Philippine National AIDS Council, 5th AIDS Medium Term Plan, Philippine Strategic Plan on HIV ...

98 Pages·2011·3.1 MB·English

5th AIDS Medium Term Plan (2011- 2016)
The Philippine Strategic Plan on HIV and AIDS

Draft as of April 12, 2011
th
5 AIDS Medium Term Plan
2011-2016 Philippine Strategic Plan on HIV and AIDS
5th AIDS Medium Term Plan (2011- 2016)
The Philippine Strategic Plan on HIV and AIDS
TABLE OF CONTENTS
PART TITLE PAGE
FOREWORD 5
CONTRIBUTORS AND RESOURCE PERSONS 6
PNAC MEMBERS 8
ABBREVATIONS AND ACRONYMS 9
EXECUTIVE SUMMARY 10
INTRODUCTION 11
- Development of the 5th AIDS Medium Term Plan
- Purpose of This Document
PART I SITUATIONER 17
- HIV and AIDS as a bio-medical issue
- HIV and AIDS as a development and governance issue
- Current Epidemiological Profile
- Risks and Vulnerabilities
- National and Local Responses, including Policy Environment and
Institutional Responses
a. National Response
b. The Local Responses
PART II 5TH AIDS MEDIUM TERM PLAN (2011-2016) 27
The Strategic Plan for 2011-2016
a. Vision
b. Goal
c. Strategic Objectives
d. Outcomes of Change
e. Key Strategies, Outputs and Major Activities of Strategic Objective
f. Insitutional Arrangement
g. Steps Forward
PART III INDICATIVE RESOURCE REQUIREMENTS 56
- Assumptions for Estimating Resource Requirements
- HIV Prevention Activities
- Treatment, Care and Support Activities
- Management of HIV Prevention, Treatment, Care and Support Activities
- Summary of Indicative Resource Requirements
PART IV MONITORING AND EVALUATION (M&E) 63
- 2010 M&E Assessment
- M&E Plan for the 5th AMTP
PART V ANNEXES
A: HIV Intervention Package for Persons Who Inject Drugs (PWIDs) 67
B: Comprehensive Package of Services for Men who have Sex with Men 73
(MSM) and Transgender (TG) Populations
C: Comprehensive Package of Services for People in Prostitution (PIP) 77
D: Strategic Framework on the HIV Response on Children and Young People 82
E: Comprehensive Package of Services for People Living with HIV (PLHIV) 91
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5th AIDS Medium Term Plan (2011- 2016)
The Philippine Strategic Plan on HIV and AIDS
Tables
Table No. Title Page
Table 1 Recommendations and Ways Forward to Strengthening the National Response, 12
Mid-Term Assessment of the 4th AMTP, 2008
Table 2 National Scorecard of Selected Key Indicators for the United Nations General 22
Assembly Special Session on HIV and AIDS (UNGASS) Report
Table3 Outcome Framework of the 5th AMTP 29
3-A. Implementation Matrix for Strategic Objective 1, Output 1.1 30
3-B. Implementation Matrix for Strategic Objective 1, Output 1.2 33
3-C. Implementation Matrix for Strategic Objective 2, Output 2.1 35
3-D. Implementation Matrix for Strategic Objective 2, Output 2.2 36
3-E. Implementation Matrix for Strategic Objective 3, Output 3.1 38
3-F. Implementation Matrix for Strategic Objective 3, Output 3.2 39
3-G. Implementation Matrix for Strategic Objective 3, Output 3.3 41
3-H. Implementation Matrix for Strategic Objective 4, Output 4.1 42
3-I. Implementation Matrix for Strategic Objective 4, Output 4.2 44
3-J. Implementation Matrix for Strategic Objective 5, Output 5.1 45
3-K. Implementation Matrix for Strategic Objective 5, Output 5.2 47
3-L. Implementation Matrix for Strategic Objective 5, Output 5.3 48
Table 4 Strategy Framework for the 5th AMTP Implementation 49
Table 5 National Size Estimates for Populations at Most Risk for HIV 50
Table 6 National Estimates of Adults and Children Living with and Newly Infected by HIV 50
Table 7 Most-at-Risk Population Size Estimates and Service Unit Cost Assumptions used in 56
Resource Needs Model (RNM), 2011 to 2016
Table 8 Summary of AIDS Investment Requirements using the RNM, 2011 to 2016 57
Table 9 Low Estimates of the 5th AMTP Investment Requirements, Yearly Projections from 58
2011 to 2016
Table 10 Medium Estimates of the 5th AMTP Investment Requirements, Yearly Projections 59
from 2011 to 2016
Table 11 High Estimates of the 5th AMTP Investment Requirements, Yearly Projections from 60
2011 to 2016
Table 12 Summary of the 5th AMTP Investment Requirements by Strategic Objective, 2011 61
to 2016
Table 13 List of Indicators for the 5th AMTP 66
Table 14 Prevention Coverage for Injecting Drug Use, IHBSS 2009 67
Table 15 Results of Surveillance among People who Inject Drugs (PWID), Cebu City August 68
2010
Table 16 Proposed Package of Intervention for People Who Inject Drugs (PWID) 71
Table 17 Adult Population Estimates as of 2007 73
Table 18 HIV Prevalence among MSM-OFWs 74
Table 19 Status of MSM in the Philippines 74
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5th AIDS Medium Term Plan (2011- 2016)
The Philippine Strategic Plan on HIV and AIDS

