TITLE:

INTRODUCTION
HIV/AIDS infection in the Philippines might be low but growing. The estimated incidence of
HIV/AIDS in the country remains under 0.1% of the total population in 2015. The Philippines has one of
the lowest rates of infection, yet has one of the fastest growing number of cases worldwide. The
Philippines is one of seven countries with growth in number of cases of over 25%, from 2001 to 2009.
Cases are concentrated among men who have sex with men HIV cases among men having sex
with men multiplied over 10 times since 2010. HIV cases are getting younger. The first case of HIV
infection in the Philippines was reported in January 1984. On December 20, 2018, Republic Act No.
11166, also known as the Philippine HIV and AIDS Policy Act of 2018, was passed. The law repealed the
21-year old Republic Act No. 8504 also known as the Philippine AIDS Prevention and Control Act of
1998 and made health services for HIV/AIDs more accessible to Filipinos.
As of June 2018, the Department of Health (DOH) AIDS Registry in the Philippines reported
56,275 cumulative cases since 1984. In April 2015, 560 new cases were reported showing a 42% increase
compared to the same period in the previous year. In the year 2014, a total of 6,011 cases of HIV were
reported with 91% of the cases being asymptomatic at the time of reporting while 543 cases were
diagnosed as AIDS. From 2001 to 2015 the number of cases diagnosed per year increased 37 times, from
174 cases diagnosed in 2001 to 6,552 for the first 10 months on 2015.
In the years 2010 to 2015, 91% (22,726) of cases were men with a median age of 28 years, with
over half (12,616) in the 25-34 age group. 26% (6,529) of men were 20–24 years of age, an increase from
12% in 2005-2009. Since the year 2000, the high-prevalence age group has changed from the 30-39 year
old age group being the most affected from years 2000-2004, to the 25-34 age group from years 2005 to
2009, and to 20-29 age group from years 2010-2015.
The infection rate among men having sex with men has multiplied 10 times from 2010 to 2015.
The Department of Health reported in November 2015, that the rate of prevalence has surpassed 5%, the
UN's definition of concentrated epidemic, in eight cities Cebu, Cagayan de Oro, Puerto Princesa, Davao,
Quezon City, Parañaque and Makati, with Cebu reaching 14%.
Between 1984 and 1990, 62% (133 of 216) of cases were female. From 2010 to 2015, females
only comprised 5% (1017) of the 20,512 reported cases. From January 2010 to April 2015, 82% (20,512)
of all cases were reported. At the time of reporting, 93% of these cases were still asymptomatic.
As of June 2018, 28,045 people living with HIV were undergoing Anti-Retroviral Therapy in 23
treatment hubs. The majority (97%) were males. Overseas Filipino workers account for about 20 percent
of all cases.
DEMOGRAPHIC DATA
Tuguegarao, is a 3rd class component city in the Philippines. It is the capital of the province of
Cagayan and the regional and institutional center of Cagayan Valley (Region II). With a population of
153,502, according to the 2015 census, it is a major urban center in the Northeastern Luzon, a primary
growth center and one of the fastest growing cities in the Philippines.
Dubbed as the “Gateway to the Ilocandia and the Cordilleras,” the city, on the southern border of
the province, is located where the Pinacanauan River empties into the Cagayan River and is surrounded
by the Sierra Madre Mountains to the east, Cordillera Mountains to the west, and the Caraballo
Mountains to the south. The highest temperature ever recorded in the Philippines—42.2 °C (108.0 °F)—
hit Tuguegarao on August 19, 1912 and May 11, 1969.
Tuguegarao City is a Center of Excellence in Education, Commerce, Trade and Culture and as
the Economic Center of Region 02, Tuguegarao City continuously aims for outstanding performance and
competence in administration, citizen participation, community and economic development, cultural arts,
education, fiscal management, infrastructure, intergovernmental cooperation, planning, public safety,
recreation and leisure services, social services, and technology.
Tuguegarao's location is in the southern portion of the province. The city is bordered by Iguig to
the north; to the west by the Cagayan River alongside Solana; Peñablanca to the east; and to the south by
Enrile and San Pablo, Isabela. The city is almost encapsulated by the Cagayan River in the western and
southern side, which explains for its northward expansion, and the Pinacanauan River, a tributary of
Cagayan River, in the eastern part. Small bodies of waters are found in the city, such as the Balzain Creek
which spans the barangays of Caritan Sur and Balzain. Currently, the creek is continuously drying up due
to eutrophication and the uncontrollable growth of water lilies.
In the 2015 census, the population of Tuguegarao was 153,502 people with a density of 1,100
inhabitants per square kilometer or 2,800 inhabitants per square mile. It is the most populous and densest
city in the Cagayan Valley region. Most of the inhabitants are Ilocanos, Ibanags and Itawes. Some are of
Chinese and Indian descent. Moreover, it is composed of 49 barangays in total.

