April 20, 2018, 6:04 am
Facebook iconTwitter iconYouTube iconGoogle+ icon
1 Philippine Peso = 0.07053 UAE Dirham
1 Philippine Peso = 1.99923 Albanian Lek
1 Philippine Peso = 0.03418 Neth Antilles Guilder
1 Philippine Peso = 0.38677 Argentine Peso
1 Philippine Peso = 0.02467 Australian Dollar
1 Philippine Peso = 0.03418 Aruba Florin
1 Philippine Peso = 0.03841 Barbados Dollar
1 Philippine Peso = 1.59228 Bangladesh Taka
1 Philippine Peso = 0.03034 Bulgarian Lev
1 Philippine Peso = 0.00724 Bahraini Dinar
1 Philippine Peso = 33.62742 Burundi Franc
1 Philippine Peso = 0.0192 Bermuda Dollar
1 Philippine Peso = 0.02503 Brunei Dollar
1 Philippine Peso = 0.13175 Bolivian Boliviano
1 Philippine Peso = 0.06526 Brazilian Real
1 Philippine Peso = 0.0192 Bahamian Dollar
1 Philippine Peso = 1.26032 Bhutan Ngultrum
1 Philippine Peso = 0.18403 Botswana Pula
1 Philippine Peso = 384.48243 Belarus Ruble
1 Philippine Peso = 0.03837 Belize Dollar
1 Philippine Peso = 0.02421 Canadian Dollar
1 Philippine Peso = 0.01858 Swiss Franc
1 Philippine Peso = 11.41406 Chilean Peso
1 Philippine Peso = 0.12052 Chinese Yuan
1 Philippine Peso = 52.12791 Colombian Peso
1 Philippine Peso = 10.7778 Costa Rica Colon
1 Philippine Peso = 0.0192 Cuban Peso
1 Philippine Peso = 1.71039 Cape Verde Escudo
1 Philippine Peso = 0.39282 Czech Koruna
1 Philippine Peso = 3.39601 Djibouti Franc
1 Philippine Peso = 0.11551 Danish Krone
1 Philippine Peso = 0.94891 Dominican Peso
1 Philippine Peso = 2.1798 Algerian Dinar
1 Philippine Peso = 0.24262 Estonian Kroon
1 Philippine Peso = 0.33916 Egyptian Pound
1 Philippine Peso = 0.52276 Ethiopian Birr
1 Philippine Peso = 0.01551 Euro
1 Philippine Peso = 0.03865 Fiji Dollar
1 Philippine Peso = 0.01348 Falkland Islands Pound
1 Philippine Peso = 0.01349 British Pound
1 Philippine Peso = 0.08525 Ghanaian Cedi
1 Philippine Peso = 0.89975 Gambian Dalasi
1 Philippine Peso = 172.80584 Guinea Franc
1 Philippine Peso = 0.14089 Guatemala Quetzal
1 Philippine Peso = 3.95007 Guyana Dollar
1 Philippine Peso = 0.15072 Hong Kong Dollar
1 Philippine Peso = 0.45249 Honduras Lempira
1 Philippine Peso = 0.11491 Croatian Kuna
1 Philippine Peso = 1.24505 Haiti Gourde
1 Philippine Peso = 4.8093 Hungarian Forint
1 Philippine Peso = 264.60534 Indonesian Rupiah
1 Philippine Peso = 0.06739 Israeli Shekel
1 Philippine Peso = 1.26727 Indian Rupee
1 Philippine Peso = 22.73862 Iraqi Dinar
1 Philippine Peso = 806.60649 Iran Rial
1 Philippine Peso = 1.91031 Iceland Krona
1 Philippine Peso = 2.37565 Jamaican Dollar
1 Philippine Peso = 0.01361 Jordanian Dinar
1 Philippine Peso = 2.06171 Japanese Yen
1 Philippine Peso = 1.92145 Kenyan Shilling
1 Philippine Peso = 1.32194 Kyrgyzstan Som
1 Philippine Peso = 76.97331 Cambodia Riel
1 Philippine Peso = 7.61206 Comoros Franc
1 Philippine Peso = 17.28442 North Korean Won
1 Philippine Peso = 20.40042 Korean Won
1 Philippine Peso = 0.00575 Kuwaiti Dinar
1 Philippine Peso = 0.01575 Cayman Islands Dollar
1 Philippine Peso = 6.25043 Kazakhstan Tenge
1 Philippine Peso = 158.93989 Lao Kip
1 Philippine Peso = 28.9034 Lebanese Pound
1 Philippine Peso = 2.99693 Sri Lanka Rupee
1 Philippine Peso = 2.50451 Liberian Dollar
