.
f. Provide feedback to the School TWG.
The monitoring and evaluation shall assess the processes of the implementation of the
program. Indicators shall be set to measure program effectivity. Identification of gaps
and opportunities for development shall be identified.
The ARH Technical Working Groups shall do the monitoring and evaluation using a
standardized monitoring tool. The ARH Focal Person shall comply with all the reporting
requirements as prescribed by the Central Office and partner agencies. Quarterly TWG
meetings shall be conducted for progress monitoring and appropriate escalation of
issues and concerns in the program implementation.
Medical confidentiality and data privacy shall be ensured in service delivery, recording
and reporting and monitoring and evaluation activities.
IX. Prohibitions
Violations for the partnership and related guidelines shall fall under the scope of
DepEd Order No. 49, s. 2006 or the Revised Rules of Procedures in Administrative
Cases.
X. Funding
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The BLSS-School Health Division shall allocate funds for the conduct of ARH activities
in ROs, SDOs and schools
For fund augmentation and sustainable implementation of the program, funding may be
sourced from the Maintenance and Other Operating Expenses (MOOE), Gender and
Development (GAD) Fund, Special Education Fund (SEF), and other sources. A
provision for funding shall be clearly stated in the Memorandum of Agreement (MOA) or
Memorandum of Understanding (MOU) with partners.
If for any reason, any portion or provision of this Order is declared unconstitutional,
other parts or provisions hereof which are not affected thereby, shall continue to be in
effect.
All prior orders, rules and regulations, part or parts thereof, inconsistent with the
provision of this Order are hereby repealed or modified accordingly.
XIII. References
UN Commission on Human Rights, Convention on the Rights of the Child., 7 March 1990,
E/CN.4/RES/1990/74, Accessed through:
https://www.refworld.org/docid/3b00f03d30.html [accessed 6 November 2020]
Revised Implementing Rules and Regulations for RA 10354: The Responsible Parenthood
and Reproductive Health Act of 2012.
XIII. Attachments
1. Comprehensive Sexuality Standards for the Philippines
2. Roadmap
End.
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