Decentralizing AIDS Responses - Local Government
Promoting Leadership and Mitigating the Negative Impacts of HIV and AIDS on Human Development
What is the project about?
Despite the apparent low prevalence of HIV in the Philippines, the exponential rise of new HIV and AIDS cases in the country for the past years had been a cause of great concern. As early as 2008, the United Nations (UN) in the Philippines has raised the warning on Millennium Development Goal (MDG) 6 (i.e., halting and reversing the spread of HIV/AIDS) as among the goals least likely to be achieved by the country by 2015. A decade after the commitment on the MDGs was signed by UN-member states, including the Philippines, the HIV incidence in the country has increased three folds. While the rates of HIV infection are stabilizing in most parts of the world, the Philippines, one of seven countries globally, has more than 25% increase in HIV incidence since 2001.
To address the dismal situation in the country, the Government of the Philippines and the United Nations Development Programme (UNDP) launched in 2009 a three-year Programme, "Promoting Leadership and Mitigating the Negative Impacts of HIV and AIDS on Human Development." Responding to the emerging needs of the country vis-à-vis the 4th AIDS Medium Term Plan (AMTP), the present national strategic plan on AIDS, the Programme has five key components:
- Leadership for Effective and Sustained Responses to HIV and AIDS;
- Strengthening Institutional Capacities and Partnerships on HIV and Migration;
- Mitigating the Economic and Psychosocial Impacts of HIV and AIDS;
- Strategic Information and Community Leadership among Men Who Have Sex with Men (MSM) and Transgender (TG) Populations; and
- Knowledge, Communication, and Advocacy to Promote Deeper Understanding of HIV and AIDS.
What have we accomplished so far?
The Programme has contributed to strengthening national HIV and AIDS response. Firstly, the pool of HIV and AIDS functionaries and champions organized and trained by the Programme are implementing responses at various levels with considerable success. At the sub-national level, the Regional AIDS Assistance Teams (RAATs) and local champions have teamed up to implement their action plans aimed to assisting the establishment and strengthening of AIDS responses at the local level, particularly the high burdened sites. So far, they have assisted 206 LGUs, provided HIV and AIDS orientation to over a thousand local government officials, and engaged over 250 local AIDS champions across 17 regions. Their collaborative efforts have resulted in the establishment and/or strengthening of 99 local AIDS coordinating bodies (e.g., local AIDS councils) and the development of 44 local AIDS policies.
Secondly, with the capacity development assistance of the Programme, the community-based MSM and transgender groups have assumed a more pro-active and pivotal roles in the AIDS response through self-organization and peer-based collaborations. A total of 18 community-based groups and close to 200 MSM and transgender individuals from Metro Manila, Metro Cebu and Davao were trained on sexual health, organizational development and programme development. In the process, three organizations of MSM and transgender were organized. These MSM and transgender leaders and advocates conducted active dialogues among their peers and with local government officials. With the Programme providing the necessary platform, these community leaders have articulated their issues and concerns related to gender and HIV for appropriate action by relevant government agencies/offices.
Thirdly, institutional support mechanisms for people infected and affected with HIV were established and institutionalized. The Referral System and Programme Manual on Care and Support Services for People Living with HIV (PLHIV) and their Families were developed. These provided the mechanism, strategies and tools to ensure and enhance the access of PLHIV and their families to psychosocial, economic and support services. Over 120 social workers, health care providers, PLHIV and their families were trained for the roll out and operationalization of the system. Moreover, more than 100 social workers from the sub-national and local offices were trained on providing care and support services to people infected and affected with HIV.
Lastly, strategic information enhanced understanding on HIV and AIDS among most-at-risk populations (MARPs) and informed development of appropriate policies. The strategic information generated by the Programme has direct impact in the development of the 5th AMTP, the subsequent strategic plan for 2011-2015, particularly the strategic responses for MSM and transgender people, as well as for people who inject drugs (PWID). It undertook a systematic process in informing an improved AIDS programming for the populations. To enhance the understanding of the HIV-related risks and vulnerabilities of the MSM and transgender people, the Programme conducted exploratory and in-depth studies on the populations. In addition, the Programme mapped out community-based MSM and transgender groups and interventions to generate information on the extent of the AIDS response among the populations in the country. Building on the above initiatives, the Programme undertook an assessment of the HIV and AIDS interventions for MSM and transgender populations, which aimed to identify the strengths and gaps not only of the current national response but of the key HIV programmes that have been implemented in recent years. These initiatives advanced the country's knowledge base of MSM and transgender behaviors and community-based interventions, and help inform the development of effective and evidence-based comprehensive package of services for MSM and transgender people. Similarly, three studies on PWID were implemented under the Programme to expand knowledge base on the population, and enhance policy and programme planning.
Major sources of financing.
|Donor name||Amount contributed|
|AusAID HAARP||USD 235,479.00|
UNAIDS PAF A (2009)
|UNDP MSM TTF||USD 100,000.00|
|UNDP APRC||USD 50,000.00|
|UNAIDS PAF B (2009)||USD 37,200.00|
Delivery in previous fiscal year
- Project start date:
- June 2009
- Estimated end date:
- December 2011
- Geographic coverage:
- Focus Area:
- HIV and AIDS
- MDG 6
- Project officer:
- Philip Castro, Programme Officer for HIV and AIDS
- pDepartment of Interior and Local Government – Local Government Academy; Department of labor and Employment; Action for Health Initiative, Inc.; Department of Social Welfare and Development; Health Action Information Network; TLF-SHARE Collective; Philippine National AIDS Council