Bakit mahirap pag-usapan ang sex sa Pilipinas? | Updated with Nelson Canlas
"People do not want to talk about sex. Samantalang sex is happening, sex is accessible. But the challenge is, hindi pinag-uusapan sa bahay."
Bakit nga ba problema pa rin pag-usapan ang sex sa Pilipinas? Ano ang relasyon ng sex education sa increasing number ng HIV infections sa bansa? Ano nga ba ang LoveYourself at paano nito natutulungan ang lahat, hindi lang ang LGBT community? Panoorin ang mga sagot sa video.
Bakit nga ba problema pa rin pag-usapan ang sex sa Pilipinas? Ano ang relasyon ng sex education sa increasing number ng HIV infections sa bansa? Ano nga ba ang LoveYourself at paano nito natutulungan ang lahat, hindi lang ang LGBT community? Panoorin ang mga sagot sa video.
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00:00Updaters, in celebration of Pride Month, let's talk about some of the controversies
00:19regarding the LGBTQIA plus community, including the increase of HIV cases in our country.
00:27According to DOH data in 2023, based on the country's estimates,
00:34there's about 418% increase in new HIV infections in the Philippines between 2010 and 2022.
00:44This is an alarming rate, which is the highest in the Asia-Pacific region.
00:50According to the Department of Health, as of March 2024, there are more than 120,000 cases of HIV in the Philippines.
00:59But what's worrying is that only 78,000 are undergoing anti-retroviral therapy.
01:07But this is not the only thing the community is facing.
01:10To share their knowledge, we have the founder of Love Yourself PH,
01:15a non-government organization that helps the LGBTQIA plus community.
01:20Let us welcome, and I'm proud to introduce my friend, Dokvin Pagtakhan.
01:25Hello Kuya Nelson. Is it okay to call you Kuya Nelson while you're here?
01:28Of course!
01:30No, no, no, no, no. Call me the usual, Kuya Nelson.
01:33Because you know, Dokvin and I only meet once in a while.
01:38I actually met him when he was still a student.
01:49I'm really proud of what you've achieved and what your NGO has achieved.
01:53You're amazing, Dokvin.
01:56But okay, let's be clear, Dokvin, because a lot of people are asking.
02:01Dokvin, you're a doctor in HIV. What's your background?
02:07Well, Kuya Nelson, as you know, when we met, I was a nurse who used to work in the US.
02:15Then I came back to the Philippines because I was studying medicine as a medical doctor.
02:21During that time, it's very unfortunate that three years later,
02:26my partner during that time passed away because of HIV.
02:30So while I was studying, I started doing the advocacy already.
02:36So I was a nurse then, and then I transitioned to becoming a doctor.
02:41And then I studied HIV management as my master's.
02:45And you know, I've always been fond of aesthetic medicine,
02:49so I also finished my degree in aesthetic medicine.
02:52That's why the globe is beautiful.
02:57But you're also a doctor of philosophy, right?
02:59Yes. We don't have a lot of budget.
03:05So I worked as a nurse in the States, and then while working there,
03:10I finished my master's degree and my PhD in nursing.
03:15When I came back to the Philippines, that's where I did my medical degree.
03:20Then I also did my master's in HIV management and then aesthetic medicine.
03:25So I was a working student during that time.
03:30So I was doing lectures for nursing.
03:34I was studying at the same time.
03:36I started the Love Yourself organization.
03:39So when I was still a student of nursing way back in the year 20s,
03:46it started very early. I was 15 then.
03:50My first ever client as a nursing student was a person living with HIV.
03:55So it was very close to my heart.
03:58He was a sex worker, a breadwinner, and a person with HIV.
04:04When I graduated, I had a partner who was also a person living with HIV,
04:08and I lost him to that battle.
04:11Because when I came back to the Philippines, I beat him up.
04:14Unfortunately, it was a different architectural field.
04:20When you look at how HIV was going on in the Philippines,
04:24there was so much stigma.
04:26When I went to the clinics, there was judgment.
04:29I was looking over him because, of course, I was a nurse and a doctor at the same time.
04:36So I took care of him during the time he was in the ICU.
04:40It was so sad because there was judgment.
04:43There were signs that said,
04:45do not touch HIV-positive people who are seen by other people.
04:49And it was a different landscape altogether.
04:52So I felt like I don't want this to happen to anybody else.
04:56That's why it was very close to my heart.
04:58Then my best friend got HIV scare three years later.
05:02Then we went to a social hygiene clinic.
