[MTLE] Unit 5: RA 11166 Philippine HIV and AIDS Policy Act

Fidel Ramos

Who signed the Philippine AIDS Prevention and Control Act of 1998 (Republic Act 8504)

Rodrigo Duterte

Who signed the Philippine HIV and AIDS Policy Act of 2018 into law (RA 11166) last December 20, 2018

December 20, 2018

Date of approval of RA 11166

90-90-90 target

Ratio of first targets of RA 11166

Target 1: ____% of all people living with HIV will know their HIV status

Target 2: ____% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy

Target 3: ___% of all people receiving antiretroviral therapy will have viral suppression

1: diagnosed

2: Treatment

3: Suppressed

Order of the three targets of RA 11166

2020

year when the set of goals (90%) for HIV are bound to be achieved

95-95-95 for treatment

Ratio or percentage of second goals of HIV treatment after their 90-90-90 target

Bound to be achieved by 2030

1) 95-95-95 for treatment

2) reduction of annual numbers of new HIV infections among adults to 200,000

3) zero discrimination

3 targets of HIV treatment

200,000

One of the targets of HIV is to:

Reduce the annual numbers of new HIV infections among adults to ________

RA 11166

An Act Strengthening the Philippine Comprehensive Policy on Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) Prevention, Treatment, Care, and Support, and, Reconstituting the Philippine National Aids Council (PNAC)

Human immunodefficiency Virus

HIV

Acquires Immune Deficiency Syndrome

AIDS

Philippine National Aids Council

PNAC

Philippine Aids Prevention and Control Act of 1998 (RA 8504)

What was repealed by RA 11166

1) repeal RA 8504

2) Appropriate funds to all HIV/AIDS national program

Two purposes (aside from the Declaration of Policy) of RA 11166

SB 1390

HB 6617

Under what senate bills/house bills are RA 11166 passed to

Section 2. Declaration of Policies

1) HIV & AIDS is a health problem

2) policies and practices on the dissemination of non- discriminatory on the HIV /AIDS services and the health providers to protect , respect and promote human rights ;

3) promote programs to prevent the spread of HIV and the integration of the said program in the education where Gov’t agencies and multi-sectoral approaches.

4) Ensure access to HIV/AIDS related services eliminating the climate of stigma

1) HIV as health problem

2) Nondiscrimination of services

3) Programs for prevention

4) accessibility of services for HIV/AIDS

Keywords on the declaration of policy of RA 11166

[INSERT HERE DEF OF TERMS]

[INSERT HERE DEF OF TERMS]

Philippine National Aids Council (PNAC)

In section 4, this shall be reconstituted and streamlined to ensure the implementation of the country's response to the HIV and AIDS situation

Philippine National Aids Council (PNAC)

In section 4, this shall be an agency attached to the DOH with a separate budget under the General Appropriations Act (GAA)

Philippine National Aids Council (PNAC)

They shall develop the AIDS Medium Term Plan in collaboration with relevant government agencies , CSOs , the PLHIV community , and other stakeholders

Philippine National Aids Council (PNAC)

Ensure the operationalization and implementation of AMTP (Aids Medium Term Plan)

Philippine National Aids Council (PNAC)

Strengthen the collaboration between government agencies and CSOs involved in the implementation of the national HIV and AIDS response , including the delivery of HIV and AIDS related services

Philippine National Aids Council (PNAC)

the ff are functions of what:

Monitors the progress of the response to the country’s HIV and AIDs situation

Mobilize its members to conduct monitoring and evaluation of HIV- related programs, policies and services within their mandate

Coordinate , organize and work in partnership with foreign and international organizations regarding funding , data collection , research ,and treatment modalities on HIV and AIDS , and ensure foreign funded programs are aligned to the national response;

Advocate for policy reforms to congress and other government agencies to strengthen the country’s response to the HIV and AIDS situation

Philippine National Aids Council (PNAC)

The ff are functions of what:

Submit an annual report to the office of the President , Congress, and the members of the Council

Identify gaps in the national responses on the part of government agencies and its partners from civil society and international organizations , in order to develop and implement the initial interventions required in these situations ; and

Recommend policies and programs that will institutionalize or continue the interventions required in addressing the gaps identified in the national response to the HIV and AIDS situation of the country

DOH

DepEd

DOLE

DILG

DBM

DSWD

CSC

CHED

NYC

PIA

The chairperson of the committee on health of the House of representatives or his representative;