Table 20 The Comprehensive Package of Services for MSM and TG 76
Table 21 Proposed Intervention for People in Prostitution 80
Table 22 Proposed Minimum Set of Interventions 85
Table 23 Proposed Minimum Set of Interventions 88
Table 24 Proposed Minimum Set of Interventions for Children and Young People 88
Table 25 Proposed Minimum Set of Interventions 90
Table 26 Groupings for FGD Conducted 92
Table 27 Profiles of the Groups in Seven (7) FGDs Conducted 92

Figures

Figure No. Title Page
Figure 1 A Comparison of the Distribution of Male and Female HIV Cases by Age Group and 18
Certain Highlighted Years, Philippine AIDS Registry, January 1984 to December 2010
Figure 2 Proportion of Modes of Transmission of AIDS Cases by Year, Philippine AIDS registry, 19
January 1984 to December 2010
Figure 3-A Line Graph of HIV Estimates Using the EPP and SPECTRUM Model, 2005-2015 51
Figure 3-B Bar Graph of HIV Estimates, 2005-2015 51
Figure 4 HIV and AIDS Monitoring and Evaluation Flow 64
Figure 5 M&E Framework for HIV and AIDS 65
Figure 6 Targeted Intervention Guidelines for PWID drafted by SWASTI 72
Figure 7 A Comparison of the Proportion of Types of Sexual Transmission in 2010, 2009 and 73
Cumulative Data (1984-2010)
Figure 8 Pyramid of Risk and Vulnerability 83
Figure 9 Psychosocial Services for PLHIV 98

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5th AIDS Medium Term Plan (2011- 2016)
The Philippine Strategic Plan on HIV and AIDS
FOREWORD

Towards the end of the implementation of the Fourth AIDS Medium-Term Plan 2005-2010, the
prevalence of HIV and AIDS in the country has remained at less than one percent of the Filipino
population. With significant contributions from our partners in delivering HIV prevention and
control efforts to communities of persons at-risk for, vulnerable to, and living with the disease, we
have kept the impending epidemic of HIV at bay.

However, the challenge remains. Our accomplishments in the coverage of HIV prevention, AIDS
treatment, care and support programmes still fall short of our targets to demonstrate concrete and
sustainable impact in halting the spread of the epidemic. In several urban and highly populated
settings, and amongst most-at-risk communities, HIV prevalence has breached the one-percent
benchmark. The United Nations Global Report in 2010 noted that the general trend of HIV
epidemic in the world is declining; however, the Philippines is one of seven countries to have
registered more than 25 percent increase in HIV incidence.

We must intensify our efforts more than ever to stop the spread of the virus. The Department of
Health, beginning this year, has embarked on improving the country's health systems to ensure
Universal Access to Health Care, a priority in President Benigno Simeon C. Aquino III's platform, his
Social Contract with the Filipino People.

The Fifth AIDS Medium-Term Plan 2011-2016 (5th AMTP) resonates our renewed commitment for
urgent actions. It calls upon the nation to act collectively in scaling up comprehensive HIV
interventions. Harmonizing our efforts under the 5th AMTP ensures that the Philippines will stay on
track in meeting the Millennium Development Goal of halting the further spread and beginning to
reverse the trend of HIV and AIDS.

On behalf of the members of the Philippine National AIDS Council (PNAC), I urge leaders and
stakeholders of key development sectors, both public and private, at the national and local levels,
and our development partners to combine all prevention and control efforts under the 5th AMTP.

Mabuhay Tayong Lahat!

