Sugbuanong Pundok Aron sugpuon and Child Abuse (SUPACA) is a group of youth advocates who promote the four inherent rights of a child: survival, protection, development and participation. Due to the explosion of the Philippine HIV Epidemic especially in Cebu, the SUPACA youth advocates go from barangay to barangay to organize children and youth to talk about HIV/AIDS to improve awareness. With understanding comes compassion and with compassion, stigma and discrimination is reduced.

2. PHILIPPINES NOW
•  MSM
•  IV drug use
•  gender-based violence
•  teenage pregnancy
•  single mothers
•  new cases of HIV
•  AIDS-related deaths
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3. UNAIDS 2016 Estimates
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Philippines is one of nine countries with
increasing prevalence >25%.
Others are Bangladesh, Guinea-Bissaue, Georgia, Indonesia, Kazakhstan, Kyrgyzstan, Republic of Moldova, and Sri Lanka.

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HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

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HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

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HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

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HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

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HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

9. HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau
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10. The age group with the biggest proportion
of cases has become younger!
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15-24 year
age group
*25% in
2006-2010
*29% in
2011-2017
HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

11. HIV among Females
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HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

12. Geographical Distribution
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HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

13. Modes of Transmission
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HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

14. Modes of Transmission
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HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

15. Modes of Transmission
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HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

16. HIV+ Pregnant Patients
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HIV/AIDS and ART Registry of the Philippines, Department of Health Epidemiology Bureau

17. VSMMC HIV TREATMENT HUB
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PLHIV alive on ART 1,395
male 1,116
female 279
PMTCT cases 74
Pedia cases 10

18. 0
40
80
120
160
200
240
280
320
360
Asymptomatics
AIDS
Asymptomatics 3 1 1 1 3 1 4 3 4 3 2 1 2 1 3 2 2 5 7 10 176 141 183 360
AIDS 0 1 0 2 1 1 1 2 4 2 2 3 1 0 4 2 3 2 1 3 1 1 3 5 2
89 90 91 92 93 94 95 96 97 98 99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13
Number
**Age Range = 15-79 yrs. old
39% = 15-24 years old
HIV/AIDS Cases in Cebu City by Year
Cebu City HIV/AIDS Registry 1989-2013 N= 966
Low and Slow
Prevalence
Hidden and
Growing
Fast and Furious

19. Sexual Contact vs IDU
25%
75%
Sexual Contact, n=240
Injecting Drug Use, n=707
Sexual Contact
12%
17%
71%
Heterosexual Male, n=28
Heterosexual Female, 41
Homosexual/ Bisexual, n=171
HIV/AIDS Cases by Mode of
Transmission
Cebu City HIV/AIDS Registry 1989-2013 N= 966

20. 2008 2009 2010 2011 2012 2013
Positive 0 1 177 140 188 362
Negative 9 124 496 500 744 2122
0
500
1000
1500
2000
2500
3000
No. Tested
Year
Positive Negative
26%
17%
22%
20%
0.8%
HIV Voluntary Counseling and Testing

21. HIV 101
HIV is a virus that attacks the
immune system.

22. HIV 101
2. As the viral load increases, the
CD4 lymphocyte count decreases.
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23. IS HIV THE SAME AS AIDS?
• HIV INFECTION – Successful entry of
the Human Immunodeficiency Virus
inside the body but no signs or
symptoms
• AIDS – Acquired Immune Deficiency
Syndrome; with signs and symptoms;
presence of opportunistic infections

24. HIV AIDS

25. DO YOU THINK YOU CAN GET HIV
THROUGH THE FOLLOWING?
Swimming Pool Mosquito bite Toilet bowl

26. Kissing Sharing utensils
DO YOU THINK YOU CAN GET HIV
THROUGH THE FOLLOWING?

27. Shaking hands Hugging
DO YOU THINK YOU CAN GET HIV
THROUGH THE FOLLOWING?

28. HIV Modes of Transmission
25-40%
the risk of perinatal acquisition without intervention
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29. HOW YOU CAN GET HIV
1. INFECTED SEMEN AND VAGINAL FLUID
THROUGH SEXUAL CONTACT WHETHER
VAGINAL, ANAL OR ORAL

30. Blood transfusion Organ transplant Sharing of contaminated
needles and syringes
HOW YOU CAN GET HIV
2. INFECTED BLOOD AND BLOOD PRODUCTS

31. Placental entry During delivery Breastfeeding
HOW YOU CAN GET HIV
3. PERINATAL TRANSMISSION OR
“MOTHER-TO-CHILD”

32. PERSONS WITH AIDS

33. Oral Ulcers (Lu-as)

35. Zoster (Likos-likos)

36. Molluscum contagiosum

37. Genital Warts (Kungo)

38. Tuberculosis

39. Cancer
Kaposi’s sarcoma
• Cancer of the small blood vessels
• Most common cancer in AIDS patients
B cell lymphoma
Cervical Cancer

40. STD with HIV

41. STD with HIV

42. WHO ARE AT RISK?
Men having sex with men (MSM)

43. WHO ARE AT RISK?
Multiple sexual
partners
Sexual partners of infected
persons / Unprotected
sexual contact

44. WHO ARE AT RISK?
Intravenous drug users (while
sharing contaminated
needles & syringes for
injecting drugs used by HIV
infected persons)
Recipients of
contaminated blood
and/or blood products

45. Body piercings (non-sterile equipment)
WHO ARE AT RISK?

46. Body Tattoo
(non-sterile equipment)
WHO ARE AT RISK?

47. Sharing of
contaminated
personal items
WHO ARE AT RISK?

48. • Primary prevention of HIV infection
for key populations has to start in
adolescence mainly because
infections now occur at a younger
age.
• On average, the initiation to sex and
drug use is between 14 and 19 years
old.
http://www.unicef.org/philippines/hivaids.html
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49. HIV in 6 PH cities may reach
'uncontrollable' rates – DOH
Prevalence rate among males who have sex with males
http://www.rappler.com/nation/89412-hiv-6-philippine-cities-uncontrollable-rates
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50. pregnant women living with HIV
*since 2010 to June 2017
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51. 5%
• Only five per cent of HIV-positive
pregnant women have received
antiretroviral medicines to prevent
mother-to-child transmission.
• Very few of those at-risk have taken an
HIV test, with the number at zero for
those under 18 years.
http://www.unicef.org/philippines/hivaids.html#.V2yW-_l95rQ
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52. HIV Screening
Preliminary Counselling Dialogue
Key Message:
The fact that you are pregnant is an
evidence of unprotected penetrative
sexual contact which is a mode of
transmission for HIV.
POGS Clinical Practice Recommendations on PMTCT
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53. Anti-retroviral (ARV) Drugs
Advantages of Option B+
• Earlier treatment for woman’s health and
avoiding risks of stopping and starting
triple ARVs especially in settings of high
fertility
• Simple message to communities
“once ARV started, it is
taken for life.”
POGS Clinical Practice Recommendations on PMTCT
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54. Primary prevention of HIV among
women of child-bearing age
• A – abstinence
• B – be faithful
• C – check your status
• D – don’t do drugs
• E – educate yourself and
others
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57. “HIV will end with me!”
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58. What every SUPACA must know
• What is HIV?
• Modes of Transmission of HIV
• Misconceptions regarding
Transmission of HIV

59. What every SUPACA must know
• How does HIV affect the
immune system?
• Who are at increased risk?
• HIV counselling and testing
• Prevention of Transmission of
HIV Infection (ABCDE)