The chairperson of the committee on health of the Senate or his representative

Two (2) representatives from a organizations PLHIV

Two (1) representative from a private organization

Six (6) representatives from NGOs

Who are the members of PNAC

President of the Philippines

Who shall appoint the members of the PNAC acc to section 6 of RA 11166

Heads of Gov Agencies (not lower than ASEC)

Position requirement for PNAC members

30 days

Members shall be appointed not later than ____days after the date of enactment of this Act (Dec. 20, 2018)

Once every quarter

Frequency of PNAC meeting

Chair or Vice-chair +

at least 10 other PNAC MEMBERS

Quorum of PNAC meeting

DOH Sec of Health

the permanent chair of PNAC

Elected from government agency members

Vice Chairperson of PNAC

3 years

Years of 1 term of service in PNAC

1 reappointment; maximum 2 consecutive terms

maximum years of service in PNAC

PNAC secretariat

Composed of :

personnel (technical expertise)

permanent appointments (civil rules and regulations)

Headed by Executive director – under the direct supervision of the chairperson of the PNAC ( Sec. of Health –DOH)

Technical expertise

The role personnel of PNAC secretariat

civil rules and regulations

the task/role of permanent appointees of PNAC secretariat

Executive director

Head of the PNAC secretariat

PNAC chairperson

Who supervises the executive director (head of the personnel and permanent appointments of secretariat)

AIDS Medium Term Plan (AMTP)

AMTP

National multi-sectoral Strategic Plan (Aids Medium Term Plan)

Aims to:

to prevent and control the spread of HIV and AIDS in the country

The PNAC shall formulate this and periodically update the six (6) year

6 years

Effectivity of each AMTP (how many years)

AIDS Medium Term Plan (AMTP)

This Plan shall include the ff:

1. The country’s targets and strategies in addressing the HIV and AIDS situation ;

2. The prevention, treatment , care and support , and other components of the country’s response ;

3. The operationalization of the program and identification of the government agencies that shall implement the program , including the designated office within each agency responsible for overseeing , coordinating, facilitating , and monitoring the implementation of its AIDS program from the national to the local levels ;

4. the budgetary requirements and a corollary investment plan of each government agency specified in the AMTP, and shall identify the sources of funds for its implementation

DOH

Whose role is this:

The National HIV and AIDS and STI prevention and Control program (NASPCP) of the ______ , which shall be composed of qualified medical specialists and support personnel with permanent appointments ,and with adequate yearly budget – identified from AMTP.

for the implementation of the health sector's HIV and aids monitoring and evaluation program

National HIV and AIDS and STI prevention and Control program

NASPCP

Medical specialists

Support personnels

Permanent appointments

+ yearly budget

Components of the NASPCP

Epidemiology Bureau of DOH

shall maintain a comprehensive HIV and AIDS monitoring and evaluation program that shall serve the following purposes:

1. determine and monitor the magnitude and progression of HIV and AIDS in the Philippines and regularly provide a list of priority areas with high magnitude of HIV and AIDS cases and co-infections to help the PNAC Evaluate the adequacy and efficacy of HIV prevention and treatment programs being employed;

2. receive, collate, process and evaluate all HIV – and AIDS- related medical reports from all hospitals , clinics, laboratories and testing centers, including HIV-related deaths

3. submit, through its secretariat , quarterly and annual reports

1) Check Magnitude and progression

2) Medical Reports Handling

3) Report Submission

3 keywords on the comprehensive monitoring and evaluation program of Epidemiology of Bureau under NASPCP

Quarterly and Annual Reports

Due date of submission of comprehensive HIV and AIDS monitoring and evaluation program

Philippine National AIDS Council (PNAC)

Evaluates the adequacy and efficacy of HIV prevention and treatment programs being employed;

PNAC

CSOs (Civil Service Commission)

DOJ (Department of Justice)

CHR (Commission of Human Rights)

Agencies responsible for the protection of human rights of HIV/AIDS patients

DOJ (Department of Justice)

CHR (Commission of Human Rights)

+ PNAC

They shall take the lead in developing redress mechanisms for PLHIV and key affected populations to ensure that their civil , political , economic , and social rights are protected

LGUs

PNAC shall cooperate with _______________ to strengthen existing mediation and reconciliation mechanisms at the local level .