ENRIQUE T. ONA, MD, FPCS, FACS
Secretary of Health and Chairperson of the Philippine National AIDS Council
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5th AIDS Medium Term Plan (2011- 2016)
The Philippine Strategic Plan on HIV and AIDS
CONTRIBUTORS AND RESOURCE PERSONS

Advisers
Dr. Enrique T. Ona Mr. Austere A. Panadero
Secretary Undersecretary
Department of Health (DOH) Department of the Interior and Local
Government (DILG)
Dr. Mario C. Villaverde
Undersecretary Ms. Alicia R. Bala
Department of Health (DOH) Undersecretary
Department of Social Welfare and
Development (DSWD)

5th AMTP Core Team

Mr. Jericho B. Paterno Ms. Marilyn B. Moral
President Social Welfare Officer IV
Pinoy Plus Association Social Technology Bureau
Department of Social Welfare and
Mr. Rodel G. Navarra Development (DSWD-SOCTECH)
Executive Director
Positive Action Foundation Philippines Dr. Ma. Teresita S. Cuceuco
Inc. (PAFPI) Executive Director
Occupational Safety and Health Center
Dr. Gerard Belimac Department of Labor and Employment
Medical Specialist III (DOLE-OSHC)
National AIDS/STI Prevention and Control
Program Ms. Arlene S. Ruiz
Department of Health (DOH-NASPCP) Chief Economic Development Specialist
Health Nutrition and Family Planning
Ms. Antonina U. Cueto Division
Planning Officer IV National Economic and Development
Health Policy Development and Planning Authority (NEDA)
Bureau
Department of Health (DOH-HPDP) Ms. Ruthy D. Libatique
Programme Manager
Dr. Ann P. Quizon Philippine NGO Council on Population,
Education Program Specialist II Health Welfare Inc. (PNGOC)
Department of Education (DepEd)
Ms. Ma. Lourdes S. Marin
Executive Director
Action for Health Initiatives (ACHIEVE)
5th AIDS Medium Term Plan (2011- 2016)
The Philippine Strategic Plan on HIV and AIDS
Dr. Ferchito L. Avelino Ms. Teresite Marie P. Bagasao
Director III Country Coordinator
Philippine National AIDS Council Secretariat Joint UN Programme on HIV/AIDS
Department of Health (PNAC Sec-DOH) (UNAIDS)

Mr. Glenn A. Cruz Dr. Madeline Salva
Media Reproduction Specialist National Professional Officer on HIV and
Philippine National AIDS Council Secretariat AIDS World Health Organization (WHO)
Department of Health (PNAC Sec.-DOH)

Technical Representatives and Contributors

Mr. Silvestre Z. Barrameda Jr. Mr. Eduardo S. Aranjuez, II
Assistant Head Supervising Economic Development
Mr. Patrick Omar B. Eristain Specialist
Programme Manager for HIV and AIDS NEDA Health Nutrition and Family
Institutional Partnership Unit Planning Division
DILG Local Gov’t Academy
Ms. Yamin Ann I Pimentel
Dr. John Dale M. Hizon Project Officer
Occupational Health Officer PNGOC
DOLE OSHC
Dr. Susan P. Gregorio
Dr. Genesis Samonte Medical Specialist IV
Medical Specialist V Dr. Joselito R. Feliciano
DOH NEC Medical Specialist III
Mr. Efren L. Chanliongco, Jr.
Dr. Lester M. Tan Programme Evaluation Officer
Medical Officer IV PNAC Secretariat
DOH Health Policy Development and
Planning Bureau Ms. Maria Lourdes L. Quintos
Programme Assistant
Dr. Ethel C. Dano Mr. Zimbodillion Y. Mosende
Senior Project Assistant Monitoring and Evaluation Officer
Ms. Mona Lisa D. Morales UNAIDS
Project Associate
DOH NASPCP Ms. Maritona Victa-Labajo
Consultant and Writer
Ms. Eden C. Marino (5th AMTP National Strategy Plan)
Social Welfare Officer
DSWD Social Technology Bureau Ms. Diana G. Mendoza
Consultant and Writer
Dr. Rhoderick E. Poblete (5th AMTP HIV and AIDS Situation)
Deputy Executive Director
RIT-JATA Philippines
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5th AIDS Medium Term Plan (2011- 2016)
The Philippine Strategic Plan on HIV and AIDS
MEMBERS OF THE PNAC

