This document discusses the social dimensions of sexually transmitted infections like HIV/AIDS. It begins by outlining the objectives of explaining basic HIV/AIDS knowledge. It then discusses the seven dimensions of health, focusing on the social dimension which refers to our ability to interact successfully and maintain supportive relationships. In regards to HIV/AIDS, the social dimension focuses on how social support networks protect against health problems. The document then provides basic information about HIV/AIDS, including what it is, the stages of infection, modes of transmission through body fluids, and methods of prevention through abstinence and safe practices. Statistics about HIV cases in the Philippines are also presented, showing the majority of cases are among young males. The challenges of stigma and lack of

1. Social Dimensions of
Health in STI/HIV
Helen V. Madamba, MD MPH-TM
Vicente Sotto Memorial Medical Center
HIV/AIDS Core Team

2. OBJECTIVES
• At the end of the lecture, the learner
should be able to explain the basic
knowledge about HIV, AIDS, its mode
of transmission and means of
prevention to be able to understand
the social dimensions of sexually
transmitted infections like HIV

3. 7 Dimensions of Health
• Physical
• Emotional
• Intellectual
• Social spiritual
• Environmental
• occupational
https://www.grcc.edu/humanresources/wellness/sevendimensionsofwellness

4. Social Dimension
Social wellness refers to our ability to
interact successfully in our global community
and to live up to the expectations and
demands of our personal roles. This means
learning good communication skills,
developing intimacy with others, and creating
a support network of friends and family
members.
Social wellness includes showing
respect for others and yourself. Contributing
to your community and to the world builds a
sense of belonging.
https://www.grcc.edu/humanresources/wellness/sevendimensionsofwellness

5. Social Dimension
Social wellness refers to our ability to
interact successfully in our global community
and to live up to the expectations and
demands of our personal roles. This means
learning good communication skills,
developing intimacy with others, and creating
a support network of friends and family
members.
Social wellness includes showing
respect for others and yourself. Contributing
to your community and to the world builds a
sense of belonging.
https://www.grcc.edu/humanresources/wellness/sevendimensionsofwellness

6. Tips and suggestions for optimal
social wellness include:
• Cultivate healthy
relationships
• Get involved
• Contribute to your
community
• Share your talents and skills
• Communicate your thoughts,
feelings and ideas
https://www.grcc.edu/humanresources/wellness/sevendimensionsofwellness

7. The SOCIAL dimension focuses on
creating and maintaining healthy,
supportive relationships with
family, friends and peers.
Research has demonstrated that
having a social support network
protects against several health
problems. A support network is
essential to wellness in ministry,
but can be difficult to initiate and
sustain.
https://www.wespath.org/benefits/resources/five-dimensions-of-health-social/

9. BASIC HIV KNOWLEDGE

10. WHAT IS HIV?

11. What is HIV?
H – Human
I - Immunodeficiency
V – Virus
• Two types: HIV-1 and HIV-2
• HIV causes AIDS in humans

12. WHAT ARE THE STAGES
OF HIV INFECTION?

13. WHO CLINICAL STAGING OF HIV
Asymptomatic
Persistent
generalized
lymphadenopathy
Average 10
years
Antibodies
are
detectable in
the blood
The immune
system
deteriorates
Opportunistic
infections start
to appear
Rapid decline
in number of
CD4 T cells
Opportunistic
infections
become severe
and cancer
may develop

14. WHO CLINICAL STAGING OF HIV

15. How is HIV different from AIDS?
AIDS is an acronym for Acquired Immune
Deficiency Syndrome
• Acquired – transmitted from person to person
• Immune – the body’s system of defense
• Deficiency – lack of
• Syndrome – a group of signs and symptoms

16. The Immune System
• Antibodies - a collection of cells
and substances that defend the
body against foreign
substances, also known as
• Antigen – a substance (such as
HIV) that, when introduced into
the body, stimulates the
production of an antibody.

17. The Immune System
• HIV infects T-lymphocytes that carry CD4 receptors
• As T-cells are destroyed, the immune system is weakened and
the person is more likely to develop opportunistic infections.

18. WHAT ARE THE THREE
MODES OF TRANSMISION
OF HIV INFECTION?

19. Principles of HIV Transmission

21. WHAT ARE THE FOUR BODY
FLUIDS THAT TRANSMIT
HIV INFECTION?

22. •Semen
•Vaginal fluids
•Blood
•Breastmilk
Four Body Fluids
that Transmit HIV

23. •EXIT
•SURVIVAL
•SUFFICIENT
•ENTER
Principles of HIV Transmission

24. •Temperature
•Atmosphere
•Moisture
•Acidity
Survival of HIV
(TAMA)

25. Principles of HIV Transmission

26. HOW DO WE PREVENT
HIV INFECTION?

27. ABCDE of HIV Prevention
A – abstinence
B – be mutually faithful
C – check your status
D – don’t inject drugs
E – educate yourself and
others

29. As of February 2019, 64,291 total reported HIV cases

30. As of February 2019, 64,291 total reported HIV cases
• 64, 291 total reported HIV cases
• 60,239 (94%) male
• Mean age 28 years old
• age range from 1 mos to 82 years
• 51,018 (80%) from 15-34 years old

31. Almost all data on PWIDs come from Cebu!

32. Almost all data on PWIDs come from Cebu!

33. The prevalence of HIV among the youth
is increasing!

35. DOH-Designated HIV
Treatment Hubs and Primary
HIV Care Facilities
• Vicente Sotto Memorial Medical Center
• Visayas Community Medical Center
• Eversley Childs Sanitarium and General
Hospital
• Talisay District Hospital
• Cebu City Social Hygiene Clinic
• Mandaue City Social Hygiene Clinic
• Talisay City Social Hygiene Clinic

36. PLHIV in Central Visayas
• As of Jan 2019, there are 2,020 PLHIV alive on ART*
• 5,683 diagnosed PLHIV cases in Central Visayas since
1984
• 5,683-2,020/5,683 = 64.5% lost to follow up
does not include people who had previously taken ART but were lost to follow up,
reported to have died, left the country or opted not to take ARV anymore
#GetTested
Diagnose HIV
#LinktoCare
ARV adherence
U = U
Treatment for
Prevention

39. How stigma prevents disclosure to partner:
“dili ko gusto mosulti niya
kay iya kong biyaan, maunsa
na lang ko ana – asa na ko
puyo?”

40. https://www.avert.org/professionals/hiv-social-issues/stigma-discrimination

41. Social stigma,
homophobia and lack of
education cause PLHIVs
to feel like outcasts in
their own families and
communities.
Joe Vanny Perez, LMSW. Social Work in an HIV/AIDS Clinic at https://www.socialworker.com/feature-
articles/practice/Social_Work_in_an_HIV-AIDS_Clinic/

43. https://banyantreeproject.org/stories-in-community/

48. VISIT US!
VSMMC HIV Treatment Hub
KAAMBAG Clinic, Annex B 3rd floor
Vicente Sotto Memorial Medical Center
B. Rodriguez Street, Cebu City
Cellphone: 0956-1273-994
Email: vsmmctreatmenthub@gmail.com

49. “HIV stigma will end with me!”

50. Vicente Sotto Memorial Medical Center
HIV/AIDS Core Team