Today the countdown begins; 10 days before World AIDS Day 2008, on our 3rd year without external financial support, its amazing how everyone still seems to be geared towards making sure we keep the PROMISE and the TRADITION, what with just the recent Monster Mud Flood and freaky Frank, with 12 feet flood waters in some places, we lost much of our office resources (read: computers, files, materials, will power, and beauty) Not to mention one member (sorely missed, she comes earliest in the meetings AND has never missed a meeting)Miss, Marlyn of the DOLE
Almost all of the Government partner agencies have lost the same resources, and a lot of resources would understandably have to go to recovering from the disaster. . Like the sphinx, we rose not from the ashes but from the mud.
Everyone is (surprisingly) very excited about this year's celebrations, maybe an effort to get back on track and leave the bad memories of freaky frank behind and move on to things that needs to get done.
As secretariat of the Aklan PAC, we are in charge of coordinating, organizing events of the council and mobilizing resources for these events, You can just imagine the daunting task we have to face this year, with minimal resources even then, and now so much more depleted by freaky frank.
But we are moving on and pushing forward, THE STRENGTH IS WITHIN, so we ask here and there, and this year, we have on their (3rd year too) the USPCV, using their own resources to help Aklan, Governor Marquez, a staunch supporter of the prevention programme has signed request for the use of Deangpan as the free lodging for the USPCV as Counterpart and he will also sponsor the Audio System for use during the Public Prevention Education on December 4 at Pastrana Park.
Generously, The Municipality of Kalibo, will again ( for the 3rd year too) host the provincial celebration, with full support from Mayor Reymar Rebaldo.
Then not the one to beat, The Department of Education, led by Dr. Victorina Laroza, will once again mobilize( this time 9 private schools) within Kalibo to host the orientations on STI,HIV and AIDS Prevention that will be done by the US PCV, grateful thanks to Ma'am Rose Meren, who has always facilitated these prevention education efforts. In Kalibo alone we are targeting 2,000 young people, plus the thousands more to be reached in the other 9 municipalities celebrating.
The PNP, led by P/Ins Larry Dela Cena, thru POI, Nilda Gregas, will be part of the School Based Orientations to facilitate such topics as substance use and abuse and lifeskills.
These are some little victories, that make the AIDS Council stronger.
more will be up on this site as we get closer to the Big Week and as more pledges of support come in.
This is just to let everyone know that ( no matter how cliche) In Aklan we are TOGETHER - To-Get-There.
Mabuhay ang Aklanon,
I can almost hear the beat of the drums. Its WADSADSAD Again!
Thursday, November 20, 2008
Wednesday, November 19, 2008
SCHEDULE OF EVENTS Aklan's World AIDS WEEK Dec.1-5 ,2008
Implementing Sanguniang Panlalawigan Resoultion No. 06-459 series of 2005 " A Resolution declaring Decemebr 1 (the first week of December) as World AIDS Day/Week this year and yearly therafter as World AIDS Day in the Province of Aklan and institutionalizing its commemoration and celebration Provincewide.
Here is a working draft of the Program of Activities in line with the week long celebration:
DECEMBER 1
The Municipality of Malay Opens this year's Province wide celebration on December 1st. ( No holidays, when HIV is concerned for the Malay Municipal AIDS Council. So with the throng flocking to Boracay on this long week end, The movers of the Malay AIDs Council will be working to raise awareness on HIV in Boracay Island. As you can see HIV awareness is never a one day event in Malay, aside from their all-year long efforts towards sustained HIV awareness, Malay on the occassion of the global AIDS Awareness Day will do their campaign a week way before everyone else does their work on awareness raising! Mabuhay Malay!
Orientation on STI, HIV and AIDS:
Targeting 4 Public High Schools in the Municipality:
Malay National High School - Nov.27,2008
Boracay National High School- Nov.28,2008
Manoc Manoc National High School- Nov.28,2008
Yapak National High School - Nov.28,2008
And would you believe Malay's core group of trained Peer Educators from these schools will do the coordination and the actual conduct of the orientation among their peers with the supervisions of Youth allies - The Municipal Halth Office
PIPs Venue: Boracay RH center - Nov. 26, 2008
Malay Health Center- Nov.27,2008
Tattoo Artists Venue: Boracay RH Center: Nov. 20,2008
Beuty Parlor, Salons
and Barbers Venue: Boracay RH Center: Nov.25,2008
Massage and Spa attendants: Venue: Boracay RH Center Nov.25,2008
December 1
Distribution of IEC Materials and Red Ribbons Venue of distribution:
among driver and porters Caticlan Jetty Port
massage and spa attendants Cagban Airport
Tattoo artists D Mall de Boracay
PIPs Station 3
Resort and Hotel Employees Schools and the Beachfront
Guests and Tour Guides
Radio Plugging/Information Campaign and Phone in Q & A Contest
a Public Service of Yes FM
Videoke Challenge: Targets: PIPs Venue: Zwamppy
Credit goes to the Multi-Sectoral Partners of the malay AIDS Council, but above all the LEADERSHIP of the Malay Rural Health Unit. Dr. Adrian Salaver and his whole staff who has taken HIV to heart, despite and inspite the workload in their facility.
This year's celebration is PERPETUALLY supported by:
Boracay Foundation Inc.
Alima Skin Art Club
Dept. of Tourism
POPSHOP Philippines
here's a link about the beutiful municipality of Malay, and in case you dont know Boracay is just 3 barangays of the whole municipality, there are other interesting sites to visit!
http://foo.ncc.gov.ph/ecommunity/malay-aklan/
DECEMBER 2
The Municipality of Batan KEEPS its PROMISE for the Second Year!
This year's celebrations will start in the afternoon at 3:00, since this year its going to go way past 5:00 P.M. with a Battle of the Bands slated at the evening. This year the celebrations will be jumpstarted with a Public March, with Batan's High Schools participating, expect the drums to roll in the home of the Code of Kalatiao.
This will be followed by a public information forum at the town plaza, as well as showcasing the rituals observed during the celebrations.
The Provincial AIDS Council as a counterpart support to this Local initiative will set up an information and counseling booth for services available at the Social Hygiene Clinic.
Youth Volunteers will do most of the organization and mobilization as well as facilitation of the information forums.
Then.... way into the evening with the Battle of the Bands!!!!!
Batan ROCKS!!!!
More information on Batan's celebration will be avialable on this site as we get updates from the Batan AIDS Council!
DECEMBER 3
DECEMBER 4
The Provincial AIDS Council, on its 8th year of celebrating Awareness and Capping of year round efforts on HIV and AIDS Programming will this year, mount its MASSIVE awareness raising activities with the Municipality of Kalibo hosting (3rd year).
Again, we do not believe in one day celebrations, so every year, the celebrations is really just to cap off and thank all the partners who have been involved in the year long efforts towards a holistic approach on HIV and AIDS, in the areas of Policy Development, Financing, Regulation and Service Delivery.
This year, as with every year, the campaign starts with mobilizing all the forces of 17, government and 7 Non-Government Agencies, as well as external partners like the United States Peace Corps volunteers.
This year 15 USPCV will help in the celebrations, and try to reach the targeted 2,000 young people in Kalibo, with information on HIV and AIDS.
This will start at 8:00 A.M. with their Deped Partners and tyhe Philippine National Police who will also be sharing useful information to the Young People in our joint advocacies against substance use and abuse, as well as information on Violence agaisnt women and children. This info campaign will serve 9 Private Schools in kalibo, as facilitated by the Department of Education. ( Last year it was 10 Public Schools)
This will be followed by the World AIDS Day (WAD)SADSAD, and only Aklanons can do this, its ati-atihan to the hilt, 9 Bands, all sreet dancing to the beat of the tribal drums.
This will be followed by a Public information campaign at the Main Plaza of Pastrana Park, with a Theater presentation by Abante Aklan's core of youth volunteers.
This will be followed with the recognition dinners for the movers and shakers of the Aklan HIV program.
expect more updates on the program as plans get on their way.
DECEMBER 5
The Municipalities of Makato, Numancia, Lezo, Madalag ad Malinao as a composite group of the South western Interlocal Health Zone will launch their World AIDS Day campaign as one power group.
Here is a working draft of the Program of Activities in line with the week long celebration:
DECEMBER 1
The Municipality of Malay Opens this year's Province wide celebration on December 1st. ( No holidays, when HIV is concerned for the Malay Municipal AIDS Council. So with the throng flocking to Boracay on this long week end, The movers of the Malay AIDs Council will be working to raise awareness on HIV in Boracay Island. As you can see HIV awareness is never a one day event in Malay, aside from their all-year long efforts towards sustained HIV awareness, Malay on the occassion of the global AIDS Awareness Day will do their campaign a week way before everyone else does their work on awareness raising! Mabuhay Malay!
Orientation on STI, HIV and AIDS:
Targeting 4 Public High Schools in the Municipality:
Malay National High School - Nov.27,2008
Boracay National High School- Nov.28,2008
Manoc Manoc National High School- Nov.28,2008
Yapak National High School - Nov.28,2008
And would you believe Malay's core group of trained Peer Educators from these schools will do the coordination and the actual conduct of the orientation among their peers with the supervisions of Youth allies - The Municipal Halth Office
PIPs Venue: Boracay RH center - Nov. 26, 2008
Malay Health Center- Nov.27,2008
Tattoo Artists Venue: Boracay RH Center: Nov. 20,2008
Beuty Parlor, Salons
and Barbers Venue: Boracay RH Center: Nov.25,2008
Massage and Spa attendants: Venue: Boracay RH Center Nov.25,2008
December 1
Distribution of IEC Materials and Red Ribbons Venue of distribution:
among driver and porters Caticlan Jetty Port
massage and spa attendants Cagban Airport
Tattoo artists D Mall de Boracay
PIPs Station 3
Resort and Hotel Employees Schools and the Beachfront
Guests and Tour Guides
Radio Plugging/Information Campaign and Phone in Q & A Contest
a Public Service of Yes FM
Videoke Challenge: Targets: PIPs Venue: Zwamppy
Credit goes to the Multi-Sectoral Partners of the malay AIDS Council, but above all the LEADERSHIP of the Malay Rural Health Unit. Dr. Adrian Salaver and his whole staff who has taken HIV to heart, despite and inspite the workload in their facility.
This year's celebration is PERPETUALLY supported by:
Boracay Foundation Inc.
Alima Skin Art Club
Dept. of Tourism
POPSHOP Philippines
The Municipality of Malay KEEPS the PROMISE to STOP AIDS,
EMPOWERS, LEADS and DELIVERS!here's a link about the beutiful municipality of Malay, and in case you dont know Boracay is just 3 barangays of the whole municipality, there are other interesting sites to visit!
http://foo.ncc.gov.ph/ecommunity/malay-aklan/
DECEMBER 2
The Municipality of Batan KEEPS its PROMISE for the Second Year!
This year's celebrations will start in the afternoon at 3:00, since this year its going to go way past 5:00 P.M. with a Battle of the Bands slated at the evening. This year the celebrations will be jumpstarted with a Public March, with Batan's High Schools participating, expect the drums to roll in the home of the Code of Kalatiao.
This will be followed by a public information forum at the town plaza, as well as showcasing the rituals observed during the celebrations.
The Provincial AIDS Council as a counterpart support to this Local initiative will set up an information and counseling booth for services available at the Social Hygiene Clinic.
Youth Volunteers will do most of the organization and mobilization as well as facilitation of the information forums.
Then.... way into the evening with the Battle of the Bands!!!!!
Batan ROCKS!!!!
More information on Batan's celebration will be avialable on this site as we get updates from the Batan AIDS Council!
DECEMBER 3
DECEMBER 4
The Provincial AIDS Council, on its 8th year of celebrating Awareness and Capping of year round efforts on HIV and AIDS Programming will this year, mount its MASSIVE awareness raising activities with the Municipality of Kalibo hosting (3rd year).
Again, we do not believe in one day celebrations, so every year, the celebrations is really just to cap off and thank all the partners who have been involved in the year long efforts towards a holistic approach on HIV and AIDS, in the areas of Policy Development, Financing, Regulation and Service Delivery.
This year, as with every year, the campaign starts with mobilizing all the forces of 17, government and 7 Non-Government Agencies, as well as external partners like the United States Peace Corps volunteers.
This year 15 USPCV will help in the celebrations, and try to reach the targeted 2,000 young people in Kalibo, with information on HIV and AIDS.
This will start at 8:00 A.M. with their Deped Partners and tyhe Philippine National Police who will also be sharing useful information to the Young People in our joint advocacies against substance use and abuse, as well as information on Violence agaisnt women and children. This info campaign will serve 9 Private Schools in kalibo, as facilitated by the Department of Education. ( Last year it was 10 Public Schools)
This will be followed by the World AIDS Day (WAD)SADSAD, and only Aklanons can do this, its ati-atihan to the hilt, 9 Bands, all sreet dancing to the beat of the tribal drums.
This will be followed by a Public information campaign at the Main Plaza of Pastrana Park, with a Theater presentation by Abante Aklan's core of youth volunteers.
This will be followed with the recognition dinners for the movers and shakers of the Aklan HIV program.
expect more updates on the program as plans get on their way.
DECEMBER 5
The Municipalities of Makato, Numancia, Lezo, Madalag ad Malinao as a composite group of the South western Interlocal Health Zone will launch their World AIDS Day campaign as one power group.