05:06They told him,
05:07Oh no, that's why you're like that because you're a gay.
05:10So I was like, what's happening?
05:12Why is this happening here in our country?
05:16It's so sad.
05:17And I don't want that because when I was in the States,
05:19I used to volunteer at the Youth and LGBT Center in Castro.
05:23I used to work in San Francisco Medical Hospital as a nurse there before I went to med school.
05:28So it was very different.
05:30The space there was very safe for you.
05:34Here in the Philippines, when you go there,
05:36the first thing you see is judgment.
05:38So I wanted to change the landscape.
05:40I wanted to do something for my fellow countrymen.
05:43In the end, I will also go back to the Philippines.
05:45I wanted to do something for the community.
05:48Because at that time, when my partner passed away,
05:51he left me some support.
05:55And I don't want it to be wasted.
05:57I wanted to be...
05:59You know, there's a message that says something good.
06:02In short, there's something good for you.
06:04Something like that, yes.
06:06You know, I'm just a backtrack, updaters.
06:09I mean, I'm sure a lot will change because
06:1499% of the people I interview here on my podcast are celebrities.
06:19And well, I'm not saying that you are not.
06:22But showbiz celebrities.
06:24But we agreed that this will be a bookend this Pride Month.
06:30Admit it, Dokvin.
06:32You have a lot of platforms.
06:34You have a lot of networks.
06:36But you still have a hard time spreading what people should know.
06:41It's true.
06:42Kuya Nelson, I am very, very grateful for this opportunity.
06:45Because, you know, this is very serendipitous that we met
06:49at the launch of Pride Run.
06:52I didn't know that we would meet there during the press launch.
06:55And in a very short discussion,
06:58you mentioned that you are also a personal advocate for the community.
07:04And we really appreciate it.
07:06Because, I mean, we're very grateful.
07:08Pia is there, Catriona is there, Megan is there,
07:10and all the winners of MUPH.
07:14Even the Binibining Pilipinas,
07:16and even Miss International Queen,
07:19and Mr. International.
07:22They are also helping to advocate.
07:25But it's different.
07:26We really need to scale up.
07:28I believe that now there is Love Yourself,
07:31a total of 72 community centers all over the Philippines.
07:3520 of them are Love Yourself.
07:38The remaining 52 are champion community networks.
07:44So it's called champion community centers.
07:46These are community-based organizations all over the Philippines.
07:49Luzon, Visayas, Mindanao,
07:51that offers the same free services as we offer.
07:54There are also socialized clinics, private clinics that offer.
07:58But you're right.
08:00We need to streamline further
08:02so that we can scale up the programs.
08:04Because unlike before,
08:06when we first met,
08:08it was different, right?
08:10As in, judgment was there.
08:13Now, all the centers are here.
08:16HIV testing is free.
08:17If you find out that you are positive,
08:19the medicine is also free.
08:21Then, we have what we call combination prevention.
08:25For those who don't want to go to our clinics
08:27because they are afraid,
08:28they can just order self-care online.
08:31Free HIV testing in their homes.
08:33Self-testing.
08:35For those who,
08:37I don't know if it's okay,
08:39but in the Philippines,
08:42you know that sex work is also happening.
08:45And it's really happening.
08:46For our siblings who do sex work,
08:49I know that it might not be the most conventional job.
08:52But it's a reality.
08:54It's a reality.
08:56Why did they choose that job?
08:59Or is that the job they were pushed into?
09:03Are we going to neglect them?
09:05Are we going to discriminate them?
09:07We cannot, right?
09:08You know, Doc Vin,
09:10what really got to me that time
09:13is you showed me the figures.
09:18Like what I said in the intro earlier,
09:21418% increase.
09:26We are the highest in the Asia-Pacific region.
09:30Wow.
09:31Isn't it scary?
09:34In a way.
09:35But,
09:36are you going to allow yourself to be scared
09:39and not do anything about it?
09:41So,
09:42tell me something about the figures.
09:44How bad are the figures
09:49when it comes to the HIV rate here in the Philippines?
09:55So, first and foremost,
09:57I think it's a double-edged sword.
10:00Meaning,
10:01the epidemic is real.
10:03Last quarter of last year,
10:06there were almost 4,000 cases diagnosed.
10:09So, the cumulative number of cases in the Philippines
10:12since the first case in 1984
10:14is already 126,378.
10:18Meaning,
10:20every day,
10:21every single day,
10:23we have 41 cases here in the Philippines.
