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Phl records highest number of reported HIV cases since 1984 with over 30 Filipinos infected daily in March

In March 2017, the HIV/ AIDS & ART Registry of the Philippines reported 968 new HIV cases, the “highest number of cases ever reported since 1984.” For Bisdak Pride Inc.’s Roxanne Omega Doron, “We should reexamine and reevaluate our national HIV response if it is still relevant,” stressing that “now having 30 cases per day cases means that we need to work more since the data suggest an alarming trend that has, in fact, been going on for years now.”

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Another month to highlight the worsening HIV situation in the Philippines; and how existing efforts continue to be lacking, if not actually failing.

In March 2017, the HIV/ AIDS & ART Registry of the Philippines (HARP) of the Department of Health reported 968 new HIV cases, which is 32% higher compared to the same period in 2016 (735). According to HARP, this was the “highest number of cases ever reported since 1984.”

The first HIV case in the Philippines was reported in 1984. From January 1984 to March 2017, the number of HIV cases reported to HARP totaled 42,283.

“Let’s be blunt: We are not doing enough to deal with the (worsening) HIV situation in the Philippines,” said Michael David dela Cruz Tan, publishing editor of Outrage Magazine, the only LGBT publication in the Philippines, which also has HIV-related efforts. “Enough of the sugarcoating and patting of the backs of those who are currently in the HIV advocacy; we may risk burnout, but we have to do more and act even faster if we want to see all our efforts make a dent at all in this continuously worsening social problem.”

This development is alarming, according to Roxanne Omega Doron, who helms Bisdak Pride Inc., a Cebu City-based LGBT organization that also has HIV-related efforts, including conducting community-based HIV screening (CBS).

“Thirty (people getting infected with HIV) per day is something we need to worry about – economically, socially and even politically,” Doron said. “While HIV incidence is decreasing in a significant majority of countries around the world, ours is increasing. Demographers even call it demographic anomaly, and rightfully so.”

Most (96%) of the 968 new HIV cases reported by HARP were male. The median age was 27 years old; with half belonging to the 25-34 year age group, while 33% were youth aged 15-24 years.

Region-wise, the most number of reported cases were from the National Capital Region (NCR) with 309 (32%) cases, Region 4A with 135 (14%) cases, Region 3 with 107 (11%) cases, Region 7 with 76 (8%) cases, and Region 11 with 52 (5%) cases. An additional 289 cases (30%) came from the rest of the country.

For Fritzie Estoque, chairperson of the Misamis Oriental-Cagayan de Oro AIDS Network (MOCAN), existing efforts continue to be lacking. “No, we are not doing enough,” she said.

For instance, the Department of Labor and Employment (DOLE) has D.O. No. 102-10 (HIV Workplace Policy) requiring all private companies to conduct HIV education to all employees and officers, while the Civil Service Commission has Memorandum Circular No. 11 s. 2013 that provided guidelines in the implementation of workplace policy and education program on HIV and AIDS. Now, if only these orders were fully implemented… then by this time, we’d be reaping the benefits that these orders ought to have sown,” Estoque said.

Estoque added that there’s always a gap with “the grand plans, and what’s being implemented.”

DOLE Region 10, where MOCAN is directly involved in the awareness aspect of the implementation – may be certain of the need to implement the ordinance there, but “it seems to us that other companies don’t bother to comply because complying isn’t strictly implemented.”

MODES OF TRANSMISSION

Reported modes of transmission (MOT) were sexual contact (942), needle sharing among injecting drug users (IDU, 22) and mother-to-child transmission (4). Eighty-seven percent of infections transmitted through sexual contact were among males who have sex with males (MSM).

It is worth noting that from 1984 to 2009, the predominant MOT was male-female sex. But starting 2010, the trend shifted to male-to-male sex as the main MOT; this has continually increased since then, so that from January 2012 to March 2017, 82% (27,709) of new infections were through sexual contact among MSM.

Different regions also have different predominant MOTs. For instance, almost half (47%) of the MSM ever reported were from NCR; almost all of the IDU were from Region 7; and 39% of females who engaged in transactional sex were from Region 3.

Tan already earlier noted the “inevitable pending return to mainstream population of HIV infection”. While the current trend seems to signify that “the Philippine sis mimicking largely (particularly former) Western trends, where HIV infection seemed to have focused particularly on gay men, we will buck this ‘trend’ because MSM do not necessarily only have homosexual sexual contacts. And when they start having sex with women, the risk for infection is also there.”

For Tan, this is worth highlighting because there were instances when Outrage Magazine made rounds in other parts of the country, where there are actually so-called service providers that refuse to offer HIV testing to women, claiming that their ‘priority’ is only to serve MSM. This is true, for instance, in select (and well-funded) community-based HIV screening (CBS) programs that only target MSM, and “even openly refuse to test women who want to know their HIV status.”

“It’s almost like we recognize that many MSM are at risk for HIV infection due to their unsafe sexual practices, and yet we refuse to acknowledge that they have other sexual partners aside from men,” Tan said. “Again, if left sans proper responses, we’re setting the stage for things to just worsen.”

MOCAN’s Estoque also lamented the “over-emphasis on key affected populations (KAP)/key populations (KP), considering that if people are HIV ignorant, then they won’t know that any one can get infected with HIV.”

This is why she’s pushing for better HIV education, instead of “just focusing on voluntary counseling and testing (VCT) and treatment.” “Why not invest in the education aspect as a prevention measure?”

SPECIAL POPULATIONS

Four pregnant women were, in fact, diagnosed with HIV in March, with two cases from NCR, one case was from Region 4B, and another one from Region 7.