WAD & MOVE
This year is extra special, The Aklan Provincial AIDS Council is supporting its younger brother, Aklan Move ( Men Opposed to Violence Everywhere) in its effort to STOP Violence Against Women and Children, Knowing that Men have a great role to play in also curbing the "bridge" transmission of HIV among women.
This year The Province of Aklan is playing host to the Visayas cluster of MOVE advocates for the 1st national Congress of Men Oposed to VAW Everywhere! (MOVE) with the banner theme of " Kilos mga kalalakihan! Sugpuin ang karahasan Laban sa mga kababaihan!"
This big event will be simulcast thru teleconferencing in Four Sites around th country, with the visayas cluster beamed from Villa Carmela in Boracay Island, Malay Aklan.
The following is the working draft program of the event:
Doxology: MOVE Quezon
National Anthem
Welcome Remarks: Atty. Dennis Pulma , Sandinganbayan
President, MOVE Philippines Inc.
Messages: UN Resident Rep.. Myrna T Yao, Chief Justice Reynato Puno, Sen.Manny Villar, rep. Nograles, MOVE Satellite Governors of Quezon, Akln and Sultan Kudarat
Se. Francis Escudero, Gen. Jesus Versoza, PNP Chief
Keynote Speech: Vice President Noli De Castro
Intermission: Noel Cabangon
Presentations ( Situationer, Cases, General Analysis and a call)
VAW Isses and Concerns: Mr. Perfecto Uysinco, TRIDEV MOVE Phils Inc.
Prostitution and Human Trafficking: Engr. Roger esto, PPDO, MOVE Aklan
Discrimination and Sexual Harassment
in the workplace and the school: MOVE Quezon
Domestic Violence and Rape: Mr. Rene Jimenea- President, MOVE DSWD Region 12
Open Forum:
Testimony : Mr. Robin Padilla
Reactions to the Presentations, highlighting the role of Men in eliminating VAWGovernment
sector: Chairperson Ricardo Saludo CSC
Private Sector: Mr Joey Concepcion
Religious Sector: Bishop Antonio Javellana Ledesma, SJ for Christians
Ustadz Esmael Ibrahim for Muslims
Media: Representative from KBP or Media Personality
Mr. Howie Severino
Academe: Dr. Romeo Lee
Testimony: Mr. Cesar Montanao, MOVE AVP
Role of Men in the elimination of VAW: Mr. Donlad Caballero, Move Phils. Inc
Mr. Franklin Quimpo, Move Aklan
MOVE Quezon Province
P/Insp. Antonio Bunda, Move Sultan Kudarat
Action Planning: Move Philippines Inc, Quezon, Aklan, SK and other chapters
Closing Remarks: Atty. Froilan Cabaros, Move Phil. Inc
Declaration of Men to END VAW ( signing of tarpaulin simultaneous in all sites)
The program starts simultaneously at 8:00 a.m. and Ends at 5 P.m.
For more information on this event please contact: Engr. Lou Santamaria, Aklan MOVE Vice-President at (036)268-56-26.
Tuesday, November 18, 2008
Contact Us:
The Aklan Provincial AIDS Council
working towards Universal access
Contributing to "Halt and Reverse the Spread of HIV"
Office of the Secretariat:
Ms. Debbie F. Villaflor
(036)268-5626, debbie_villaflor@yahoo.com
Caca Carillo
09294811688, boracacai@yahoo.com
Hey everybody
In an attempt to put out information to all those who would want to know whats happening with the Aklan Provincial AIDS Council, we've come up with a blog where you can read about information, We are still in the process of updating the files, uploading past, and new photos and LEARNING how to use a blog, hehe
Please bear with us and keep us updated about what you have too.
Will be putting in more data here aas we begin consolidating years of experience to share with all who could usae the data and also LEARN from those who would be willing to share links, resources and their own expereices in STI, HIV programming.
Please bear with us and keep us updated about what you have too.
Will be putting in more data here aas we begin consolidating years of experience to share with all who could usae the data and also LEARN from those who would be willing to share links, resources and their own expereices in STI, HIV programming.
World AIDS Week 2008
In keeping the promise to STOP AIDS, The Province of Aklan thru the Provincial AIDS Council and its partner groups and organizations is mobilizing and organizing this year’s World AIDS Day celebrations to campaign for Empowerment, Leadership and to Deliver the promises of Millennium Development Goal # 6 in Aklan and also to contribute to the greater national and global goals on HIV and AIDS.
This year, The Province as well as 10 municipalities will mount their own respective celebrations with their own resources. In line with the implementation of Sanguniang Panlalawigan Resolution No. 06-459 series of 2006 “A resolution declaring December 1 (the 1st week of December this year and yearly thereafter World AIDS Day in the Province of Aklan and institutionalizing its commemoration and celebration Provincewide.” We are targeting to reach 2,000 young people and MORE and arm them with information to safeguard their Reproductive Health by protecting themselves from HIV.
The Municipalities of Malay to include Boracay
Nabas
Tangalan
Batan
Altavas
Makato
Numancia
Madalag
Lezo
Malinao, to host the Inter Local Health Zone celebrations
Kalibo, to host the Provincial Celebrations
15 United States Peace Corps Volunteers will also be coming from all over the Philippines, supporting their own travel to help the Province reach out to the targeted Young People
POPSHOP will support the celebrations of Malay, Interlocal Healthzone, and the Provincial Celebrations.
This year, The Province as well as 10 municipalities will mount their own respective celebrations with their own resources. In line with the implementation of Sanguniang Panlalawigan Resolution No. 06-459 series of 2006 “A resolution declaring December 1 (the 1st week of December this year and yearly thereafter World AIDS Day in the Province of Aklan and institutionalizing its commemoration and celebration Provincewide.” We are targeting to reach 2,000 young people and MORE and arm them with information to safeguard their Reproductive Health by protecting themselves from HIV.
The Municipalities of Malay to include Boracay
Nabas
Tangalan
Batan
Altavas
Makato
Numancia
Madalag
Lezo
Malinao, to host the Inter Local Health Zone celebrations
Kalibo, to host the Provincial Celebrations
15 United States Peace Corps Volunteers will also be coming from all over the Philippines, supporting their own travel to help the Province reach out to the targeted Young People
POPSHOP will support the celebrations of Malay, Interlocal Healthzone, and the Provincial Celebrations.
Service Program Components
Component V: Embalming and After Death Services
In 2005, the Provincial Health Office conducted a training for Rural Sanitary Inspectors and Registered Embalmers on Republic Act 8504 (The Philippine AIDS Prevention and Control Act of 1998) and Universal Precautionary Measures for infectious diseases, including those who died of HIV/AIDS. In addition, referral systems were established between funeral homes and health centers to facilitate speedier case tracking.
After-death support also includes counseling of the affected families by members of the PLHAS (People Living with HIV/AIDS) group providing consolation to affected families. It also includes community education in the communities to minimize stigma and discrimination to the family.
In 2005, the Provincial Health Office conducted a training for Rural Sanitary Inspectors and Registered Embalmers on Republic Act 8504 (The Philippine AIDS Prevention and Control Act of 1998) and Universal Precautionary Measures for infectious diseases, including those who died of HIV/AIDS. In addition, referral systems were established between funeral homes and health centers to facilitate speedier case tracking.
After-death support also includes counseling of the affected families by members of the PLHAS (People Living with HIV/AIDS) group providing consolation to affected families. It also includes community education in the communities to minimize stigma and discrimination to the family.
Service Program Components
Component IV: Care and Support
HIV/AIDS Core Teams (HACT) are organized and in place at the Provincial Hospital (Dr. Rafael S. Tumbokon Memorial Hospital), Social Hygiene Clinic, Malay Rural Health Unit and the Boracay Satellite Social Hygiene Clinic.
The HACT are the frontline action teams for all HIV/AIDS cases in these facilities. HACT members are equipped with skills and knowledge in the care and support of PLWHAs through a series of trainings which included counseling, ARV literacy, and RA 8504 especially focusing on medical confidentiality issues in the handling of HIV/AIDS cases.
The province has also finalized its Hospital Guidelines and Admitting Procedures for People Living with HIV/AIDS, a manual for all health service workers in the province.
HIV/AIDS Core Teams (HACT) are organized and in place at the Provincial Hospital (Dr. Rafael S. Tumbokon Memorial Hospital), Social Hygiene Clinic, Malay Rural Health Unit and the Boracay Satellite Social Hygiene Clinic.
The HACT are the frontline action teams for all HIV/AIDS cases in these facilities. HACT members are equipped with skills and knowledge in the care and support of PLWHAs through a series of trainings which included counseling, ARV literacy, and RA 8504 especially focusing on medical confidentiality issues in the handling of HIV/AIDS cases.
The province has also finalized its Hospital Guidelines and Admitting Procedures for People Living with HIV/AIDS, a manual for all health service workers in the province.
Service Program Components
Component III: Treatment
A complete package of STI medicines and supply of reagents are available at the three health facilities in the province providing HIV/AIDS services. The STI medicines are for common infection in the areas such as gonorrhea, herpes and genital warts.
Antiretroviral (ARV) medicines are also available for AIDS sufferers. There are 4 types available, and most of the ARV recipients take Douvir at Php 2,500.00 per set per month. At the start of the program, UNFPA funded the ARV medicines of 7 PLHAS (People Living with HIV/AIDS) for six months. After the expiry of assistance, the province linked up with Global Health Fund to continue funding the ARV medicines Global Health Fund has committed lifetime support and provision of ARV for 13 PLHAS.
Innovative Approaches
The recipients of ARV medicines are enlisted as ARV Scholars who work as program partners in prevention education work. In 2005, 13 ARV Scholars were trained as speakers on HIV/AIDS and eventually participated in a series of education campaign conducted among resort workers and owners in Boracay Island.
A complete package of STI medicines and supply of reagents are available at the three health facilities in the province providing HIV/AIDS services. The STI medicines are for common infection in the areas such as gonorrhea, herpes and genital warts.
Antiretroviral (ARV) medicines are also available for AIDS sufferers. There are 4 types available, and most of the ARV recipients take Douvir at Php 2,500.00 per set per month. At the start of the program, UNFPA funded the ARV medicines of 7 PLHAS (People Living with HIV/AIDS) for six months. After the expiry of assistance, the province linked up with Global Health Fund to continue funding the ARV medicines Global Health Fund has committed lifetime support and provision of ARV for 13 PLHAS.
Innovative Approaches
The recipients of ARV medicines are enlisted as ARV Scholars who work as program partners in prevention education work. In 2005, 13 ARV Scholars were trained as speakers on HIV/AIDS and eventually participated in a series of education campaign conducted among resort workers and owners in Boracay Island.
Service Program Components
Component II: Prophylaxis
A. CONDOM-VENDING MACHINE
“Access to and availability of condoms should be of prime consideration if prevention education sees protection as the key.”
Young males who get treated for sexually transmitted infections at the Provincial Social Hygiene Clinic said that though they know that using condoms can prevent STI, they admitted that they do not use condom for the following reasons: they are ashamed to be seen buying it, the Midwives tease them when they ask for condoms at the Health Center, and some do not know where to buy condoms.
Innovative Approaches
The program answer is to install Condom Vending Machines in discreet locations (rest rooms) in two of the most popular bars in Boracay. The location allows for easy access especially for sex workers, since the bars are popular pick-up stations in the island.
To ensure that the vending machines are kept in running order by the establishment owners, a 60-40 scheme on the sales of the condoms was established, with 60% of the sales for the rural health center and 40% for the establishments. Monitoring is done on a weekly basis by the assigned Rural Sanitary Inspector assigned by the Rural Health Center to this project.
A partnership with DKT-Philippines, an NGO advancing reproductive health projects in the country, has enabled Aklan to put up popshop projects, condom access stations, in communities and health centers in the province.
B. HIV ANTI-BODY TESTING
Reagents for HIV Testing are available at four health facilities in the province-Dr. Rafael S. TumbOkon Memorial Hospital, Social Hygiene Clinic, Malay Rural Health Unit, and Boracay Satellite Social Hygiene Clinic. The Social Hygiene Services include the following: weekly smearing, provision of medicines, referrals, laboratory examination such as HIV test, RPR test, gram staining and culture sensitivity test, Pap smear, promotion and selling of condoms and other family planning products. The HIV Testing Package includes not just anti-body test but also pre- and post-test counseling. Advanced counseling and trainings for medical technologists and health personnel directly involved in this project were conducted by the Research Institute for Tropical Medicine. The antibody test is available at the Social Hygiene Clinic, Malay Rural Health Unit, and Boracay Satellite Social Hygiene Clinic at Php 300.00 per test.
Innovative Approaches
The initial supply of reagents for HIV testing was funded by UNFPA with the agreement that the health facilities will make their own subsequent purchases from the amount they charge for the HIV-testing. Through this revolving fund scheme, Aklan has the supply of reagents, a scheme that enabled the program to gain sustainability.
A move was also made to bring the services closer to the clients. In the first quarter of 2006, the Satellite Social Hygiene Clinic was established in Boracay.
A. CONDOM-VENDING MACHINE
“Access to and availability of condoms should be of prime consideration if prevention education sees protection as the key.”
Young males who get treated for sexually transmitted infections at the Provincial Social Hygiene Clinic said that though they know that using condoms can prevent STI, they admitted that they do not use condom for the following reasons: they are ashamed to be seen buying it, the Midwives tease them when they ask for condoms at the Health Center, and some do not know where to buy condoms.