10:26But I think,
10:27I said it's a double-edged sword
10:29because I think we're just seeing the tip of the iceberg.
10:32Why?
10:33Because the people who are aware are the only ones getting tested.
10:36So,
10:37the people who are aware and are getting tested,
10:39their cases are high.
10:40How much more are the people who are not getting tested?
10:43So, that's the first side.
10:45The second side of the sword,
10:46I believe that more and more effective interventions
10:49have started here in the Philippines.
10:51That's why more people are getting tested.
10:53For example,
10:54in our biggest community center in Shaw,
10:56it's called Love Yourself Anglo,
10:58we test around 100 to 120 persons per day.
11:03And those who test positive are 10 to 12.
11:05Imagine,
11:0610 to 12 out of the 41.
11:08Wait, Doc Vin,
11:09these numbers you're talking about,
11:12what are their ages?
11:15So, the majority of our cases,
11:1750% of our cases,
11:19are aged 25 to 34 years old.
11:22Then,
11:2330% of our cases
11:25are aged 15 to 24 years old.
11:2915?
11:30Yes.
11:3115 years old?
11:32Last week,
11:33I had a client who was 15 years old.
11:35He had gonorrhea,
11:37chlamydia,
11:38and syphilis.
11:39All of them at the same time.
11:40All of them were symptomatic.
11:42He was just lucky
11:43because during the test,
11:44he tested negative for HIV,
11:46which is a very, very low probability
11:50because usually,
11:5190%,
11:52if you have all of those cases,
11:54your risk of getting HIV is already too high.
11:57So, he really dodged the bullet.
11:59But our point here,
12:01he was exposed.
12:02He was exposed at 15 years old.
12:04So, that means,
12:06it's really happening in the ground,
12:07in the community
12:08because sex is so accessible now
12:10and sex is still taboo.
12:12That's the problem.
12:14It's still available.
12:16Well, it's still not talked about
12:18in the family table.
12:20It's still not talked about.
12:22Even the usual couch talk
12:25of the family,
12:26they don't talk about it anymore.
12:30It's as simple as
12:32what's happening to the child's body.
12:36So, where do you think is the problem?
12:39Well, it's very cultural.
12:41It's weird
12:42because the Filipinos,
12:44we were colonized by the European countries
12:47and Western countries.
12:49But it's weird.
12:50They're open-minded.
12:51But here in the Philippines,
12:52the backwards religiosity got stuck
12:55that people do not want to talk about sex.
12:57Meanwhile, sex is happening.
12:59Sex is accessible.
13:01When kids go to any social media platform,
13:04even if it's streaming,
13:07even if it's gaming,
13:10even if it's chatting or communication platform,
13:16sex is very accessible now.
13:19But the challenge is that
13:21you're right,
13:22it's not talked about at home.
13:23So, I believe,
13:24we should have two approaches.
13:27Number one,
13:28we should be able to talk to DEPED
13:30and CHED
13:31to have built-in programs
13:34in our revised curriculum.
13:37Because what they're doing now
13:40is like,
13:42there's HIV,
13:44but it's very shallow.
13:45I think,
13:46I've heard that
13:50of course,
13:51there's sex education now,
13:53but it's not talked about.
13:57They just put it in the curriculum
14:00and teach it in theory,
14:02as a textbook theory.
14:05It's like that.
14:06There's no open discussion.
14:09You can't just raise your hand
14:11and ask,
14:12how did you get HIV?
14:13Or the mere fact that,
14:15how did you get a baby?
14:17Right?
14:18When you ask the teachers,
14:21in my time,
14:23especially now.
14:24Correct.
14:25It's not experiential.
14:26The kids don't appreciate it.
14:28They're doing it
14:29not knowing the risks.
14:31So, my suggestion is,
14:34I was talking with PNAC,
14:35the Philippine National AIDS Council,
14:37very recently,
14:39that hopefully,
14:40we can develop
14:41a more intensive
14:43and comprehensive curriculum
14:45that's sexual health,
14:47SOGIE,
14:48with mental health.
14:49So that it doesn't just look
14:51like LGBTQIA+.
14:53Because it's true,
14:54HIV and AIDS
14:55are not really for the LGBTQIA+.
14:58All the figures
14:59that I mentioned earlier,
15:01almost 5 years ago,
15:04the majority of our cases
15:06are MSMs,
15:07or males having sex with males,
15:09and transgender people.
15:11But now, it's different.
15:13I can only speak
15:14for our community center.
15:16So, it's really for everyone,
15:18that everyone is at risk
15:20as long as you are doing
15:22risky sexual behavior.