Tuguegarao Municipal Hall

 Barangays: 49 (see Barangays)
IDD: area code: +63 (0)78
Region: Cagayan Valley (Region II)
Area rank: 83rd of 145 cities
 St. Peter’s Basilica
The Saint Peter Metropolitan Cathedral,
also known as the Tuguegarao Cathedral, is
an 18th-century Baroque church located
along Rizal Street, Barangay Centro 10,
Tuguegarao, Cagayan, Philippines. The
church, originally built by Dominican friars, is
the seat of the Roman Catholic Archdiocese
of Tuguegarao and is considered as one of
the largest churches in the Cagayan Valley.

\
Pancit Batil Patong
Pancit Batil Patung is a popular noodle dish in
Tuguegarao City, Cagayan. Pancit Batil Patung
(also called Pancit Batil Patong) is best
enjoyed with a dip of chopped onions with soy
sauce and vinegar.
HIV
Mortality Rate
2017
Morbidity Rate
2018
2019 1st quarter
2019 2nd quarter

Diagnosed and managed

2019 2nd quarter -27

Phase 1 – Quality of Life

To reduce the percentage of people getting HIV by 80% and increase the awareness in diagnosis and
check- up for HIV patients by 70%.

Phase 2 – HEALTH
Health Status Objective
1. To reduce percentage of HIV cases by 80% in Tuguegarao City.
2. To increase the awareness and compliance in diagnosis and check- up for HIV patients by 70%.
Phase 3- BEHAVIOR and LIFESTYLE
Behavioral Causes
1. Poor health seeking habits (primary)
 use of drugs, alcohol, and tobacco.
 Casual unprotected sex, heterosexual as well as between males, prior to and after
marriage.
2. Poor treatment compliance(secondary)
 Costly Medication
 Poor adherence to an HIV regimen
 poor health literacy

3. HIV patients do not subject themselves to early diagnosis and treatment- secondary
More important Less Important

More changeable - Poor treatment compliance

- Delayed diagnosis and
treatment of HIV cases
- Poor health seeking habits

Less changeable

Components of Behavior Changes:

WHO? Patients living With HIV
WHAT? Improve the diagnosis and check- up compliance
HOW MUCH? To decrease the percentage of people getting HIV by 80% and increase the
awareness of diagnosis and check- up for HIV patients by 70%.
WHEN? End of December 2020
Behavioral Objective:

1. To improve the habitual lifestyle of the __ % HIV cases in the Tuguegarao City, Cagayan.
2. To reduce the number of HIV cases from __% to __% regarding complying HIV treatment by the
end of December 2020.

Environmental Indicators:

1. Cultural factors
2. Movement of people within the region
3. Poverty
4. Social Norms
5. Lack of access to treatment and clinics
6. Exposure to social media that facilitates sexual networking

More Important Less Important

More Changeable -Lack of access to treatment

and clinics

Less Changeable -Exposure to social media that - Cultural factors

facilitates sexual networking - Poverty
- Social Norms
- Movement of people
within the region

Environmental Objectives:

 To empower and increase the awareness about HIV/AIDS in the community.

 Ensure timely access to high quality and safe HIV/AIDS care and treatment

Phase 4- FACTORS INFLUENCING BEHAVIOR

1. Predisposing Factors:
a. Lack of knowledge on how to prevent HIV
b. Lack of awareness that resources such as condoms and pills are available and free in health
centers
2. Enabling Factors:
a. Costly HIV testing
b. Areas that are open to sexual activities
3. Reinforcing Factors
a. Broken family that leads to rebellion
b. Peer pressure
c. Non-compliance in HIV treatment
d. Engaging with multiple sexual partners

Educational Objectives:

By the end of December 2020, atleast __% of the community of Tuguegarao City Cagayan will be able to:

a. Have enough knowledge about HIV

b. Reduce the risk of prevalence of having HIV cases
c. Have proper control measures

N Narrative Summary OVI MOV Assumption/Risks

o
1 Health Status Objective:
3. To reduce percentage of To attain 80% of Annual 1. The CHD will
 HIV cases by 80% in the reduction of accomplishment approve the plan
Tuguegarao City by the HIV in report of DOH-
end of December 2020. Tuguegarao City PHS 2. The local
by the end of government unit
December 2020. will support the
4. To increase the awareness
and compliance in program
diagnosis and check- up
2 for HIV patients by 70% At least 70% of
in Tuguegarao City by HIV positive cases DOH-PHS
the end of December have undergone surveillance
2020.. diagnosis and report
check-up.
3 Educational Objectives:
 By the end of December
2020, at least 90% of the
population of Tuguegarao
City, Cagayan with or
without HIV can:
a. Identify the different
factors that can lead
to HIV
b. Enumerate ways of
preventing the
diseases
c. Explain the dangers
of not treating HIV
and how the possible
complication of
untreated HIV
d. Identify health
facilities providing
HIV treatments