Innovative Approaches
The program answer is to install Condom Vending Machines in discreet locations (rest rooms) in two of the most popular bars in Boracay. The location allows for easy access especially for sex workers, since the bars are popular pick-up stations in the island.
To ensure that the vending machines are kept in running order by the establishment owners, a 60-40 scheme on the sales of the condoms was established, with 60% of the sales for the rural health center and 40% for the establishments. Monitoring is done on a weekly basis by the assigned Rural Sanitary Inspector assigned by the Rural Health Center to this project.
A partnership with DKT-Philippines, an NGO advancing reproductive health projects in the country, has enabled Aklan to put up popshop projects, condom access stations, in communities and health centers in the province.
B. HIV ANTI-BODY TESTING
Reagents for HIV Testing are available at four health facilities in the province-Dr. Rafael S. TumbOkon Memorial Hospital, Social Hygiene Clinic, Malay Rural Health Unit, and Boracay Satellite Social Hygiene Clinic. The Social Hygiene Services include the following: weekly smearing, provision of medicines, referrals, laboratory examination such as HIV test, RPR test, gram staining and culture sensitivity test, Pap smear, promotion and selling of condoms and other family planning products. The HIV Testing Package includes not just anti-body test but also pre- and post-test counseling. Advanced counseling and trainings for medical technologists and health personnel directly involved in this project were conducted by the Research Institute for Tropical Medicine. The antibody test is available at the Social Hygiene Clinic, Malay Rural Health Unit, and Boracay Satellite Social Hygiene Clinic at Php 300.00 per test.
Innovative Approaches
The initial supply of reagents for HIV testing was funded by UNFPA with the agreement that the health facilities will make their own subsequent purchases from the amount they charge for the HIV-testing. Through this revolving fund scheme, Aklan has the supply of reagents, a scheme that enabled the program to gain sustainability.
A move was also made to bring the services closer to the clients. In the first quarter of 2006, the Satellite Social Hygiene Clinic was established in Boracay.
Service Program Components
Component I: BCC-Based Prevention Education
BCC stands for Behavior Change Communication. It is a concept which considers that the final goal of education is not simply to increase knowledge but to modify behavior to achieve lasting change. The program has developed trainings and orientations which emphasize protection and responsible sexual behavior among commercial sex workers, maritime students, hotel and resort workers and owners in Boracay Island, body builders club, homosexuals, adolescents, among other target sectors.
A. BCC-BASED TRAININGS FOR TARGET SPECIFIC AUDIENCES
SAFE SEX STRATEGIES is a one-day orientation tailored for commercial sex workers. It educates them about the different sexually transmitted diseases including HIV/AIDS, how they are transmitted, their symptoms and effects, possible treatment, and ways of prevention. A highlight of this orientation is the condom demo (different ways of using condom) to protect both partners from possible infection. These orientations are conducted periodically at the Social Hygiene Clinic by a team of resource persons coming from UNFPA-Aklan, Provincial Health Office, Butterfly Brigade, and the Social Hygiene Coordinator. These orientations are usually scheduled to coincide with the routine weekly check-ups of sex workers, as part of the regular monitoring of sex trade establishments/workers by the Provincial Health Office.
HIV/AIDS 101 is a brief orientation course designed by UNFPA-Aklan especially for students. It presents basic facts about HIV/AIDS showing how it is transmitted, how it can be prevented and detected, and where to go for assistance. The picture shows a resource person from Butterfly Brigade giving this course to 60 graduating maritime students in Kalibo. The province is conducting a vigorous information campaign especially targeting maritime students given the alarming statistics showing that 70% of PHAS in the Western Visayas Region are overseas merchant marines. After this orientation, three male students sought the services of the Social Hygiene Clinic for STI/HIV testing.
LIFESKILLS AND RESPONSIBLE SEXUALITY is a two-day seminar for students and out of school youth that teaches them responsible sexual behavior and life skills. Through fun and interactive activities, adolescents identify and analyze potentially risky situations and behaviors, learn about HIV/AIDS and other health issues, and examine and adopt practices and beliefs towards healthy sense of sexuality and total well-being.
Innovative Approaches
INFOTAINMENT. Combining information and entertainment ensures a bigger audience and a painless recall. This is because entertainment engages the audience to be part of the learning process. This picture shows a cultural show organized by the Butterfly Brigade, a gay group working as partners in HIV/AIDS prevention and control.
MACHO MEN NEED PROTECTION TOO. Being symbols of male virility and strength do not make body builders immune to the AIDS virus. After receiving an orientation on HIV/AIDS, the Boracay Hunks, a group of Boracay-based body builders, have made a commitment to become program partners by advocating for safer sex through the correct and consistent use of condoms.
WALKING BILLBOARDS. “ALIMA,” the tattoo artists group in Boracay Island has committed to “Spread the Message and not the Virus” through their body painting depicting BCC-based visuals advocating safer sex and prevention of HIV/AIDS. As tattoo artists, they have also pledged to contribute in the fight against HIV/AIDS by helping prevent transmission of the virus by ensuring the use of sterile needles and body piercing tools and practices.
BCC stands for Behavior Change Communication. It is a concept which considers that the final goal of education is not simply to increase knowledge but to modify behavior to achieve lasting change. The program has developed trainings and orientations which emphasize protection and responsible sexual behavior among commercial sex workers, maritime students, hotel and resort workers and owners in Boracay Island, body builders club, homosexuals, adolescents, among other target sectors.
A. BCC-BASED TRAININGS FOR TARGET SPECIFIC AUDIENCES
SAFE SEX STRATEGIES is a one-day orientation tailored for commercial sex workers. It educates them about the different sexually transmitted diseases including HIV/AIDS, how they are transmitted, their symptoms and effects, possible treatment, and ways of prevention. A highlight of this orientation is the condom demo (different ways of using condom) to protect both partners from possible infection. These orientations are conducted periodically at the Social Hygiene Clinic by a team of resource persons coming from UNFPA-Aklan, Provincial Health Office, Butterfly Brigade, and the Social Hygiene Coordinator. These orientations are usually scheduled to coincide with the routine weekly check-ups of sex workers, as part of the regular monitoring of sex trade establishments/workers by the Provincial Health Office.
HIV/AIDS 101 is a brief orientation course designed by UNFPA-Aklan especially for students. It presents basic facts about HIV/AIDS showing how it is transmitted, how it can be prevented and detected, and where to go for assistance. The picture shows a resource person from Butterfly Brigade giving this course to 60 graduating maritime students in Kalibo. The province is conducting a vigorous information campaign especially targeting maritime students given the alarming statistics showing that 70% of PHAS in the Western Visayas Region are overseas merchant marines. After this orientation, three male students sought the services of the Social Hygiene Clinic for STI/HIV testing.
LIFESKILLS AND RESPONSIBLE SEXUALITY is a two-day seminar for students and out of school youth that teaches them responsible sexual behavior and life skills. Through fun and interactive activities, adolescents identify and analyze potentially risky situations and behaviors, learn about HIV/AIDS and other health issues, and examine and adopt practices and beliefs towards healthy sense of sexuality and total well-being.
Innovative Approaches
INFOTAINMENT. Combining information and entertainment ensures a bigger audience and a painless recall. This is because entertainment engages the audience to be part of the learning process. This picture shows a cultural show organized by the Butterfly Brigade, a gay group working as partners in HIV/AIDS prevention and control.
MACHO MEN NEED PROTECTION TOO. Being symbols of male virility and strength do not make body builders immune to the AIDS virus. After receiving an orientation on HIV/AIDS, the Boracay Hunks, a group of Boracay-based body builders, have made a commitment to become program partners by advocating for safer sex through the correct and consistent use of condoms.
WALKING BILLBOARDS. “ALIMA,” the tattoo artists group in Boracay Island has committed to “Spread the Message and not the Virus” through their body painting depicting BCC-based visuals advocating safer sex and prevention of HIV/AIDS. As tattoo artists, they have also pledged to contribute in the fight against HIV/AIDS by helping prevent transmission of the virus by ensuring the use of sterile needles and body piercing tools and practices.
ACCOMPLISHMENTS
Investments have paid off with the following program returns:
Increased Demand for Orientation.
In the 3rd quarter of 2006, the Aklan pool of trainers on HIV/AIDS received numerous requests for HIV/AIDS orientations in schools, communities, and workplaces. From July-September, 10 orientations were held reaching 800 students, 200 workers, and 50 couples.
Increased Health Seeking Behavior.
The Social Hygiene Clinic has recorded an unprecedented increase in the number of clients who have sought Pap smear services. In 2005, total smeared was 3,518. Of the total number of Pap smear clients in 2005, 97% are commercial sex workers.
Decrease in STD Cases.
Composite statistics on sexually transmitted diseases showed a trend of decline. In 2004, STD cases dropped by 27 % from 939 cases to 688 in 2005.
Heightened Spirit of Volunteerism.
The program is experiencing an unprecedented rise of volunteerism from its program partners, especially among the youth and government agency partners. UNFPA-TAP Aklan has currently 3 youth volunteers who make the rounds of school orientations as resource persons on HIV/AIDS. Government agencies are also doing an active role, particularly the DOLE, TESDA and Department of Education – facilitating the conduct of HIV/AIDS orientations in workplaces.
Replication and Recognition.
In recognition of its leading work in HIV/AIDS programming, Aklan was tapped to host the Regional Consultative Planning and Network Building Initiatives on HIV/AIDS in Region 6 on June 2006. In the same year, Aklan hosted six Observation Study Tours from the various UNFPA 6th CPA project sites. The study groups have signified intention to replicate Aklan’s strategies and activities in their areas. In November 2006, a team of Aklanon trainers were sent to Ifugao to help in the replication of the Butterfly Brigade project, or the organizing of a vulnerable sector as program partners in HIV/AIDS work. In addition, Aklan has played host to numerous dignitaries, namely Dr. Zahidul Huque of UNFPA Philippines, Dr. Jean Marc Olive of World Health Organization, Mr. Anders Thomsen of UNFPA New York, national officials of UNAIDS and UNFPA, and a team of foreign media men who covered Aklan’s HIV/AIDS work in the communities.
Program Sustainability.
Increased Demand for Orientation.
In the 3rd quarter of 2006, the Aklan pool of trainers on HIV/AIDS received numerous requests for HIV/AIDS orientations in schools, communities, and workplaces. From July-September, 10 orientations were held reaching 800 students, 200 workers, and 50 couples.
Increased Health Seeking Behavior.
The Social Hygiene Clinic has recorded an unprecedented increase in the number of clients who have sought Pap smear services. In 2005, total smeared was 3,518. Of the total number of Pap smear clients in 2005, 97% are commercial sex workers.
Decrease in STD Cases.
Composite statistics on sexually transmitted diseases showed a trend of decline. In 2004, STD cases dropped by 27 % from 939 cases to 688 in 2005.
Heightened Spirit of Volunteerism.
The program is experiencing an unprecedented rise of volunteerism from its program partners, especially among the youth and government agency partners. UNFPA-TAP Aklan has currently 3 youth volunteers who make the rounds of school orientations as resource persons on HIV/AIDS. Government agencies are also doing an active role, particularly the DOLE, TESDA and Department of Education – facilitating the conduct of HIV/AIDS orientations in workplaces.
Replication and Recognition.
In recognition of its leading work in HIV/AIDS programming, Aklan was tapped to host the Regional Consultative Planning and Network Building Initiatives on HIV/AIDS in Region 6 on June 2006. In the same year, Aklan hosted six Observation Study Tours from the various UNFPA 6th CPA project sites. The study groups have signified intention to replicate Aklan’s strategies and activities in their areas. In November 2006, a team of Aklanon trainers were sent to Ifugao to help in the replication of the Butterfly Brigade project, or the organizing of a vulnerable sector as program partners in HIV/AIDS work. In addition, Aklan has played host to numerous dignitaries, namely Dr. Zahidul Huque of UNFPA Philippines, Dr. Jean Marc Olive of World Health Organization, Mr. Anders Thomsen of UNFPA New York, national officials of UNAIDS and UNFPA, and a team of foreign media men who covered Aklan’s HIV/AIDS work in the communities.
Program Sustainability.
In an unprecedented show of support to the program, the Department of Education issued a memorandum to all private and public schools enjoining them to mark World AIDS Day 2006. This move replicates a similar and earlier action of support by the local government units. Two municipalities, Makato and Boracay, have been holding their own World AIDS Day and World Population Celebrations since 2004, and have passed a number of ordinances providing budgetary support for activities on HIV/AIDS prevention and control.
POLICIES SUPPORTING AND SUSTAINING THE HIV/AIDS PROGRAM INITIATIVE
SB Resolution No. 2002-1000
Resolution supporting the Reproductive Health Program of the Department of Health being implemented by the Rural Health Unit
Executive Order No. 2002-07
nOrganization of Municipal IEC/Advocacy Team
Executive Order No. 2002-07
nReorganization of Municipal IEC/Advocacy Team to include the action officer
MIAT Resolution No. 02-2002
nResolution requesting the PROCESS PANAY INC.for a partnership in the implementation of the RH Program of UNFPA –POPCOM in the CBI and Non-CBI Barangays
MIAT Resolution No. 04-2003
nResolution Endorsing Resolution No. 01-2003 of Cayangwan IEC Advocacy Team requesting financial assistance from Congresswoman Gabrielle V. Calizo for the construction of Youth Tambayan Center
MIAT Resolution No. 03-2003
nResolution requesting the Sangguniang Bayan of Makato to create the position of Municipal Population Officer
MIAT Resolution No. 08-2003
nResolution requesting the Municipal Development Council to increase the appropriation for Reproductive Health Fund from P220,000.00 to P250,000.00
Executive Order No. 2004-03
nAmending Executive Order No. 11s. 2002 and Reconstituting the Municipal IEC/Advocacy Team
MIAT Resolution No. 04-04
nResolution approving the celebration of World Population Day and requesting an appropriation of P37,000.00 from the RH and GAD Fund
MIAT Resolution No. 08-2004
nResolution requesting the Sangguniang Bayan of Makato to approve the holding of World AIDS Day every last Friday of November.