ASP AIDS Society of the Philippines
CHED Commission on Higher Education
DBM Department of Budget Management
DEpEd Department of Education
DFA Department of Foreign Affairs
DOH Department of Health
DILG Department of the Interior and Local Government
DOJ Department of Justice
DOLE Department of Labor and Employment
DSWD Department of Social Welfare and Development
DOT Department of Tourism
HAIN Health Action Information Network
HOR House of Representatives
ISSA Institute for Social Studies and Action
LCP League of Cities of the Philippines
LPP League of Provinces of the Philippines
LUNDUYAN Lunduyan sa Pagpapalaganap, Pagtataguyod at
Pagtatanggol ng mga Karapatang Pambata
NEDA National Economic and Development Authority
PHA Philippine Hospital Association
PIA Philippine Information Agency
PPA Pinoy Plus Association
PAPFI Positive Action Foundation Philippines Incorporated
SOP Senate of the Philippines
TESDA Technical Educational Skills and Development Authority
TLF Share TLF Sexuality Health and Rights Educators Collective
TUCP Trade Union Congress of the Philippines
WHCF Women’s Health Care Foundation
5th AIDS Medium Term Plan (2011- 2016)
The Philippine Strategic Plan on HIV and AIDS
ABBREVIATIONS AND ACRONYMS

AIDS Acquired Immune Deficiency Syndrome
AMTP AIDS Medium Term Plan
AMTP IV Fourth AIDS Medium Term Plan
AMTP V Fifth AIDS Medium Term Plan
ART Anti-Retroviral Therapy
CHD Center for Health and Development
CHED Commission for Higher Education
CUP Condom Use Program
DepEd Department of Education
DILG Department of the Interior and Local Government
DOH Department of Health
DSWD Department of Social Welfare and Development
FLSW Free Lance Sex Workers
HIV Human Immunodeficiency Virus
IEC Information, Education and Communication
LAC Local AIDS Council
LGU Local Government Unit
M&E Monitoring and Evaluation
MARP Most-At-Risk Population
MDG Millennium Development Goals
MSM Men having Sex with Men
MTPDP Medium Term Development Plan
NEC National Epidemiology Center
NDHS National Demographic and Health Survey
NGO Non-Governmental Organization
OFW Overseas Filipino Worker
OI Opportunistic Infections
OWWA Overseas Workers Welfare Agency
PDEA Philippine Drug Enforcement Agency
PIP People in Prostitution
PLHIV People Living with HIV
PMTCT Prevention of Mother-to-Child Transmission
PNAC Philippine National AIDS Council
POEA Philippine Overseas Employment Agency
PWID Persons Who Inject Drugs
RA Republic Act
RAAT Regional AIDS Action Teams
SHC Social Hygiene Clinics
STD Sexually Transmitted Diseases
STI Sexually Transmitted Infections
TCS Treatment, Care and Support
TESDA Technical Education and Skills Development Authority
UNAIDS United Nations Programme on HIV/AIDS
UNFPA United Nations Population Fund
UNGASS United Nations General Assembly Special Session
UP University of the Philippines
VCT Voluntary Counseling and Testing
WHO World Health Organization
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5th AIDS Medium Term Plan (2011- 2016)
The Philippine Strategic Plan on HIV and AIDS
EXECUTIVE SUMMARY

The Philippines has maintained a low prevalence rate in HIV and AIDS. With the current spike in the
number of reported cases, however, the country may not be able to keep it at the present level. There
is growing evidence that the next Country Response to HIV and AIDS must catch up with, if not overtake,
the spread of the epidemic at its present rate.

The 5th AIDS Medium Term Plan (5th AMTP) envisions the halt to the present rate of HIV infection in the
Philippines by preventing the further spread of HIV infection and reducing the impact of the disease on
individuals, families, communities, and various sectors. It aims to broaden its reach among the general
population, especially those most-at-risk and are found to be the present drivers of the epidemic such as
Men having Sex with Men (MSM) and People Who Inject Drugs (PWID). This shall be done principally
through an improvement in the standard quality and a scaling up in the coverage of comprehensive
programs/services and interventions for prevention among the most-at-risk population, as well as in
treatment, care, and support. It shall seek to develop the capacities of service providers, communities,
and organizations in undertaking advocacy and work for the creation of an enabling evidenced-based
policy environment, specifically pertaining to infection control, harm reduction, and access to
prevention services and commodities.

It shall likewise enhance and promote a decentralized structure of implementation for the Country
Response through local government units (LGUs) and other local structures and processes such as the
Local AIDS Councils (LACs) and the Regional AIDS Action Teams (RAATs). It shall further expand, build,
and strengthen management systems and supports specifically in the areas of monitoring and
evaluation, existing structures such as the PNAC and the Secretariat, partnerships and collaboration
among and with the private sector and LGUs, and resource mobilization and investment planning.

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