= The SIBOL Framework ne
on Women’s Reproductive Heolth and Rights
Sexuolity and Violence Against Women
Published by the
Women’s Education, Development, Productivity
and Research Organization (WEDPRO), Inc.
for the
Sama-samang Inisyatiba ng Kababaihan
sa Pagbabago ng Batas at Lipunan (SIBOL)
‘supported by
United Nations Fund for Population Activities (UNFPA)“Over the years and in shifing coalitions, Marxists, Cetholics, Western liberals,
Reagan conservatives and many others have locked horns over the answer fo,
these questions, But whoever has prevailed at any one time and in any one
place, the resultant policies have too often continued fo leave women withou! any
say, even about matters that affect their lives as intimately and powerfully as
sexuality and procreation.” [Sen ef al, 1994]
mse cognizance of the “third world” situation of the Philippines
and reflecting on the poor communities of women to whom the
coalition members direct their programs and services, SIBOL has
agreed to utilize womens health as a conceptual framework, asserting
that the reproductive health framework is too limited, as it narrows
down women as reproducers within the context of the domestic / pri-
vate sphere. The reproductive health framework also strongly posits
women as mothers, and therefore
Section eS
glosses over the many realities of SIBOL’S CONCEPTUAL
women. In this process, it further FRAMEWORK ON
marginalizes women in terms of their
sexuality and the myriad possibilities WOMEN’S HEALTH
that women can potentially aspire to.
‘A women’s health framework looks
at health from a woman-centered and
gender fair perspective, i.e. that women 2
and men have power differentials in
nearly all spheres oflife—socio-cultural,
political and economic. tt considers
health a women’s human rights issue. It
AY A
utilizes a life cycle approach, ie. that ad,
women face health concerns at different =|
stages of their lives —from childhood to
adulthood to their mature years. It pro-
motes empowerment in the context of
development, ic. a context within the TZ
development agenda ofthe State and the
limitations that such an agenda pro-
motes. This strategic empowerment ad-
dresses as well the need for ajust and humane society where genuine
partnership between women and men are exercised and guaranteed
byallinstitutions,and subscribed to by all its citizens.
The following discussions, while divided into subtopics, necessar-
ily overlap in many instances. Any discussion on women's health and
rights, reproductive health, sexuality and violence against women, from
a feminist or pro-women perspective, presupposes the dynamic link-
ages among these issues, and while an attempt to separate them in
this instance is made, this is more an attempt towards hopefully sharp-
Ns
21ening our analytical framework on each item, while at the same time,
making the concrete links among them. Undoubtedly, this is a difficult
task, but nevertheless necessary towards achieving some basic unities
towards future actions, particularly in the area of agenda setting for
legislative advocacy.
DEFINITIONS AND CONCEPTS
One of the confusing elements in the discussion on women's health is
the tendency to use the terms interchangeably. Such a tendency actu-
ally comes from a host of reasons, one of which can be attributed to a
tactical need to raise controversial issues, such as abortion, without
the risk of identifying oneself with a stance, especially perhaps with
the pro-choice in a hostile environment. The other possible reason is
the lack of a deeper understanding of the conceptual and historical
differences of the terms, such as reproductive health, women's health,
reproductive rights.
The recently concluded Consultative Fora Il sponsored by the In-
stitute for Social Studies and Action (ISSA) for SIBOL gave a clear in-
dication of such a confusion, The commonplace but narrowed down
understanding of reproductive health as merely addressing fertility
management, or the biased perception that reproductive health and
rights actually refer to or promotes a pro-abortion stance, emanate
from the historical roots of the advocacy of Filipino feminists and health
activists around the issues of population policies and what could have
beena pro-choice constitution of the land. It was with the direct inter-
actions of the women’s movements all over the world and especially
those women from countries in the South, that the clarity began to be
made by the women themselves, and from there brought on to bear on
the mainstream discourse. Increasing debates and a growing body of
research in the country have marked the importance as well as the
need to broaden the meaning of ‘reproduction! and including such is-
sues as reproductive tract infections/sexually transmitted diseases, ado-
lescent sexuality, violence against women, along with the traditional
nuances given to reproduction. (Rivera et al,, 1997]
Since the 1970s and especially in the 1980s, the concept of repro-
ductive health was broadened by no less than women themselves in
various parts of the world who had organized themselves to exchange
experiences and to understand women’s concerns around the issues of
population and development. As one study pointed out, “the picture of
the health situation and reproductive rights of women in the Philip-
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