A major accomplishment towards program sustainability was achieved with the signing of Executive Order No. 16 in March 2006 by Gov. Carlito Marquez which restructured the Provincial AIDS Council, and more significantly, stipulated its budget allocation within the Provincial Development Fund.
POLICIES SUPPORTING AND SUSTAINING THE HIV/AIDS PROGRAM INITIATIVE
SB Resolution No. 2002-1000
Resolution supporting the Reproductive Health Program of the Department of Health being implemented by the Rural Health Unit
Executive Order No. 2002-07
nOrganization of Municipal IEC/Advocacy Team
Executive Order No. 2002-07
nReorganization of Municipal IEC/Advocacy Team to include the action officer
MIAT Resolution No. 02-2002
nResolution requesting the PROCESS PANAY INC.for a partnership in the implementation of the RH Program of UNFPA –POPCOM in the CBI and Non-CBI Barangays
MIAT Resolution No. 04-2003
nResolution Endorsing Resolution No. 01-2003 of Cayangwan IEC Advocacy Team requesting financial assistance from Congresswoman Gabrielle V. Calizo for the construction of Youth Tambayan Center
MIAT Resolution No. 03-2003
nResolution requesting the Sangguniang Bayan of Makato to create the position of Municipal Population Officer
MIAT Resolution No. 08-2003
nResolution requesting the Municipal Development Council to increase the appropriation for Reproductive Health Fund from P220,000.00 to P250,000.00
Executive Order No. 2004-03
nAmending Executive Order No. 11s. 2002 and Reconstituting the Municipal IEC/Advocacy Team
MIAT Resolution No. 04-04
nResolution approving the celebration of World Population Day and requesting an appropriation of P37,000.00 from the RH and GAD Fund
MIAT Resolution No. 08-2004
nResolution requesting the Sangguniang Bayan of Makato to approve the holding of World AIDS Day every last Friday of November.
A major accomplishment towards program sustainability was achieved with the signing of Executive Order No. 16 in March 2006 by Gov. Carlito Marquez which restructured the Provincial AIDS Council, and more significantly, stipulated its budget allocation within the Provincial Development Fund.
Sangguniang Bayan Initiated Policies
SB Resolution No. 03-213
nResolution Endorsing MIAT Resolution No. 04-2003
Ordinance No. 03-41
nAn ordinance creating the Position of the Municipal Population Officer I in the Office of the Municipal Planning and Development Officer
Approved Annual Investment Plan
nThru the initiative of the Committee on Appropriation
SB Resolution No. 03-207
nResolution supporting the celebration of “World Population Day” every 11th day of July
Executive Order No. 2003-14
nCreating and organizing the Municipal Adolescent Reproductive Health Task Force
SB Resolution No. 03-220
nResolution requesting the Provincial Management Unit, 5th Country Program of Assistance (UNFPA), Provincial Health Office (PHO), to conduct trainings and seminars on Adolescent Reproductive Health for Cayangwan Aglucay Reproductive Health Organization and other Secondary Schools
SB Resolution No. 04-20
nResolution declaring last Friday of November as “World AIDS Day Celebration ” in the Municipality of Makato
SB Resolution No. 05-125
nResolution endorsing MIAT Resolution No. 2005-01 “Supporting the National Directorate Resolution of the League of Mayors of the Philippines pushing for the implementation of Reproductive Health Program and Responsible Parenthood.
SB Resolution No. 03-213
nResolution Endorsing MIAT Resolution No. 04-2003
Ordinance No. 03-41
nAn ordinance creating the Position of the Municipal Population Officer I in the Office of the Municipal Planning and Development Officer
Approved Annual Investment Plan
nThru the initiative of the Committee on Appropriation
SB Resolution No. 03-207
nResolution supporting the celebration of “World Population Day” every 11th day of July
Executive Order No. 2003-14
nCreating and organizing the Municipal Adolescent Reproductive Health Task Force
SB Resolution No. 03-220
nResolution requesting the Provincial Management Unit, 5th Country Program of Assistance (UNFPA), Provincial Health Office (PHO), to conduct trainings and seminars on Adolescent Reproductive Health for Cayangwan Aglucay Reproductive Health Organization and other Secondary Schools
SB Resolution No. 04-20
nResolution declaring last Friday of November as “World AIDS Day Celebration ” in the Municipality of Makato
SB Resolution No. 05-125
nResolution endorsing MIAT Resolution No. 2005-01 “Supporting the National Directorate Resolution of the League of Mayors of the Philippines pushing for the implementation of Reproductive Health Program and Responsible Parenthood.
INVESTMENTS
INVESTMENTS
The total project cost of setting up the Aklan HIV/AIDS Program amounted to over Php 2.2 M. The breakdown of investments is shown in figure below:
COST OF INVESTMENT
Enhancement of management systems/organization
Php 606,695.75
Capacity-building
Php 1,010,481.45
Facilities/Supplies
Php 634,840.00
Capacity-Building. From 2005 until the early part of 2006, UNFPA-TAP Aklan launched a retooling program among Health Service Providers skills in order to upscale program response to HIV/AIDS. The capability-building program claimed the biggest share of the budget --- Php 1,010,481.45.
The activities conducted under the capability-training program were:
HIV/AIDS Core Team Specialization Training
Orientation on Republic Act 8504 for:
Rural Sanitary inspectors
Provincial Legislators
Media practitioners
Hospital-based Nurses
Boracay establishment staff and owners
Training of Trainers of program partners:
· Butterfly Brigade
· Adolescent organization
· People Living with HIV/AIDS (ARV scholars)
ARV Literacy and Advanced Counseling
Orientation on Safe Sex Strategies and HIV/AIDS for Commercial Sex workers
Orientation on HIV/AIDS for OFW Wives
Youth Camp
Upgrading of Facilities and Procurement of Supplies. Through this program, the following medical and laboratory supplies, amounting to Php 634,840.00 have been procured:
Franchising of the POPSHOP Project (A DKT-International Project for the provision of contraceptive supplies at minimal cost)
Initial supply of reagents for the Voluntary Counseling, Screening and Testing centers (VCST)
Initial procurement of STI medicines
Anti-Retroviral medicines
Refurbishing of 2 facilities or VCST centers (voluntary counseling and screening tests).
Enhancement of Organizational/Management systems, including Advocacy Work. The expenses claimed by this program area amounted to Php 606,695.75 and were spent for the following activities:
Consultations, planning – national and local level
Advocacy meetings with business groups and program partners
Sponsorship of special events – World AIDS, World Population Day, Women’s Month
Sponsorship of Regional Consultative planning and Network Building in Region 6
Documentation/production of information materials
The total project cost of setting up the Aklan HIV/AIDS Program amounted to over Php 2.2 M. The breakdown of investments is shown in figure below:
COST OF INVESTMENT
Enhancement of management systems/organization
Php 606,695.75
Capacity-building
Php 1,010,481.45
Facilities/Supplies
Php 634,840.00
Capacity-Building. From 2005 until the early part of 2006, UNFPA-TAP Aklan launched a retooling program among Health Service Providers skills in order to upscale program response to HIV/AIDS. The capability-building program claimed the biggest share of the budget --- Php 1,010,481.45.
The activities conducted under the capability-training program were:
HIV/AIDS Core Team Specialization Training
Orientation on Republic Act 8504 for:
Rural Sanitary inspectors
Provincial Legislators
Media practitioners
Hospital-based Nurses
Boracay establishment staff and owners
Training of Trainers of program partners:
· Butterfly Brigade
· Adolescent organization
· People Living with HIV/AIDS (ARV scholars)
ARV Literacy and Advanced Counseling
Orientation on Safe Sex Strategies and HIV/AIDS for Commercial Sex workers
Orientation on HIV/AIDS for OFW Wives
Youth Camp
Upgrading of Facilities and Procurement of Supplies. Through this program, the following medical and laboratory supplies, amounting to Php 634,840.00 have been procured:
Franchising of the POPSHOP Project (A DKT-International Project for the provision of contraceptive supplies at minimal cost)
Initial supply of reagents for the Voluntary Counseling, Screening and Testing centers (VCST)
Initial procurement of STI medicines
Anti-Retroviral medicines
Refurbishing of 2 facilities or VCST centers (voluntary counseling and screening tests).
Enhancement of Organizational/Management systems, including Advocacy Work. The expenses claimed by this program area amounted to Php 606,695.75 and were spent for the following activities:
Consultations, planning – national and local level
Advocacy meetings with business groups and program partners
Sponsorship of special events – World AIDS, World Population Day, Women’s Month
Sponsorship of Regional Consultative planning and Network Building in Region 6
Documentation/production of information materials
CHALLENGES
Monitoring and evaluation remain a challenge because most of the program implementers are stationed within their own departments and have their own primary responsibilities. There is a need to integrate these twin functions into departmental responsibilities so that they will not be regarded as additional responsibility or extra burden.
There is a need to assist volunteer program partners such as the People Living with HIV/AIDS (PLHAS) organization and Butterfly Brigade in strengthening their own organization. Their work in the Aklan HIV/AIDS Program has been providing members’ opportunity to take active roles, but their organizational needs have to be addressed so that the entire organization will grow.
Innovation is a constant challenge to program implementers. The drive to discover new and better ways of responding to threat of HIV/AIDS must be cultivated. Routine activities, though actively implemented, tend to lose impact in the long run.
There is a need to assist volunteer program partners such as the People Living with HIV/AIDS (PLHAS) organization and Butterfly Brigade in strengthening their own organization. Their work in the Aklan HIV/AIDS Program has been providing members’ opportunity to take active roles, but their organizational needs have to be addressed so that the entire organization will grow.
Innovation is a constant challenge to program implementers. The drive to discover new and better ways of responding to threat of HIV/AIDS must be cultivated. Routine activities, though actively implemented, tend to lose impact in the long run.
Program Principles and Strategies
MULTISECTORAL TASKING
The program has benefited from the resources and skills brought by members of the different agencies and sectors. The downside of having a large membership, in Provincial AIDS Council for instance, is greatly superseded by the advantages they bring in terms of new contacts, resources, and fresh ideas. HIV/AIDS is everyone’s concern and should rightly elicit a multi-sectoral response.
PROGRAM PARTNERS, NOT BENEFICIARIES
The HIV/AIDS Program of Aklan does not have beneficiaries, only partners. PLHAs (People Living with HIV/AIDS) do not just receive services and medicines but are recruited as information providers. After attending trainings, students and out-of-school youths are asked to volunteer during campaigns and events, like World AIDS Day. Health Service Providers and representatives of agencies receive trainings but are consequently tapped as resource persons in trainings and orientations.
SOCIAL MARKETING
Social marketing is a concept whereby a commodity is sold not by itself alone, but with accompanying services like counseling and information. This is to ensure that when a person avails of a commodity, he will understand what it really is, its correct use, and why he should be consistent in saying. In social marketing, the gain is not measured in terms of how many commodities/services (condoms, pills, STI/HIV testing) has been return-of-investment is measured not in terms of how many packs of condoms but whether where demand has been generated.
RESULTS-BASED MANAGEMENT
The program adheres to the practice of results-based management which looks at the impact, rather than the activity. It sees the end result not in terms of how many activities have been conducted or how many were reached, but whether the desired change has been effected or manifested.
BEHAVIOR CHANGE AS THE END GOAL
All activities and projects are geared towards bringing about behavior change. The focus on transforming beliefs, modifying behavior, and altering practices ensures that the participants
PROGRAM PRINCIPLES
INCLUSIVE
The program is for everybody because everybody is vulnerable. The services are provided regardless of creed, color, status, gender, and even geographical base. The program serves even non-Aklanons who seeks access to the services. We have HIV positive persons from other regions availing of HIV testing in Aklan.
COMMUNITY-BASED
Access is brought to the people by making the services community-based. HIV testing is available not only in the capital town of Kalibo, but in the Health Center of Malay. A Satellite Social Hygiene Clinic was put up in Boracay to bring the services closer to the people. In addition, prevention education is brought to community schools through school-based orientations. Information work targets people’s organizations including fisher folk, farmers, out-of-school youth, and couples.
EMPOWERING
The program does not have “beneficiaries” but partners. Program schemes have been developed whereby those served by the program-PLHAs, commercial sex workers and other vulnerable groups-are recruited as information givers in return for the services they receive. We believe that when people own the program, they become more responsible and accountable for their health and actions.
INTEGRATED
The HIV/AIDS program services are comprehensive and integrated. It has gone beyond education and moved towards the provision of concrete services in the area of care and treatment for people living with HIV/AIDS. We provide for a holistic approach to people living with HIV/AIDS because it is what quality health care should be.
The program has benefited from the resources and skills brought by members of the different agencies and sectors. The downside of having a large membership, in Provincial AIDS Council for instance, is greatly superseded by the advantages they bring in terms of new contacts, resources, and fresh ideas. HIV/AIDS is everyone’s concern and should rightly elicit a multi-sectoral response.
