HARP Case Study

Improved Essays
The HARP categorizes men who reported male-male sexual contact and sexual contact with both males and females as men who have sex with men (DOH, 2015). In 2015, MSM comprised of 89% (6,465) of the total reported cases of MOT via sexual contact among men in the Philippines. Within the past five years, 87% (20,744) of sexually transmitted cases were among MSM. From the start of the epidemic in 1984, 85% (22, 525) of total reported sexually transmitted cases were among MSM. Overall, the rates of HIV positive MSM are significantly higher than those of the men who reported male-female sexual contact.

Determining if these increased rates reflect a definite increase of HIV infection among MSM or an increase of HIV positive men getting test while
…show more content…
Then, reports of confirmed HIV positive individuals and blood units are sent to the DOH Epidemiology Bureau and are recorded in the report. Acknowledged limitations of the HARP is that only the HIV confirmation data by the NRL can be verified. Any other data, such as an individual’s current address or their address when infected, is considered secondary and cannot be verified (DOH, 2015). This limitation carries significant implications on data interpretations, specifically when interpreting demographic information. For example, in respect of geographical distribution, the region with the highest number of reported cases is Metropolitan Manila, the National Capital Region (NCR) with 13, 153 cases from January 1984 to December 2015 (DOH, 2015). Since it cannot be determined if the location of testing is the location of infection or of current residence for the tested individuals, it is imperative to carefully evaluate the data before reaching conclusions about the impact of geographical distribution on the epidemic. There is also the possibility of economically disadvantaged regions in the Philippines underreporting new HIV cases due to the lack of resources, the inaccessibility of testing facilities, inadequate laboratory support, and logistic issues that needs to be considered …show more content…
The current policy environment of the Philippines constrains the national AIDS response. This creates difficulties for implementing and scaling up effective, evidence-based strategies and possibly rendering the law unresponsive to the current HIV/AIDS situations (UNDP, 2013). Enforcement of the law suffers from general unawareness of the law’s existence, underfunding, and inadequate monitoring and coordination (UNDP, 2013). Other important constraints are connected to national policies that negatively impact the HIV/AIDS response. Existing anti-vagrancy, anti-sex laws, and anti-public scandal laws intended to promote “public order” are being used by police to target and harass female sex workers, MSM, and transgender people (UNDP, 2013). Anti-drug acts conflict with RA 8504’s promotion of HIV prevention services by prohibiting the distribution of clean needles and injection equipment as well as restricting the provision of information and services (UNDP, 2013). The unintended consequence of institutionalized stigma and discrimination is the further spread of HIV (UNDP,

Related Documents

  • Improved Essays

    The Manual (2015) lists the four most common sources of HIV transmission: Sexual contact with an infected person (most common), injection of contaminated blood (i.e., needle sharing), transmission via child-bearing, and blood transfusions. HIV is a common topic of debate regarding public health. There is no cure yet, but progress is being…

    • 821 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    HIV/AIDS: Case Study in Uganda The AIDS Support Organization known as TASO is an important organization in Uganda for people living HIV positive or with AIDS. The success of fighting HIV/AIDS is unprecidented and scientists look upon Uganda as a model. Since the 1980s, HIV/AIDS has been a worldwide problem and Uganda realized the potential problem and began organization early in the beginning of the disease to help Ugandans. Uganda is considered one of the most impoverished nations in the world due to political turmoil and economic decline.…

    • 1867 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    The author suggests that many efforts and messages of HIV prevention are wasting money (inefficient use of funds). A. What efforts/messages have been tried, and B. Why have they not been successful in HIV prevention? (what have we done wrong?) 3.…

    • 704 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Syringe Needle Exchange

