The role of law in public health: the case of family planning in the Philippines.
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.
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA. mmello@hsph.harvard.edu
Michelle Marie
MM
Mello
Marcus
M
Powlowski
Juan M P
JM
Nañagas
Thomas
T
Bossert
D003267:Contraception; D003466:Cultural Characteristics; D016656:Family Planning Policy / Q000191:economics / Q000331:legislation & jurisprudence*; D005193:Family Planning Services / Q000191:economics / Q000331:legislation & jurisprudence*; D005569:Formularies as Topic; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000191:economics / Q000331:legislation & jurisprudence; D006801:Humans; D010679:Philippines; D015980:Public Health Practice / Q000331:legislation & jurisprudence*