1 Philippine Peso = 0.22892 Lesotho Loti
1 Philippine Peso = 0.05855 Lithuanian Lita
1 Philippine Peso = 0.01192 Latvian Lat
1 Philippine Peso = 0.02543 Libyan Dinar
1 Philippine Peso = 0.17577 Moroccan Dirham
1 Philippine Peso = 0.31452 Moldovan Leu
1 Philippine Peso = 0.94968 Macedonian Denar
1 Philippine Peso = 25.52333 Myanmar Kyat
1 Philippine Peso = 45.86134 Mongolian Tugrik
1 Philippine Peso = 0.15521 Macau Pataca
1 Philippine Peso = 6.76013 Mauritania Ougulya
1 Philippine Peso = 0.64144 Mauritius Rupee
1 Philippine Peso = 0.29902 Maldives Rufiyaa
1 Philippine Peso = 13.70175 Malawi Kwacha
1 Philippine Peso = 0.35007 Mexican Peso
1 Philippine Peso = 0.07459 Malaysian Ringgit
1 Philippine Peso = 0.22915 Namibian Dollar
1 Philippine Peso = 6.87536 Nigerian Naira
1 Philippine Peso = 0.59554 Nicaragua Cordoba
1 Philippine Peso = 0.14884 Norwegian Krone
1 Philippine Peso = 2.01652 Nepalese Rupee
1 Philippine Peso = 0.02629 New Zealand Dollar
1 Philippine Peso = 0.00739 Omani Rial
1 Philippine Peso = 0.0192 Panama Balboa
1 Philippine Peso = 0.06176 Peruvian Nuevo Sol
1 Philippine Peso = 0.06241 Papua New Guinea Kina
1 Philippine Peso = 1 Philippine Peso
1 Philippine Peso = 2.21836 Pakistani Rupee
1 Philippine Peso = 0.06459 Polish Zloty
1 Philippine Peso = 106.04187 Paraguayan Guarani
1 Philippine Peso = 0.0699 Qatar Rial
1 Philippine Peso = 0.07223 Romanian New Leu
1 Philippine Peso = 1.16816 Russian Rouble
1 Philippine Peso = 16.22066 Rwanda Franc
1 Philippine Peso = 0.07202 Saudi Arabian Riyal
1 Philippine Peso = 0.14768 Solomon Islands Dollar
1 Philippine Peso = 0.25792 Seychelles Rupee
1 Philippine Peso = 0.34667 Sudanese Pound
1 Philippine Peso = 0.161 Swedish Krona
1 Philippine Peso = 0.02513 Singapore Dollar
1 Philippine Peso = 0.01349 St Helena Pound
1 Philippine Peso = 0.42646 Slovak Koruna
1 Philippine Peso = 146.53351 Sierra Leone Leone
1 Philippine Peso = 10.79316 Somali Shilling
1 Philippine Peso = 380.06338 Sao Tome Dobra
1 Philippine Peso = 0.16804 El Salvador Colon
1 Philippine Peso = 9.89015 Syrian Pound
1 Philippine Peso = 0.22917 Swaziland Lilageni
1 Philippine Peso = 0.599 Thai Baht
1 Philippine Peso = 0.04602 Tunisian Dinar
1 Philippine Peso = 0.04292 Tongan paʻanga
1 Philippine Peso = 0.07736 Turkish Lira
1 Philippine Peso = 0.12961 Trinidad Tobago Dollar
1 Philippine Peso = 0.56365 Taiwan Dollar
1 Philippine Peso = 43.7488 Tanzanian Shilling
1 Philippine Peso = 0.50259 Ukraine Hryvnia
1 Philippine Peso = 70.84694 Ugandan Shilling
1 Philippine Peso = 0.0192 United States Dollar
1 Philippine Peso = 0.54158 Uruguayan New Peso
1 Philippine Peso = 154.65719 Uzbekistan Sum
1 Philippine Peso = 1139.831 Venezuelan Bolivar
1 Philippine Peso = 437.43038 Vietnam Dong
1 Philippine Peso = 2.00538 Vanuatu Vatu
1 Philippine Peso = 0.04922 Samoa Tala
1 Philippine Peso = 10.16881 CFA Franc (BEAC)
1 Philippine Peso = 0.05185 East Caribbean Dollar
1 Philippine Peso = 10.16881 CFA Franc (BCEAO)
1 Philippine Peso = 1.83983 Pacific Franc
1 Philippine Peso = 4.79931 Yemen Riyal
1 Philippine Peso = 0.2292 South African Rand
1 Philippine Peso = 99.66391 Zambian Kwacha
1 Philippine Peso = 6.95026 Zimbabwe dollar