Prevention Program

This shall educate the public on HIV and AIDS and other STIs, with the goal of reducing the risky behavior, lowering vulnerabilities , and promoting the human rights of PLHIV

Philippine National AIDS Council (PNAC)

They shall promote and adopt a range of measures and interventions, in partnership with CSOs that aim to prevent , halt, or control the spread of HIV in the general population, especially among the key populations and vulnerable communities

Prevention Program

Measure included in this program shall likewise promote the rights, welfare and participation of PLHIV and the affected children, young people, families, and partners of PLHIV

age-appropriate

The HIV and AIDS education and prevention programs shall be ______ appropriate and based on up-to-date evidence and scientific strategies, and shall actively promote:

a) Safer sex practices among the general population, including sexual abstinence, sexual fidelity, and consistent and correct condom use, especially among key populations ;

b) Other practices that reduce the risk of HIV infection ;

c) Universal awareness of and access to evidence-based and relevant information and education, and medically safe, legally affordable, effective, and quality treatment

d) Knowledge of the health, civil, political, economic, and social rights of PLHIV and their families

1) Safe sex

2) Reduction of risk of infection

3) Universal awareness and access of right information

4) Knowledge on rights of PLHIV and their fams

Keywords on the promotion of HIV or AIDS education and prevention programs

DepEd

CHED

Technical Education and Skills Development Authority ( TESDA)

Using standardized information and data from the PNAC , the ____ ______ _________ integrated into the curricula (basic and MOT, ways of preventing the spread of HIV/AIDS /STIs), treatment, care and support and promote the STIGMA reduction

True

T/F:

The learning modules in the Education of Learning Institutions of HIV AIDS shall include human rights-based principles and information on treatment , care, and support to promote stigma reduction

seminars

In the Education for Parents and Guardians

The DepEd in coordination with parent–teacher organizations in schools and communities shall conduct awareness- building ___________

DepEd in coordination with parent–teacher organizations

Agency responsible for education of parents and guardians

constitutional right to health

In the Education as a right to health and information:

HIV and AIDS education and information dissemination shall form part of a ___________________

delivery of health services

In HIV and AIDS Information as Health Service:

HIV and AIDS education and information dissemination shall form part of the _________________________ by the HEALTH practitioners, workers, and services.

HIV and AIDS information as health service

HIV and AIDS education and information dissemination shall form part of the delivery of health services by the HEALTH practitioners, workers, and services.

The knowledge and capabilities of all public health workers shall be considered a civic duty of health care providers in the private sector to make available to the public such information necessary to prevent and control the spread of HIV and AIDS and to correct common misconceptions about this disease.

The training of health workers shall include discussions on HIV-related ethical issues such as confidentiality, informed consent , and the duty to provide treatment

confidentiality

informed consent

duty to provide treatment

The training of health workers shall include discussions on HIV-related ethical issues such as _______________

Public health workers

whose role is this:

The knowledge and capabilities of _____________ shall be considered a civic duty of health care providers in the private sector to make available to the public such information necessary to prevent and control the spread of HIV and AIDS and to correct common misconceptions about this disease.

Education in the Workplace

EDUCATION IN WORKPLACE

All public and private employers and employees, including members of the

1) Armed Forces of the Philippines (AFP) and;

2) the Philippines National Police (PNP) , shall be regularly provided with standardized basic information and instruction on HIV and AIDs , including topics on confidentiality in the workplace and reduction or elimination of STIGMA and DISCRIMINATION

The DOLE for the private sector, the CSC for the public sector , and the AFP and PNP for the uniformed service shall implement this provision :

Provided , that the standardized basic information and instruction shall be conducted by DOLE for the private sector at NO COST to the employers and employees.

Confidentiality in the workplace

reduction or elimination of STIGMA

DISCRIMINATION

EDUCATION IN WORKPLACE

The standardized basic information and instruction on HIV and AIDs , including topics such as:

DOLE

Responsible for HIV education in private sector workplaces

CSC

Responsible for HIV education in public sector workplaces

AFP and PNP

Responsible for HIV education in uniformed service sector workplaces

Education for Filipinos Going Abroad

EDUCATION FOR FILIPINOS GOING ABROAD

The state shall ensure that all overseas Filipino workers and diplomatic , military , trade , and labor officials and personnel to be assigned overseas shall ATTEND A SEMINAR ON THE CAUSES , MANNER OF PREVENTION , AND IMPACT OF HIV AND AIDS , BEFORE BEING GRANTED A CERTIFICATION FOR OVERSEAS ASSIGNMENT: Provided, that the seminar shall be conducted at NO COST to overseas Filipino workers or to the officials concerned.