Perhaps also worth noting is the encumbrance of HIV among the young.

In March, 315 (33%) cases were among youth aged 15-24 years. Most (96%) were male; and almost all (312) were infected through sexual contact (30 male-female sex, 200 male-male sex, 82 sex with both males and females). Three were infected through needle sharing among IDU.

Under-19 adolescent Filipinos also figured in the March data. Forty-five adolescents aged 10-19 years were reported to HARP, and all of them were infected through sexual contact (three male-female sex, 31 male-male sex, 11 sex with both males and females).

Ninety-five people (or 10% of the total number of cases for the month) who engage in transactional sex – or those who report paying for sex, regularly accept payment for sex, or do both – were infected with HIV. Almost all (98%) were male whose ages ranged from 18 to 64 years; the two females were from 20-31 years old.

It was only in December 2012 when HARP started reporting on those who engaged in transactional sex. And since then, a total of 3,788 cases reported in HARP from were people who engaged in transactional sex. Ninety-six percent (3,625) were male and 4% (163) were female.

NO ONE SHOULD DIE FROM AIDS – YEAH, RIGHT!

Twenty-seven Filipinos dies from AIDS-related complications in March; all of them were male. Eighteen (67%) of the reported deaths belonged to 25-34 year age group, eight (30%) were from 35-49 year old age group, and one case from 15-24 year age group. All were infected through sexual contact (three male-female sex, 16 male-male sex, eight sex with both males and females).

Since 1984, when the first HIV case was reported in the Philippines, a total of 2,124 deaths were already reported. The number is believed to be inaccurate, however, due to under-reporting.

For Tan, “internationally, there’s this notion that no one should die from HIV anymore. “In an ideal world, this is all good. But in a setting like the Philippines, this is also a very naïve perspective.”

In the Philippines, there remain many issues that lead to AIDS-related deaths, e.g.:

  1. Delayed detection (often “blamed” on the PLHIV, with this blaming neglecting that there are still unresolved issues related to stigma and discrimination).
  2. Bureaucratic deterrent to make new approaches the norm (e.g. rollout of well-funded CBS takes years; ignorance of U=U, thus non-inclusion among existing solutions).
  3. Lack of information about HIV and AIDS that often lead to stigma and discrimination (e.g. PLHIVs getting kicked out of their homes after their family members discover their status).
  4. Inability to get tested (e.g. there are fishermen and farmers who have no access to HIV testing facilities; minors who are unable to get tested sans consent from their parents/guardians).
  5. Inconsistent HIV services offered even by government-owned treatment hubs (e.g. viral load is not available in many of treatment hubs outside of Metro Manila).
  6. Mismanagement of available resources (e.g. existing projects allocate for some implementers to stay in posh hotels to hobnob with some well-compensated ‘ambassadors’; while some PLHIVs unable to access ARVs because of inability to pay PhilHealth).

On the latter (i.e. access to life-saving antiretroviral medicines), in March, 784 PLHIVs started on ART. Three of them died within the same month.

Over 19,370 PLHIVs were on ART as of March, most (97%) of them males. The number continues to be less than half the 42,283 number of reported PLHIVs in the Philippines. Ninety-five percent were on first line regimen, 4% were on second line regimen, and 1% were on other regimen.

Stephen Christian Quilacio, former head of Cagayan de Oro City-based Northern Mindanao AIDS Advocates, believes there’s a “continuing effort to reach out everyone”, adding – somewhat sardonically – that “if we believe we’re doing just fine with whatever we’re doing now, the numbers of Filipinos getting infected should have been dwindling, not increasing.”

ALL HANDS NEEDED

Tan stressed that, “just as we repeatedly say, all efforts that eye to stop the worsening HIV situation in the Philippines matter,” he said. “But we need an urgent and very realistic reassessment of the services we’re currently offering to see what works and what doesn’t; or for that matter, who works and who doesn’t. Remove those that/who aren’t working. Remove politicking and even profiteering in releasing existing funding. Amend the law (RA 8504), and start implementing it. Start implementing (and funding, for that matter) new approaches re HIV (e.g. CBS, U=U, PrEP, PEP). Stop the profiteering happening in the HIV advocacy. Deal with elitism in HIV advocacy (e.g. gaining traction in social networks is all good and well, but reach out to those who do not even have access to the Internet). Reconsideration of how we deal with the sex industry. If we act like it’s business as usual, then we’re f***ed.”

Quilacio seconded this, adding more succinctly the “need to go beyond only the popular approaches to instead put into place those that truly work.” On this end, he advocates the “funding of ‘right’ advocates, not opportunists who are benefiting from the HIV cause. Reaching out to grassroots communities that continue to be neglected by ‘popular’ campaigns that may generate lots of media mileage and funding but are actually very limited. Inclusion of responses to the needs identified by PLHIVs themselves, such as psychosocial support, legal counsel (particularly for those who are discriminated against), and others.”

For Quilacio, “solving problems is always possible. But we can’t just keep talking about solving this issue, yet fail to actually deliver the solutions.”

Bisdak Pride Inc.’s Doron is similarly advocating for prompt reconsideration of efforts. “We should reexamine and reevaluate our national HIV response if it is still relevant,” he said, stressing that “now having 30 cases per day cases means that we need to work more since the data suggest an alarming trend that has, in fact, been going on for years now.”

More specifically for Doron, “the national HIV response should be recalibrated to include various groups, sectors and areas.”

