1 byby MARIA CORAZON C. DUMLAO, MD, MPH Chief, Health Division Health and Nutrition Center, DepEd.

11

by by by by

MARIA CORAZON C. DUMLAO, MD, MPHMARIA CORAZON C. DUMLAO, MD, MPHMARIA CORAZON C. DUMLAO, MD, MPHMARIA CORAZON C. DUMLAO, MD, MPHChief, Health DivisionChief, Health DivisionChief, Health DivisionChief, Health Division

Health and Nutrition Center, DepEdHealth and Nutrition Center, DepEdHealth and Nutrition Center, DepEdHealth and Nutrition Center, DepEd

22

GovernmentCapital

Head of State

System

: President

: Presidential

: Manila

: 7,107

GeographyLand Area

No. of IslandsMountains

Lakes

: 300,080 sq. km

: Sierra Madre

: Laguna & 58 others

EducationStudent Population

No. of SchoolsNo. of Teachers

Literacy Rate

: 18,730,682

Teacher-Student Ratio

: 60,439: 451,134: 95.6

: 1:41

EconomyCurrency

GNPGDP

Total Exports

: Peso (P)

Total Imports

: P1,100,654 B

: P1,104,255 B: $ 2.849 B: $ 2.867 B

: 48%

Population

Population

Urban PopulationAverage Size of Households

: 84.7 M (2004)

: 5.0

: 115 M (2015)

: 37% below 15 y/o

: 5.8 / 1000

Health Situation

Life Expectancy

Crude Death Rate

Women pregnant / year

: Males - 67

: 2.4 M

: Females - 72

: 29 / 1000Infant Mortality Rate

: 172 / 100,000Maternal Mortality

OB complications/ Hospitalization : 360,000

Unsafe abortions : 400,000

4th Leading cause of Maternal Mortality : Induced Abortion

33

Educational SystemFree and compulsary – Elementary (6 years)

Responsible for the management of basic educ. (elementary & secondary levels)

Tertiary levelCommission on Higher Education

Technical Education and Skills Development Authority (TESDA)

Free Secondary Education (4 years)

Department of Education

Post-Secondary Vocational and Tech.

44

LEVEL NO. OF SCHOOLS

ENROLLMENT

ELEMENTARY 41,267 12,964,475

SECONDARY 7,893 6,034,882

TOTAL 48,160 18,999,357

School Population – SY 2003 – 2004 - DepEdA. Pupils / Students

55

LEVEL Teachers Non-Teaching Personnel

ELEMENTARY 337,082 16,699

SECONDARY 119,235 10,901

TOTAL 456,317 27,600

B. Teachers and Non-Teaching Personnel

66

Ten Leading Cause of Morbidity 2002

1. Diarrheal disease2. Bronchitis3. Pneumonias4. Influenza5. Hypertension6. TB Respiratory7. Disease of the heart8. Malaria9. Chichen Pox10. Measles

866,411700,105632,930502,718279,992126,48952,95750,86935,30623,287

1134.8917.0829.0658.5366.7165.769.466.646.230.5

Number RateRate per 100,000

77

Ten Leading Cause of Mortality 1998

1. Disease of the heart2. Disease of the vascular system3. Pneumonia4. Malignant neoplasms5. Accidents6. Tuberculosis (all forms)7. Chronic obstructive pulmonary

diseases and allied conditions8. Diabetes Mellitus9. Other diseases of respiratory

system10. Nephritis, Nephrotic Syndrome and Nephrosis

55,83041,38033,70932,09029,87428,041

14,2288,819

7,516

7,453

76.311.746.143.940.838.3

19.512.1

10.3

10.2

Number RateCauses

88

Health Expenditures Health Budget US$ 186M (1.5% of total

US$ 1.22B)– 70.4% Personal Health care Delivery– 14.1% Public Health Programs

Share of Health Expenditure (WHO standard 5%)

1998 - 3.3% to 2001 - 3.1%

99

HIV/AIDS Budget 2003 US$ 300,000

0.16% of the Dept. of Health budget

0.025% total general appropriation (GA) Majority of responses externally sourced US$ 8.5M needed every year for strategic

activities of the Third Medium Term Plan

1010

Health Care Delivery System Decentralized since 1992 (Local Gov’t.