Government hospitals fall short of helping abused women, children (1)

BY ARIANNE CHRISTIAN TAPAO
VERA Files

 
One Monday morning in March, a six-year-old girl was brought by her separated parents to the emergency room of the TondoMedical Center (TMC) in Manila.

Anna (not her real name) had faint scratch marks on her chest and back, and bruises on other parts of her body. When she said her father’s live-in partner has been hurting her, she was immediately admitted to the Women and Children Protection Unit (WCPU), where social worker Jovelyn Montesines asked her a few questions, including how the girl got the bruises, the way she does with all other patients.

She documented Anna’s narration on a standard hospital form, called in her parents and lectured them on child protection laws. But Montesines failed to do an all-important thing.

Instead of having a doctor fill out a medico-legal form as per Department of Health (DOH) policy, she ended the interview. She sent Anna home and did not refer her to other hospitals or shelters as she is required to do. 

“I fear when they go home, I don’t know if Anna’s father might hurt her too. I am not sure,” the social worker said, voicing the child’s concern that her father might not believe her claims that the bruises were inflicted by his partner.

Montesines knows what she did was not enough. But this has been the protocol in TMC since 2014. Documenting a patient’s case was the only thing the hospital, which is under the DOH, can do for Anna and so many others like her, at least for now.

Four years after the DOH’s Women and Children Protection Program was implemented, TMC and four of the nine Metro Manila DOH hospitals visited for this report have yet to comply with the minimum standards provided for in Administrative Order 2013-0011 signed in 2013. 

The protection program requires government hospitals under the DOH to set aside a room that will provide a wide range of medical and social services for abused women and children.

Today, WCPUs are beset with inadequate facilities and equipment and a lack of officers with proper training to handle abuse cases or issue medico-legal forms. Several doctors hesitate because of time constraints or fear of appearing in court.

These were the very same problems that hounded the implementation of AO 1-B, a directive issued in 1997 that first created WCPUs and which the 2013 DOH order sought to revamp, said Rizza Pamintuan of the Philippine General Hospital (PGH) Women’s Desk.

The protection units become ever important following the enactment of the 2004 Anti-Violence Against Women and Children law, which mandates the state to address VAWC.

Official 2016data from the Philippine National Police (PNP) show the total number of cases of violence against women, including rape and other related cases, VAWC cases and other forms of harassment against women, have doubled after 2013.

In 2014, there were 49,883 cases nationwide, a 51 percent increase from 25,430 cases in 2013.

AO 2013-0011 provides a manual that classifies these protection units by level and specifies standards each must meet, including personnel, training, research and services. 

A first-level WCPU should be able to give medico-legal forms as evidence should victims decide to file a case in court. A second-level WCPU must have, in addition to these, police officers, mental healthcare officers and 24/7 social work intervention. A third-level WCPU must provide all these, plus give training to other hospitals. 

Officers at the three levels must undergo the DOH’s 4Rs trainings—recognition, reporting, recording and referral of abuse cases, apart from officers being ready to give testimony in court.

Montesines is the lone member of Tondo Medical Center’s WCPU, which became operational in 2014. The hospital immediately assigned her as WCPU coordinator, her very first job at TMC when she joined in August of that year.

She also assists dozens of poor patients who avail themselves of subsidies every day, like discounts in medicines. To help her, other social workers also interview abuse patients per hospital protocol, all without training.

Montesines herself has never attended a 4Rs training. She said the only seminar she went to was an orientation on DOH’s registry system in 2014. Participants were only required to be adept at using a computer.