PROGRAM PARTNERS, NOT BENEFICIARIES
The HIV/AIDS Program of Aklan does not have beneficiaries, only partners. PLHAs (People Living with HIV/AIDS) do not just receive services and medicines but are recruited as information providers. After attending trainings, students and out-of-school youths are asked to volunteer during campaigns and events, like World AIDS Day. Health Service Providers and representatives of agencies receive trainings but are consequently tapped as resource persons in trainings and orientations.
SOCIAL MARKETING
Social marketing is a concept whereby a commodity is sold not by itself alone, but with accompanying services like counseling and information. This is to ensure that when a person avails of a commodity, he will understand what it really is, its correct use, and why he should be consistent in saying. In social marketing, the gain is not measured in terms of how many commodities/services (condoms, pills, STI/HIV testing) has been return-of-investment is measured not in terms of how many packs of condoms but whether where demand has been generated.
RESULTS-BASED MANAGEMENT
The program adheres to the practice of results-based management which looks at the impact, rather than the activity. It sees the end result not in terms of how many activities have been conducted or how many were reached, but whether the desired change has been effected or manifested.
BEHAVIOR CHANGE AS THE END GOAL
All activities and projects are geared towards bringing about behavior change. The focus on transforming beliefs, modifying behavior, and altering practices ensures that the participants
PROGRAM PRINCIPLES
INCLUSIVE
The program is for everybody because everybody is vulnerable. The services are provided regardless of creed, color, status, gender, and even geographical base. The program serves even non-Aklanons who seeks access to the services. We have HIV positive persons from other regions availing of HIV testing in Aklan.
COMMUNITY-BASED
Access is brought to the people by making the services community-based. HIV testing is available not only in the capital town of Kalibo, but in the Health Center of Malay. A Satellite Social Hygiene Clinic was put up in Boracay to bring the services closer to the people. In addition, prevention education is brought to community schools through school-based orientations. Information work targets people’s organizations including fisher folk, farmers, out-of-school youth, and couples.
EMPOWERING
The program does not have “beneficiaries” but partners. Program schemes have been developed whereby those served by the program-PLHAs, commercial sex workers and other vulnerable groups-are recruited as information givers in return for the services they receive. We believe that when people own the program, they become more responsible and accountable for their health and actions.
INTEGRATED
The HIV/AIDS program services are comprehensive and integrated. It has gone beyond education and moved towards the provision of concrete services in the area of care and treatment for people living with HIV/AIDS. We provide for a holistic approach to people living with HIV/AIDS because it is what quality health care should be.
Implementing Structure
The Provincial HIV/AIDS Program is implemented by a network of government agencies, headed by the Provincial Government in partnership with UNFPA-Technical Asssistance Program. The non-government sector is represented by the organizations of adolescents at the provincial and community level. The vulnerable sectors-the Butterfly Brigade (a gay group) and the PLHAS (People Living with HIV/AIDS)-form part of the implementing structure and are among the most active program partners. The existence of Municipal and Barangay-level Reproductive Health Information and Advocacy Units (MIATS/BIATS) formed since the 5th Country Programme of Assistance facilitate the implementation of services at the community level.
Unique to the Aklan Provincial AIDS Council, The Council has a built in Technical Working Group, in such that THE COUNCIL is made up of the heads of offices and therefore the POLICY Making force, while each agency member has a permanenetly assigned representative that works as a member of the variuos technical working groups, that ACTUALLY implement the mandates of the Council.
Unique to the Aklan Provincial AIDS Council, The Council has a built in Technical Working Group, in such that THE COUNCIL is made up of the heads of offices and therefore the POLICY Making force, while each agency member has a permanenetly assigned representative that works as a member of the variuos technical working groups, that ACTUALLY implement the mandates of the Council.
Evolution of Aklan's HIV Program
2000
HIV/AIDS prevention and control integrated
in the reproductive health program
Focus on info work in schools and communities.
2001
1st HIV/AIDS case breaks out; case referred to Iloilo due to lack of facility in the province.
2003-2004
Response steeped up
Intensified info work vis-à-vis advocacy to sustain initiatives of Provincial AIDS Council.
2005
Aklan launches comprehensive and integrated HIV/AIDS Prevention and Control Program
Massive retooling of health service providers
Formation of HACT (HIV/AIDS Core Teams in 3 Health Centers
2006
Continued provision and scaling up of services:
Established Satellite Social Hygiene Clinic in Boracay
Revitalized Provincial AIDS Council
Broader networking for greater multicultural partnership
HIV/AIDS prevention and control integrated
in the reproductive health program
Focus on info work in schools and communities.
2001
1st HIV/AIDS case breaks out; case referred to Iloilo due to lack of facility in the province.
2003-2004
Response steeped up
Intensified info work vis-à-vis advocacy to sustain initiatives of Provincial AIDS Council.
2005
Aklan launches comprehensive and integrated HIV/AIDS Prevention and Control Program
Massive retooling of health service providers
Formation of HACT (HIV/AIDS Core Teams in 3 Health Centers
2006
Continued provision and scaling up of services:
Established Satellite Social Hygiene Clinic in Boracay
Revitalized Provincial AIDS Council
Broader networking for greater multicultural partnership
INNOVATIVE APPROACHES TO HIV PROGRAMMING
“The speed at which the HIV virus travels must be equaled with a response that is rapid as it is novel.”
In 2001, the first HIV/AIDS case in Aklan came out. His name was Peter and he was the very first HIV positive person in Aklan to disclose his status to us. Peter had earlier sought treatment in Iloilo City, preferring the anonymity of a strange place several miles away from his hometown. The Department of Health-Region VI in Iloilo City notified us about Peter. Efforts were made to trace him immediately but by then, Peter was already in advanced stage of the disease. Because of the absence of HIV/AIDS services in Aklan, we had to bring him to Iloilo. As Peter’s health declined, he decided to stay at a half-way home in Iloilo City. Because of limited resources at the facility, Peter had to go home to his family. In 2003, Peter died without having access to antiretroviral medicines that could have prolonged his life.
During this period, the HIV/AIDS services under the reproductive health program in Aklan had not gotten beyond information and education. Peter’s death painfully underscored the need to put up a comprehensive program on HIV/AIDS that would include care and treatment. We could not allow one more HIV positive person to die unattended when resources are just within reach. Spurred by this realization, Aklan’s initiatives in HIV/AIDS programming took a sharper focus. Thus in 2006, it finally established the first community-based comprehensive HIV/AIDS program in Aklan which provides prevention education, counseling, testing, care and treatment, and antiretroviral medicines.
Aklan’s initiatives in HIV/AIDS programming have been marked by constant search for innovative practices. The speed at which the virus travels must be equaled by a response that is rapid as it is novel. This is the only way we can immediately and sufficiently mobilize people and resources to prevent the virus from spreading further. In sharing our experiences through this manual, we hope to contribute to the enrichment of HIV/AIDS program practices among groups and sectors working for people living with HIV/AIDS.
THE AKLAN HIV/AIDS PROGRAM
The Aklan HIV/AIDS Program is a comprehensive response against HIV/AIDS combining advocacy and concrete medical services. It was launched in 2005, but the program foundations were laid much earlier when Aklan began its Reproductive Health Program under the UNFPA 5th Country Programme of Assistance in 2001-2004. During its “formative” stage, Aklan’s HIV/AIDS Program focused on extensive information and education work among adolescents, health workers, and the communities. It gradually evolved into a broader initiative when the threat of HIV/AIDS became more urgent and real when Aklan was confronted with its first HIV case in the later part of this period.
Aklan’s lack of capability to respond concretely to its first HIV case was a sobering experience. The alarm and bewilderment which attended its response to this case was a painful reminder of the program’s failings. The death of Peter, Aklan’s first PLHAS (People Living with HIV/AIDS), was a strong wake up call for provincial health program stakeholders to take a more concrete step. A parallel development also unfolded during this period which provided added impetus for Aklan to take a more decisive response to HIV/AIDS. UNFPA-Aklan commissioned a study in 2002 on MSM (Men Having Sex with Men) in the resort island of Boracay, Aklan. The study showed high prevalence of risky sexual behavior among male sex workers and homosexuals. It also indicated the probable outbreak of sexually transmitted diseases (STD) because of this factor, worsened by the absence of treatment facilities in the island. The study pointed out the need for a program response that would reverse the potential spread of STD cases and arrest the incursion of HIV in the area. These findings and the subsequent consultations with health program managers all over Aklan pointed out the need to take heed before the threat of HIV/AIDS approaches epidemic proportions. The social and economic cost of HIV/AIDS to Aklan, considering that Boracay is a leading tourist destination and major income earner, compelled the province to take decisive action. Thus in 2005, the first comprehensive, community-based HIV/AIDS Program in Aklan was launched.
Establishing the Need
Does the need for HIV/AIDS services exist? The answers which held true for Aklan then, and even until now were:
There was a need because
· There was Peter. There could be many more Peters who are in hiding. After Peter’s case in 2002, Aklan monitored its second HIV case two years later. He is now being assisted through counseling and antiretroviral medicine. In 2005, another Aklanon was monitored to be in advanced stage of AIDS, but has chosen not to reveal his condition and to forego assistance from the PHO.
· There are vulnerabilities due to exposure. There are vulnerable sectors in our society who, because of their work and lifestyles, are at greater risk. There are some one hundred registered sex workers in Kalibo alone (the number fluctuates since the sex trade is seasonal). The sex trade in Boracay is prevalent and peaks during the summer season, coinciding with the arrival of tourists. In most instances, tourists bring sex workers with them.
· There is a culture and subculture that puts people at risk. As in most rural areas in the country, people do not talk about sex openly. The topic is generally taboo and most practices are consequently either harmful or unhealthful. There is a need to further intensify 100% condom use for protection and family planning among male Aklanons. Pretests among students and out-of-school youths indicate surfaced considerable myths and misconceptions about sexually transmitted diseases, including AIDS.
· It is our right to be provided health care if we have sexually transmitted infections or if we are infected with HIV. It s our right to be provided the same services as anyone, without stigma and discrimination
In 2001, the first HIV/AIDS case in Aklan came out. His name was Peter and he was the very first HIV positive person in Aklan to disclose his status to us. Peter had earlier sought treatment in Iloilo City, preferring the anonymity of a strange place several miles away from his hometown. The Department of Health-Region VI in Iloilo City notified us about Peter. Efforts were made to trace him immediately but by then, Peter was already in advanced stage of the disease. Because of the absence of HIV/AIDS services in Aklan, we had to bring him to Iloilo. As Peter’s health declined, he decided to stay at a half-way home in Iloilo City. Because of limited resources at the facility, Peter had to go home to his family. In 2003, Peter died without having access to antiretroviral medicines that could have prolonged his life.
During this period, the HIV/AIDS services under the reproductive health program in Aklan had not gotten beyond information and education. Peter’s death painfully underscored the need to put up a comprehensive program on HIV/AIDS that would include care and treatment. We could not allow one more HIV positive person to die unattended when resources are just within reach. Spurred by this realization, Aklan’s initiatives in HIV/AIDS programming took a sharper focus. Thus in 2006, it finally established the first community-based comprehensive HIV/AIDS program in Aklan which provides prevention education, counseling, testing, care and treatment, and antiretroviral medicines.
Aklan’s initiatives in HIV/AIDS programming have been marked by constant search for innovative practices. The speed at which the virus travels must be equaled by a response that is rapid as it is novel. This is the only way we can immediately and sufficiently mobilize people and resources to prevent the virus from spreading further. In sharing our experiences through this manual, we hope to contribute to the enrichment of HIV/AIDS program practices among groups and sectors working for people living with HIV/AIDS.
THE AKLAN HIV/AIDS PROGRAM
The Aklan HIV/AIDS Program is a comprehensive response against HIV/AIDS combining advocacy and concrete medical services. It was launched in 2005, but the program foundations were laid much earlier when Aklan began its Reproductive Health Program under the UNFPA 5th Country Programme of Assistance in 2001-2004. During its “formative” stage, Aklan’s HIV/AIDS Program focused on extensive information and education work among adolescents, health workers, and the communities. It gradually evolved into a broader initiative when the threat of HIV/AIDS became more urgent and real when Aklan was confronted with its first HIV case in the later part of this period.
Aklan’s lack of capability to respond concretely to its first HIV case was a sobering experience. The alarm and bewilderment which attended its response to this case was a painful reminder of the program’s failings. The death of Peter, Aklan’s first PLHAS (People Living with HIV/AIDS), was a strong wake up call for provincial health program stakeholders to take a more concrete step. A parallel development also unfolded during this period which provided added impetus for Aklan to take a more decisive response to HIV/AIDS. UNFPA-Aklan commissioned a study in 2002 on MSM (Men Having Sex with Men) in the resort island of Boracay, Aklan. The study showed high prevalence of risky sexual behavior among male sex workers and homosexuals. It also indicated the probable outbreak of sexually transmitted diseases (STD) because of this factor, worsened by the absence of treatment facilities in the island. The study pointed out the need for a program response that would reverse the potential spread of STD cases and arrest the incursion of HIV in the area. These findings and the subsequent consultations with health program managers all over Aklan pointed out the need to take heed before the threat of HIV/AIDS approaches epidemic proportions. The social and economic cost of HIV/AIDS to Aklan, considering that Boracay is a leading tourist destination and major income earner, compelled the province to take decisive action. Thus in 2005, the first comprehensive, community-based HIV/AIDS Program in Aklan was launched.