Code) Health Care devolved to LGU’s– 1,708 hospitals

640 government 1068 private

– 2,045 Rural Health Units (RHUs)– 13,096 Barangay (village) health stations

1111

AIDS Registry – (Institutionalized since 1987)

As of November 2003

– 1953 - HIV +– 630 - AIDS– 256 - Deaths– 6000 estimates

1414

RELEVANT INFORMATION FROM AIDS REGISTRY

Predominant Sexual Transmission

Male to Female ratio of 1:6 to 1

62% males

Peak age for female (20-29 years)

Peak age for males (30-39 years)

32% of total infected are overseas workers:

39% are seafarers

1515

STI reports mainly come from social hygiene clinics (SHC)

1993 – 1999 35,500 of STI cases

reported

1616

Show that young adults have

liberal attitudes on sexuality and

sexual practices

3rd YAFS – Young Adult Fertility and Sexuality

(YAFS 3) – study by UPPI (University of the Philippines Population Institute)

1717

Knowledge Survey Among Pupils(DepEd)

10 - item knowledge test

National Average of 5.3

All below passing average of 75%

1818

Sources of Information on AIDS/HIV: Elementary Level

Newspapers8%

Radio8%

Parents13%

School Nurse

10%

Sisters/Bros.2%

Others

2%

Friends4%

Doctor19%

Teachers14%

T.V.17%

1919

Knowledge Survey Among H.S. Students(DepEd)

• 15 item test

• national average is 9.07

• all below ideal passing average of 75% or 11

correct answers

2020

Sources of Information on HIV/AIDS: Secondary Level

Newspapers12%

Radio

10%

School Nurse7%

Sisters/Bros.2%

Others1%

Friends3%

Doctor

19%

Teachers20%

T.V.17%

Parents10%

2121

TRENDS FOR THE FUTURETRENDS FOR THE FUTURE

Current low prevalence may be influenced in the future by the following factors :

Increased mobility of some population groupsA fast growing young populationPersisting knowledge gaps in all groups studiedLow condom useNeedles/syringes sharingHigh STI prevalence and high antimicrobial resistanceLack of available low cost ARVInadequate government support for other therapeutic agentsHigh economic impact of AIDS

2222

The Philippine GovernmentThe Philippine GovernmentResponding to HIV / AIDSResponding to HIV / AIDS

Creation of Philippine AIDS Prevention and Control Act in 1998 (Republic Act 8504)– The law provides a clear basis for policies

and plans to address the problem of HIV/AIDS

2323

• Lead agency in the fight

against HIV/AIDS

• It coordinates and

oversees various

programs and activities

dedicated to the

prevention and control

of HIV/AIDS in the

Philippines

2424

PNAC Network– The Council itself, with 26 members as defined

by law.– The Secretariat of the Council, staffed

primarily by officials and personnel of the DOH– The organizations with representation in the

Council, which include 13 government agencies, 2 leagues of local governments, 2 committees of Congress, 2 medical and professional organization, and 7 NGOs, including one for people with HIV/AIDS.

2525

PNAC Network– Cooperating projects assisted by donors Cooperating projects assisted by donors

of financed by government.of financed by government.

– Self-financed organizations working in Self-financed organizations working in

fields related to HIV/AIDS.fields related to HIV/AIDS.

– Voluntarily organized local AIDS councils.Voluntarily organized local AIDS councils.

– Local governments undertaking HIV/AIDS Local governments undertaking HIV/AIDS

activities.activities.

2626

PNACPNACThe Dynamic structureThe Dynamic structure

20002000 Organizational contractionOrganizational contraction Role expansionRole expansion 4 committees4 committees

Scientific CommitteeScientific Committee Committee on AdvocacyCommittee on Advocacy Committee on EducationCommittee on Education Committee on Local ResponsesCommittee on Local Responses

2727

Scientific CommitteeScientific Committee

Capacity Building of PNAC on Ethical Guidelines for HIV/AIDS

Establishment/Institutionalization of STI surveillance and Behavioral surveillance systems in the designated local areas of integration.

