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SECTION 4.0COUNTRY PROGRESS REPORTP h i l i p p i n e sMAJOR CHALLENGES AND REMEDIAL ACTIONSAt the end of the Fourth AMTP implementation, most resounding of challenges was thedwindling financial resources for HIV and AIDS. The 2008 Commission on AIDS Reportrecommended $1 per capita per year expenditure for HIV prevention and control; with apopulation of 94 million Filipinos (2000 NSO projection) this translates to $94 million, far fromthe country’s $9.2 million average spend. Problems with manpower and systems strengtheningfollow in effect of financial constraints, and eventually explain the low intervention coverage.Further on, sustainability issues emerge as in low priority in effecting HIV/AIDS activitiesamong government agencies, and disinterest of local chief executives to fully adoptinterventions in their localities. In a special UA report developed in 2010, these and other(related) issues were explored, and ways forward identified, summarized on Table 4.1.TABLE 4.1Obstacles to Achieving Universal Access, Status in 2010, and Recommended Ways ForwardUA Obstacle 1: Inadequate financing for scaled-up AIDS responsesCURRENT STATUS (2010)• Resources for the program have beenpoorly invested• The funding gap has become bigger withtotal funding requirement; in 2010 only$11.9 million was spent on HIV and AIDS• There is lack of political support for theresponse at national and local levels• Due to inadequate resources, coverage isvery low• Essential outreach and education activitiesby CSO could not be sustainedWAYS FORWARD TO ACHIEVE UA• Fifth AMTP operational plan shouldserve basis for financial projections,and be submitted to Congress• Advocate to highest political leadersand government officials forarticulation of support• Increase domestic budget and spendingwith support from the Executive Branchand the President• Institutionalize National Response,including budget for non-health sectors• Promote the Fifth AMTP investmentplan for programming and fundingassistance from development partners• Localize or popularize the Fifth AMTPUA Obstacle 2: Human resource capacity, health, social, education systems constraintsCURRENT STATUS (2010)• Trained health personnel are limited totreatment hubs and project sites• Sustaining LGU human resources remainsa problem• Strengthening capacities of stakeholdersat all levels needed for management andsupervision, service delivery, M&E• Clearly defined comprehensive preventionstrategies for each MARP are needed toguide human resource needsWAYS FORWARD TO ACHIEVE UA• Develop competency-based trainingprograms to build capacity essential andspecific for prevention among key affectedpopulations, treatment, care and support• Implement HRH Plan, includingmechanisms to manage migration andretention• Build capacities to identify and locatesources of new infections• Evaluate prevention coverage and impact• Strengthen PNAC and Secretariat,establish focal units within members’2012 Global AIDS Response Progress Report 26