15:24You know, I think,
15:26let's debunk
15:28that misconception
15:30that HIV
15:32is a disease of gays.
15:34Correct.
15:35That even if a person is straight,
15:37they can still have sex
15:39with a transgender person.
15:41Correct.
15:42So, I think,
15:44even if a person is straight,
15:46they can still have HIV
15:48and go home with AIDS.
15:50Right?
15:51There's no one who's sick right now.
15:54It's true.
15:55This is what's happening
15:56in our clinics.
15:57Really, 4, 5 times,
15:59and it's women,
16:01straight men,
16:02because, you know,
16:04sex is super accessible.
16:06So, it's a disease of everyone.
16:08It has become an epidemic,
16:10not just of the LGBTQIA community.
16:13Actually, when HIV started
16:15here in the Philippines,
16:16it didn't start with the LGBT community.
16:18It started with women and men
16:21who are doing sex work.
16:23During Sarah Jane's time,
16:25they weren't born yet
16:27during that time.
16:28But, I mean,
16:30during 1984,
16:32that's the scenario.
16:331984 to around the 90s,
16:35that's the scenario
16:36where most sex workers,
16:38women,
16:39who have an overseas worker,
16:41husband,
16:42they're the ones who get HIV.
16:43And then,
16:44it just transitioned
16:45because,
16:46at that time,
16:47the Department of Health
16:48had a program
16:49during Dr. Flavierna's time
16:51for sex workers
16:53and OFWs.
16:56The LGBT community was forgotten
16:59and that's where it spiked
17:01in America at that time.
17:03So, when we realized
17:04here in the Philippines,
17:06it was a little too late
17:07because there were already
17:09a lot of cases
17:10because the rise of cases
17:12started around 2008
17:14here in the Philippines.
17:16So, that's where it started.
17:18Our DOH felt that
17:20the epidemic was already
17:22transferring to the MSM
17:23and trans community.
17:25No, that's what I'm asking.
17:27What I'm asking is,
17:28why was HIV connected
17:30to gay people?
17:31Well, it actually started
17:33in the U.S.
17:34There was a...
17:36Suddenly,
17:37the BECs started to die
17:40during the 80s.
17:42They called the disease
17:44GRID,
17:45Gay-Related Infectious Disease.
17:47That was HIV.
17:49So, that's where it started.
17:51Then, it was brought here in the Philippines
17:53and that's where the spread
17:54of the infection started.
17:56That's also because,
17:57unlike other diseases,
18:00other diseases have a physicality.
18:03You can see that,
18:04I mean,
18:05you know that it has a disease.
18:06You know, either Inuubo,
18:07or Nilalagnat,
18:08or what have you.
18:09And,
18:10HIV,
18:12in most patients,
18:16can't be detected.
18:17So,
18:18it can enter the country
18:20without knowing.
18:22Yes, true.
18:23Because the only way
18:24for you to know that you have HIV
18:26is for you to get yourself tested.
18:28And, there are people
18:30who, as in up to 10 years, 15 years,
18:32they don't show symptoms.
18:33They're just there in stage 1
18:35or what we call asymptomatic.
18:37The problem is,
18:38if they're asymptomatic
18:39for a very long time,
18:41and their immune system
18:42slows down
18:43because they don't know,
18:44their lifestyle,
18:45they're careless,
18:46their immune system
18:47will suddenly drop
18:48and they'll develop
18:49opportunistic infections
18:51like pneumonia,
18:52or tuberculosis,
18:53it'll become AIDS.
18:54So, that's when you'll know.
18:56Because,
18:57when I started Love Yourself Kuya,
18:58that's our scenario.
19:00I have a lot of clients
19:02that we detect
19:04as AIDS.
19:05Their CD4 is only 150.
19:08I even had a client
19:09who had a negative CD4.
19:10CD4 is the health status
19:12of our immune system
19:14in laymen.
19:15So, if you have HIV,
19:16that's what the HIV is attacking.
19:18It's attacking your CD4.
19:20Then, your CD4 will decrease.
19:21So, you'll become
19:23immunocompromised now.
19:24So, your CD4 decreases.
19:26The virus in the patient's blood increases.
19:29That's called viral load.
19:31So, our management
19:33is like diabetes
19:35and hypertension.
19:36HIV doesn't have a cure yet.
19:38But, there is a treatment, Kuya.
19:40Unlike before,
19:41it's a death sentence now.
