Patient’s Bill of Rights & Obligations

1. Right to Appropriate Medical Care & Humane Treatment

 The patient has the right to appropriate health and medical care of good quality.
What if the patient:
 Cannot immediately be given treatment?
 Has to wait for care?
 Emergency?

2. Right to Informed Consent

 Right to clear, truthful and substantial explanation, in a manner and language
understandable to the patient
 Legal age; of sound mind
 courts or any person interested in the welfare of the patient
 3rd party may give consent
 spouse;
 son/daughter of legal age;
 ether parent;
 brother/sister of legal age;
 guardian

3. Right to Privacy & Confidentiality

 PRIVACY must be assured at all stages of his treatment.
 The patient has the right to demand that all information, communication and records
pertaining to his care be treated as CONFIDENTIAL.

4. Right to Information
 All procedures
 Thorough explanation of bill
 Health care requirements following discharge
 Reproduction of expense & medical certificate

5. Right to Choose Healthcare Provider & Facility

 Has the right to discuss his condition with a consultant specialist, at the patient’s request
& expense.
 Right to seek for a second opinion & subsequent opinions

6. Right to Self- determination

 Right to avail of any recommended diagnostic & treatment procedures.
 May make an advance written directive for physicians to administer terminal care when
he/she suffers from the terminal phase of a terminal illness, provided that:
 He is informed of the medical consequences;
 He releases those involved in his care from any obligation relative to the
consequences of his decision;
 His decision will not prejudice public health & safety

7. Right to Religious Belief

 Right to refuse medical treatment or procedures which may be contrary to his
religious beliefs.
 Provided that such a right shall not be imposed by parents upon their children who have
not reached the legal age in a life threatening situation as determined by the attending
physician or the medical director of the facility.

8. Right to Medical Records

 Is entitled to a summary of his medical history and condition
 Right to view the contents of his medical records, with the attending physician explaining
contents
 Shall issue a medical certificate to the patient upon request
 9. Right to Leave
Provided that:
 He/she is informed of the medical consequences of his/her decision
 He/she releases those involved in his/her care from any obligation relative to the
consequences of his decision
 His/her decision will not prejudice public health & safety
 No patient shall be detained against his/her will on the sole basis of his failure to fully
settle his financial obligations

10. Right to Correspondence & to Receive Visitors

 Has the right to communicate with relatives & other persons and to receive visitors
subject to reasonable limits prescribed by the rules & regulations of the health care
institution.
11. Right to Express Grievances
 Has the right to express complaints and grievances about the care & services received
without fear of discrimination or reprisal.
 Such a system shall afford all parties concerned with the opportunity to settle amicably all
grievances.

12. Right to be Informed of his Rights & Obligations as a Patient

 Has the right to be informed of his rights & obligations as a patient.
 It shall be the duty of health care institutions to inform of their rights as well as of the
institution’s rules & regulations that apply to the conduct of the patient while in the care
of such institution.

Reasons for the RPRH Law (Republic Act 10354)

1. RH Situation:
 Maternal Mortality Rate: 162/100,000
 Under-five mortality rate: 42/1000
 (more than 2/3 die before the first birthday) 28 infant deaths/1000 births
 Neonatal Mortality Rate: 13/1000 births
 3 babies born every minute = 180 per hour
 20 teenagers give birth every hour
 15 mothers die every day due to maternal complications, (2-3 of them are 19 years and
below)
 Over 59,135 reported cases of HIV/AIDS since 1984
 1.5 HIV incidence reported every hour
 September 2018 (31.8/day) = 32 new cases of HIV every day
 898 males; 56 females
 800 Men who have sex with men (MSM) transmission (563 male-male)
 9 (8 males) Intravenous drug use (133 since Jan ‘18
Age: Below 15: 7 10 – 19: 34 954 new
15-24: 271 Range: 2 – 67 8,533
25-34: 492 Median Age: 28 since January 2018
35-49: 170

2. MISCONCEPTIONS
 Adolescents know that unprotected sex may result in pregnancy or STI’s but 8 in 10 think
that they will not get pregnant in their first sex.
 Biggest misconception is that Reproductive Health is Family Planning!

BENEFITS:
 Improved access to RH Services
 Enhanced Service Delivery Network (SDN)
 Provision of mobile health clinics in geographically isolated and depressed areas or GIDAs
 Improved Phil Health coverage of RH services
 Ensured supply of RH commodities
 Hiring and training of skilled health professionals
 Participation of the Private Sector, Academe, Basic Sector and CSOs in the SDN
  Continuous monitoring and review of programs

2. Enhanced access to information

 Strengthening of informed choice and voluntarism leading to an understanding of the full
range of RH services
 of Human Development
 Availability of RP and RH information through health promotion and communication
campaigns and consultation with providers
 Development of age- and development- appropriate education

We need to promote the RPRH Law to:

 Correct misconceptions and myths
 Implement the law and improve the reproductive health status of Filipinos
 Help create and respond to the demand for RH services.

