2. Past Terminology Correct Terminology
HIV patient, AIDS
patient Person
living with
HIV (PLHIV)
AIDS/HIV carrier
AIDS victim or AIDS
sufferer
Politically Correct Terminologies
5. Category A (more than 50 HIV cases):
Bulacan: Meycauayan City, City of San Jose del Monte,
Marilao, Sta. Maria, Malolos City
Pampanga: Angeles City, City of San Fernando,
Mabalacat City
Nueva Ecija: Cabanatuan City
Tarlac: Tarlac City
Olongapo City
Priority Areas for HIV Intervention (PAHI)
6. Category C (less than 10 cases):
Pampanga: Bacolor, Macabebe, Masantol, Minalin,San
Luis, San Simon, Sasmuan
Tarlac: Anao, Bamban, La Paz, Mayantoc, Pura. Ramos
San Clemente. San Jose, San Manuel. Santa Ignacia,
Moncada
Zambales: Cabangan, Candelaria, Castillejos, Iba,
Palauig, San Antonio (ZA), San Felipe, San Narciso,
Botolan. Masinloc, San Marcelino, Santa Cruz
Rest of the Country (ROTC)
Priority Areas for HIV Intervention (PAHI)
8. Target 3.3
By 2030, end the epidemics of AIDS,
tuberculosis, malaria and neglected tropical diseases and
combat hepatitis, water-borne diseases and other
communicable diseases
11. PHILIPPINE HEALTH AGENDA HIV
UPDATES
•Reverse trend of HIV and AIDS
•Awareness of HIV/AIDS among youth
•100% testing, counselling, and
treatment for risk population
•Increase condom use
14. collection of cells
and substances that
defend the body
against foreign
substances known
as antigens
can be compared to
an army guarding
the state and
protecting it from
foreign invasion
IMMUNE SYSTEM
15. Successful entry of the virus inside
the body
Lifetime infection
No vaccine to prevent it
No cure, but treatment is available
No specific signs and symptoms
HIV INFECTION
16. HIV TYPE 1 HIV TYPE 2
This strain is found worldwide and is
more common.
This strain is found predominantly in
West Africa.
This strain is more likely to progress
and worsen.
This strain is less likely to progress and
many of those infected remain lifelong
non-progressors. Progression is slower.
Average level of immune system
activation are higher.
Average level of immune system
activation are lower.
During progression, HIV-1 has lower
CD4 counts than HIV-2.
During progression, CD4 counts are
higher in this strain.
Plasma viral loads are higher. Plasma viral loads are lower.
TYPES OF HIV
18. OPPORTUNISTIC
INFECTIONS
National AIDS/STI Prevention & Control Program
Department of Health
HERPES ZOSTER
VIRUS
ORAL HAIRY
LEUKOPLAKIA
ORAL
CANDIDIASIS
PRURITIC PAPULAR
ERUPTIONS
PNEUMOCYSTIS
JERUVECI PNEUMONIA
CRYPTOCOCCAL
MENINGITIS
CYTOMEGALO VIRUS
RETINITIS
MYCOBACTERIUM
AVIUM COMPLEX
TB
19. ACQUIRED - transmitted from
person to person
IMMUNE - virus affects body’s
defense system
DEFICIENCY- body’s immune system
do not work properly
SYNDROME - group of signs &
symptoms
A person with HIV does not necessarily have AIDS
HIV infection may lead to AIDS
20. AIDS is a condition of a person
infected with HIV when the
immune system is already weak
or destroyed and the body can
no longer fight off common
opportunistic infections
AIDS can lead to unnecessary
DEATH if not treated
AIDS
24. E S S E
EXIT SUFFICIENT SURVIVE ENTER
4 PRINCIPLES OF HIV INFECTION
25. 3 Ways of HIV Transmission
Unprotected
penetrative sexual
intercourse (vaginal,
anal, oral) with an
HIV-positive person
Infected mother to
child transmission
through pregnancy,
delivery or
breastfeeding
Infected blood
or blood
products
through needle
sharing, blood
transfusion, and
organ
transplantation
26. MOTHER TO CHILD TRANSMISSION
Type of Feeding:
Breastfeeding vs Formula Feeding vs Wet
Nursing
Type of Delivery:
Normal Spontaneous Delivery vs Cesarean
Section
28. Same Mode of Transmission
Same Ways of Prevention
People with STI increases
the risk of having
HIV
Clinical Services entry point
HIV education
Relationship of STI and HIV
29. passed on through close body contact
or exchange of body fluids
If left untreated, STIs can lead to serious
complications:
infertility
blindness
cancer
adverse pregnancy (ectopic pregnancy)
others
SEXUALLY TRANSMITTED INFECTIONS
30. Trichomonas
Genital
herpes
Genital warts
Genital
molluscum
HIV
Hepatitis B *
Gonorrhea
Syphilis
Chlamydia
Chancroid
Protozoal
Viral
Bacterial
Candidia
sis
Skin
Parasites
Fungal
Pubic Lice
Scabies
passed on
by close
body
contact &
do not
require
actual
penetrative
intercourse
COMMON STIs
36. Every sexual activity is an
opportunity to get STI.