MOCAN’s Estoque hopes for “bigger participation of so many neglected sectors – e.g. religious sector to come up with a ‘genuine Christian response’ in solving the HIV epidemic.” Similarly, she hopes for government to have “ngipin (contextually: political will and will power)” when implementing HIV-related programs – e.g. local AIDS ordinances should be properly implemented, AIDS Councils should be made active, and the Department of Health should go beyond media savvy. “Hindi na sapat ang mga pa-konswelo lang (Consolation efforts no longer suffice),” Estoque ended.

A registered nurse, John Ryan (or call him "Rye") Mendoza hails from Cagayan de Oro City in Mindanao (where, no, it isn't always as "bloody", as the mainstream media claims it to be, he noted). He first moved to Metro Manila in 2010 (supposedly just to finish a health social science degree), but fell in love not necessarily with the (err, smoggy) place, but it's hustle and bustle. He now divides his time in Mindanao (where he still serves under-represented Indigenous Peoples), and elsewhere (Metro Manila included) to help push for equal rights for LGBT Filipinos. And, yes, he parties, too (see, activists need not be boring! - Ed).

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Anti-discrimination ordinance passes final reading in Zamboanga City; awaits mayor’s signature

Zamboanga joins the growing number of local government units that now has an anti-discrimination ordinance.

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The rainbow rises in Zamboanga City.

The 1st class highly urbanized city in the Zamboanga Peninsula of the Philippines, Zamboanga, joins the growing number of local government units (LGUs) that now has an anti-discrimination ordinance (ADO).

As helmed by Hon. Lilibeth Macrohon Nuño, the ADO passed the third and final reading at the Sangguniang Panglunsod of the City of Zamboanga on October 6.

The ADO is actually not only specific to sexual orientation and gender identity and expression. Instead, it is a more comprehensive ADO that also prohibits discrimination based on race, color, civil and social status, language, religion, national or social origin, culture and ethnicity, property, birth or age, disability and health status, creed and ideological beliefs, and physical appearance.

The ADO now goes to the desk of Mayor Maria Isabelle Climaco-Salazar for signing.

As the sixth most populous and third largest city by land area in the Philippines, Zamboanga has a population of 861,799 people (as of 2015). The ADO was pushed by local LGBTQIA organization, Mujer-LGBT Organization Inc.

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Proposed ‘comprehensive anti-discrimination bill’ called oxymoronic, removes need to protect LGBTQIA Filipinos

A proposed “Comprehensive (sic) Anti-Discrimination Act” is being considered in the House of Representatives (HOR), though the bill eliminates LGBTQIA people among those in need of protection. According to Rep. Geraldine Roman, by eliminating SOGIE in the CADB, it contradicts the very claim that it’s CADB. “By eliminating us, you are discriminating against us.”

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A not-so-comprehensive anti-discrimination bill after all.

A proposed “Comprehensive (sic) Anti-Discrimination Act” is being considered in the House of Representatives (HOR), though the bill eliminates LGBTQIA people among those in need of protection.

In a virtual meeting of the technical working group of the Committee on Human Rights of HOR, Rep. Jesus Suntay presented “An act prohibiting discrimination on the basis of ethnicity, race, religion or belief, sex, gender, language, disability, HIV status, educational attainment and other forms of discrimination”.

“If you eliminate SOGIE, you can’t call it ‘Comprehensive ADB’. It’s an oxymoron.”

Rep. Geraldine Roman

Another proposed bill, the SOGIE Equality Bill, is getting criticized because it is supposed to be limited to a specific class of people – i.e. LGBTQIA people. And so there is a proposal for it to be included, instead, in the more and supposedly comprehensive anti-discrimination bill (CADB).

According to Rep. Bienvenido Abante Jr., himself a pastor cum politician: “We are trying to avoid approving any bill that would be classified as class legislation… This is why it is CADB.”

Abante – nonetheless – believes in the inclusion of sexual orientation in the CADB, just not gender identity and expression.

However, the move to exclude “discrimination based on sexual orientation, gender identity and gender expression” from the CADB is a win for anti-LGBTQIA people by eliminating SOGIE Equality Bill and then excluding LGBTQIA people from the CADB.

According to Rep. Geraldine Roman, the first transgender congressperson in the Philippines: “If you eliminate SOGIE, you can’t call it ‘Comprehensive ADB’. It’s an oxymoron.”

The proposed bill also removes SOGIE in Sec. 2: Declaration of Policy, and in the definition of terms.

Defending the erasure of SOGIE in the bill he presented, Suntay said that there are already 15 SOGIE-related bills filed with the Committee on Women. For him, if SOGIE is also included in the CADB, it “may be deemed also as SOGIE Equality Bill.”

But Roman does not agree with this.

That argument, she said, “is totally irrelevant… By eliminating SOGIE (in the CADB), it contradicts the very claim that it’s CADB. By eliminating us, you are discriminating against us.”

Roman added: “We have to be brave enough and recognize that there is discrimination happening against people like me who has a gender identity that is considered as different from what’s considered as conventional.”

Suntay noted that an anti-discrimination bill has been passed since the 13th Congress; and he hopes to eventually “steer this to success”, apparently even with LGBTQIA exclusion.

WRITE TO, OR CONTACT THE OFFICE OF REP. JESUS SUNTAY. INFORM HIM OF THE NEED TO KEEP SOGIE IN THE COMPREHENSIVE ANTI-DISCRIMINATION BILL.
FB Page: https://www.facebook.com/congsuntay/
Email provided in FB: congressmansuntay@gmail.com
Mobile no.: 09190847873

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Those opposing SOGIE Equality Bill claim to be ‘pro-human rights’… but not for LGBTQIA people

Parties opposing the passage of the SOGIE Equality Bill frame themselves – and their arguments – as “for equality” and “for human rights for all”, but stress all the same that they do not support granting LGBTQIA people human rights.

