PHILIPPINE NATIONAL CONVENTION ON AIDS

CROWN PLAZA HOTEL, ORTIGAS, PASIG CITY

OCTOBER 25, 2014
History of ARV in the Philippines
Administrative Order No. 2104-0031
PLHIV PERSPECTIVE - Then and Now
Recommendations
Start ARV for Pregnant Women in the form of
Monotheraphy
Cocktails Combination were given to PLHIV
Clinical Trials from different research groups
Positive Community together with NGOs,
Stakeholders rallied inside the compound of SLH
and DOH to pushed DOH for FREE ARV for PLHIVs
PAFPI thru SIDA-France availed ARV for their staff
Generic ARV from India for 4 Pinot Plus volunteer
donated by Australian Network
Buyer Club of APN+ where ARV are sourced out
from different network partners
1990 to 2003
2004
2005
GFATM Round 3 included ARVs up to the present GF
project and the budget from the Department of Health
Govt procured ARV in a subsidized
scheme
1990
Subject: Policies and Guidelines on the Use of
Antiretroviral Therapy (ART) Among People Living
with Immunodeficiency Virus (HIV) and HIV-
exposed Infants
Objective: To provide guidelines for the use of
Antiretroviral Drugs (ARV) among PLHIV and infants
exposed to HIV in the Philippines
Scope and Limitation: This guidelines is intended
for physicians from the govt and private health
facilities managing PLHIV with establishes referral
networks to DOH designated treatment hubs.
THEN other Laboratory tests are not
necessary required only CD4 to the newly DX
and before the ART initiation
NOW before initiating ARV Treatment PLHIV
should submit the result of CBC, TB
Screening(Chest xray, sputum smear/gene
expert) Pregnancy test for Females of Repro.
Age, Hep B Screening and CD4 Cell Count
THEN - If CD4 is below 200 ARV is given without
any counseling
NOW - If CD4 is below <350, PLHIV will undergo
for 3 ARV Counseling Sessions accompanied by a
member of family or Significant Others CD4
>350 and <500 recommend for ART
THEN the ART we only knew then is Triomune
from India, Thailand and Combiver (Triple
combination)
NOW there are recommended regimen for
adults and adolescents (> 10 years of age)-
(A)First line regimen: 2 NRTI (AZT)+ NNRTI
(B)Second-line regimen 2 NRTI +
Lopinavir/ritonavir
THEN Prophylaxis and other OIs medication is
not available in the Tx Hubs
NOW With the GFATM these drugs are available
for PLHIV and FREE medication for TB Co-
Infection
THEN There is no Government Insurance that
caters the indigent PLHIVs on ART,
NOW PLHIVs on ARV enrolled at the Philhealth-
Outpatient HIV/AIDS Treatment (OHAT)Package .
P30,000.00 a year are allocated to every PLHIV
for CD4, other lab. (Php7500/qtr)
THEN PLHIVs residing from outside NCR
sometimes missed to pick-up their medication
because of financial problem (for transportation)
NOW Under the GFATM Project, indigent PLHIV
who are not a member of OHAT can avail
enablers funds for transpo, CD4/laboratory test
up to Php5000.00/pax /yr.- Prevention Site
Php2580.covers the Baseline lab.
THEN there are only 5 Treatment Hubs
where PLHIVs can be referred and access ART
NOW There are18 Treatment Hubs(2 Private
Hospitals), Selected Social Hygiene Clinics
and Private Clinics that monitor and dispense
ART to PLHIV (+ ARV Card)
THEN PLHIVs who are on ART sometimes
missed the medication advise from their
peers and some information they need never
reach them-(NCR/Provinces)
NOW with the Modern Technology (Mobile
Phones) PLHIVs can exchange information
(thru Texting) with their Peers like: date of
their CD4, ARV and other health concern
Respondents were asked about the proportion of
ARV medicines they managed to take during the
last month.
Among the current users:
88% (770) were able to take 95-100% of their ARV
(complete adherence) while
12% (103) managed to take less than 95% of their drugs
(partial adherence)
Respondents were also asked about the reasons of
missing their appointments with their HCP:
busy schedule
out-of-town travel
bad weather and
fear of being arrested
Philhealth (PHIC)-OHAT package must also include those
PLHIVs indigent who are not yet enrolled on ART-(
CD4,Chest Xray other Lab. Test)
PHIC-OHAT package must increase the yearly allocation
from Php 30,000.00 per year per pax to Php50,000.00 to
cover the cost of Viral Load laboratory diagnoses like CT
Scan, Ultra Sound, MRI and other OIs infections (CMV)
Full Implementation of OHAT Package to all Tx Hubs must
be monitored by the National AIDS Program including
private clinics not belong to the Tx Hubs
Improve the Doctor/Patient Ratio in the
Treatment Hubs
Management of ARV Stocks
Inventory Monitoring
Dispensing Protocol and
Frequency of Dispensing Schedule
Last recommendation
DOH AIDS Program must monitored the full
implementation of this Administrative Order 2014-0031
to private hospital clinic were PLHIV preferred to be
monitored (not Tx Hubs)
Reduced Morbidity and Mortality &
Onward transmission of the Virus* (Hall, 2012)
Associated with
Early diagnosis of HIV
Prompt Linkage
Sustained Care
Anti-Retroviral Therapy
HIV Testing
Linked with Care Services
Gateway to Treatment and other Support Services
You can download the result of the Community
Access to Treatment, Care and Support Study
in the Philippines from: www.pnac.org.ph or
Email us at : pinoy.plus@yahoo.com.ph
For further information, please contact: