Mello Michelle Marie, Powlowski Marcus, Nañagas Juan M P, Bossert Thomas
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA.
Soc Sci Med. 2006 Jul;63(2):384-96. doi: 10.1016/j.socscimed.2006.01.010. Epub 2006 Feb 20.
Compared to neighboring countries, the Philippines has high fertility rates and a low prevalence of modern-method contraception use. The Philippine government faces political and cultural barriers to addressing family planning needs, but also legal barriers erected by its own policies. We conducted a review of laws and policies relating to family planning in the Philippines in order to examine how the law may facilitate or constrain service provision. The methodology consisted of three phases. First, we collected and analyzed laws and regulations relating to the delivery of family planning services. Second, we conducted a qualitative interview study. Third, we synthesized findings to formulate policy recommendations. We present a conceptual model for understanding the impact of law on public health and discuss findings in relation to the roles of health care provider regulation, drug regulation, tax law, trade policies, insurance law, and other laws on access to modern-method contraceptives.
与邻国相比，菲律宾生育率高，现代避孕方法的使用率低。菲律宾政府在满足计划生育需求方面面临政治和文化障碍，同时也面临自身政策设置的法律障碍。我们对菲律宾与计划生育相关的法律和政策进行了审查，以研究法律如何促进或限制服务提供。方法包括三个阶段。首先，我们收集并分析了与提供计划生育服务相关的法律法规。其次，我们进行了定性访谈研究。第三，我们综合研究结果以制定政策建议。我们提出了一个理解法律对公共卫生影响的概念模型，并讨论了与医疗保健提供者监管、药品监管、税法、贸易政策、保险法以及其他法律在获取现代避孕方法方面的作用相关的研究结果。
