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Op-Ed

How to organize a ‘community dialogue’ when you don’t want the community to go…

After the Department of Health (DOH) was criticized for holding a beauty pageant even though it supposedly has limited budget, a rushed “community dialogue” is scheduled, which won’t be surprising if the target community does not participate.

Yesterday, I was speaking to a close HIV-positive friend whose Nevirapene supply is already running out. “Giatay (I’ll be damned),” he said, adding that he was told that like a friend of his who is taking the same meds as him, he may have to be shifted to LTE already because THERE IS NO SUPPLY OF NEVIRAPENE.

This is yet another issue that the Department of Health (DOH) should be focusing on, instead of its recently-concluded beauty pageant.

So it should have come as a “pleasant” development that a “community dialogue” is being held with the DOH.

To be honest, I almost feel sad for the Department of Health (DOH). ALMOST.

First, it was criticized for holding that beauty pageant even as it laments that its budget is getting cut. Walang pera, supposedly; but may pang-pageant (There isn’t any money, supposedly; but there’s funding for a beauty pageant)…

On beauty pageants and messed up priorities in dealing with HIV in Phl…

And then now, to respond to the criticisms hurled its way, this “open dialogue” is supposed to happen so that “PLHIVs and other advocates (can) gain better understanding of the plans and programs of the government relating to the HIV situation in the country”.

If you are interested – or, perhaps even more importantly, if you are in the area – this “dialogue” is happening at the 3rd floor of DOH Bldg. 14 in Tayuman in the City of Manila on October 3 (Wednesday) from 3.ooPM to 4.ooPM.

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But while this seems like a “good” effort to appease the critics, let’s be extremely blunt here: This seems like a thanks-but-no-thanks “effort”.

Why so?

Info about this “dialogue” was only posted online 15 hours ago (by 10.10AM of the very day of the gathering).

The info was (solely) shared on Facebook; and so – if you don’t know anyone who saw this post – you won’t even become aware of this gathering.

Even if you forget the rushed organization of this “dialogue”, the people behind this are forgetting that:

  1. Not all PLHIVs or HIV advocates who may want to attend are near the area – e.g. there are those in the Visayas and Mindanao;
  2. Many of those who are adversely affected by existing policies/practices re HIV are NOT even from Metro Manila – e.g. no CD4 count and VL machines in many DOH-accredited hubs in Visayas and Mindanao; and
  3. Even Metro Manila-based PLHIVs have work (or other things to do), and they can’t just drop everything in such short notice.

This really is a no-win situation for the DOH for now. And by extension, a no-win situation for the HIV community in the Philippines.

If the intent is true, it may be best to (among others):

  1. Release a financial statement on the pageant that just happened;
  2. Release DOH’s plan/s re HIV in the Philippines, particularly concerning numerous issues I am sure they already know/repeatedly hear about;
  3. and THEN call for a REAL (and non-rushed) dialogue.

The life-or-death issues – as already repeatedly stated – are numerous.

ARV shortage/stockout.

DOH-accredited hubs that collect the PhilHealth money even if they do not render the services required of them anyway.

Access to pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP).

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Absence of Filipino Sign Language interpreters who can assist Deaf Filipinos to get tested for HIV; and – if they test HIV-positive – access treatment, care and support.

Exclusion of life-saving meds in the OHAT package (e.g. Cytomegalovirus retinitis/CMV retinitis).

And – as already stated over and over and over again – I can go on and on and on…

That close friend who is, himself, experiencing the running out of ARV is NOT in Metro Manila right now, and he laments this fact. And for him, “kneejerk reactions are fucking up HIV-related responses.”

Earl Monroe once said: “Don’t rush. Be quick, but don’t hurry.”

Now this sure isn’t that…

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