Without any training, Montesines was clueless on what to do. “It’s different if you have training on patient handling. In-depth work, that’s where we lack,” she said. 

At the Philippine Orthopedic Center (POC), a DOH hospital in Quezon City, no such room exists. “We don’t have a WCPU,” appointed head Dr. Angela Garcia said in April.

The hospital is willing to create one, but she said circumstances would not permit it. A small room intended as WCPU had been turned into a blood bank, as some areas of the hospital emergency room are under construction.

Like Montesines, Garcia said she knows the ideal setup, but the lack of “commitment from people who will handle the unit” has also stalled its creation.

She attended a 4Rs training, but the pediatrician assigned to the WCPU never did, citing various excuses, Garcia said. Three nurses and two social workers supposedly assigned to the WCPU have other roles in the hospital too. Garcia herself is head of two other hospital committees, among others.

In Santa Cruz, Manila, WCPU officers of Dr. Jose Fabella Memorial Hospital and San Lazaro Hospital (SLH), specialized hospitals on maternity and infectious diseases, are also at a loss, fumbling through the positions they were assigned in 2016.

Fabella is one of 79 functioning WCPUs in the PGH-CPU’s 2015 booklet. But WCPU head Dr. Maria Theresa Razo said in an interview the committee was only formed in 2016 with little to start with.

“It’s hard to set ideal WCPUs,” she said. “First, we’d have to request for the materials.”

Dr. Maria Divina Valerio, WCPU head of SLH since December 2015,  said the unit has tallied 22 cases of abused children from 2016 up till March 2017, based on reports of  checkups they have registered at patient admission or referrals from nearby hospitals.

Her office records cases so the abused can avail of the free services like testing for sexually transmitted diseases, she saidin an interview last March.A spacious unit located near the emergency room, complete with exam tables, beds and other equipment, lies idle.

“I don’t do this as a job. I do this as a mission,” said Valerio. “If one way of helping patients is to ease their burden by talking to them, at least we are here. Otherwise, they would not know where to go.”

Fabella and RMC had functional WCPUs once. Fabella’s was located beside the emergency room of the hospital back in 2008, Razo said, but its emergency room needed widening, and the WCPU had been sacrificed.

At the Rizal Medical Center (RMC) in Pasig City, most doctors turn their backs on going to court hearings, said Dr. Nelinda Pangilinan, head of the Obstetrics-Gynecology (OB-Gyn) Department, which supervises the WCPU.

It’s a question of time for RMC doctors. They are reluctant. “We would delegate our time to be witness,” said Pangilinan.

More, the lack of proper training has led doctors to treat victims on condition that they will be admitted only for medical services, said Argent Dulig, resident doctor at RMC.

She once referred a four-year-old sexually abused girl to PNP at Camp Crame when the mother said she was bent on filing cases. “I told them Camp Crame’s women’s desk can assist them better,” Dulig said. “The process would be faster and with proper procedures.”

At TMC in Manila, Montesines is hopeful her office will improve in time. Training will come, she said, but for now they want to focus on creating an official committee. She has been lobbying for it with the chief of the Medical Social Services. “I just don’t know what the status is,” she said.

“There’s no coordination,” Pangilinan added. “The policy had no teeth to force you to follow.”

With WCPUs at TMC and similar hospitals sending cases like Anna home right away instead of to another hospital—even as they give referral forms—it is difficult to find out if the victims ever get the help they need. 

“They come here seeking help, and yet we cannot provide it. Instead of helping the person, maybe we do more damage,” Dulig said.

“It’s hard on our part. Are we really helping them?” Montesines finds herself asking. 

***

This   story is based on the author’s undergraduate thesis  done under the supervision of UP journalism professor Yvonne T. Chua’

*** 

VERA Files is put out by veteran journalists taking a deeper look at current issues. Vera is Latin for “true.
Category: 
Rating: 
No votes yet

Column of the Day

Globe’s nuisance messages

By DAHLI ASPILLERA | April 20,2018
‘Ayala, do something to stop these off-hour sales texts to my mobile!’

Opinion of the Day

Dinapigue on my mind

By JOSE BAYANI BAYLON | April 20, 2018
‘When that happens Dinapigue will be distant no more. Because when opportunities beckon, distance no longer becomes a hindrance.’