The DOLE , the Department of Foreign Affairs ( DFA) , the Commission on Filipino Overseas (CFO) , and other relevant government agencies in collaboration with the DOH , shall ensure the implementation of this section.

SEMINAR ON THE CAUSES , MANNER OF PREVENTION , AND IMPACT OF HIV AND AIDS

EDUCATION FOR FILIPINOS GOING ABROAD

What are they required to attend before having an assignment abroad?

DOLE

Department of Foreign Affairs ( DFA)

Commission on Filipino Overseas (CFO)

Other Agencies in collab with DOH

Who are the agencies responsible for the implementation of

Education for Filipinos Going Abroad

Educational materials:

> causes MOT preventions Consequences

> Testing facilities

Information on Tourists and Transients

_____________ on the causes , MOT, preventions , and consequences of HIV infection and list of HIV counseling testing facilities shall be adequately provided at ALL INTERNATIONAL AND LOCAL PORTS OF ENTRY AND EXIT

ALL INTERNATIONAL AND LOCAL PORTS OF ENTRY AND EXIT

Information on Tourists and Transients

Educational materials on the causes , MOT, preventions , and consequences of HIV infection and list of HIV counseling testing facilities shall be adequately provided at ___________________

Education in Communities

Education in Communities

The DILG , the Union of Local Authorities of the Philippines (ULAP) , the Leagues of Provinces, the League of Cities , and the League of Municipalities , through the local HIV and AIDS councils (LAC) or the local health boards and in coordination with PNAC , shall implement:

> LOCALLY-BASED , MULTI- SECTORAL COMMUNITY RESPONSE TO HIV AND AIDS THROUGH VARIOUS CHANNELS ON EVIDENCE- BASED, GENDER-RESPONSIVE, AGE-APPROPRIATE, AND HUMAN RIGHTS –ORIENTED PREVENTION TOOLS TO STOP THE SPREAD OF HIV

Indigenous peoples communities and geographically isolated and disadvantaged areas (GIDA) shall also be given due focus in the implementation of this section.

The DILG , in coordination with the DSWD and the NYC, shall also conduct age-appropriate HIV and AIDS education for OUT-OF-SCHOOL YOUTH.

DILG

ULAP

LAC

Leagues of Provinces

League of Cities

League of Municipalities

Education in Communities

Agencies that shall implement:

> LOCALLY-BASED , MULTI- SECTORAL COMMUNITY RESPONSE TO HIV AND AIDS THROUGH VARIOUS CHANNELS ON EVIDENCE- BASED, GENDER-RESPONSIVE, AGE-APPROPRIATE, AND HUMAN RIGHTS –ORIENTED PREVENTION TOOLS TO STOP THE SPREAD OF HIV

DILG

DSWD

NYC

Education in Communities

Agencies responsible to conduct age-appropriate HIV and AIDS education for OUT-OF-SCHOOL YOUTH.

Indigenous peoples communities

geographically isolated and disadvantaged areas (GIDA)

Education in Communities

________________ and ______________________ shall also be given due focus.

PNAC

LGUs

CSOs

Information for Key populations and Vulnerable communities

To ensure that HIV services reach key populations at higher risk, the _____ , in collaboration with the ________ engaged in HIV and AIDs programs and projects , shall support and provide funding for HIV and AIDS programs and projects, shall support and provide funding for HIV AND AIDS education programs, such as peer education , support groups, outreach activities, and community-based research that target these populations and other vulnerable communities

Information on Prophylactics

Appropriate information shall be attached to, or provided with every prophylactic offered for sale or given as donation.

Such information shall be legibly printed in English and Filipino, and contain literature on the proper use of the prophylactic device or agent and its efficacy against HIV and STI.

English and Filipino

Information on Prophylactics shall be legibly printed in _____________, and contain literature on the proper use of the prophylactic device or agent and its efficacy against HIV and STI.