19:43If you have HIV
19:44and you start medications,
19:46after 6 months to 1 year,
19:48you won't get infected.
19:49I mean, you need to take
19:50the medications
19:51for the rest of your life.
19:52You need to come back
19:53to Love Yourself
19:54and other community centers
19:55to get a refill
19:56of your treatment meds
19:57every 3 months.
19:59But, you can live a normal,
20:01happy, healthy, successful life.
20:02You can have kids.
20:04I'm sure this is also a fear.
20:05Like, what if
20:07it's detected
20:09that you have HIV
20:11and then,
20:13it's not what you call it,
20:15anti-retroviral therapy.
20:17Yes.
20:19What is this?
20:20You said,
20:21you can have kids.
20:22So, it won't pass?
20:24Yes.
20:25If you are undetectable.
20:27That's our new campaign
20:28with DOH, NPA, and CATRIO
20:30that now, U equals U.
20:32Undetectable equals
20:33untransmittable.
20:34So, if a person
20:36with HIV is taking
20:38ARVs for 6 months,
20:40every 6 months,
20:41we will check his blood.
20:43We will check the viral load
20:45of his blood.
20:46So, normally,
20:47after 6 months,
20:48the viral load goes down.
20:50After 12 months,
20:51it becomes undetectable.
20:53When the virus is undetectable
20:56in the blood,
20:57it means that
20:58it's not being transmitted
20:59to other people.
21:00So, that's the good thing.
21:02So, you can live a normal life.
21:05You can live it
21:07until you grow old.
21:09Yes.
21:11So, it's possible now.
21:13Yes.
21:14Actually, we have changed
21:15for the second time
21:16in the last 5 years.
21:18Because the new medicine,
21:20it's very effective.
21:21It's called LTE.
21:22But, it has E,
21:24lamivudine, tenofovir,
21:26and efavirenz.
21:27Efavirenz,
21:2810% of our clients
21:30who use efavirenz,
21:32they develop mild anxiety
21:34and depression.
21:35It's very low,
21:36but they develop it.
21:38But, during the pandemic,
21:41the newest medicine
21:42came to the Philippines,
21:43dolutegravir.
21:44So, this medicine is good.
21:46It doesn't have any resistance
21:48so far.
21:49So, what's good about it,
21:51after 6 months,
21:52it becomes undetectable
21:54to our clients.
21:56So,
21:57what I heard from you earlier,
21:59it's very aspirational
22:01and inspirational
22:02to clients with HIV
22:04because it gives them hope.
22:06Unlike before,
22:08it's like a death sentence.
22:09Now, it's a different story
22:11altogether.
22:12I can live a normal,
22:13happy life.
22:14I can have a child.
22:15Before, it's very complicated
22:16to have a child
22:17if you have HIV.
22:18There's also sperm wash.
22:19If you're a woman
22:21who has HIV,
22:22you can't have a normal child.
22:24You can't have an abortion
22:25because you're infected
22:26with breast milk.
22:29But now,
22:30because of U equals U,
22:31it's not like that anymore
22:32because you can live
22:33a normal, happy,
22:34healthy life.
22:35So, actually,
22:37next week,
22:38I'll be going to Uganda
22:39because that's what
22:41I'm advocating for now.
22:43Because,
22:44in the Philippines,
22:46our problem is
22:47that we can't join
22:48clinical trials.
22:49So, it's a tendency
22:50for Filipinos,
22:51when we start medications,
22:53we don't have enough
22:55medicines.
22:56So, that's something
22:57that I'm advocating for.
22:59Hopefully, we can join
23:01the Philippines
23:02in starting
23:04HIV cure science.
23:06So, it's going to be
23:07in Uganda next week.
23:09It's like a training
23:10to start
23:12if other Filipinos
23:13can be eligible.
23:15And hopefully,
23:16we can still help.
23:18Definitely.
23:19U equals U
23:20is a great deal already.
23:22It's a big leap.
23:24This is good news
23:26to a lot of people.
23:27Because,
23:28as I told you,
23:29just like what we've been saying
23:31earlier,
23:32this is not a death sentence
23:34anymore.
23:35And, okay,
23:36of course,
23:37we know that
23:38there are a lot of stigmas.
23:40It's like,
23:41maybe,
23:42it's a punishment.
23:43Maybe,
23:44it's a...
23:45You know,
23:46in all sorts,
23:47it's an embarrassing feeling
23:48that a patient
23:49is feeling.
23:51So,
23:52how can we
23:53eliminate that
23:54from you,
23:55from Love Yourself?