Establishing the Need
Does the need for HIV/AIDS services exist? The answers which held true for Aklan then, and even until now were:
There was a need because
· There was Peter. There could be many more Peters who are in hiding. After Peter’s case in 2002, Aklan monitored its second HIV case two years later. He is now being assisted through counseling and antiretroviral medicine. In 2005, another Aklanon was monitored to be in advanced stage of AIDS, but has chosen not to reveal his condition and to forego assistance from the PHO.
· There are vulnerabilities due to exposure. There are vulnerable sectors in our society who, because of their work and lifestyles, are at greater risk. There are some one hundred registered sex workers in Kalibo alone (the number fluctuates since the sex trade is seasonal). The sex trade in Boracay is prevalent and peaks during the summer season, coinciding with the arrival of tourists. In most instances, tourists bring sex workers with them.
· There is a culture and subculture that puts people at risk. As in most rural areas in the country, people do not talk about sex openly. The topic is generally taboo and most practices are consequently either harmful or unhealthful. There is a need to further intensify 100% condom use for protection and family planning among male Aklanons. Pretests among students and out-of-school youths indicate surfaced considerable myths and misconceptions about sexually transmitted diseases, including AIDS.
· It is our right to be provided health care if we have sexually transmitted infections or if we are infected with HIV. It s our right to be provided the same services as anyone, without stigma and discrimination
FUNCTIONS AND RESPONSIBILITIES OF THE COUNCIL
The institution of a province wide HIV and AIDS information and education program.
The institution and establishment of a comprehensive HIV/AIDS monitoring system.
The issuance of guidelines in medical and other practices and procedures that carry the risk of HIV transmission.
The institution and provision of accessible and affordable HIV Testing and counseling services to those who are in need of it.
The institution and provision of acceptable health and support services for persons with HIV/AIDS in hospitals and in communities.
The protection and promotion of the rights of individuals with HIV, and
The strict observance of medical confidentiality.
THE TWG FOR HEALTH SERVICE DELIVERY AND DATA MANAGEMENT
Design a Standard Operation Procedure Manual.
Supervise the HAC Team
THE TWG FOR EDUCATION AND INFORMATION CAMPAIGNS
Ensure that HIV/AIDS education and information campaign at all levels is delivered.
THE TWG FOR ADVOCACY, PLANNING, POLICY AND LEGISLATION
Review the policies as to their conformance with national policies, laws and regulations on HIV/AIDS prevention and control.
Ensure that community-based HIV/AIDS prevention control and care services shall be integrated into the development plans and the existing programs of the province, municipality and barangay.
THE TWG FOR LIVELIHOOD PROGRAMS AND TRAININGS
Utilize existing mechanisms and strategies to jointly set-up a referral system to assist PHAs in accessing livelihood skills and trainings.
THE TWG FOR COMMUNITY-BASED SERVICES
Ensure that services at the provincial level are more accessible to the municipal level.
THE SECRETARIAT AND COORDINATOR
Arrange meetings of the council and TWG.
Prepare and compile minutes.
Assist the TWG in the compilation of data and reports.
The institution of a province wide HIV and AIDS information and education program.
The institution and establishment of a comprehensive HIV/AIDS monitoring system.
The issuance of guidelines in medical and other practices and procedures that carry the risk of HIV transmission.
The institution and provision of accessible and affordable HIV Testing and counseling services to those who are in need of it.
The institution and provision of acceptable health and support services for persons with HIV/AIDS in hospitals and in communities.
The protection and promotion of the rights of individuals with HIV, and
The strict observance of medical confidentiality.
THE TWG FOR HEALTH SERVICE DELIVERY AND DATA MANAGEMENT
Design a Standard Operation Procedure Manual.
Supervise the HAC Team
THE TWG FOR EDUCATION AND INFORMATION CAMPAIGNS
Ensure that HIV/AIDS education and information campaign at all levels is delivered.
THE TWG FOR ADVOCACY, PLANNING, POLICY AND LEGISLATION
Review the policies as to their conformance with national policies, laws and regulations on HIV/AIDS prevention and control.
Ensure that community-based HIV/AIDS prevention control and care services shall be integrated into the development plans and the existing programs of the province, municipality and barangay.
THE TWG FOR LIVELIHOOD PROGRAMS AND TRAININGS
Utilize existing mechanisms and strategies to jointly set-up a referral system to assist PHAs in accessing livelihood skills and trainings.
THE TWG FOR COMMUNITY-BASED SERVICES
Ensure that services at the provincial level are more accessible to the municipal level.
THE SECRETARIAT AND COORDINATOR
Arrange meetings of the council and TWG.
Prepare and compile minutes.
Assist the TWG in the compilation of data and reports.
The Aklan PAC brief history
The Aklan Provincial AIDS Council (PAC) is a multi-agency body organized to spearhead the HIV/AIDS Prevention and Control Program of the Province of Aklan. It is composed mostly of major government agencies and non-government organizations. The composition reflects representation from major areas such as health, education, media, government, and civic group.
Basis for forming the PAC
The Provincial AIDS Council was officially organized in May 2000 under the UNFPA 5th Country Programme of Assistance. It was initially formed in response to a program need since UNFPA had required that certain structures be put up to hasten RH campaigns and advocacy in the province. The impetus for organizing PAC was therefore program-driven and not needs (client)-based from the very start. However, there was another major contributing factor which inspired Aklan to organize the PAC. This was the Observation Study Tour in Manila, Cagayan, and Cebu participated in by Aklan delegates in 2000 facilitated by Positive Action Foundation Inc. The delegates observed that a big component behind the success of VAWC and STD programs in the sites they visited were the presence of advocacy support groups that complemented the efforts of main program implementers. They saw how AIDS Councils were contributing to smoother implementation of the Reproductive Health (RH) program. The delegates were convinced that a multi-sectoral body such as the AIDS Council would be helpful in giving the HIV/AIDS program in Aklan a truly multi-sectoral character. They had seen the evidence and result of complementation of efforts in the OST sites they had visited and were impressed by the partnership of the health sector with the local government, civil society groups, and NGO in regulating or curbing the spread of sexually-transmitted diseases in their provinces. Convinced that this was the vital component needed to make the Aklan’s own RH program successful, the delegates united on the idea of adopting the practice once they return to Aklan. Thus the Aklan Provincial AIDS Council was essentially a replication project.
Taking the First Step
The plan to organize the PAC came mainly from members of the delegates who represented the health sector – Social Hygiene Clinic and the Provincial Health office – with support from other member delegates, notably the DILG. Thus the delegates themselves took the initiative of giving concrete form to the idea of organizing the Aklan Provincial AIDS Council.
After the OST, the delegates had a meeting with the Provincial Project Management Unit (PPMU) of UNFPA-Aklan for feedbacking and sharing of insights. One of the agenda during this meeting was the discussion and possible adoption of program practices that they believe would work for Aklan. The formation of an AIDS Council was proposed and unanimously approved. The Provincial Health Officer, Dr. Landelino Meñez, who was also a member of the PPMU endorsed the idea and moved for its immediate implementation. The Secretariat was tasked to schedule the first meeting to gather the delegates once more, invite members from other government agencies, with the objective of forming the Provincial AIDS Council of Aklan.
The Composition of the PAC
On May 17, 2000, the Provincial AIDS Council was officially organized. The Council officers represented the following agencies: DSWD, PIA, PNP, DILG, PHO, PPDO, and DepEd. The composition was limited to those government agencies that participated in the OST and few others that attended that first meeting. However, the composition though limited was considered ideal because it represented a close knit of agency representatives who also belonged to the provincial RH Speakers’ Pool, an informal group which serves as an on-call resource center whenever there is an RH training in Aklan. Then too, they were a group who has had quite a long exposure to the program. Most of them have been around since the UNFPA 4th Country Program of Assistance, had worked closely with one another, had attended the same seminars, participated in OST, orientations, etc., and in their own words “have achieved a level of working relationship marked by ease and familiarity with one another.” In other words the Provincial AIDS Council of Aklan was a tight knit of active RH movers.
Difficulties
The Provincial AIDS Council was clear on its mandate of advancing a specific cause, i.e., STI/HIV and AIDS. In actual implementation, however, PAC members admitted that it had been a different matter. The plethora of Reproductive Health issues and concerns and the demand for integrated delivery of RH services proved to be a source of confusion for the PAC. Under the UNFPA 5th Country Program, the program focus was on the four core elements of Reproductive Health. These were Family Planning (FP), Adolescent Sexuality and Reproductive Health (ASRH), Maternal and Child Health and Nutrition (MCHN), and STI/HIV and AIDS. According to Provincial Sanitary Engineer Lou Santamaria, PAC member, the Council embraced all RH issues during the 5th CP and therefore failed to focus on its STI/HIV and AIDS work. Two reasons were cited for this: First, the Council as a body failed to have a distinct program of action focusing on HIV/AIDS alone; Second, HIV/AIDS was not seen a major issue and concern in Aklan.
During the period 2000–2002, there was no known or monitored case of HIV infection in the province. The first HIV case surfaced and was monitored in Aklan only in 2003; at present, there are 4 cases of HIV positive in the province. The other reason, the failure of coming up with a separate program plan for STI/HIV and AIDS was rooted to organizational/structural dilemma. The PAC members were themselves members of the Provincial RH Core Team, a loose group composed mainly of Health Program Coordinators within the Provincial Health Office who sit down with the PPMU of UNFPA-Aklan in its planning sessions. The PAC and the RH Team invariably end up crafting one integrated RH Plan for the province because, structurally, they are just one body. This problem was evident in activities of the PAC from 2000 to 2002 which almost always reflected joint implementation with UNFPA. PAC was actively involved in such activities as World AIDS Day Celebration, World Population Day, School-Based Orientation on ARH, Safe Sex Strategies, etc. However, while these activities involved the PAC, they were not initiated nor conducted primarily by the Council. The PAC members had been active, but largely on a supporting role. They were tapped as speakers on symposia, or presenters of HIV/AIDS statistics during school-based orientations.
Finding Focus
The attainment of PAC’s program focus came gradually and became evident in 2003. This corresponded with thrust towards sustainability which was the program call during this period. 2003 was the midterm phase of the UNFPA 5th CP when all program sites were finally required to show proof that it had installed mechanisms that would ensure the continuity of the program even after the 5th Country Programme of Assistance. This was the program exigency which provided the impetus for PAC to re-gain focus. It also helped that PAC was finally able to identify an issue on which it could work on its own: RA 8504 or the Philippine AIDS Law. In 2003, PAC conducted a series of orientations on RA 8504 among teachers, media, the police, health service providers, and program stakeholders. This came about when the MIATs (Municipal Information and Advocacy Teams) organized by the RH Advocacy Subprogramme intensified its HIV/AIDS campaign in the municipalities, monitoring the presence of sex establishments especially in towns near the resort island of Boracay and in Boracay itself. The campaign to popularize RA 8504 gained momentum during this period (2003). The requests from MIATs poured into the UNFPA-PPMU office and were referred to PAC, which responded accordingly by conducting orientations on RA 8504 in these municipalities.
Another development which strengthened the PAC was the expansion of the Council. In 2003, the Council adopted an organizational structure patterned after the Philippine National AIDS Council (PNAC) which included a wider multi-sectoral representation. All major government agencies were invited and new members were recruited. This was regarded by even by the original PAC members as a welcome development, for the new members brought new ideas and reinvigorated the Council. According to Provincial STD Coordinator Debbie Villaflor, the overload of tasks and the doubling of functions had taken its toll on the old Council members. The tightly-knit group of original RH movers had grown too fit for comfort. There was a need for fresh blood, so to speak.
The restructuring of PAC and its conduct of successive activities were just two of the measures that helped to strengthen it. The third was the marked regularity in the conduct of organizational meetings in 2004. Documentation showed that the meetings were distinctly PAC’s and not of any other RH body. This was taken as a reflection of PAC’s eventual coming of age. It was not anymore subsumed under other RH bodies, but had become a distinct organization.
Linking Up
PAC gained further focus in its work for HIV/AIDS when it teamed up with Butterfly Brigade. Butterfly Brigade is a gay group UNFPA program partner in its HIV/AIDS Program, focusing primarily on vulnerable sectors such as the gays themselves, commercial sex workers, and the People Living with HIV/AIDS (PLWHAS).
In 2003 when Butterfly Brigade was invited into the Council, the latter experienced a more vigorous initiative in its STD/HIV and AIDS campaign. The coming in of the Butterfly Brigade freed the PAC from doing IEC ground working and enabled it to reach out to a wider sector, which included gay, adolescents, and commercial sex workers. It also gave the PAC the opportunity to assume other tasks and functions which it had not focused on before. Thus, lobbying and legislative work was finally given attention during this period. The DILG and the DOJ teamed up for this task. The concrete output of this legislative work was Executive Order No. 16. While this EO granted the PAC a belated official status, its major service to the PAC was the granting of a budget allocation for PAC operations.
Another major achievement in the legislative/advocacy arena was the inclusion of RH agenda in the Sangguniang Kabataan Program Plan. The Provincial AIDS Council, through its DILG representative, worked for the restructuring of the SK Budget to include allocations for RH projects, as stipulated in the Constitution. Thus another source of funding for RH activities, including HIV/AIDS campaign projects, had been opened up though the initiative of the PAC.
