SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...
SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...
SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...
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BANGLADESHCAMBODIANEPALThe protocols <strong>and</strong> guidelines to supportintegr<strong>at</strong>ed service delivery have yetto be developed. The challenges <strong>and</strong>constrains th<strong>at</strong> may arise due to theintegr<strong>at</strong>ion of <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong> <strong>at</strong> thefacility level have yet to be determined.The impact of linking <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong>services cannot be measured until theintegr<strong>at</strong>ion of <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong> servicesis implemented in full.Recommend<strong>at</strong>ionsAdvocacy efforts to pressure Congressto pass all RH-rel<strong>at</strong>ed bills should befurther strengthened. There should bemuch broader support from varioussectors of society.i. Opportunities brought about by theelection of a pro-choice Presidentshould be leveraged by advoc<strong>at</strong>eswithin the government <strong>and</strong> amongcivil society organis<strong>at</strong>ions (CSOs),to push through with better <strong>SRH</strong><strong>and</strong> <strong>HIV</strong> integr<strong>at</strong>ion.ii. Within the government, it shouldresult in the following:iii. A restructuring in the DOHas well as PopCom, to grouptogether under one unit alldispar<strong>at</strong>e units th<strong>at</strong> have relevanceto <strong>SRH</strong> planning, coordin<strong>at</strong>ion,implement<strong>at</strong>ion <strong>and</strong> monitoring<strong>and</strong> evalu<strong>at</strong>ion;iv. Provision of specific budgetsupport (not released for thepast ten years by the Arroyoadministr<strong>at</strong>ion) for the centralprocurement of family planningcommodities, especially condomstargeted for dual protection;v. Strengthening of PNACto better perform its role inpolicy coordin<strong>at</strong>ion, includingintegr<strong>at</strong>ion of <strong>HIV</strong> with otherRH elements, <strong>and</strong> an increase in<strong>HIV</strong> budget support in order towean the country away from donorfinancing;vi. Design<strong>at</strong>ion of an internal DOH<strong>HIV</strong>/<strong>SRH</strong> integr<strong>at</strong>ion officervii. Hastening of Philhealth’s inp<strong>at</strong>ient<strong>and</strong> outp<strong>at</strong>ient coverageof <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong> cases includingits integr<strong>at</strong>ion in such areas aspurchases of FP supplies includingcondoms, PMTCT, PEP for rapecases, etc. Tre<strong>at</strong>ment of in-p<strong>at</strong>ient<strong>HIV</strong> cases as special cases th<strong>at</strong>require higher reimbursements;viii. Among CSOs, their focus shouldbe on the following:ix. Re-orient their advocacy for theRH bill to be not only NCRorientedbut should be n<strong>at</strong>ionwide,with grassroots-support, tocounter the C<strong>at</strong>holic Church’sadvantage in using the pulpitsto comm<strong>and</strong> obedience from itsflock;x. Have experience in <strong>HIV</strong>/<strong>SRH</strong>integr<strong>at</strong>ion through on-goingprogrammes <strong>and</strong> projects on apilot scale, publish <strong>and</strong> dissemin<strong>at</strong>em<strong>at</strong>erials to government <strong>and</strong> othersectors <strong>and</strong> lead policy-rel<strong>at</strong>edefforts in integr<strong>at</strong>ion;xi. Include budget advocacy as adistinct tool separ<strong>at</strong>e from thetraditional policy advocacy effortsin order to secure financing for<strong>HIV</strong>/<strong>SRH</strong> integr<strong>at</strong>ionPHILIPPINES110
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