Research and Economic valuation on STI/HIV/AIDS interventions

2828

Scientific CommitteeScientific Committee

Evaluation Research on Program interventions

Dissemination Fora on HIV/AIDS situation/programs/issues

Collection and Compilation/Publication of the Philippine HIV/AIDS social/bio-medical research

Further research on data gaps

2929

Committee on AdvocacyCommittee on Advocacy

A network of organizations,institutions and

individuals is regularly interacting in support of the

priorities and targets of PNAC

Major Media organizations assume responsibility for

educating and informing their audiences about

HIV/AIDS

The main organized churches and religions in the

country accept their respective responsibility for

educating and informing their members about

HIV/AIDS prevention

3030

Advocacy ActivitiesAdvocacy Activities

World AIDS DAY/Awareness related events

Candlelight Commemoration Formation of a Critical Core of the Most

Aware focused advocacy– Executives/Legislators/Leaders– Health Workers– Employers– Educators– Religious – Civil Society/Vulnerable groups

3131

Advocacy ActivitiesAdvocacy Activities

Media– Capacity Building of Local media on

HIV/AIDS in the Local Areas of Integration– Regular Press Briefers/Releases on

STI/HIV/AIDS and Development– Establishment of Local/Sub national

networks for the Tri-Media– Production of new communication tools and

materials for STI/HIV/AIDS

3232

Committee on EducationCommittee on Education

Public and Private tertiary and secondary formal education programs include adequate information on HIV/AIDS in the curriculum training materials including textbooks, teacher training courses

Capability building for STI management,VCT and care and support at the different levels of the LGUs to ensure the continuum and quality of care

3333


Capability building for Institutions/Organizations in providing focused STI/HIV/AIDS education– Groups at Most Risk– Institutions

Education (teachers/parents) Workplace Special Settings

3434


Training of Social Workers and

Counselors in other related institutions

on HIV/AIDS

Capacity building of legal and para-legal

personnel on HIV/AIDS rights and ethics

3535


Instituting HIV/AIDS education in the school curricula

DepEd CHED TESDA

Training for STI care/ VCT in the Local Heath Settings Training for HIV/AIDS Core Teams in the

City/Provincial Hospitals and Selected Private

Hospitals

3636

Committee on Local ResponsesCommittee on Local Responses

At least 60% of the local government

jurisdictions are associated with an

active sub-national coordinating

mechanism for HIV/AIDS Prevention

3737

Indicators for Local ReponsesIndicators for Local Reponses

StructureStructurePolicyPolicyPrivate Sector Private Sector Investments in Investments in HIV/AIDSHIV/AIDS

NGO/CBO-NGO/CBO-Civil Society Civil Society Intervention/IIntervention/Investmentnvestment

Workplace Workplace HIV/AIDS HIV/AIDS ProgramsPrograms

Institutional Institutional HIV/AIDS HIV/AIDS Education Education ProgramsPrograms

Leading:Leading:

DempgraphiDempgraphicscs

HDIsHDIs

StructureStructurePolicyPolicyFocused Focused IEC IEC activitiesactivities

STI STI

and and BehavioralBehavioral

SurveillanceSurveillance

Voluntary Voluntary Counseling and Counseling and Testing Testing

ServicesServices

Social Social Hygiene Hygiene Clinic Clinic ServicesServices

Co-Co-incidental:incidental:

STIsSTIs

CondomCondom

UseUse

Behavioral Behavioral IndicatorsIndicators

StructureStructurePolicyPolicyPallative CarePallative Care

ServicesServices

Work and Work and WelfareWelfare

CounselingCounseling

Community -Community -based carebased care

Home CareHome Care

Basic Health Basic Health ServicesServices

OIsOIs

ARVsARVs

Lagging:Lagging:

HIV+HIV+

AIDSAIDS

Deaths Deaths MainstreamedMainstreamed

3838

The Phases of Local Responses10 ASEP Sites 8 PNAC – TFG

Sites 11/ 22 Cities Local Areas of Integration

8 New PNAC-UNAIDS PAF Sites

***Baguio Angeles Pasay Quezon City Cebu Iloilo Gen San Davao Zamboanga ***Cagayan de Oro

Laoag San Fernando Urdaneta Dagupan Batangas Naga Butuan Dipolog

Candon **Bauang Tarlac **San Fernando **San Pablo Lucena **Gumaca **Legaspi **Tabaco **Sorsogon **Matnog Tacloban Maasin Calbayog Catarman Catbalogan **Ormoc **Lapulapu **Mandaue Danao ***Tagbilaran Dumaguete

Gapan Cabanatuan Palayan Munoz San Jose Cauayan Santiago Baliwag

Sustain Strengthen Build Scale-Up

3939

2000 – 2004 Medium Term Plan2000 – 2004 Medium Term Plan

Five Focus Strategies

Improve care and support for people with

HIV/AIDS through enhanced hospital-based

services, promoting community-based care and

support for PWHAs, private sector involvement in

counseling and treatment services and increased

access to voluntary counseling and treatment.

