here’s an update as of 02.21.2018
you may download here updated list of HIV treatment hubs
here’s an update as of 02.21.2018
you may download here updated list of HIV treatment hubs
knowledge of human behavior helps us make informed decisions. – the good doctor
on the issue around cutting down efforts around counseling for non reactive clients so to save time….
without probing during counseling, we cannot understand the whys of human behavior.
without understanding the whys, we cannot give options
without options, we cannnot promote behavioral change
without behavioral change….
the cycle will just go on and on.
thing is…we have to be strong in front of others.
and we cry alone at night.
we do not have the luxury to join others in their fears.
we have to be their fortresses.
but who is ours?
when we are down…
who comes running to us?
we have to be there for one another.
no one really cares for the carers….
the other carers themselves.
but never be numb.
a positive people support group.
not based on social class
does not mind negatives in it.
not based on one’s treatment hub.
no organizational territory.
no age or gender discrimination.
with sense.of ownership.
no internalized stigma.
and don’t forget
this is my dream.
A few minutes ago, I heard you left.
they said you never woke up.
as of now, no one knows how long have you been lying there, lifeless, when the help finally saw you.
I am sure you don’t want anyone sad with your leaving us.
So the 2018 starts in a few minutes–
with your memories.
your tight hugs.
your sharon cuneta loyalty.
your sincere touch.
your unconditional acceptance of my HIV status.
we all will miss you.
Happy new year, Toby.
Am sure this is your happiest ever.
We love you.
Watching Suits on Netflix was like seeing justifications to a wrong doing over and over again. The truth kept resurfacing stabbing everyone from the back, and somehow, they get away with it.
It’s fiction. Every episode has a load of quotes, fun and advice. Fear.
I am not writing this to say what’s wrong is wrong. What I have so far picked up is that people in the series have trusted one another and no matter the circumstance, they stuck together.
I heard song playing in one episode, “Who do we trust from here?”
It brought back tons of memories. People I trusted, some who may have disappointed me, and some, I may have disappointed. And I always anchor my faith in people to how much I trust them.
Who do we trust?
When we’re at our lowest, or at our peak, who do we trust?
When the odds are against us, what we did, or what may happen, who do we trust?
When stigma and judgment is in every room we step in, who do we trust?
When trust is betrayed, do we trust….again?
Trust is hard to quantify.
I think trust has a lot to do with guts.
but whoever we trust, we chose to trust. If we stumble, we stand back up and look back, why we trusted in the first place.
Then, we may trust again.
It’s a choice. We may have been pained, hurt, wounded, but trust is something we can recycle. To some, trust is earned. For some, it comes with love.
Whatever the case is, we trust and we can build, and rebuild trust.
If we choose to.
Yesterday, the September HIV/AIDS Registry was released by our partners at the Epidemiology Bureau, you may see the file here: EB_HIV_September_AIDSreg2017
Some bullet points:
born in the world sans music, no sounds, no noise.
mine is a world of Silence.
the past year has been loud…
In my mind…
In my soul…
yet people don’t hear my cries
my loud fears-
HIV was my constant company,
my mom was my constant strength…
my silence is now PEACE.
FOREVER has ushered me beyond the sound of silence.
did i fail you?
if i did
you never made me feel that i did.
sorry i had to leave…
and i’m fine now.
goodbye for now.
So I was asked to answer a key informant interview (written) and I found myself writing down some articles from the 1998 law. I noted some sections are “limiting barriers” and a lot of the other sections as not having been implemented or enforced.
Most of us would know that the proposed amendment has passed the lower house more than a week ago, but the 2nd reading at the Senate has been postponed to January 2018. The proposed amendment had a lot of new clauses, hence the need for a new law.
I noted some issues below on the 1998 AIDS law, Some were:
|Enforcement||RA8504 Article 1, Section 4
All teachers and instructors of said HIV/AIDS courses shall be required to undergo a seminar or training on HIV/AIDS prevention and control to be supervised by DECS, CHED and TESDA, in coordination with the Department of Health (DOH), before they are allowed to teach on the subject.
|Limiting Barrier||RA8504 Article 1, Section 4
no instruction shall be offered to minors without adequate prior consultation with parents who must agree to the thrust and content of the instruction materials.
|Enforcement||RA8504 Article 1, Section 5
The knowledge and capabilities of all public health workers shall be enhanced to include skills for proper information dissemination and education on HIV/AIDS.