23:57Well,
23:58the majority of problems,
23:59there are two.
24:00Either,
24:01they have a myth
24:02about HIV
24:04that is not true
24:05like hugs,
24:06or sharing utensils,
24:09or using the same
24:11inodorant,
24:13all of which are not true.
24:15So,
24:16myth busting
24:17is what we do first
24:18by promoting
24:19the correct information.
24:20So,
24:21we have different
24:22awareness drives.
24:23We have
24:24programs like
24:25Love Yourself Caravan.
24:26We're in
24:27Love Yourself Volunteers.
24:28So,
24:29we have 3,000
24:30volunteer sites,
24:31and we recruit
24:32every year
24:33three volunteer engagements.
24:36And,
24:37we go to 50
24:38companies,
24:39and universities,
24:40and schools
24:41every month
24:42to provide
24:43workshops and
24:44awareness seminars
24:45on HIV,
24:46SOGI,
24:47SC,
24:48and mental health.
24:49After that,
24:50if a company
24:51or school
24:52requests
24:53free HIV testing,
24:54we will provide
24:55free HIV testing.
24:56So,
24:57that's number one.
24:58So,
24:59awareness,
25:00workshops,
25:01and a campaign
25:02on social media.
25:03And,
25:04our influencers
25:05and ambassadors,
25:06we ask them
25:07to post
25:08on different
25:09platforms.
25:10That's one,
25:11awareness,
25:12campaign,
25:13and actual
25:14in the community.
25:15Number two,
25:16hubs.
25:17We have
25:18different
25:19designs
25:20of our hubs.
25:21We have hubs
25:22that look like
25:23cafes.
25:24We have hubs
25:25that have
25:26free laser hair
25:27removal for
25:28trans people.
25:29And,
25:30we have
25:31free RF.
25:32We have
25:33a community
25:34center
25:35that's
25:36halfway home.
25:37Meaning,
25:38people who are
25:39LGBTQIA+,
25:40who are
25:41disenfranchised,
25:42who have
25:43their families
25:44kidnapped.
25:45We have
25:46organizations
25:47that help
25:48people who are
25:49disenfranchised
25:50for the meantime
25:51while they're
25:52still unable
25:53to stand up again.
25:54We also have
25:55community centers
25:56that are
25:57full of
25:58games.
25:59So,
26:00it's like a town.
26:01They can play
26:02games there.
26:03So,
26:04we designed it
26:05that way
26:06so that
26:07the stigma
26:08would go away.
26:09So,
26:10that's called
26:11hubs.
26:12And then,
26:13we have
26:14champion community
26:15centers.
26:16So,
26:17they're
26:18helping
26:19Love Yourself
26:20to outreach
26:21to barangays,
26:22to pageants,
26:23to contests,
26:24to SK,
26:25to SK-Fed,
26:26and to
26:27what do you call
26:28this?
26:29Student organizations
26:30to create
26:31awareness
26:32and also
26:33free HIV testing.
26:34After that,
26:35we also have
26:36what we call
26:37self-testing.
26:38This is our
26:39newest one.
26:40So,
26:41they'll just
26:42order on
26:43Facebook.
26:44We have
26:45a page
26:46there.
26:47Then,
26:48we'll send
26:49free self-testing
26:50kits to people
26:51wherever they are
26:52in the Philippines.
26:53So,
26:54wherever?
26:55Yes.
26:56Like,
26:57even in the province?
26:58Even in
26:59far-flung areas?
27:00Yes.
27:01As long as
27:02LBC can
27:03reach them.
27:04And also,
27:05other career
27:06services.
27:07I mean,
27:08yes.
27:09So,
27:10okay.
27:11You're saying
27:12that,
27:13of course,
27:14people will be forced
27:15to leave
27:16their homes.
27:17So,
27:18even in their
27:19own homes?
27:20Yes.
27:21So,
27:22that's our
27:23newest program.
27:24Because,
27:25what we want is
27:26different strokes
27:27for different folks.
27:28And,
27:29we also want
27:30to break the
27:31idea of
27:32the International
27:33AIDS Society
27:34that we're a member of.
27:35Before,
27:36the program
27:37was called
27:38Behavior Change
27:39Modification.
27:40Meaning,
27:41when you do
27:42sex work,
27:43when you have
27:44multiple sex
27:45partners,
27:46you stop that.
27:47But,
27:48it was found out
27:49through many
27:50researches
27:51that it's not
27:52effective.