Gaining Sustainability
In the second quarter of 2004, the Provincial RH Sustainability Planning was conducted in preparation for the pull out of the 5th CPA. The PAC as a component organization of the Aklan RH machinery took part in the planning. In its Sustainability Plan, the PAC outlined its major projects for 2005 and beyond, but more importantly it identified the immediate and major task of seeking legislative support and funding for its projects.
Thus on August 11, 2004 during its official meeting, the PAC resolved to lobby for funding from the Aklan Provincial Council. There was no conscious plan to conduct the lobbying during the election period (May 2004 national and local elections), but the move proved propitious. The new Governor was receptive to the program, and after several meetings and dialogue with members of the PAC and UNFPA, the Governor eventually signed Executive Order No. 16 on March 22, 2006. This document officially identified the composition of the (restructured) HIV/AIDS Council, its Technical Working Groups, and their tasks and functions. More importantly, EO No. 16 stipulated a budget allocation for PAC operations, taken from the Provincial GAD Fund. This was considered a landmark in the sustainability not only of the PAC operations, but of the entire RH Program in Aklan.
Establishing Records
When the 5th Country Programme of Assistance ended in Aklan in 2004, PAC had already proven its capability as a program implementer of the STI/HIV and AIDS Prevention and Control Program. It had a shaky start as all organizations have, but eventually found its strength.
In the 5th CPA, PAC had functioned primarily as an IEC/advocacy body, conducting awareness-building activities on HIV/AIDS and RA 8504. As early as 2000, the PAC had identified other tasks for itself , such as case monitoring of HIV/AIDS and sex establishments, as well as the enforcement of laws pertaining to their operations. These tasks–case monitoring, checking of known/suspected sex establishments, and enforcement of regulatory measures–had taken a backseat to the IEC/ advocacy work of the PAC.
The groundwork for HIV/AIDS prevention and control had been laid down by the PAC through its IEC work in schools, communities and among sectors, and agencies. But IEC is only a portion of the larger task at hand. It was time for PAC to go beyond building awareness and start building capabilities and installing services. This was a task it set out to do under the UNFPA 6th Country Program of Assistance.
Aklan was included in the 6th CPA as a special project because of its achievement in HIV/AIDS Prevention and Control and ARH Programming. Thus, it became a recipient of funding grant for these two projects which were deemed its showcase or “best practices.” PAC’s achievement under the 6th CPA was establishment of the first community-based HIV/AIDS services which provides full package of services such as condom provision, voluntary testing, counseling, care and support, and ARV treatment. The latter was initially funded by UNFPA and now being continued by the Global Fund.
The upgrading of the technical capability of service providers in HIV/AIDS treatment, care, and prevention has also been started, and is continuing. In 2005, the PAC in coordination with the PHO spearheaded the formation of the HIV AIDS Core Team (HACTeam) and the subsequent conduct of the following trainings: HACT Training on ARV Literacy and Counseling, Training of Sanitary Health Inspectors and Embalmers on RA 8504 and Universal Precautionary Measures for Infectious Diseases, and Proficiency Training for Medical Technologists. PAC and UNFPA organized and facilitated the training activities, tapping technical experts from RITM/SACCL and other national agencies who served as speakers or resource persons.
Another concrete achievement in this area is the completion of Guidelines and Procedures on the Admission and Hospital Care of People Living with HIV/AIDS. This document was finalized by the Aklan HIV/AIDS Core Team (HACT) on June 2006. The PAC members sat down in the making of this module and were largely instrumental in pushing for the realization of this output. It must also be mentioned that PAC was instrumental in the formation of the HACT.
In joint effort with other program partners, the PAC worked for the establishment of a Satellite Social Hygiene Clinic in Boracay, making access easier and speedier for vulnerable groups in this resort island.
Extending the Reach
The PAC has extended its HIV/AIDS assistance even to PHAS in other provinces of Region 6, particularly those in Negros Occidental which does not have a voluntary testing center yet. This reflects the PAC principle and practice of “inclusive” services, without regard to gender, economic status, or geographic identification.
In June 2006, Aklan hosted a Regional Consultative Planning and Network Building Initiative on HIV/AIDS in Region 6. The activity gathered 26 major program planners and implementers from all the six provinces of Western Visayas, namely Antique, Aklan, Capiz, Iloilo, Guimaras, and Negros Occidental. The objective is to create a region-wide network of care and support for PHAS as well as to launch a region-wide initiative against HIV/AIDS. Aklan was chosen to host this regional conference in recognition of its leading work in HIV/AIDS Programming.
Summing Up the Strengths, Difficulties, and Lessons Learned
Despite having established a record of good practices, the Provincial AIDS Council of Aklan is still considered by its own members as an organization in progress. There are still many things to improve in it, not so much on the activities it has conducted, but in the way it has functioned as a body.
The multi-sectoral composition is both a source of strength and difficulty. The diversity of membership has resulted to a richer infusion of ideas which has invigorated the operations. But the new structure (patterned after PNAC) is too big to manage. Only three out of the five Technical Working Groups are active: Health Services, Legislative lobbying/Advocacy, and Media. To make the structure manageable, the PAC has formed a core group composed of five people. This worked in the beginning, but proved to be a weakness in the end because the core group ended up assuming the tasks of the non-active members.
A good number in government agencies view their membership in the Council as extraneous or secondary to their main function in their respective agencies, and therefore not worth the effort. Members from non-health agencies tend to regard the health sector as the primary implementer, and so relegate the main tasks to or rely on the health sector representative in the PAC.
Program planning remains a major challenge to the PAC. Initiatives are varied and numerous, but they are often individual rather than group effort. There is a need to build a holistic view of the program so that the efforts will be more concentrated and effective.
Basis for forming the PAC
The Provincial AIDS Council was officially organized in May 2000 under the UNFPA 5th Country Programme of Assistance. It was initially formed in response to a program need since UNFPA had required that certain structures be put up to hasten RH campaigns and advocacy in the province. The impetus for organizing PAC was therefore program-driven and not needs (client)-based from the very start. However, there was another major contributing factor which inspired Aklan to organize the PAC. This was the Observation Study Tour in Manila, Cagayan, and Cebu participated in by Aklan delegates in 2000 facilitated by Positive Action Foundation Inc. The delegates observed that a big component behind the success of VAWC and STD programs in the sites they visited were the presence of advocacy support groups that complemented the efforts of main program implementers. They saw how AIDS Councils were contributing to smoother implementation of the Reproductive Health (RH) program. The delegates were convinced that a multi-sectoral body such as the AIDS Council would be helpful in giving the HIV/AIDS program in Aklan a truly multi-sectoral character. They had seen the evidence and result of complementation of efforts in the OST sites they had visited and were impressed by the partnership of the health sector with the local government, civil society groups, and NGO in regulating or curbing the spread of sexually-transmitted diseases in their provinces. Convinced that this was the vital component needed to make the Aklan’s own RH program successful, the delegates united on the idea of adopting the practice once they return to Aklan. Thus the Aklan Provincial AIDS Council was essentially a replication project.
Taking the First Step
The plan to organize the PAC came mainly from members of the delegates who represented the health sector – Social Hygiene Clinic and the Provincial Health office – with support from other member delegates, notably the DILG. Thus the delegates themselves took the initiative of giving concrete form to the idea of organizing the Aklan Provincial AIDS Council.
After the OST, the delegates had a meeting with the Provincial Project Management Unit (PPMU) of UNFPA-Aklan for feedbacking and sharing of insights. One of the agenda during this meeting was the discussion and possible adoption of program practices that they believe would work for Aklan. The formation of an AIDS Council was proposed and unanimously approved. The Provincial Health Officer, Dr. Landelino Meñez, who was also a member of the PPMU endorsed the idea and moved for its immediate implementation. The Secretariat was tasked to schedule the first meeting to gather the delegates once more, invite members from other government agencies, with the objective of forming the Provincial AIDS Council of Aklan.
The Composition of the PAC
On May 17, 2000, the Provincial AIDS Council was officially organized. The Council officers represented the following agencies: DSWD, PIA, PNP, DILG, PHO, PPDO, and DepEd. The composition was limited to those government agencies that participated in the OST and few others that attended that first meeting. However, the composition though limited was considered ideal because it represented a close knit of agency representatives who also belonged to the provincial RH Speakers’ Pool, an informal group which serves as an on-call resource center whenever there is an RH training in Aklan. Then too, they were a group who has had quite a long exposure to the program. Most of them have been around since the UNFPA 4th Country Program of Assistance, had worked closely with one another, had attended the same seminars, participated in OST, orientations, etc., and in their own words “have achieved a level of working relationship marked by ease and familiarity with one another.” In other words the Provincial AIDS Council of Aklan was a tight knit of active RH movers.
Difficulties
The Provincial AIDS Council was clear on its mandate of advancing a specific cause, i.e., STI/HIV and AIDS. In actual implementation, however, PAC members admitted that it had been a different matter. The plethora of Reproductive Health issues and concerns and the demand for integrated delivery of RH services proved to be a source of confusion for the PAC. Under the UNFPA 5th Country Program, the program focus was on the four core elements of Reproductive Health. These were Family Planning (FP), Adolescent Sexuality and Reproductive Health (ASRH), Maternal and Child Health and Nutrition (MCHN), and STI/HIV and AIDS. According to Provincial Sanitary Engineer Lou Santamaria, PAC member, the Council embraced all RH issues during the 5th CP and therefore failed to focus on its STI/HIV and AIDS work. Two reasons were cited for this: First, the Council as a body failed to have a distinct program of action focusing on HIV/AIDS alone; Second, HIV/AIDS was not seen a major issue and concern in Aklan.
During the period 2000–2002, there was no known or monitored case of HIV infection in the province. The first HIV case surfaced and was monitored in Aklan only in 2003; at present, there are 4 cases of HIV positive in the province. The other reason, the failure of coming up with a separate program plan for STI/HIV and AIDS was rooted to organizational/structural dilemma. The PAC members were themselves members of the Provincial RH Core Team, a loose group composed mainly of Health Program Coordinators within the Provincial Health Office who sit down with the PPMU of UNFPA-Aklan in its planning sessions. The PAC and the RH Team invariably end up crafting one integrated RH Plan for the province because, structurally, they are just one body. This problem was evident in activities of the PAC from 2000 to 2002 which almost always reflected joint implementation with UNFPA. PAC was actively involved in such activities as World AIDS Day Celebration, World Population Day, School-Based Orientation on ARH, Safe Sex Strategies, etc. However, while these activities involved the PAC, they were not initiated nor conducted primarily by the Council. The PAC members had been active, but largely on a supporting role. They were tapped as speakers on symposia, or presenters of HIV/AIDS statistics during school-based orientations.
Finding Focus
The attainment of PAC’s program focus came gradually and became evident in 2003. This corresponded with thrust towards sustainability which was the program call during this period. 2003 was the midterm phase of the UNFPA 5th CP when all program sites were finally required to show proof that it had installed mechanisms that would ensure the continuity of the program even after the 5th Country Programme of Assistance. This was the program exigency which provided the impetus for PAC to re-gain focus. It also helped that PAC was finally able to identify an issue on which it could work on its own: RA 8504 or the Philippine AIDS Law. In 2003, PAC conducted a series of orientations on RA 8504 among teachers, media, the police, health service providers, and program stakeholders. This came about when the MIATs (Municipal Information and Advocacy Teams) organized by the RH Advocacy Subprogramme intensified its HIV/AIDS campaign in the municipalities, monitoring the presence of sex establishments especially in towns near the resort island of Boracay and in Boracay itself. The campaign to popularize RA 8504 gained momentum during this period (2003). The requests from MIATs poured into the UNFPA-PPMU office and were referred to PAC, which responded accordingly by conducting orientations on RA 8504 in these municipalities.
Another development which strengthened the PAC was the expansion of the Council. In 2003, the Council adopted an organizational structure patterned after the Philippine National AIDS Council (PNAC) which included a wider multi-sectoral representation. All major government agencies were invited and new members were recruited. This was regarded by even by the original PAC members as a welcome development, for the new members brought new ideas and reinvigorated the Council. According to Provincial STD Coordinator Debbie Villaflor, the overload of tasks and the doubling of functions had taken its toll on the old Council members. The tightly-knit group of original RH movers had grown too fit for comfort. There was a need for fresh blood, so to speak.
The restructuring of PAC and its conduct of successive activities were just two of the measures that helped to strengthen it. The third was the marked regularity in the conduct of organizational meetings in 2004. Documentation showed that the meetings were distinctly PAC’s and not of any other RH body. This was taken as a reflection of PAC’s eventual coming of age. It was not anymore subsumed under other RH bodies, but had become a distinct organization.
Linking Up
PAC gained further focus in its work for HIV/AIDS when it teamed up with Butterfly Brigade. Butterfly Brigade is a gay group UNFPA program partner in its HIV/AIDS Program, focusing primarily on vulnerable sectors such as the gays themselves, commercial sex workers, and the People Living with HIV/AIDS (PLWHAS).
In 2003 when Butterfly Brigade was invited into the Council, the latter experienced a more vigorous initiative in its STD/HIV and AIDS campaign. The coming in of the Butterfly Brigade freed the PAC from doing IEC ground working and enabled it to reach out to a wider sector, which included gay, adolescents, and commercial sex workers. It also gave the PAC the opportunity to assume other tasks and functions which it had not focused on before. Thus, lobbying and legislative work was finally given attention during this period. The DILG and the DOJ teamed up for this task. The concrete output of this legislative work was Executive Order No. 16. While this EO granted the PAC a belated official status, its major service to the PAC was the granting of a budget allocation for PAC operations.