|Enforcement||RA8504 Article 1, Section 6
All government and private employees, workers, managers, and supervisors, including members of the Armed Forces of the Philippines (AFP) and the Philippine National Police (PNP), shall be provided with the standardized basic information and instruction on HIV/AIDS which shall include topics on confidentiality in the workplace and attitude towards infected employees and workers. In collaboration with the Department of Health (DOH), the Secretary of the Department of Labor and Employment (DOLE) shall oversee the anti-HIV/AIDS campaign in all private companies while the Armed Forces Chief of Staff and the Director General of the PNP shall oversee the implementation of this Sec..
|Enforcement||RA8504 Article 1, Section 8
Informational aids or materials on the cause, modes of transmission, prevention, and consequences of HIV infection shall be adequately provided at all international ports of entry and exit.
|Enforcement||RA8504 Article 1, Section 9
Local government units, in collaboration with the Department of Health (DOH), shall conduct an educational and information campaign on HIV/AIDS. The provincial governor, city or municipal mayor and the barangay captain shall coordinate such campaign among concerned government agencies, non-government organizations and church-based groups.
|RA8504 Article 1, Section 10
Information on prophylactics. – Appropriate information shall be attached to or provided with every prophylactic offered for sale or given as a donation. Such information shall be legibly printed in English and Filipino, and contain literature on the proper use of the prophylactic device or agent, its efficacy against HIV and STD infection,
“as well as the importance of sexual abstinence and mutual fidelity.” *Note: update needed
(Limited to tri-media(radio, tv and print); many social media claims and misleading information need to be sanctioned)
|RA8504 Article 1, Section 11
Penalties for misleading information. – Misinformation on HIV/AIDS prevention and control through false and misleading advertising and claims in any of the tri-media or the promotional marketing of drugs, devices, agents or procedures without prior approval from the Department of Health
(No known guidelines have been issued specially on surgery. “Universal precautions” have always been used but no specific guidelines have been issues to shut down issues on mandatory pre-surgery testing)
|RA8504 Article 2, Section 13
The Department of Health (DOH), in consultation and in coordination with concerned professional organizations and hospital associations, shall issue guidelines on precautions against HIV transmission during surgical, dental, embalming, tattooing or similar procedures. The DOH shall likewise issue guidelines on the handling and disposition of cadavers, body fluids or wastes of persons known or believed to be HIV-positive.
Example: Philippine Airlines, KCC mall Zamboanga
|RA8504 Article 3 Section 13
Compulsory HIV testing as a precondition to employment, admission to educational institutions, the exercise of freedom of abode, entry or continued stay in the country, or the right to travel, the provision of medical service or any other kind of service, or the continued enjoyment of said undertakings shall be deemed unlawful.
No QA set for counselors who finished the counsellor’s training. No Client KII, no any form of quali check is in place, or have been reported
|RA8504 Article 3 Section 20
Pre-test and post-test counselling. – All testing centers, clinics, or laboratories which perform any HIV test shall be required to provide and conduct free pre-test counselling and post-test counselling for persons who avail of their HIV/AIDS testing services. However, such counselling services must be provided only by persons who meet the standards set by the DOH.
A lot of cities still don’t have partner CSOs to intensify community-based services (i.e., Malabon, Navotas, Valenzuela, Paranaque, etc)
|RA8504 Article 4 Section 23
Local government units, in coordination and in cooperation with concerned government agencies, non-government organizations, persons with HIV/AIDS and groups most at risk of HIV infection shall provide community-based HIV/AIDS prevention and care services.
Where’s the study? Is this in reference to the OHAT?
|RA8504 Article 4 Section 26
The Secretary of Health, in cooperation with the Commissioner of the Insurance Commission and other public and private insurance agencies, shall conduct a study on the feasibility and viability of setting up a package of insurance benefits and, should such study warrant it, implement an insurance coverage program for persons with HIV. The study shall be guided by the principle that access to health insurance is part of an individual’s right to health and is the responsibility of the State and of society as a whole.
While the insurance commission has come out with a general order to cover PLHIVs for life insurance, no specific implementations have been rolled out at the insurance company-levels.
Insurance commission circular order 2017-11
GUIDELINES IN THE LIFE UNDERWRITING OF APPLICANTS WITH ACTUAL, PERCEIVED OR SUSPECTED TO BE WITH HUMAN TMMUNODEFICIENCY VIRUS (HIV)
*I do not know where the proxy consent stands on the release of the results for minors
|RA8504Article 6 Section 32
Section 32. Release of HIV/AIDS test results. – All results of HIV/AIDS testing shall be confidential and shall be released only to the following persons:
(b) either parent of a minor child who has been tested;
RA8504 Article 7 Section 39
I am almost sure that the Philippine National AIDS Council is aware of these. So…. let me end this with another “Oh well….”