27:53When you
27:54separate a person
27:55from their
27:56normal milieu,
27:57their normal
27:58environment,
27:59their normal
28:00behavior,
28:01you're basically
28:02antagonizing them.
28:03You're fighting them.
28:04So,
28:05why would I
28:06trust you?
28:07So,
28:08in order for
28:09people to
28:10trust us,
28:11in order for
28:12us to
28:13not
28:14negate them.
28:15So,
28:16the new program
28:17is
28:18Hashtag
28:19What Works
28:20For You.
28:21So,
28:22what you're doing,
28:23what's your
28:24trip in life,
28:25you just need
28:26to take care
28:27of yourself.
28:28These are the
28:29options that
28:30we're offering
28:31for you.
28:32Is it testing
28:33in the center?
28:34Go!
28:35Is it testing
28:36in your home?
28:37We have
28:38self-care.
28:39Do you like
28:40playing Tinderella?
28:41So,
28:42it's a pill
28:43that you take
28:44every day
28:45to avoid
28:46HIV.
28:47Okay,
28:48I'll go back
28:49Doc Vina.
28:50You take
28:51PrEP
28:52before
28:53having
28:54sex.
28:55Yes,
28:56Kuya.
28:57So,
28:58you have
28:59two options
29:00for PrEP.
29:01So,
29:02we have
29:03daily PrEP
29:04for people
29:05who are
29:06fighting life.
29:07So,
29:08if they're
29:09multiple sexual
29:10infections,
29:11they can
29:12take it
29:13every day.
29:14So,
29:15it's not
29:16bad for the
29:17liver.
29:18We have
29:1915,000 clients
29:20who have
29:21PrEP.
29:22None of them
29:23developed
29:24a liver problem.
29:25None of them
29:26had a
29:27seroconvert.
29:28It means
29:29PrEP
29:30works.
29:31Actually,
29:32PrEP is
29:33being used
29:34in the US
29:35and Australia.
29:36That's what
29:37reversed the
29:38epidemic.
29:39Second,
29:40for those
29:41who are
29:42exposed to
29:43unprotected
29:44sex,
29:45for example,
29:46if you have
29:47a sexual activity
29:48tonight,
29:49you should
29:50take two PrEPs.
29:51Then,
29:52tomorrow,
29:53one PrEP.
29:54Then,
29:55the day after
29:56tomorrow,
29:57one PrEP.
29:58So,
29:59it prevents
30:00you from
30:01up to 100%.
30:02They don't
30:03want 100%
30:04because
30:05it's research.
30:0699.9%
30:07is the
30:08research.
30:09Again,
30:10for those
30:11who don't know
30:12that they're
30:13exposed,
30:14they'll find out
30:15later on.
30:16For example,
30:17in the case of
30:18assault,
30:19we have
30:20post-exposure
30:21prophylaxis.
30:22It's a pill
30:23that you take
30:24for 30 days
30:25so that
30:26you won't
30:27get HIV.
30:28For example,
30:29in cases of
30:30rape,
30:31assaults
30:32of people,
30:33women,
30:34or men,
30:35they can
30:36access
30:37PrEP
30:38within 72 hours
30:39after the exposure.
30:40That's a lot.
30:41It's really
30:42satisfying
30:43because
30:44there are
30:45a lot of options
30:46now.
30:47Before,
30:48it was
30:49just
30:50abstinence
30:51or
30:52using condoms.
30:53That's all.
30:54Aside from that,
30:55there's something new
30:56now.
30:57We just
30:58launched it
30:59a few months ago.
31:00It's called
31:01Doxipep.
31:02It's also
31:03post-exposure
31:04prophylaxis
31:05but for
31:06young people,
31:07there are a lot
31:08of STIs.
31:09Gonorrhea,
31:10chlamydia.
31:11In Tagalog,
31:12it's called
31:13tulo.
31:14We also
31:15have
31:16syphilis.
31:17You need
31:18to take
31:19all of them
31:20when you
31:21get sick.
31:22Now,
31:23the good thing
31:24is that
31:25before you
31:26get sick,
31:27if you're
31:28exposed to
31:29a person
31:30with this
31:31potential
31:32disease,
31:33you can
31:34take this
31:35medicine.
31:36So,
31:37it's
31:38now available.
31:39Unfortunately,
31:40unlike
31:41PrEP,
31:42because
31:43of
31:44Love Yourself,
31:45we have
31:46two entities.
31:47We have
31:48a private
31:49clinic and
31:50a free
31:51clinic.