    • 264 Words
    • 2 Pages

    3. In the Syringe and Needle Exchange as HIV/AIDS prevention for Injection Drug Users article, the reason for the research was that there were critics claiming that the needle exchange program will encourage the use of IV drugs, even though there were reports in decline of HIV infection among IV users by one third. The method used for data collection is by a semiannual survey of IV drug users (IDUs) recruited in the natural settings in three communities around San Francisco, and the Prevention Point syringe exchange program records. There were test used to establish relationships between people using needle exchange and people who weren’t, e.g. chi square test and t test.…

    • 264 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Book Report #2: Punishing Disease, HIV and the Criminalization of Sickness by Trevor Hoppe Introduction: Trevor Hoppe in his novel Punishing Disease, HIV and the Criminalization of Sickness provides a narrative f or how public health has affected those living with HIV throughout HIV’s debut to the public in the 1980s to the present. Hoppe visits the history of how the public health handles disease outbreaks and relates that to how their tactics lead to the stigmatism of HIV and ultimately HIV’s criminalization. Once criminalized, it is dissected how the justice system has managed to criminalize a community of people through illusions of harm and invasion of their private lives. Its criminalization also reveals how race, sexuality, and gender…

    • 1100 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The needle exchange programs, a harm reduction process, were created to reduce the spread of bloodborne diseases, including HIV/AIDS, Hepatitis B and Hepatitis C. Frequent drug users are a cost to society in health care, the spread of disease among people or offspring can be costly. The cost of health care to the patients, the supply and distribution of the needles and running the NEPs show great figures. The NEPs are funded by the state Department of Health. The limited quantity of needles causes people to share their contaminated needles. As a result, the programs are part of a controversial public health policy in which sterile needles are exchanged with used needles that could potentially be contaminated.…

    • 454 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Endgame Aids Case Study

    • 1127 Words
    • 5 Pages

    1 One prevention strategy for aids that was brought up in “Endgame: AIDS in Black America” was educating those in high school the importance of abstinence to prevent the spread of the disease, however that was a problem because many had already had sex. Due to the fact that it would be difficult to stop those high school students for having sex, it was suggested that the use of condoms should be promoted. Another prevention strategy was the syringe exchange program, however it was controversial because many believed it promoted drug abuse. That belief was disputed by studies which showed there was no increase in drug abuse due to this prevention strategy. 2.…

    • 1127 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    HIV/AIDS The 1970’s and early 1980’s was a very prominent time in history, Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) came to the world’s attention. This disease continues to spread all over the world, costing millions of people’s lives each and every year. HIV is among one of the world’s most common and dangerous diseases.…

    • 211 Words
    • 1 Pages
    Improved Essays
  • Great Essays

    Multiple sexual partners propose a much greater risk of transmitting HIV, especially when condoms use is…

    • 1640 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Mkono, head of Ito fishing camp said that “forty- fifty fisherman die in every six months because of HIV.” This statement of Mkono clearly indicates the fact there are no proper health facilities in the town making the place vulnerable to…

    • 1656 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    According to the CDC, African Americans made up just 12% of the US population but in 2014, 44% of the 19,540 new HIV diagnosis was within the African Americans community. 73% of these new cases were found in African Americans male and 26% in the females. HIV is also affecting young…

    • 854 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Purpose Of NIMH

    • 680 Words
    • 3 Pages

    This research is important because it is worldwide and has become an epidemic in some countries. Progress have been be made for the treatment and prevention of AIDS. However, there is still not a cure. Therefore, more testing is needed to help minimize the effects of AIDS.…

    • 680 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Despite continuous efforts to address HIV infection, it continues to spread. Advances in treatment, though, have resulted in a drop in AIDS related deaths. LA County Survey…

    • 902 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In 2004 the National Survey on Drug Abuse and Health found that HIV infected men were more likely to report using drugs,…

    • 665 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    According to pbs.org “one million people in the United States are infected with HIV/ AIDs are black men, women and children”. It is also said by cdc.gov that black men and women living with the disease tend to have sex with their own ethnicity making it a greater risk for our community. Also…

    • 275 Words
    • 2 Pages
    Decent Essays