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Sharing at a roundtable discussion on the 13th PNCA

25 October 2014, Crowne Plaza Hotel, Pasig City


By Daisy A. Miraran
1
My Experiences and Personal Insights as CHOW
for the GF-R6 PMTCT Project
Involvement with the GF-R6 HIV and AIDS Project in
the Philippines
Sub of sub recipient on TCS The PMTCT division
Coverage: Nationwide
Project Period: April 2010 to June 2012
2
Responsibilities in General
Provision of TCS services for women of child-bearing ages,
pregnant and non-pregnant, HIV-positive or negative
Four (4) Prongs of PMTCAT
Services in General
Peer counseling
Assist on disclosure to partners and families
Community education and basic STI/HIV and AIDS & PMTCT
Support Benefits during pre-natal, delivery and post partum
Referral services from Tx hubs and other partners that provide TCS
for WHIVs
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Contributing Factors to Achievement of
Objectives
Good referral system and working relationship
Outreach activities during home and hospital visits
Cooperation and understanding of our clients on FP Methods
Hard work on the side of CHOWs
Extra Service
Commitment of CHOWs. Overnight care-giving at hospital.
We just feel healthy enough!
4
Factors that Limited Achievement of
Objectives
Financial constraints of beneficiaries
Poor inaccessibility of facility to patients
Personal attitudes of some of patients
Patients fear of being disclosed and discriminated
Lack of true sense of volunteerism among peers
5
Other Implementation Issues and Concerns
Women MRPs refused to undergo HIV test: Still has to do with stigma
Non-disclosure to HIV(-) partners
Need for further efforts to promote FP among MRPs
Failure of WHIVs, both disclosed and undisclosed, to recommend
their male partners for testing
Lingering misconceptions or attitudes of clients re: ART
Stigma and discrimination concerns at birthing hospital not
addressed
Some were lost to follow after delivery due to high cost of postnatal
care and distance of treatment facility
Branching issue on breastfeeding versus infant formula.
Others:
Untreated STIs among pregnant women and delivering women
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My Recommendations
Strengthened education and promotion of testing among MRPs
More sensible awareness and education to the gen-pop to help
combat stigma and discrimination.
Upgrading of enabling environment among pregnant WHIVs and
those planning to get pregnant at the local level (SHC and
treatment hubs)
Partner notification strengthened. To include promotion of
counseling and testing to partners of positive women
All hospital staff be given proper training on HIV and AIDS.
Referral system to RHUs be put in place for free access to
vaccination of newborn babies
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My Recommendations Part 2
The two years project is not enough to monitor the outcome
of the project as re mother and infant.
Effective network with PLHIV support groups and TX Hubs be
created to unify all intervention efforts and prevent
uncooperative elements.
8
How about womens and
girls issues and
concerns?
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Maraming salamat sa
inyong lahat!
10
- Daisy

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