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

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BANGLADESHCAMBODIANEPALThe protocols and guidelines to supportintegrated service delivery have yetto be developed. The challenges andconstrains that may arise due to theintegration of SRH and HIV at thefacility level have yet to be determined.The impact of linking SRH and HIVservices cannot be measured until theintegration of SRH and HIV servicesis implemented in full.RecommendationsAdvocacy efforts to pressure Congressto pass all RH-related 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 advocateswithin the government and amongcivil society organisations (CSOs),to push through with better SRHand HIV integration.ii. Within the government, it shouldresult in the following:iii. A restructuring in the DOHas well as PopCom, to grouptogether under one unit alldisparate units that have relevanceto SRH planning, coordination,implementation and monitoringand evaluation;iv. Provision of specific budgetsupport (not released for thepast ten years by the Arroyoadministration) for the centralprocurement of family planningcommodities, especially condomstargeted for dual protection;v. Strengthening of PNACto better perform its role inpolicy coordination, includingintegration of HIV with otherRH elements, and an increase inHIV budget support in order towean the country away from donorfinancing;vi. Designation of an internal DOHHIV/SRH integration officervii. Hastening of Philhealth’s inpatientand outpatient coverageof SRH and HIV cases includingits integration in such areas aspurchases of FP supplies includingcondoms, PMTCT, PEP for rapecases, etc. Treatment of in-patientHIV cases as special cases thatrequire 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 nationwide,with grassroots-support, tocounter the Catholic Church’sadvantage in using the pulpitsto command obedience from itsflock;x. Have experience in HIV/SRHintegration through on-goingprogrammes and projects on apilot scale, publish and disseminatematerials to government and othersectors and lead policy-relatedefforts in integration;xi. Include budget advocacy as adistinct tool separate from thetraditional policy advocacy effortsin order to secure financing forHIV/SRH integrationPHILIPPINES110
xii. Include Philhealth as a promisingarena for the conduct of advocacyas it has existing funds to devisenew programmes in HIV/SRHintegrationReferencesAdministrative Order 16, s 2009. Policies and Guidelines on the Prevention ofMother to Child Transmission (PMTCT) of Human Immunodeficiency virus(HIV) . Department of Health, Philippines.Administrative Order 1-a, s 1998. Creation of a Philippine Reproductive HealthProgram. Department of Health, Philippines.Administrative Order 26-a, s 2000. Implementing Guidelines in STD CaseManagement at the Different Levels of the Health Care System. Department ofHealth, Philippines.Administrative Order 35, s 2006. National Family and Strategic Framework on MaleInvolvement in Reproductive Health. Department of Health, Philippines.Administrative Order 43, s 2000. Implementing Guidelines in STD CaseManagement at the Different Levels of the Health Care System. Department ofHealth, Philippines.Administrative Order 5, s 1998. Implementing Guidelines in STD CaseManagement at the Different Levels of the Health Care System. Department ofHealth, Philippines.Administrative Order 50-a, s 2001. National Family Planning Policy. Department ofHealth, Philippines.Department of Education Memorandum 261 s 2005. Operationalization of theUNFPA-assisted project Institutionalizing Adolescent Reproductive Health(ARH) Through Lifeskills-based Education. http://www.deped.gov.ph/cpanel/uploads/issuanceImg/DM%20No.%20261%20%20s.%202005.pdf. Dateaccessed Sept 12, 2010Department of Education Press Release. http://www.deped.gov.ph/cpanel/uploads/issuanceImg/jun8-sex.pdf. Date accessed Sept 12, 2010Facts on Barriers to Contraceptive Use In the Philippines. Guttmacher Institute.Promoting Reproductive Health: A Unified Strategy to Achieve the MDGs.Policy Brief. Senate Economic Planning Office. July 2009.Family Planning Organization of the Philippines (FPOP). Youth Friendly Servicesfor Young People’s Sexuality in ASRH in the Philippines. Progress Report forthe Period 1 Oct 2010 to 31 March 2011.General Appropriations Act 2010. Department of Budget and Management,Philippines. http://www.dbm.gov.ph/index.php?pid=8&xid=28&id=1289.Date accessed August 31, 2011.General Appropriations Act 2011. Department of Budget and Management,111
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Published by:International Council
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Table ofContentChapter Titles Pages
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INTRODUCTIONThe 2009 AIDS Epidemic
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REVIEW OF LINKAGES BETWEEN SEXUAL A
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ROUNDTABLE MEETING ON LINKAGES BETW
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Mr Roberto M Ador, Executive Direct
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Session 3: Health Systems Strengthe
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Model for Public-Private Partnershi
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CONCLUSIONSuccessful linkages betwe
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INSTITUTIONALCAPACITY FORHIV/AIDS A
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AbstractBackground: There are a num
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the highest export earnings. The pr
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grass-roots based service deliveryi
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However, condom use was low amongho
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2and Save the Children, USA, and is
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Many important national guidelines,
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voluntarily, among project particip
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ut all sources have consistently sp
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USA) and the World Bank ledconsorti
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the Prevention of Parent to ChildTr
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access to services for their consti
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for planned prevention, treatment a
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e accomplished if there is supporta
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In addition, not all services canbe
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daily lives and take priority overH
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Promote the social acceptability of
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References20 years of HIV in Bangla
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337
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Annex 6: Figure 2: National AIDS Mo
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INSTITUTIONALCAPACITY FORHIV/AIDS A
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AbstractBackgroundThe HIV epidemic
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NMCHCNRHPNSRSHNational Maternal Chi
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management system, and health servi
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universal access to HIV prevention,
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In order to support the linked resp
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ased violence, unplanned pregnancy/
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The essential services package forr
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care, and VCCT and ANC;Family plann
Page 79 and 80: Strategy for RSH in Cambodia 2006 -
Page 81 and 82: Logistics management proceduresfor
Page 83 and 84: ReferencesStrategic Plan for HIV/AI
Page 85 and 86: INSTITUTIONALCAPACITY FORHIV/AIDS A
Page 87 and 88: ABSTRACTBackgroundThere are a numbe
Page 89 and 90: planning products from DHOs/DPHOs.A
Page 91 and 92: priority. A large part of the preve
Page 93 and 94: the major breakthrough in linking t
Page 95 and 96: guidelines especially those related
Page 97 and 98: Court responded to the petition byi
Page 99 and 100: 34building on the technical strengt
Page 101 and 102: million from donors. As a percentag
Page 103 and 104: in hill and mountain districts. Fre
Page 105 and 106: uilding for home-based care through
Page 107 and 108: is from GFATM. It sets targetsand d
Page 109 and 110: SRH and HIV programmes are runverti
Page 111 and 112: IX. REFERENCES1. Adolescent Health
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