Another major achievement in the legislative/advocacy arena was the inclusion of RH agenda in the Sangguniang Kabataan Program Plan. The Provincial AIDS Council, through its DILG representative, worked for the restructuring of the SK Budget to include allocations for RH projects, as stipulated in the Constitution. Thus another source of funding for RH activities, including HIV/AIDS campaign projects, had been opened up though the initiative of the PAC.
Gaining Sustainability
In the second quarter of 2004, the Provincial RH Sustainability Planning was conducted in preparation for the pull out of the 5th CPA. The PAC as a component organization of the Aklan RH machinery took part in the planning. In its Sustainability Plan, the PAC outlined its major projects for 2005 and beyond, but more importantly it identified the immediate and major task of seeking legislative support and funding for its projects.
Thus on August 11, 2004 during its official meeting, the PAC resolved to lobby for funding from the Aklan Provincial Council. There was no conscious plan to conduct the lobbying during the election period (May 2004 national and local elections), but the move proved propitious. The new Governor was receptive to the program, and after several meetings and dialogue with members of the PAC and UNFPA, the Governor eventually signed Executive Order No. 16 on March 22, 2006. This document officially identified the composition of the (restructured) HIV/AIDS Council, its Technical Working Groups, and their tasks and functions. More importantly, EO No. 16 stipulated a budget allocation for PAC operations, taken from the Provincial GAD Fund. This was considered a landmark in the sustainability not only of the PAC operations, but of the entire RH Program in Aklan.
Establishing Records
When the 5th Country Programme of Assistance ended in Aklan in 2004, PAC had already proven its capability as a program implementer of the STI/HIV and AIDS Prevention and Control Program. It had a shaky start as all organizations have, but eventually found its strength.
In the 5th CPA, PAC had functioned primarily as an IEC/advocacy body, conducting awareness-building activities on HIV/AIDS and RA 8504. As early as 2000, the PAC had identified other tasks for itself , such as case monitoring of HIV/AIDS and sex establishments, as well as the enforcement of laws pertaining to their operations. These tasks–case monitoring, checking of known/suspected sex establishments, and enforcement of regulatory measures–had taken a backseat to the IEC/ advocacy work of the PAC.
The groundwork for HIV/AIDS prevention and control had been laid down by the PAC through its IEC work in schools, communities and among sectors, and agencies. But IEC is only a portion of the larger task at hand. It was time for PAC to go beyond building awareness and start building capabilities and installing services. This was a task it set out to do under the UNFPA 6th Country Program of Assistance.
Aklan was included in the 6th CPA as a special project because of its achievement in HIV/AIDS Prevention and Control and ARH Programming. Thus, it became a recipient of funding grant for these two projects which were deemed its showcase or “best practices.” PAC’s achievement under the 6th CPA was establishment of the first community-based HIV/AIDS services which provides full package of services such as condom provision, voluntary testing, counseling, care and support, and ARV treatment. The latter was initially funded by UNFPA and now being continued by the Global Fund.
The upgrading of the technical capability of service providers in HIV/AIDS treatment, care, and prevention has also been started, and is continuing. In 2005, the PAC in coordination with the PHO spearheaded the formation of the HIV AIDS Core Team (HACTeam) and the subsequent conduct of the following trainings: HACT Training on ARV Literacy and Counseling, Training of Sanitary Health Inspectors and Embalmers on RA 8504 and Universal Precautionary Measures for Infectious Diseases, and Proficiency Training for Medical Technologists. PAC and UNFPA organized and facilitated the training activities, tapping technical experts from RITM/SACCL and other national agencies who served as speakers or resource persons.
Another concrete achievement in this area is the completion of Guidelines and Procedures on the Admission and Hospital Care of People Living with HIV/AIDS. This document was finalized by the Aklan HIV/AIDS Core Team (HACT) on June 2006. The PAC members sat down in the making of this module and were largely instrumental in pushing for the realization of this output. It must also be mentioned that PAC was instrumental in the formation of the HACT.
In joint effort with other program partners, the PAC worked for the establishment of a Satellite Social Hygiene Clinic in Boracay, making access easier and speedier for vulnerable groups in this resort island.
Extending the Reach
The PAC has extended its HIV/AIDS assistance even to PHAS in other provinces of Region 6, particularly those in Negros Occidental which does not have a voluntary testing center yet. This reflects the PAC principle and practice of “inclusive” services, without regard to gender, economic status, or geographic identification.
In June 2006, Aklan hosted a Regional Consultative Planning and Network Building Initiative on HIV/AIDS in Region 6. The activity gathered 26 major program planners and implementers from all the six provinces of Western Visayas, namely Antique, Aklan, Capiz, Iloilo, Guimaras, and Negros Occidental. The objective is to create a region-wide network of care and support for PHAS as well as to launch a region-wide initiative against HIV/AIDS. Aklan was chosen to host this regional conference in recognition of its leading work in HIV/AIDS Programming.
Summing Up the Strengths, Difficulties, and Lessons Learned
Despite having established a record of good practices, the Provincial AIDS Council of Aklan is still considered by its own members as an organization in progress. There are still many things to improve in it, not so much on the activities it has conducted, but in the way it has functioned as a body.
The multi-sectoral composition is both a source of strength and difficulty. The diversity of membership has resulted to a richer infusion of ideas which has invigorated the operations. But the new structure (patterned after PNAC) is too big to manage. Only three out of the five Technical Working Groups are active: Health Services, Legislative lobbying/Advocacy, and Media. To make the structure manageable, the PAC has formed a core group composed of five people. This worked in the beginning, but proved to be a weakness in the end because the core group ended up assuming the tasks of the non-active members.
A good number in government agencies view their membership in the Council as extraneous or secondary to their main function in their respective agencies, and therefore not worth the effort. Members from non-health agencies tend to regard the health sector as the primary implementer, and so relegate the main tasks to or rely on the health sector representative in the PAC.
Program planning remains a major challenge to the PAC. Initiatives are varied and numerous, but they are often individual rather than group effort. There is a need to build a holistic view of the program so that the efforts will be more concentrated and effective.
Aklan PAC Composition and Membership
AKLAN PROVINCIAL AIDS COUNCIL
Honorary Chairperson : Hon. Carlito S. Marquez
Provincial Governor
Chairperson : Dr. Emma T. Cortes
Provincial Health Officer II
Members : Dr. Myrtle M. Pelayo
Provincial DOH Representative
Dr. Victorina S. Laroza
Schools Division Superintendent – DepEd
P/Supt. Larry Dela Cena
PNP Provincial Director
Mr. Edwin Villanueva
Provincial Director – TESDA Aklan
Mr. Joselito G. De la Banda
Provincial Head – DOLE
Mrs. Elma M. Malbas
Provincial Social Welfare and Development Officer
Mr. Jenny D. Destua
Provincial Director – DILG
Atty. Montalid Patnubay Jr
Provincial Prosecutor – DOJ
Engr. Roger M. Esto
PPD Coordinator - PPDO
Ms. Roselle Q. Ruiz
Provincial Tourism Officer
Mrs. Phoebe Quisoy
Head – Philippine Information Agency
Mrs. Celia De Lemos
President – PLGPMI
Hon. Inocentes F. Bantigue, Jr.
Chairperson - Butterfly Brigade
Mr. Andrew Anthony Buncio
NGO Representative - PLWHA
Ms. Doreen Murata
Chairperson - Aklan Provincial ARH Council
Dr. Felma Dela Cruz
President - Aklan Medical Society
Mr. John Pierremont Montilla
Ms. Virgie Advincula
Kabataang Gabay sa Positibong Pamumuhay
Mr. Jonathan Cabrera
President - Aklan United Media Association
Mrs. Aploren Bereber
Abante Aklan, Inc.
Positive Action Foundation Ic.
TECHNICAL WORKING GROUP:
TWG Members for Health Service Delivery and Data Management:
1. Ms. Debbie F. Villaflor : Nurse IV, Technical Division
Provincial Health Office
2. Engr. Lucio A. Santamaria : Engineer III, Technical Division
Provincial Health Office
3. Mr. Roger Debuque : RMT, Technical Division
Provincial Health Office
4. Dr. Leilanie C. Tirol : MO III, Technical Division
Provincial Health Office
5. Ms. Claudette P. Dalida : Chief Nurse, DRSTMH
6. Ms. Teresa Robles : Nurse/DOH Rep.
7. Ms. Celia R. de Lemos : President, PLGPMI
TWG Members for Information and Education Campaign:
1. Mr. Joselito Edwin Ramos : AVAT II, Philippine Information Agency
2. Mrs. Rosalinda M. Meren : Public School Health Nurse, DepEd
3. Ms. Hazel R. Reyes : Tourism Officer II
Provincial Tourism Office
TWG Members for Policy, Legislation, Planning and Advocacy:
1. Atty. Montalid P. Patnubay : Assistant Provincial Prosecutor,DOJ
2. Engr. Carmelo F. Orbista : LGOO V, DILG
3. Ms. Jesebel M. Vidal : PO II, PPDO
TWG Members for Livelihood Programs and Trainings:
1. Ms. Roselyn G. Salazar : SWA, PSWDO
2. Ms. Marilyn M. Mationg : Administrative Officer III, DOLE – Aklan
3. Mr. Ely G. Arensol : Sr. TESDA Specialist – TESDA
TWG Members for Community-Based Services:
1. Dr. Adrian A. Salaver : Municipal Health Officer – Malay, Aklan
2. Dr. Rane L. Tabañar : Municipal Health Officer – Makato, Aklan
3. Ms. Celia de Lemos : President, PLGPMI
4. PO1 Nida L. Gregas : Information Officer Designate – APPO/PNP
TWG and Secretariat Coordinator:
1. Ms. Debbie F. Villaflor : Nurse IV, Provincial Health Office
Honorary Chairperson : Hon. Carlito S. Marquez
Provincial Governor
Chairperson : Dr. Emma T. Cortes
Provincial Health Officer II
Members : Dr. Myrtle M. Pelayo
Provincial DOH Representative
Dr. Victorina S. Laroza
Schools Division Superintendent – DepEd
P/Supt. Larry Dela Cena
PNP Provincial Director
Mr. Edwin Villanueva
Provincial Director – TESDA Aklan
Mr. Joselito G. De la Banda
Provincial Head – DOLE
Mrs. Elma M. Malbas
Provincial Social Welfare and Development Officer
Mr. Jenny D. Destua
Provincial Director – DILG
Atty. Montalid Patnubay Jr
Provincial Prosecutor – DOJ
Engr. Roger M. Esto
PPD Coordinator - PPDO
Ms. Roselle Q. Ruiz
Provincial Tourism Officer
Mrs. Phoebe Quisoy
Head – Philippine Information Agency
Mrs. Celia De Lemos
President – PLGPMI
Hon. Inocentes F. Bantigue, Jr.
Chairperson - Butterfly Brigade
Mr. Andrew Anthony Buncio
NGO Representative - PLWHA
Ms. Doreen Murata
Chairperson - Aklan Provincial ARH Council
Dr. Felma Dela Cruz
President - Aklan Medical Society
Mr. John Pierremont Montilla
Ms. Virgie Advincula
Kabataang Gabay sa Positibong Pamumuhay
Mr. Jonathan Cabrera
President - Aklan United Media Association
Mrs. Aploren Bereber
Abante Aklan, Inc.
Positive Action Foundation Ic.
TECHNICAL WORKING GROUP:
TWG Members for Health Service Delivery and Data Management:
1. Ms. Debbie F. Villaflor : Nurse IV, Technical Division
Provincial Health Office
2. Engr. Lucio A. Santamaria : Engineer III, Technical Division
Provincial Health Office
3. Mr. Roger Debuque : RMT, Technical Division
Provincial Health Office
4. Dr. Leilanie C. Tirol : MO III, Technical Division
Provincial Health Office
5. Ms. Claudette P. Dalida : Chief Nurse, DRSTMH
6. Ms. Teresa Robles : Nurse/DOH Rep.
7. Ms. Celia R. de Lemos : President, PLGPMI
TWG Members for Information and Education Campaign:
1. Mr. Joselito Edwin Ramos : AVAT II, Philippine Information Agency
2. Mrs. Rosalinda M. Meren : Public School Health Nurse, DepEd
3. Ms. Hazel R. Reyes : Tourism Officer II
Provincial Tourism Office
TWG Members for Policy, Legislation, Planning and Advocacy:
1. Atty. Montalid P. Patnubay : Assistant Provincial Prosecutor,DOJ
2. Engr. Carmelo F. Orbista : LGOO V, DILG
3. Ms. Jesebel M. Vidal : PO II, PPDO
TWG Members for Livelihood Programs and Trainings:
1. Ms. Roselyn G. Salazar : SWA, PSWDO
2. Ms. Marilyn M. Mationg : Administrative Officer III, DOLE – Aklan
3. Mr. Ely G. Arensol : Sr. TESDA Specialist – TESDA
TWG Members for Community-Based Services:
1. Dr. Adrian A. Salaver : Municipal Health Officer – Malay, Aklan
2. Dr. Rane L. Tabañar : Municipal Health Officer – Makato, Aklan
3. Ms. Celia de Lemos : President, PLGPMI
4. PO1 Nida L. Gregas : Information Officer Designate – APPO/PNP
TWG and Secretariat Coordinator:
1. Ms. Debbie F. Villaflor : Nurse IV, Provincial Health Office
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