Educational Objectives Output Activities

1. Identify the different 1.1 Develop, produce, 1.1.1 Production of posters
factors that can lead to HIV distribute posters and and pamphlets
pamphlets

2. Enumerate ways of
preventing the diseases

3. Explain the dangers of not

treating HIV and how the
possible complication of
untreated HIV

4. Identify health facilities

providing HIV treatments

TIMELINE
Component Narrative summary D J F M A M J J A S O N D
objectives
1.1 Coordinate with 1.1.1. Present the program
the City Health Office to the health official in the
for the conduct and City.
guidance of the 1.1.2 Ask for corrections
program. and recommendations for
the improvement of the
program before conducting.
1.2 Develop, produce, 1.2.1 Propose the program
distribute HIV for the residents of
awareness posters Tuguegarao City a Module
and hamlets. on HIV to the City
Government Unit.
1.2.2 Develop mechanism
or prototype material
1.2.3 Pre-testing the
mechanism and prototype
1.2.4 Production of HIV
awareness posters and
hamlets
1.2.4 Dissemination of the
program among the
community
1.3 To enable City 1.3.1 Conduct training
Health Officer to needs assessment.
provide effective 1.3.2 Prepare training
health Education modules
1.3.3 Conduct training of
trainers
1.3.4 Training of Health
Officer on effective health
education
2.1To develop 2.1.1 Propose a program for
Campaign awareness the residents of Tuguegarao
on HIV Medications to City a module on HIV to City
Prevention Government Unit.
Transmission
2.1.2 Develop information
provision (such as sex
education) counselling and
other forms of psycho-
social support among the
residents in Tuguegarao
City.

2.1.3Produce materials for

the said campaign
awareness (poster,
pamphlets, pre-test and
post test questionnaires.
2.2 Establishment of 2.2.1 Conduct free HIV
surveillance to know Testing (to detect
the level of risk of HIV undiagnosed infection)
in Tuguegarao City.
2.2.2 Assess the conducted
test

2.2.3 Begin the Awareness

Campaign
2.2.4 conduct behavioral
interventions:
  information
provision (such as
sex education)
 counselling and
other forms of
psycho-social
support
 safe infant feeding
guidelines
 stigma and
discrimination
reduction program

2.2.5 Evaluate the

effectiveness of the
program
3.1 Module on 3.1.1 Conduct a
HIV prevention meeting with the City
and Health Officials and City
Interventions to Government Unit to
Improve Access develop model a
to Prevention module on HIV
Tools prevention and
Interventions to
Improve Access to
Prevention Tools

3.1.2 Printing of HIV

prevention and
Interventions to
Improve Access to
Prevention Tools
Module

3.2.1 Orientation of
3.2 Partnership different heads and
with different stakeholders on the
stakeholders conduction of the
and program.
institution in
the 3.3.1 Film making,
awareness viewing and poster and
campaign slogan making.
program.

3.3 Develop
advertisemen
t materials
such as video 3.4.1 Conduct
and poster in training
social media program
sites.
among health
workers in
3.4 Health
different
education on
barangays.
Barangay
3.4.2 Organize
Health
detailed action
Officials
plans
3.4.3 Implementatio
n Health
 Education.

4.1 To create 4.2.1 Promotion on the

awareness on programs of the
facilities providing regional offices of
HIV treatment DOH and
services supporting LGUs
4.2 Ensuring health 4.2.2 Advocacy to
facilities providing LGUs and DOH
hypoglycemic 4.2.3 Monthly
drugs and inventory of
injectibles supplies

BUDGET

Component Item Units Unit Cost Quantity Total

1.1.1 Present the Meals and Per pax P350 pax/per 25 pax x 2 Php 17,500.00
program to the Snacks day days
health official in the
city.
1.1.2 Ask for corrections
for the
recommendations
for the
improvement of the
program before
conducting.
1.2.1 Propose the
program to the residents of
Tuguegarao City a Module Training Piece P40 / training 120 Php 5040
on HIV to the City materials material pieces
Government Unit.
1.2.2 Develop mechanism
or prototype Posters Piece P50/ pc 200piece Php 10,000
material. s
1.2.3 Pre- testing the
mechanism and Pamphlets Piece P 70/ pc Php 10, 500
prototype. 150
1.2.4 Production of HIV pieces
awareness posters
and pamphlet Meals and Per pax 350/pax Php 42, 000
1.2.5 Dissemination of Snacks 30 pax x 4
the program among batches x
community 4 days
1.3.1 Conduct training Training Piece P 120/pc 40 pieces Php 4800
needs assessment. modules

1.3.2 Prepare training

modules.

1.3.3 Conduct training of

trainers Meals and Php 350/ per 40pax
snacks Per pax pax Php 14000
1.3. 4 Training of Health
officer on Effective health
Education