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COUNTRY PROGRESS REPORTP h i l i p p i n e sagencies that will mainstream PNACprograms and activities• Restructure PNAC and Secretariatthrough a programmatic approach,using a Capacity Development Plan(2008 PNAC Report)• Strengthen public-private partnership torecruit essential skills needs such aspsychiatrists, psychologists, among othersUA Obstacle 3: Access to affordable commodities and low-cost technologiesCURRENT STATUS (2010)• Access to and availability of condoms, OIand STI drugs and reagents, needles andsyringes, and IEC materials are limited• No access to (water-based) lubricants• Support for laboratory work-ups forPL<strong>HIV</strong> is inadequate• Referral mechanism between LGU andNGO, treatment hubs and NGOs, facilitybasedcare and home-based care arefunctional in some sites;• Sustaining LGU logistics is a problemWAYS FORWARD TO ACHIEVE UA• Strengthen MARP outreach andeducation by geographic priorities, andincrease coverage in relation to totalestimates• Implement effective comprehensivepackage of interventions for MARP• Strengthen health systems andcommunity systems• Address sustainability in the Fifth AMTP• Promote public-private partnerships to allfacilitiesUA Obstacle 4: Human rights, stigma, discrimination, and gender equityCURRENT STATUS (2010)• No monitoring of discrimination incidenceis in place• Human rights commission is neither proactivenor reactive on <strong>HIV</strong> and <strong>AIDS</strong>relatedcases• Stigma Index Report revealed PL<strong>HIV</strong> lostjobs, denied promotion, forced to changeresidence or denied renting, in addition tophysical, social abuse and isolation• PL<strong>HIV</strong> who suffered abuse did not try toseek legal redress out of fear, lack offinancial resources, little confidence onoutcomes, perception of legal processes astoo bureaucratic• No pro-active enforcement mechanismsfor human rights, access to legal assistanceand justice mechanisms• Ambivalence or conflicting views oncondoms, needles and syringes• Inconsistency between R.A. 8504 and9165 is a major concernWAYS FORWARD TO ACHIEVE UA• Sensitize health, education, laborpersonnel and the general public on <strong>HIV</strong>and <strong>AIDS</strong> towards minimizing stigma• Implement guidelines on treatment,care and support such as ARVtreatment, pediatric treatment,hospital-based care• Develop mechanisms and guidelines foraddressing <strong>HIV</strong> related rights violations• Amend punitive laws that block effectiveresponses such as laws against vagrancy,drug abuse and human trafficking), and/orharmonize rules and regulations• Establish enforcement mechanisms topromote and protect rights, legalassistance providers, and access tojustice mechanisms• Implement operations research in aidof developing harm reduction policyNOTE: Recommended Ways Forward that have been initiated in 2011-11 are emphasized; activities and/or results maybe reflected in other sections of <strong>this</strong> Progress Report2012 Global <strong>AIDS</strong> Response Progress Report 27

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