4040


Address the specific needs of people in

prostitution by increasing access to acceptable

and effective STI services for sex workers and

their clients, strengthening the capacity of peer

educators to influence behavioral change, and

intensifying condom social marketing.

4141


Empower the youth sector with correct

knowledge and information on reproductive

health, sexuality and HIV/AIDS; initiate youth-

friendly RH services and peer counseling; and

assist young people living with STI/HIV/AIDS.

4242


Provide protection to migrant workers from

mandatory HIV antibody testing by pushing for strict

compliance to provisions of RA 8504 on testing and

confidentiality.

Increase awareness on HIV/AIDS in the workplace by

improving awareness of workers, medical personnel

and union members on HIV/AIDS, rights and

development issues.

4343

Program Focus

Institutions

City Governments

Vulnerable Groups

4444

PNAC Plan for 2002-2004PNAC Plan for 2002-2004prevention focus (15 - 49) prevention focus (15 - 49) 51% of 80M51% of 80M

Vulnerable GroupsVulnerable Groups– PIPS (500,000 - 1M)PIPS (500,000 - 1M)– IDUs - 400-500ThouIDUs - 400-500Thou

– 15,000*15,000*

– MSMs MSMs – Youth (15-24) Youth (15-24)

– 15.7M or 20%15.7M or 20%

– Clients (1-2M)Clients (1-2M)– Migrant Workers Migrant Workers 7.6M7.6M

InstitutionsInstitutions– DepEdDepEd– CHEDCHED– TESDATESDA– Special GroupsSpecial Groups

AFP/PNP/PrisonsAFP/PNP/Prisons

– WorkplaceWorkplace In Country 31MIn Country 31M

4545

Department of EducationDepartment of Education

4646

Mandates DepEd to integrate AIDS Prevention Concepts

One priority thrust for EFA 2015

RA 8504

4747

OBJECTIVES:OBJECTIVES:

Goal: To develop matured and responsible

studentry imbued with desirable

health values which can assist them

in making rational decisions that can

lead to satisfying, productive, and

quality life.

4848

OBJECTIVES:OBJECTIVES:

Create awareness on the local and global

situation on AIDS

Inculcate desirable health behavior

Provide pre-and in-service training of

teachers and other school officials

4949

OBJECTIVES:

Strengthen parent and community

involvement

Initiate research studies

Institutionalize AIDS prevention

education

5050

COMPONENTS:

IEC

Co-curricular and Ancillary Services

HRD

Parent Education & Community Outreach

Monitoring, Research & Evaluation

5151

Component # 1 - IEC

Development of Modules for Integration in Science and Health and Makabayan (sp. Social Studies)

Production of AIDS Sourcebook

Information campaign in schools students, teachers, parents

5252

Component # 2 - Co-Curricular Activities

Campus Journalism

Inclusion of HIV/AIDS Prevention in school papers

Scouting

Health Services

Student Organizations/Clubs

Guidance and Counselling

5353

Component # 3 - HRD

Training of Secondary School Nurses as Trainors on Life Skills

Training of Teacher Coordinators and School Health Personnel on Adolescent/ Reproductive Health

Orientation of Sch. Admins. on the Proj.

Training of Teachers on Teaching Strategies for HIV/AIDS Education

5454

Component # 4 - Parent Education

Training of Parents on Effective

Parenting

Information dissemination during

PTCA assemblies

Monitoring of children’s behavior in

coordination with School Guidance

Counsellor

5555

Component # 5 - MRE

Conduct surveys, periodic

monitoring and evaluative

studies

5656

FUTURE PLANSPrinting of Modules, Training Manual & Source BookCapability BuildingMRE

KAPLinkages - UNICEF, WHO, SEAMEO &

ADB, GOs & NGOs, UNESCOFocusing Resources for Effective School Health (FRESH) Education on HIV/AIDS Prevention

5757

Not One of Us is as Not One of Us is as Good Good or as or as

Strong as All of UsStrong as All of Us

Nobody’s Perfect Nobody’s Perfect – But a Team Can – But a Team Can

BeBe

Preventive Education Preventive Education WorksWorks

5858

Maraming Salamat Maraming Salamat Po!Po!

1 byby MARIA CORAZON C. DUMLAO, MD, MPH Chief, Health Division Health and Nutrition Center, DepEd.

Documents

Transcript of 1 byby MARIA CORAZON C. DUMLAO, MD, MPH Chief, Health Division Health and Nutrition Center, DepEd.