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SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...

SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...

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AbstractBackgroundThe policy support for strengtheninglinkages between <strong>HIV</strong>/<strong>AIDS</strong> <strong>and</strong> sexualreproductive health in the intern<strong>at</strong>ionalstage has grown, beginning with theIntern<strong>at</strong>ional Conference on Popul<strong>at</strong>ion<strong>and</strong> Development Programme (ICPD)for Action (UN, 1994). There are now<strong>at</strong> least nine different intern<strong>at</strong>ionalpolicy st<strong>at</strong>ements calling for strongerlinkages between <strong>HIV</strong>/<strong>AIDS</strong> <strong>and</strong> sexual<strong>and</strong> reproductive health fields. Globalst<strong>at</strong>ements such as these strengthen theadvocacy calls for establishing <strong>and</strong>/orstrengthening the linkages between sexual<strong>and</strong> reproductive health <strong>and</strong> <strong>HIV</strong>/<strong>AIDS</strong>in terms of policies, funding mechanisms,programmes <strong>and</strong> services.MethodsThe inform<strong>at</strong>ion included in this report wasobtained through the review of <strong>SRH</strong> <strong>and</strong><strong>HIV</strong> policies <strong>at</strong> the n<strong>at</strong>ional level <strong>and</strong>, whereapplicable, a review of oper<strong>at</strong>ional plans <strong>and</strong>guidelines for programmes <strong>and</strong> delivery ofservices. The proposed <strong>and</strong> enacted billsin both Houses of Congress were revisitedto determine the existence of provisionsrel<strong>at</strong>ed to sexual <strong>and</strong> reproductive health<strong>and</strong> <strong>HIV</strong>, to identify initi<strong>at</strong>ives to integr<strong>at</strong>ethe two. The director of the Family HealthOffice of the N<strong>at</strong>ional Center for DiseasePrevention, Department of Health was alsointerviewed. This office is in charge of familyplanning <strong>at</strong> the Department of Health. Anelectronic search for relevant inform<strong>at</strong>ion onthe internet was also done for supplementalinform<strong>at</strong>ion on the topic. The website of theDepartment of Educ<strong>at</strong>ion was checked fordevelopments on the proposed integr<strong>at</strong>ionof sexual <strong>and</strong> reproductive health educ<strong>at</strong>ionin the curriculum <strong>at</strong> elementary <strong>and</strong> highschool levels. Similarly, the PhilHealthwebsite was also checked for circulars onthe provision of service packages rel<strong>at</strong>ed to<strong>SRH</strong> <strong>and</strong> <strong>HIV</strong>. Documents regarding theprovision of <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong>-rel<strong>at</strong>ed servicesin the workplace were also loc<strong>at</strong>ed.Results<strong>Linkages</strong> between <strong>HIV</strong> <strong>and</strong> <strong>SRH</strong> haveonly been recently introduced. Wh<strong>at</strong>can be said as the earliest law rel<strong>at</strong>ingto reproductive health was focused onpopul<strong>at</strong>ion management since otherelements of reproductive health were notyet seen as a grouped concern, <strong>and</strong> <strong>HIV</strong>was yet unknown <strong>at</strong> th<strong>at</strong> time. Based onnew developments, it can be said th<strong>at</strong> <strong>at</strong> thepolicy level, integr<strong>at</strong>ion of <strong>HIV</strong> <strong>and</strong> <strong>SRH</strong>programmes is just <strong>at</strong> its very nascent stage.<strong>HIV</strong> – rel<strong>at</strong>ed str<strong>at</strong>egies are now includedin the proposed bills on reproductive health.IEC campaigns on STIs are also includedin most of the proposed bills.ConclusionDespite numerous legisl<strong>at</strong>ions passed <strong>and</strong>still being proposed aimed <strong>at</strong> improvingsexual <strong>and</strong> reproductive health, thePhilippines is still, <strong>at</strong> its best, in the infancystage. Decades of disagreement betweenthe C<strong>at</strong>holic Church <strong>and</strong> the St<strong>at</strong>e havepractically led to a st<strong>and</strong>still in terms ofpromotion of reproductive health.97

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