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    5 views9 pages

    Hiv Aop - 2023

    Uploaded by

    Neil Victor Ongco Pajugot

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 9
    ‘© Inadequate training for some health providers [Nurse, Midwives and BHWS"] ‘© Lack of materials t be used for Skin Slit Smear ‘© Lack of laptops for the Medical Coordinator and Med. Tech Coordinator to be used during PROPOSED INTERVENTIONS, GOAL: To reduce the number of Leprosy cases to below S patients; much better eliminated by the year 2025, INTERVENTIONS: ‘© The need for information drives hoping to be part of health activities. Even a litle info regarding the disease process helps spread knowledge, this includes making TEC mater ‘* Promoting societal inclusion through addressing all forms of discrimination and stigma, ‘© Ask for help from DOH to mainisin flow supply of Medicine for MDT and other supplementary Meds for MDT like (Prednisone, Vitamins and ointments} ‘© Conduct Trainingy'Seminars to Non Trained Health Personnel including BHW but have separate Training if money permits. ‘* Procuring disposable blades that wil be used for Skin Slit Smear, ‘© Promoting early case detection through active case finding with the help of Trained Health Personnel, © Procurement of 2 Laptops for Medical Coordinator and Med. Tech. Coordinator. HIV, AIDS AND STI PREVENTION AND CONTROL PROGRAM ‘The human immunodeficiency virus (HIV) targets the immune system and weakens people's defense against many infections. As the virus destroys and impairs the function of immune cells, infected individuals gradually become immune deficient. Immune function is typically measured by CD4 cell count. The most advanced stage of HIV infection is acquired immunodeficiency syndrome (AIDS), which can take many years to develop if not treated, depending on the individual. AIDS is defined by the development of certain cancers, infections or other severe long-term clinical manifestations. ‘The HIV/AIDS epidemic has grown from a serious public threat to a massive and complex crisis, forcing humanitarian and development agencies to modify their programs to address the changing nature of a world with HIV/AIDS. AS 80% sigma of HIV testing arses, vious sectors in the community were filly aware of STVHIV-AIDS Prevention Control through massive advocacy campaigns to barangay officals, ‘employees of the government and private organizations, youth, couples during pre-marrisge counseling and the general public. Education programs that reduce HIV elated stigma, including counseling to prevent HIV-related discrimination. n Scanned with CamScanner Furthermore, the city is seeking integration in different programs of DOH. The Universal HIV testing for Tuberculosis (TB) patients. Pregnant women are told that a HIIV test will be included in the standard group of prenatal tests. Some barangay health centers already process application for Level 1 accreditation of Adolescent-Friendly Facility to increase condom access points for Healthy Young Ones and services specifically to adolescents. Mental Health Program {for PLHTV behavioral and motivational counseling. Presently, the city is embarking on a new strategy that would deal with Persons Who Inject Drugs (PWID) and Persons Who Uses Drugs (WUD) through reaching out to the Most at Risk Population (ROMP). Should there be ‘coordination and collaboration of Drug Program as to Drug Surrenderers mustinclude HIV testing Procurement of HIV testing kits and STI medicines should be prioritized to the most at risk population such as MSM, Sex Workers, PDL, PWID, and PWUDs. ‘The Lapa-Lapu City Social Hygiene Clinic is the only testing center in the city that offers free and confidential HIV tests. Moreover, HIV/AIDS core teams such at physicians, case ‘manager, nurses, and peer educators are highly required for the program. As planned, the City is already working on hand for the application and installation of Treatment Hub Facility to accommodate all of the HIV reactive clients. Other a ities in line with this program include joining the International AIDS it Memorial Celebration and the Red Ribbon campaign every May and December. The need to strengthen additional activities related to HIV/AIDS from LGUs support and local advocacy partners. SUMMARY OF GAPS: ‘© Knowledge deficit of DOH programs related to HIV © Lapu-Lapu City Health is not @ Primary HIV care facility yet—all our reactive clients are referred to Mandaue Social Hygiene Clinic for treatment, © Fear of submitting to HIV testing and stil a stigma ‘© Lack of Manpower-no specific social hygiene physician handling the HIV/AIDS program. ‘¢ Lack of trainings to health personnel and private practitioners on identification, treatment, management, including patient's rights of STD cases ‘© Unfunctional Local AIDS Council due to pandemic ‘© Insufficient commodities of medicines and supplies like HIV testing its and condoms. PROPOSED INTERVENTIO GOAL: To provide proper identification, management, treatment and reporting of STUHIIV AIDS cases by the end of 2025. INTERVENTIONS: ‘© Advocate, develop, and support community-wide interventions for adolescents and young people living within geographically