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Different parties opposing the passage of the SOGIE Equality Bill frame themselves – and their arguments – as “for equality” and “for human rights for all”, but stress all the same that they do not support granting LGBTQIA people human rights because any anti-discrimination law will grant LGBTQIA people “special rights”.

This – along with the imposition of religious beliefs – was repeatedly stressed during the August 28 virtual hearing on the SOGIE Equality Bill of the Committee on Women & Gender Equality of the House of Representatives.

Rep. Benny Abante of Manila’s 6th district, for one, stated that “the LGBTI are human beings like all of us… I might not agree with their lifestyle (sic), but I will defend their rights to express themselves.”

But while he stated that “nobody in this country is a second-class citizen,” he reiterated his “refusal to be included as a co-author (of the SOGIE Equality Bill) does not speak of opposition” to it. Instead, it is to uphold what’s in the bible.

Abante also misgendered Rep. Geraldine Roman of Bataan’s First District, referring to the first transgender woman to win a seat in Congress as “congressman” and using the male pronoun “him”. Roman is a co-chair of the Committee on Women & Gender Equality.

Abante’s position was similar to many others who spoke at the virtual hearing.

Stanley Clyde Flores of Jesus is Lord (JIL) religious group stated: “Hindi kami bulag sa katotohanan na maraming miyembro (ng LGBTQIA community) ang nakakaranas ng diskriminasyon.” But JIL does not support the SOGIE Equality Bill because “it rids others of their rights.”

In fact, JIL believes that “God gave gender”, and the fringe religious group believes that members of the LGBTQIA community who want to “welcome God and change their gender” should do so.

JIL’s anti-LGBTQIA position was established by its founder turned politician, Rep. Eddie Villanueva, his position itself a slight on the concept of the separation of Church and State.

Presbyterian Sec. Gen. Nelson Dangan similarly stated the church’s supposed support for non-discrimination. But Dangan stressed that the anti-discrimination bill “supports approval of homosexual behavior”, assaults the truth of Biblical sexuality, does not focus on procreation as human’s key reason for existence, and is “anti-God because God opposes homosexuality.”

Dangan also refuted the existence of intersex people because the word does not exist in his bible.

“Philippines will be like Sodom and Gomorrah if we pass (this bill),” he said, also insinuating that Covid-19 is a wrath of God and that passing a law for the human rights of LGBTQIA people will further anger this God. “We respect all people created by God… but we oppose this bill… because we violate the will of God and invite the wrath of God.”

GOD’S NAME IN VAIN?

Bishop Leo Alconga, the national president of the Philippines For Jesus Movement, similarly stated that they stand “against any form of discrimination”, but that God does not agree with this, quoting an antiquated Catholic perspective that homosexuality is “an act of great depravity”.

Alconga similarly linked the SOGIE Equality Bill with marriage equality, which is not at all part of the bill.

For Bro. Ramon Orosa of Philippines For Jesus Movement, one of the most notorious sins in the scripture is homosexuality and lesbianism. And for him, “the question is not whether they exist, but not giving in to them.” Using the punitive Old Testament God, he said that “God is not tolerant of any sin.”

Orosa also said that “this is being imposed on everybody else” and that “we will be discriminated upon if we disagree.”

For Iglesia ni Cristo’s Edwil Zabala, everyone is entitled to all human rights. But for him, SOGIE is “not a fundamental right” and does not even exist. Like the others, he said that laws should not be made to favor select/special beneficiaries.

HATE FROM GOV’T BODIES?

But church people were not the only parties opposing the SOGIE Equality Bill.

From the side of the government, for instance, Department of Interior and Local Government (DILG) Usec. RJ Echiverri echoed the right-wing religious perspective. After claiming he, too, is against discrimination and the provision of equal opportunity for everybody, he questioned if the proposed law will give special rights to others.

Echiverri also had issues with trans women joining competitions for those assigned female at birth; as well as the “blurring of identities”.

Meanwhile, an Armed Forces of the Philippines (AFP) resource person stated that while AFP – as a government institution – does not discriminate, it also “does not support protection of special groups at the expense of others.”

HATE HIGHLIGHTS NEED FOR THE LAW

But other parties also expressed their support for the passage of a law that has been pending in Congress for 20 years now.

Philippine National Police (PNP) head of PNP Women and Children Protection Center (WCPC), Colonel Alessandro Abella, for instance said that they support upholding the rights of all people irrespective of SOGIESC. However, the PNP position that Abella read at the hearing, which is contrary to AFP’s, has yet to be officially vetted by his higher ups.

Still, he said, PNP is lobbying to rename WCPC to “Women, Children and Gender Rights Protection” as it’s more generic and will cover all forms of gender-based violence.

PNP’s recruitment process at present is already SOGIESC-sensitive, focusing on “merit and fitness”, he said, so “PNP supports this.”

Other government officials who also expressed support were Esmeralda Amora-Ladra from Commission on Elections; Sandy Montano of the Philippine Commission on Women; Elizabeth Angsioco of the Department of Social Welfare and Development; and Paul Moreno of the Bureau of Jail Management and Penology.

For Prof. Evelyn “Leo” Batad of UP GLLP, this is a long overdue law that “recognizes the long-standing struggle of people due to their SOGIESC.”

