Can new law help tackle PH teen pregnancy emergency?
CHANGING VIEWS ON TEEN PARENTS A teenage mother takes a break with her child outside a forum on teenage pregnancies organized by the Quezon City government in 2022. Around 300 parents, mostly women 19 years of age and younger, joined that gathering. —LYN RILLON
MANILA—A new bill that could be a game changer in the battle against teen pregnancies in the Philippines is inching through Congress, with activists hoping it could galvanize a wider campaign to tackle this “national social emergency.”
The Adolescent Pregnancy Prevention Bill, which was passed by the House in September and has moved to the Senate, aims to expand access to sexual and reproductive health services, like contraception, in this mainly Catholic country where early pregnancies, even among girls as young as 10, are rife and where the age of consent was only raised from 12 to 16 last year.
The Philippine Legislators’ Committee on Population and Development, one of the groups campaigning for the bill, said it was only two steps away from a vote in the Senate.
“We are hopeful that the senators will find the time to deliberate on the measure and see not only the bill’s merit … but also its urgency,” Rom Dongeto, the group’s executive director, said in a statement.
Discordance
“This is a critical issue that Filipinos deeply care about, and expressing unified support will emphasize its significance and urge swift action for its passage,” he said.
If the bill is passed, it would end the contradiction inherent in the fact that the legal age of consent for sexual relations is 16 but that written parental consent is needed for children aged under 18 to access contraceptives.
This discordance, a lack of sufficient information on sexual and reproductive health, and the silencing effect of social stigma have fused to foster high rates of teenage pregnancies, health experts say.
“When girls are already sexually active, abstinence is not enough. They need to have access to contraceptives, which is another legal barrier in the country,” said Leila Joudane, United Nations Population Fund (UNFPA) Philippines representative.
“This is why I’m happy to see in the Senate and the House, there is the adolescent pregnancy prevention bill that is now being discussed, so that adolescents can have access to contraception, at least when they are 15 and over,” she told Thomson Reuters Foundation.
The bill recognizes the “evolving capacities of children” to make their own informed decisions when it comes to their health and sexuality.
It calls for children 15 and under, who are sexually active or pregnant or who have begun childbearing, to have full access to reproductive health services without parental consent. All boys and girls from 15 to 18 should also be allowed the same, it says.
‘Vicious cycle’
In 2019, the government declared pregnancies among 10- to 14-year-olds a national social emergency. The following year, UNFPA quoted World Bank data showing that the Philippines had 47 births annually per 1,000 women age 15 to 19, equating to more than 500 Filipino adolescent girls getting pregnant and giving birth every day.
And although there was a drop in teenage pregnancy among girls in that age group, from 8.6 percent in 2017 to 5.4 percent last year, Joudane says early childbearing is a “vicious cycle” and the issue is far from being resolved, with rates remaining stubbornly high among girls age 10 to 14.
The costs of teen pregnancies, in a country where around 30 percent of the population is under 15 and where recent estimates say one in six girls gets married before she is 18, ripple out from the individual to affect communities and the economy as well.
That’s why its supporters say the bill is important.
“It will save young girls from the clutches of maternal death, unemployment, poverty, improve their future and reinforce their self-esteem,” Edcel Lagman, one of the authors of the bill, said in a statement after it was passed by the House.
Predictor of poverty
Lagman had said that early pregnancy is one of the most reliable predictors of future poverty. This is because girls who become pregnant often fail to finish basic education and become economically vulnerable, entrenching intergenerational poverty.
“If we are to truly to uplift the lives of women, we must start by improving the future of young girls,” he said after the vote.
The estimated net effect of early childbearing, taking into account lost opportunities and foregone earnings, is around P33 billion annually, according to a 2016 study commissioned by UNFPA.
Adolescent pregnancy is also a major reason why the Philippines’ female labor force rate is one of the lowest in Southeast Asia.
The 2016 UNFPA study also found that only 65 percent of girls who begin childbearing early are expected to complete high school, and this represents a further loss of earnings as girls who finish high school are likely to earn P300 more per day.
Joudane said early childbearing increases the rate of maternal mortality and affects girls’ access to education, opportunities to be productive and future life choices.
There are also health risks which can be particularly debilitating for younger girls. These could include anemia, sexually transmitted infections, postpartum hemorrhage and poor mental health outcomes like depression.
The bill may help turn the tide against teen pregnancies, but activists acknowledge the challenge goes deeper.
Mindset is key
Changing mindsets will also be critical, as will expanding access to adolescent-friendly sexual health services.
“We need to address social norms and the legal barriers to sexual reproductive health services, and family planning programs need to be accessible and available everywhere,” Joudane said.
“For the 10 to 14 (year-olds), we need to educate parents so that they can give consent to girls to access contraceptives. It’s important to work on social norms and also the legal barriers.”
Last year UNFPA, which wants to see zero teenage pregnancies by 2030, launched a $1-million campaign alongside the Department of Health (DOH), World Health Organization and Korea International Cooperation Agency to support health workers.
The project is designed to help 275,000 adolescents in 20 towns in Samar and Southern Leyte—two poor and typhoon-prone provinces in the Eastern Visayas.
‘Friendly’ facility
That region has one of the highest teenage pregnancy rates in the country, with girls as young as 12 and 13 getting pregnant.
Eva Estonillo, a midwife and planning officer on adolescent health in the municipality of Marabut in Samar, helped turn her health unit into what the DOH calls an “adolescent-friendly facility,” offering peer consultations and information on maternal care and family planning.
“Before our facility became adolescent-friendly, young people would often shy away from seeking help, or they would be sent away by rural health staff,” she said. “Because adolescents are now encouraged to seek help from our facility, I noticed that more teen mothers have become interested in our family planning services.”
This too is important as many teens have a rapid series of pregnancies after an early first birth.
Priority
The availability of such services could benefit people like Sandra, a resident of Marabut, who had her first child in July last year.
“I want to go back to school to finish my studies for my baby’s future, but right now it’s difficult to do,” said the 18-year-old, who asked not to be identified by her real name due to fears about stigma.
READ: Numbers fall but PH teen pregnancies persist, mirror economic, learning gaps
Joudane is encouraged by efforts to tackle teen pregnancy but said this focus needs to be maintained.
“The issue still needs to be a priority for all of us. It will continue to affect the life of girls in the Philippines,” she said. “It will continue to affect the economy of the Philippines, and the cycle of poverty will continue.” —CONTRIBUTED