defined communities that also include a wider range B Scanned with CamScanner ‘of community members and stakeholders given the influence of peers, family, and other ‘community members on the lives and decisions of young people. ‘¢ Assist inthe design of programs to provide services in accessible locations and at times convenient for young people, specifically evenings and weekends and in locations close to ‘where they live, goto school, and/or work. ‘© Support the development of peer counseling for young people in higher risk groups to enable more effective discussions. © Primary HTV Care Training for health service providers forthe upcoming Treatment Hub Facility ‘© HIV Counseling and Testing Training. This is designed for health care providers and lay ‘people providing HIV services to enhance knowledge, ils and aitude in providing HIV counseling including pre and post-est counseling to clients who access this service at the Ihealth facilities. ‘© Good referral system of local advocacy partners such as the National/Government, Local/Youth/CSOsNGOs and International Partners NATIONAL AEDES-BORNE VIRAL DISEASE PREVENTION AND CONTROL PROGRAM Lapu -Lapa, officially the City of Lapo-Lapu, is first class highly urbanized city in the region of Central Visayas. Considered highly urbanized which contributes to population growth asa result {from increased human mobility. Human overpopulation aggravates many social and environmental {factors including overcrowded living conditions, pollution and inadequatc health care which wreak hhavoc on the poor and increase their likelihood of being exposed to infectious diseases and one of those is the dengue virus. Dengue is the fastest growing mosquito-borne viral infection in the worl, Tis found in more than 150 countries-more than 40% of the world's population live in at-risk areas including the Southeast Asian Nation specifically the Philippines. Dengue is a rapidly spreading vector-borne vial disease which can lead to mortality. The Dengue prevention and control program helps in preventing or reducing dengue cases of morbidity ‘and mortality. The program promotes the strategic approach through Integrated Vector ‘Management (IVM) in order to control mosquito vectors, including those of dengue, m4 Scanned with CamScanner coe MARCH 2023 9, HIV/AIDS & ART REGISTRY OF THE PHILIPPINES ‘Average number of people newly diagnosed with HIV per day, selected years! 2022 2023 41 54 2013 2018 13 3 NEWLY DIAGNOSED CASES In March 2023, there were 2,078 confirmed HIV-positive individuals reported to the HIV/AIDS & ART Registry of the Philippines (HARP) [Figure I of which, 498 (24%) had linical manifestations of advanced HIV infection at the time of diagnosis [Table 1] This was a35% increase compared to the same reporting period last year [Figure 1]. Moreover, there were 770 (57%) cases reported this month that were supposed to be confirmed from the previous months, Figure Number of newly iagnosed HIV cases per month, 2021-2023, adult oa Majority (95%) of the total reported cases in March 2023 ‘were male while 97 (5%) were female. The age of the reported cases ranged from 1 to 71 years old (median 28 years). Further, among the newly diagnosed cases, 1,006 (48%) were 25-34 years old, 635 (S1%) were 15-24 years old , 383 (19%) were 35-49 years old, 46 (2%) were 50 years and older, and eight (1%) were less than 15 years old’. Moreover, there were 10 HIV-positive women aged 18 to 42 years old who were pregnant at the time of diagnosis, ‘Summary of HIV dlagnoses and deaths, Jan 1984-March 2023 Demographic Data 2025_Martoast_itar3025_ Mar 039 Teeaeponedcases 2078 9 «GAs T4008 ‘Adena sso 256 mas ass Male sor 459810077552 Ferale 7 ms sme aes pgeronge 1-71-78 10-80 tmo-81 Mesian age 2 =e lO Agegours <5 ® = «me sm 5st tomes 25-06 1008 ase RSS EL 3-0 Sg sober 46 tat 16602570 ” Pr en) Reported deaths yw 47s sae Sexual contact remained to be the predominant mode of transmission (2,025, 97%) while transmission through sharing of infected needles accounted for 19 cases (1%), eight (<1%) were children who acquired HIV through ‘mother-to-child transmission, and the remaining 26 (1%) hhad no data on MOT this period. Among the newly reported cases who acquired HIV through sexual ‘contact, 1,478 (73%) males reported history of sex with another male, 343 (17%) had sex with both males and females", while 204 (10%) through an opposite sex. ‘More than half (1,195, 58%) of the total cases reported in March 2023 were from the National Capital Region [NCR], ‘CaLaBaRZon [4AJ, and Central Visayas [7] [Figure 2] Figure 2: Distribution of newly diagnosed HIV cases by region of residence”, March 2023 (N=2,078) “Revlon nes ner 599% 365 18% cam 6 OK a 0 7 Mm 8 ol 0 » Mm 1 3 OM CARMGA 2 2 em 2 a) cr aw ARMM 7 Anti-retroviral Therapy In March 2023, there were 1429! people with HIV who were enrolled to treatment [Figure 3 of which, 1425 were on the first line regimen, one was on second line regimen, and three were on other line of regimen. Among them, 671 (47%)_ were 25-34 years old, 460 (32%) were 15-24 years. old, 258 (18%) were 35-49 years old, 38 (3%) were 50 years ‘old and older, and two (

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