The 1987 Philippine Constitution, in fact, stipulates the value the dignity of all human persons. But the country does not have executory laws for this; and so “a legislation providing for the protection of people with diverse SOGIESC is overdue.”

Batad added that “religion is not meant to support specific beliefs”, and that “morality referred to in law is public and secular, not religious.” The Supreme Court already stated that if the government relies on religious beliefs in the making of laws, then this will require conformity in particular religious programs and the concept of morality of those managing them. This – by itself – becomes an imposition, which violates the very concept of freedom of religious affiliation by making some more dominant than others.

“We cannot impose religious beliefs on others,” Batad said. “Religious belief is distinct from what is spiritual.”

LGBTQIA PEOPLE EXIST

Rep. Roman, for her part, said that “you cannot treat the Bible like a science book.” For instance, the intersex condition is a biological fact; so citing the bible to question the existence of intersex bible is erroneous.

“As St. Agustine said: If you want to convince other people, you cannot ignore empirical data,” she said.

Roman helped push the SOGIE Equality Bill’s passage in 2017, when the bill got the nod of 198 congresspeople, with none opposing it.

“Despite the promise of equality, vulnerable groups are still discriminated,” said Rainbow Rights Project Inc.’s Atty. Jazz Tamayo. “Must we undergo discrimination before we (are able to) access the law? The State needs to (deal with) this.”

For her part, Lagablab Network’s Atty. Claire de Leon said that “discrimination still persists”, with LGBTQIA students refused entry to schools, LGBTQIA people excluded from social support, and the prevalence of workplace discrimination due to people’s SOGIESC, among others. “LGBTQIA people remain vulnerable,” and this ought to push for the passage of the SOGIE Equality Bill that has been wallowing “for over 20 years now.”

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73% of Filipinos think ‘homosexuality should be accepted by society’

Among the countries surveyed in the whole of Asia (i.e. India, Indonesia, Japan, Philippines and South Korea), the Philippines had the highest number of respondents who said they were accepting of homosexuality.

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Constant rainbow support?

While people in the Asia-Pacific region continue to show little consensus on the subject, at least 73% of Filipinos surveyed say homosexuality should be accepted. This is the same figure as the one reported by a similar survey conducted in 2013, making the Philippines the only participant country that did not change its perception from 2013 to 2019.

This is according to a new Pew Research Center report conducted in 2019 involving 38,426 people in 34 countries. This is a follow-up study to the one made in 2013.

To ask them how they perceived homosexuality, the participants were asked: “Which one of these comes closer to your opinion? ‘Homosexuality should be accepted by society,’ or ‘Homosexuality should not be accepted by society.'”

People who said they don’t accept homosexuality was pegged at 24% (versus 26% in 2013).

Among the countries surveyed in the whole of Asia (i.e. India, Indonesia, Japan, Philippines and South Korea), the Philippines had the highest number of respondents who said they were accepting of homosexuality.

But countries in Asia-Pacific (and Oceania) showed extreme results – e.g. aside from the Philippines’ 73%, more than three-quarters of those surveyed in Australia (81%) say homosexuality should be accepted, but only 9% of Indonesians agree.

According to Pew Research Center, the survey shows that “while majorities in 16 of the 34 countries surveyed say homosexuality should be accepted by society, global divides remain.”

Mimicking the figures from APAC (and Oceania), other parts of the world also highlighted this global divide re homosexuality – e.g. 94% of those surveyed in Sweden say homosexuality should be accepted, but only 7% of people in Nigeria say the same.

Now, if it’s any consolation, across the 34 countries surveyed, a median of 52% agree that homosexuality should be accepted (versus 38% opposing it).

Other findings include:

  • In 17 years, Pew Research Center found that many of the countries surveyed showed a double-digit increase in acceptance of homosexuality, such as in the cases of South Africa and South Korea.
  • Those in Western Europe and the Americas were found to be more accepting than those in Eastern Europe, Russia, Ukraine, the Middle East, and sub-Saharan Africa.
  • At least for a number of countries, more women than men support homosexuality.
  • Younger generations were found to be more accepting. In 22 of 34 countries surveyed, younger adults are significantly more likely than their older counterparts to say homosexuality should be accepted by society.
  • In most countries surveyed, those who have greater levels of education are more likely to say that homosexuality should be accepted in society than those who have less education.
  • Religion plays a role in the response of those surveyed (e.g. in some countries, those who are affiliated with a religious group tend to be less accepting of homosexuality than those who are unaffiliated). As per the research, in most cases, the affiliated comparison group is made up of Christians; and yet “even among Christians, Catholics are more likely to accept homosexuality than Protestants and evangelicals in many countries with enough adherents for analysis.”
  • Political ideology plays a role in acceptance of homosexuality (i.e. those on the political right are less accepting of homosexuality than those on the left).
  • Attitudes on this issue are strongly correlated with a country’s wealth (i.e. people in wealthier and more developed economies are more accepting of homosexuality than are those in less wealthy and developed economies) – e.g. in Israel, 52% of higher income earners say homosexuality is acceptable in society versus only three-in-ten of lower income earners.
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At what cost? HIV service disruptions at the time of Covid-19

One of the biggest casualties of Covid-19 may be the delivery of other services, such as HIV testing. In the Philippines, HIV prevention services were reduced by 20% to 30%, and HIV testing services reduced by 20% to 80%. And sans clear B&W guidelines, community-based service providers continue to be at a loss.

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Photo by Miguel Á. Padriñán from Unsplash.com

Ashley Galvinez, board member of the Sta. Catalina Active LGBT Organization in Zamboanga in Mindanao, used to get screened for HIV every month (to every three months). “I’ve been doing this since I became sexually active,” she said to Outrage Magazine via video interview.