DOH through the FDA

In misinformation on HIV and AIDS:

Misinformation on HIV and AIDs , which includes false and misleading advertising and claims in any form of media, including traditional media, internet and social platforms, and mobile applications, of the promotional marketing of drugs, devices , agents or procedures without prior approval from the (what agency and through what administration), and without the requisite medical and scientific basis, including markings and indications in drugs and devices or agents, claiming to be a cure or a fail-safe prophylactic for HIV infection SHALL BE PROHIBITED

HIV prevention Measures

Creation of rights-based and community-led behavior modification programs that seek to encourage HIV risk reduction behavior among PPLHIVs;

Establishment and enforcement of rights-based mechanisms to strongly encourage newly tested HIV-positive individuals to conduct partner notification and to promote HIV status disclosure to partners ;

Accessibility of ART and management of opportunistic infections;

mobilization of communities of PLHIV for public awareness campaigns and stigma reduction activities and

Establish comprehensive human rights and evidence-based policies, programs , and approaches that aim to reduce transmission of HIV and its harmful consequences to members of key affected populations.

The ENFORCEMENT OF THIS SECTION SHALL NOT LEAD TO , OR RESULT IN, THE DISCRIMINATION OR VIOLATION OF THE RIGHTS OF PLHIV and the service provider implementing the program , including peer educators and community– based testing providers

DILG

DOH

Agencies responsible for the partnership with the key populations ,shall establish a human rights and evidence-based HIV prevention policy and program for people who have higher risk of HIV infection and the other key populations

True

T/F;

The presence of used or unused prophylactics shall NOT be used as a basis to conduct raids or similar police operations in sites and venues of HIV prevention interventions

DOH

Acc to section 35, who is the agency responsible to establish a program to prevent mother-to-child HIV transmission that shall be integrated in its maternal and child health services

maternal and child health services

Acc to section 35:

DOH is responsible to establish a program to prevent mother-to-child HIV transmission that shall be integrated in its ______________

DOH

This agency shall enforce the following guidelines on the donation of blood , tissue or organ:

a. Donation of tissue or organ , whether gratuitous or onerous, shall be accepted by a laboratory or institution only after a sample from the donor has been tested negative for HIV ;

b. All donated blood shall also be subjected to HIV testing ;

c. All donors whose blood , organ or tissue has been tested positive shall be deferred from donation , notified of their HIV status , counselled , and referred for care and clinical management as soon as possible ;

d. Donations of blood , tissue , or organs testing positive for HIV may be accepted for research purposes only ; and shall be subject to strict sanitary disposal requirements and

e. A second testing may be demanded as a matter of right by the blood , tissue , or organ recipient or his/her immediate relatives before transfusion or transplant , except during emergency cases

Testing of Organ Donation

Lawful consent to HIV testing of a donated human body , organ, tissue, or blood shall be considered as having been given when:

a. A person volunteers or freely agrees to donate one’s blood, organ, or tissue for transfusion transplantation or research, and

b. A legacy and a donation are executed in accordance with Section 3 and 4 respectively, of RA no. 7170, otherwise known as the “Organ Donation Act of 1991”.

Consent

_____________ to HIV testing of a donated human body , organ, tissue, or blood shall be considered as having been given when:

a. A person volunteers or freely agrees to donate one’s blood, organ, or tissue for transfusion transplantation or research, and

RA No. 7170: Organ Donation Act of 1991

A legacy and a donation are executed in accordance with Section 3 and 4 respectively, of ______________ otherwise known as the “Organ Donation Act of 1991”.

DOH

This agency shall , in consultation with concerned professional organizations and hospital associations , issue guidelines on medical management of PLHIV and protocol on precautions against HIV transmission

Guidelines on Medical Management, Surgical, and Other Related Procedures

The DOH shall , in consultation with concerned professional organizations and hospital associations , issue guidelines on medical management of PLHIV and protocol on precautions against HIV transmission

During surgical , dental , embalming, body painting , or tattooing that require the use of needles or similar procedures.

The necessary protective equipment such as gloves , goggles, and gowns shall be prescribed and required , and made available to all physicians and health care providers, tattoo artists, and similarly exposed personnel at all times.

The DOH shall likewise issue guidelines on the handling and disposal of cadavers , body fluids , or wastes of persons known or believed to be HIV-positive.

surgical , dental , embalming, body painting , or tattooing

The DOH shall , in consultation with concerned professional organizations and hospital associations , issue guidelines on medical management of PLHIV and protocol on precautions against HIV transmission

During ___________________ that require the use of needles or similar procedures.

> w/ PPE

> w/ Proper Handling

DOH

This agency shall likewise issue guidelines on the handling and disposal of cadavers , body fluids , or wastes of persons known or believed to be HIV-positive.

> w/ PPE

> w/ needle procedures