Condoms do not cover
everything!
A person with sexual activity
is encouraged to see a doctor
to be assessed for STI
Sexually active person should
have regular sexual health
check up and self-risk
assessment
A person with STI has higher
risk of having HIV
Do not self-treat. See a
doctor for proper diagnosis
and treatment
Complete the treatment
even if symptoms disappear
Untreated or incompletely
treated STI can lead to long-
term or serious complications
STI Key Messages
40. STEPS FOR CONDOM INSERTION
1. Discuss and agree to use condoms
2. Get condom and check expiration date
3. Hug, kiss and cuddle
4. Sexual arousal
4. Leave allowance at the tip
5. Dab lubricant on penis
7. Roll condom on erect penis up to the base
8.Add lubricant if necessary
9. Hold onto the rim of the condom
10. Orgasm
11.Hold onto the rim of the condom
12. Withdraw penis
13. Carefully remove condom
14. Tie the rim of the condom and wrap it
15. Dispose it properly
16. Loss of erection
17. Relaxation
41.
42. ♦ Provider-initiated counseling &
testing (PICT) – a situation where
doctors encourage patients to
undergo testing
♦ Client Initiated Counseling and
Testing– individuals willing to
undergo testing of their own free
will
HIV TESTING SERVICES
44. Article I ♠ Education and Information
Article II ♠ Safe Practices and Procedures
Article III ♠ Testing, Screening, and Counseling
Article IV ♠ Health and Support Services
Article V ♠ Monitoring
Article VI ♠ Confidentiality
Article VII ♠ Discriminatory Acts and Policies
Article VIII ♠ The PNAC
45.
46. STI/ HIV FACILITIES IN CENTRAL LUZON
TYPE OF FACILITY RANGE OF SERVICES
1. RHUs offering STI Services • Syndromic Management
• STI Diagnostics not qualifying to be SHC/RHWC
2. HIV Screening Facility • HIV Screening
• Manpower: Counselor and Screening Practitioner
3. HIV Counseling and Testing Facility • HIV Testing
• Manpower: Counselor and HIV Proficient RMTs
4. Social Hygiene Clinic/ Reproductive Health and Wellness
Center (SHC/RHWC)
• Minimum Lab Reuiqrements: Gram Staining, Wet
Mount, HIV Testing, Syphilis Testing (ICT and RPR),
HBsAg
5. HIV Treatment Centers
HIV Treatment Hub In-patient and outpatient services
Primary HIV Care Clinic Outpatient services
HIV Satellite Treatment Hub While awaiting Department Memorandum, treatment
center will be under the supervision of a designated
treatment center
47. • Ace Medical Care Experts-Baliwag (EmbrACE Unit)
• Jose B. Lingad Memorial Regional Hospital/ Bahay LINGAD (City of San Fernando, Pampanga)
• James L. Gordon Memorial Hospital/ LEAD Shelter (Olongapo City)
• Bataan General Hospital/ Bataan HAVEN (Balanga City, Bataan)
• Premiere Medical Center/ TAHANAN sa Premiere (Cabanatuan City, Nueva Ecija)
• Tarlac Provincial Hospital/ TPH Cares (Tarlac City, Tarlac)
• Paulino J. Garcia Memorial Research and Medical Center/ Sanctuario de Paulino (Cabanatuan
City, Nueva Ecija)
• Bulacan Medical Center/ Luntiang Silong (Malolos City, Bulacan)
• President Ramon Magsaysay Memorial Hospital/ Balin Kalinga (Iba, Zambales)
• San Marcelino District Hospital/ Shelter of Hope (San Marcelino, Zambales)
• Angeles City RHWC/ Bale Angeleno (Angeles City)
• City of San Jose del Monte HIV Satellite Treatment Hub/ Villa Esperanza (City of San Jose del
Monte, Bulacan)
• Maria Aurora Community Hospital (Maria Aurora, Aurora)
• Guigunito HIV Satellite Treatment Hub/ Gintong Kanlungan (Guiguinto, Bulacan)
• Talavera Extension Hospital/ Talavera’s Hope (Talavera, Nueva Ecija)
• Mabalacat City RHU II/ Lingap Balacat (Mabalacat City, Pampanga)
• RE De Jesus Multispecialty Clinic and Diagnostic Center/ The Green Clinic (Sta. Maria,
Bulacan)
PRIMARY HIV CARE CLINICS
HIV
TREATMENT
CENTERS
48. ADVOCACY CALENDAR
• RASVPCP CALENDAR
• Liver Cancer and Viral Hepatitis Awareness and
Prevention Month (January)
AIDS Candlelight Memorial (3rd Sunday of May)
• National HIV Testing Week
• World Hepatitis Day (July 28)
• World AIDS Day (December 1)
• Regional HIV Testing Month (December)