But then the world was struck by Covid-19, and the country was placed under lockdown. And this already-regular part of her health monitoring was stopped.

Kaya sa bahay na lang muna; tiis-ganda,” she said, adding that she was still scared she could get infected with HIV or get sexually-transmitted infections.

The fear of Galvinez isn’t unfounded.

This May, UNAIDS noted with the World Health Organization (WHO) “the need for urgent efforts to ensure the continuity of HIV prevention and treatment services in order to avert excess HIV-related deaths and to prevent increases in HIV incidence during the COVID-19 pandemic. It will be important for countries to prioritize shoring up supply chains and ensuring that people already on treatment are able to stay on treatment, including by adopting or reinforcing policies such as multimonth dispensing of antiretroviral therapy in order to reduce requirements to access health-care facilities for routine maintenance, reducing the burden on overwhelmed health-care systems.”

“Every death is a tragedy,” said Winifred Byanyima, executive director of UNAIDS. “We cannot sit by and allow hundreds of thousands of people, many of them young, to die needless deaths.”

This is in no way limited to the Philippines, too.

UNAIDS similarly noted that “if efforts are not made to mitigate and overcome interruptions in health services and supplies during the COVID-19 pandemic, a six-month disruption of antiretroviral therapy could lead to more than 500,000 extra deaths from AIDS-related illnesses, including from tuberculosis, in sub-Saharan Africa in 2020–2021.”

In 2018, approximately 470,000 people died of AIDS-related deaths in that region.

“The terrible prospect of half a million more people in Africa dying of AIDS-related illnesses is like stepping back into history,” Dr. Tedros Adhanom Ghebreyesus, WHO Director General was quoted as saying. “We must read this as a wake-up call to countries to identify ways to sustain all vital health services.”

To be specific, disrupted HIV-related services could include:

  • Difficulty in accessing antiretroviral medicines
  • Reduced quality clinical care owing to health facilities becoming overstretched
  • Suspension of viral load testing
  • Reduced adherence counseling and drug regimen switches
  • Interruption of condom availability
  • Suspension of HIV testing
Ashley Galvinez used to get screened for HIV every month (to every three months). Covid-19 stopped this.

ALSO IN NEED OF FOCUS

According to Ms Jaya L. Jaud, community HIV outreach worker for the Zamboanga City-based Mujer LGBTQ+ Org., HIV is also a pandemic, and this is something “na dapat ding tutukan.”

Jaud added that there is a need to face reality that HIV cases are increasing in the Philippines.

From October to December 2019, there were 3,029 newly confirmed HIV-positive individuals reported to the HIV/ AIDS & ART Registry of the Philippines (HARP). Sixteen percent (474) had clinical manifestations of advanced HIV infection at the time of testing.

By end-2019, the country was registering 35 new HIV infections per day, up from only one case per day in 2008, seven in 2011, and 16 in 2014.

EMPHASIS ON COVID-19

In Antipolo at the outskirts of Metro Manila, Darwin Tenoria, case manager at Antipolo Social Hygiene Clinic, said that they are already trying to return their HIV-related services to how they were before Covid-19.

“It doesn’t mean that our (HIV-related) services stopped,” he said, but these services were instead only modified. For instance, the actual HIV testing is the same (e.g. blood extraction, et cetera); but the pre- and post-test counseling were amended (via installation of dividers, practice of social distancing, as well as use of face shields and/or masks) so that the counselor and the client are protected.

But at least, Tenoria said, “we have some foot traffic.”

According to Ms Jaya L. Jaud, community HIV outreach worker for the Zamboanga City-based Mujer LGBTQ+ Org., HIV is also a pandemic, and this is something “na dapat ding tutukan.”

HALTED COMMUNITY-BASED SCREENING

Tenoria, at least, works in a health facility.

But – as far as HIV testing and/or screening is concerned – it is the community-based screening (CBS) that has been greatly affected, many actually stalled.

CBS is the HIV screening process done by the likes of Jaud, wherein a volunteer/screener goes to communities to offer HIV testing and screening. This is particularly beneficial to those who live far from a testing facility or those who may not have the time to visit a testing facility.

In idea, this seems like a good idea particularly at the time of Covid-19 because the lockdowns meant people have no means to access health facilities.

But according to Gregory Rugay from the CBS team of Northern Sanctuary MCC in Baguio City, “screening itself has totally stopped at the moment.”

Instead, the focus has been to link to treatment, care and support those who have tested reactive or positive before Covid-19 lockdowns.

“It is kind of tricky,” Rugay said, “because those who have been calling us, wanting to be tested right away, are people who have symptoms (akin to Covid-19) like fever, colds… and difficulty of breathing. With the pandemic going on, you are at a loss on how to treat this kind of issue because their symptoms can also point to (having) Covid-19.”

Darwin Tenoria, case manager at Antipolo Social Hygiene Clinic, said that they are already trying to return their HIV-related services to how they were before Covid-19.

WANTED: COMMUNITY-BASED SERVICE PROVIDERS

Rugay’s fear has merit… even if, obviously, the services he used to be able to freely offer is still needed.

On May 18, UNAIDS stated that “the role of community-led organizations must be appropriately recognized and supported in the context of COVID-19. They must be factored into all aspects of planning, design and implementation of interventions to combat both COVID-19 and the efforts required to mitigate the impact of COVID-19 on other health areas, including HIV and tuberculosis.”