Adolescence 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 (of
people between the ages of 10 and 19.)
 Adolescence as a Crucial Phase
 Menarche and Thelarche
 Wet dreams and Low pitch voice
 Growth spurt - Pubarche - Pimples

Ano naman ang ine-emote mo?

Concious na sa porma Grooming & personal hygiene
Mga emotera at emotero Mood swings
Nag-iisip din kung may time Anxiety on an uncertain future
In na in; feeling sikat Sense of belonging
Ano ISYU mo?
Batang yagit! Poverty
Tama na yan… Violence
Ako, lagi na lang ako… Gender stereotyping
Adik lang sa gadget Cellphones & Computers
Trip-trip lang Adventures
Don’t be a maybe  Smoking
SMB, GrandMa o Empi light  Alcohol
Ano’ng tinira mo?  Prohibited drugs
Sariling sikap  Masturbation
Virgin ka pa? Hindi nga? Coital debut
Walang forever! Lovelife

Ano ang SEX? = Sex is the act itself. Sex is being male or female.
What defines sex? = Chromosomal - Genital - Hormonal - Surgic
Ano ang GENDER? = Gender is the masculinity and femininity of an individual.
Gender is culture specific. Lalaki - Babai - Bading - Lesbian - Silahis

Sexual orientation is determined by the object of one’s primary sexual arousal:

1. Heterosexual is attracted to the opposite sex
2. Homosexual is attracted to the same sex
3. Bisexual is attracted to both sexes
4. Sexual identity is the public representation of sensual aims and objectives that are
integrated into the personality. It is in social relations that individual feelings become
meaningful and identity is made possible.
5. Sexual behavior refers to actions that are observable: what people do sexually with others
or with themselves and how they present themselves sexually in the way they act and
talk.
 6. Sexuality is the physical capacity for sexual arousal and pleasure as well as personalized
and shared social meanings attached to sexual behavior and the formation of sexual and
gender identities.

*Humans are sociological beings.

Understanding Adolescent Sexuality Problems
 On pre-marital sex and pregnancy
 1 out of 3 Filipino youngsters thinks that it is alright to have sex before marriage
 Almost half of the Filipino youth were unaware that pregnancy is possible after coital
debut
 80% of young females do not know the fertile period of their menstrual cycle
 Some adolescents may use supposed methods for contraception: withdrawal, douching,
rhythm, calendar, and ‘hoping’

ANO ANG NANGYAYARI?

 6.2 M Filipino youth are involved in pre-marital sex
 78% unprotected
 Casual sex: 7.3%
 MSM: 5.3% of male youth
 Extra-marital affairs: 3.1% of married youth

Commercial sex:
 Youth who paid: 1.4%
 Youth who are paid: 1.5%
 Friends with benefits: 3.5% (800,000)
 Females 15-19 yrs: 11% are mothers (1.4M)
Pornography:
 Videos/movies: 56.5%
 Reading materials: 35.6%
 Website: 15.5%
 1 in 4: received sex video on cellphone
 1 in 100: record having sex (150,000)
 4 in 100: have sex with someone they met online
 6 in 100: have SOP

Females 15-19 yrs: 11% are mothers (1.4M)

Pornography:
 Videos/movies: 56.5%
 Reading materials: 35.6%
 Website: 15.5%
 1 in 4: received sex video on cellphone
 1 in 100: record having sex (150,000)
 4 in 100: have sex with someone they met online
 6 in 100: have SOPSeptember 2018: 954 HIV/AIDS Cases (31.8/day)
 936 (sexual contact) + 9 (IV drug use)

September 2018: 954 HIV/AIDS Cases (31.8/day)

936 (sexual contact) + 9 (IV drug use) 33 cases new cases
10-19 yrs old: 34 cases (57 last month)
Sexual contact: 34 cases
 3 male-female
 26 male-male
 5 both male and female
Bakit nangyayari?
 Changes brought by hormones during adolescence stage
 The peer group is very significant in the adolescent’s life
 Hormonal Changes (The Peer Group ), Sexual feelings, sexual attractions, sexual intimacy
(Peer Pressure)
 Unprotected Sex (Peer Acceptance/Rejection)