And so UNAIDS recommended, among others:

  • Including community-led health care service providers into lists of essential service providers
  • Policies allowing community-led services to continue operating safely
  • Ensure that community-led organizations are provided with personal protective equipment and training to protect them and their clients in service delivery

LACK OF CLARITY?

In terms of CBS, “they do not have specific guidelines,” Tenoria said. “There’s no clear guideline on how to mobilize CBS.”

This is even if three months have passed since the Covid-19 lockdown has started.

Jaud agrees, saying that “there’s no protocol – e.g. in using personal protective equipment (PPE).” What happens now is – at least in her case – they rely on the practices of the city health office, as well as the practices of NGOs.

Still waxing positive, Jaud said that the Department of Health (DOH) may have not focused on this because – obviously – Covid-19 was the focus for a while, and because there may have been this assumption that because there are a lot of NGOs/CBOs in this field already, they may already know what to do.

In Baguio, Rugay himself was told by someone offering CBS that CBS is actually stalled.

He admitted, though, that he can’t imagine himself offering CBS now particularly if doing so would mean he would be exposing himself to Covid-19, and thereby exposing his loved ones to the same when he returns home.

Tenoria said that “perhaps we need (something written in black and white), on what will be the direction (under) the ‘new normal’.”

He admitted that there were shortcomings particularly when the country – and the world – was initially responding to Covid-19. “Medyo napag-iwanan talaga yung HIV program.”

But now, there ought to be guidelines (beyond the initial one developed by DOH, though that one only focused on accessing antiretroviral medicines). For Tenoria, clearer guidelines will also provide clarity to both service providers and those accessing the services particularly as these may align protocols.

HIV BOOM ABOUT TO HAPPEN?

As it is, all lung-related cases in Antipolo are now considered as suspected Covid-19 cases, said Tenoria.

This is worth noting because tuberculosis (TB), for instance, is an opportunistic infection (OI); and it occurs more often/more severe in people with weakened immune systems (like someone with HIV).

So even if a person with HIV who may not have Covid-19 may have lung-related issues, he/she is required to be isolated. This, then, leads to another (and related) issue: The limited capacity of health facilities in the Philippines.

Tenoria admitted as much, saying that looking for facilities for PLHIVs is harder because isolation rooms are being dedicated to Covid-19 patients.

Of course: Those who test reactive but who have no OIs are luckier, as they are automatically enrolled into the system so they can immediately access ARVs.

For Rugay, “at this moment, there’s nothing we can do for (PLHIVs whose detection is late).” But for him, what the HIV arm of DOH should do is “step up in preparing itself for (a possibility of a) barrage of late detections once they figure out how we do screenings again. Are they prepared/equipped to have all those patients come in?”

FROM THE D.O.H.

A June 10 letter signed by Usec. Dr. Myrna Cabotaje from Department of Health (DOH) to Outrage Magazine noted the impact of Covid-19 on HIV program implementation. Specifically: Prevention services were reduced by 20% to 30%; HIV testing services reduced by 20% to 80%; viral load testing reduced by 42%; and ARV refill services reduced by 5%.

These impacts were due to: geographic concerns, transportation issues and strict checkpoints.

As Tenoria already noted, a guideline was actually developed by DOH. But its main focus was on PLHIVs (particularly, access to ARVs by those already diagnosed to have HIV), and not on those who have yet to be tested.

But Cabotaje’s letter stated that data from HARP for January-March 2020 shows 552 new HIV cases. Meaning, according to HARP, “HIV testing, mostly facility-based, were still provided.”

For January-March 2020, 682 PLHIVs were also initiated on ART.

Asked about protocols re HIV testing, DOH stated that “at this point, HIV testing protocol based on current capacity of both the government and CBOs is centered on ether facility-based testing or community-based HIV screening. Our current HIV projects, e.g. Global Fund HIV grant, thru Save the Children, provided essential PPE to our field workers for them to continue performing their prevention and testing work.”

The likes of Jaud in Zamboanga and Rugay in Baguio are, obviously, not recipients of the aforementioned PPEs.

Moving forward, DOH is also looking at self-screening as an approach to HIV testing, although “the country is still currently testing this approach in a limited manner.”

No timelines were mentioned in the letter.

GOOD PRACTICES

Exactly because HIV-related efforts seemed to have relied on localized practices, some good practices have emerged.

In Naga City, for instance, Tenoria noted that HIV testing is offered with Covid-19 testing.

Still in Zamboanga, when goods are distributed, safer sex kits are included.

And still in Zamboanga, Jaud started tapping clients online; and this is even if this effort remains limiting because not everyone is active online.

“It’s difficult because gatherings of a big number of people are not allowed,” said Jaud. Her target population – i.e. transgender women in Zamboanga – frequently avail of HIV screening when they have gatherings. But now, “tapping social media has been helpful.”

Worth noting is how this immediately limits Jaud’s service delivery – i.e. because she know of the risks related to Covid-19, the clients she now serves are limited to people she knows/are friends with.

“It is kind of tricky,” Gregory Rugay said, “because those who have been calling us, wanting to be tested right away, are people who have symptoms (akin to Covid-19) like fever, colds… and difficulty of breathing.”

PROGRAMS STILL NEED TO CONTINUE

In the end, Tenoria said that people in power hopefully realize that there are still programs that need to be run. “Just as we say in HIV (advocacy), ‘No one should be left behind’.”

This is because sans the needed support, Rugay said people involved in CBS are limited. And so he urges those who want to get tested to, instead, go to health facilities, particularly if they may also have symptoms linked with Covid-19.

Konting pasensya lang sana,” he said, until “we have clear protocols and figure it out how to make it safe for everyone concerned.”

“We (still) encourage everyone to get tested for HIV,” Tenoria said. But those who want to get tested will have to coordinate first with health facilities to schedule testing. Still, this “should not be a hindrance for you to access services (even during this pandemic).”

For Jaud, “we have to capacitate outreach workers (like myself)”. This may be via supplying with gears (e.g. PPE), training, and – yet again – laying down of protocols to use.

Back in Zamboanga, Galvinez said that government offices should give attention to community-based health workers like Jaud, who’s also “a frontliner. They’re ready to help, and serve the community.”

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Outrage Mag’s MDCTan recognized for ‘Art that Matters for Literature’ by Amnesty Int’l Phl

Outrage Magazine head Michael David dela Cruz Tan was cited by Amnesty International Philippines as a human rights defender whose works help bring changes to peoples’ lives, particularly via the establishment of the only LGBTQIA publication in the Philippines.

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Outrage Magazine head Michael David dela Cruz Tan was cited by Amnesty International Philippines as a human rights defender whose works help bring changes to peoples’ lives, particularly via the establishment of the only LGBTQIA publication in the Philippines.

Tan – who received “Art that Matters for Literature” – is joined by co-awardees Philippine Center for Investigative Journalism (PCIJ), Most Distinguished Human Rights Defender – Organization; Bro. Armin Luistro, FSC, Most Distinguished Human Rights Defender – Individual; and Lorenzo Miguel Relente, Young Outstanding Human Rights Defender.

These awards are part of “Ignite Awards for Human Rights”, given to human rights defenders (HRDs) in recognition of the impact their work bring in changing peoples’ lives through mobilization, activism, rights-based policy advocacy and art. First of its kind, it is Amnesty International Philippines’ top honor given to human rights defenders in the country.

According to Tan, getting the recognition is an honor, particularly as “it recognizes our work in highlighting the minority LGBTQIA community in the Philippines. But this also highlights that for as long as there are people whose voices are ignored/left out of conversations, those who are able to should take a stand and fight for them.”

In a statement, Butch Olano, Amnesty International Philippines section director said that “this season’s recipients come from varying human rights backgrounds, from press freedom and right to education to gender equality and SOGIESC rights, but they share one dedication, that is to fight for basic rights of Filipinos. They truly ignite the human rights cause, speaking up against injustices and exposing inequalities on behalf of those who, otherwise, will not be heard.”

Olano added: “Amnesty International Philippines strongly believes that our individual and collective power as a people working towards transforming and uplifting each other should be given due recognition and appreciation despite the political turmoil the country has been experiencing for a few years now. It is necessary to shine a spotlight on those individuals who continue to pave the way for collective action.”

Michael David C. Tan – who received “Art that Matters for Literature” from Amnesty International Philippines – at work while providing media coverage to members of the LGBTQIA community in Caloocan City.

The nominations for Ignite Awards 2020 was opened exactly a year ago (May 28), and it took the organization a year to finalize the nominations and vetting process together with its Selection Committee and Board of Judges chaired by Atty. Chel Diokno.

May 28 also marks Amnesty International’s 59th anniversary.

“When people lead in taking a stand for human rights especially in difficult situations, it emboldens many others in their struggles against injustice. Our Ignite Awardees’ commitment is all the more remarkable because of the alarming levels of repression and inequality that ordinary people are experiencing amid this pandemic. Throughout and certainly beyond the immediate crisis, these human rights defenders will continue to stand up on behalf of the most vulnerable in our society. Together, we will call on the government to ensure access to universal healthcare, housing and social security needed to survive the health and economic impacts of Covid-19, while ensuring that extraordinary restrictions on basic freedoms do not become the new normal,” Olano said.

Michael David C. Tan – also a winner for Best Investigative Report in 2006 from the Catholic Mass Media Awards (CMMA) – has continuously tried to highlight “inclusive development”.

Tan – who originated from Kidapawan City in Mindanao, southern Philippines – finished Bachelor of Arts (Communication Studies) from the University of Newcastle in New South Wales, Australia. In 2007, he established Outrage Magazine, which – even now – remains as the only LGBTQIA publication in the Philippines.

Among others: In 2015, he wrote “Being LGBT in Asia: The Philippine Country Report” for UNDP and USAID to provide an overview on the situation of the LGBTQIA movement in the country, and where the movement is headed; and in 2018, he wrote a journalistic stylebook on LGBTQIA terminology to help media practitioners when providing coverage to the local LGBTQIA community.

Tan – also a winner for Best Investigative Report in 2006 from the Catholic Mass Media Awards (CMMA) – has continuously tried to highlight “inclusive development”. For instance, speaking at a 2019 conference on human rights and the Internet organized by the Commission on Human Rights (CHR) and the Foundation for Media Alternatives (FMA), he said that “there is a disconnect between what’s online and what’s happening on the ground. And this stresses one thing: The need to not solely rely on making it big digitally, but also go beyond the so-called ‘keyboard activism’.”

Michael David C. Tan – seen here giving SOGIESC and HIV 101 lecture to over a thousand students in Quezon Province – said that “for as long as there are people whose voices are ignored/left out of conversations, those who are able to should take a stand and fight for them.”

Along with Tan, this year’s awardees join 2018’s recipients: Sen. Leila De Lima, Most Distinguished Human Rights Defender-Individual; DAKILA Philippine Collective for Modern Heroism, Most Distinguished Human Rights Defender – Organization; Floyd Scott Tiogangco, Outstanding Young Human Rights Defender; and Cha Roque, Art that Matters for Film.

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