31:52We can provide
31:53free PrEP
31:54as long as
31:55there's
31:56supply from
31:57Global Fund
31:58and USAID.
31:59Now,
32:00Love Yourself
32:01also has
32:02a private
32:03clinic for
32:04people
32:05who
32:06have
32:07socialized
32:08as a
32:09UP student.
32:10We have
32:11a socialized
32:12model.
32:13Of course,
32:14Global Fund
32:15and USAID
32:16and AIDS
32:17Healthcare
32:18Foundation
32:19are our
32:20major supporters.
32:21Of course,
32:22they also
32:23give us
32:24a limited
32:25number of
32:26bottles per
32:27year.
32:28So,
32:29we also
32:30design that
32:31if the
32:32client
32:33is
32:34not
32:35able to
32:36afford
32:37it,
32:38this is
32:39the
32:40only
32:41option.
32:42Unfortunately,
32:43that's for
32:44PrEP.
32:45There's
32:46free
32:47and paid
32:48PrEP.
32:49Unfortunately,
32:50for
32:51PEP,
32:52for
32:53post-exposure
32:54prophylaxis
32:55and
32:56doxypep,
32:57it's
32:58not yet
32:59available
33:00for free
33:01because
33:02currently
33:03now,
33:04it's
33:05around
33:062,500.
33:07The
33:08one-hole
33:09regimen
33:10of
33:11PrEP.
33:12What
33:13lovers do
33:14when they're
33:15young
33:16or
33:17less fortunate
33:18and
33:19can't afford
33:20it,
33:21there's
33:22fundraising
33:23and
33:24events
33:25like
33:26Pride
33:27Night
33:28on June
33:291.
33:30We
33:31encourage
33:32them to
33:33do it.
33:34We can't
33:35scale it up
33:36because
33:37even
33:38Love Yourself,
33:39yes,
33:40we are
33:41self-sustaining
33:42at the
33:43moment,
33:44but
33:45our
33:46resources
33:47are limited
33:48when it
33:49comes to
33:50prevention
33:51services.
33:52In
33:53Love Yourself,
33:54our
33:55medicines
33:56and
33:57all
33:58our
33:59laboratories
34:00will
34:01open
34:02soon
34:03to
34:04have
34:05a
34:06prevention
34:07package
34:08for
34:09sexual
34:10health,
34:11mental
34:12health,
34:13and
34:14SOGIE
34:15SC.
34:16That's
34:17our
34:18hope
34:19to
34:20have
34:21a
34:22policy
34:23on that.
34:24HIV
34:25has
34:26a
34:27program
34:28called
34:29Love
34:30Yourself
34:31for
34:32Free.
34:33We
34:34use it
34:35for
34:36the
34:37government
34:38of the
34:39Philippines
34:40through
34:41the
34:42Department
34:43of Health
34:44or
34:45USAID
34:46Global
34:47Fund
34:48or
34:49AHF.
34:50The
34:51challenge
34:52is,
34:53what if
34:54these
34:55external
34:56development
34:57organizations
34:58don't
34:59support
35:00our
35:01testing
35:02because
35:03they
35:04don't
35:05have any
35:06support.
35:07Hopefully,
35:08that's the
35:09policy
35:10that can
35:11be done
35:12in the
35:13near future
35:14that
35:15the
35:16Philippines
35:17can
35:18scale up
35:19the
35:20number
35:21of
35:22condoms
35:23and
35:24lubes
35:25that
35:26we
35:27can
35:28provide.
35:29If
35:30our
35:31clients
35:32can't
35:33afford it,
35:34we do
35:35our best.
35:36Sometimes,
35:37even out-of-pocket
35:38clients
35:39like
35:40our
35:41clients
35:42who are
35:4313,
35:4414,
35:4515 years
35:46old,
35:47high school
35:48students,
35:49they can't
35:50even tell
35:51their parents.
35:52We
35:53need to
35:54find
35:55ways
35:56to
35:57help
35:58these
35:59patients
36:00knowing
36:01that,
36:02of course,
36:03it affects
36:04them,
36:05especially
36:06their mental
36:07health,
36:08their self-worth,
36:09their self-love,
36:10not just
36:11because they're
36:12young.
36:13The mere fact
36:14that you're
36:15sick.
36:16Yes,
36:17Kuya.
36:18Basically,
36:19we can
36:20stratify
36:21based on
36:22age group.
36:23Let's
36:24start
36:25with
36:26age
36:27group.
36:28So,
36:29let's
36:30start
36:31with
36:32age
36:33group.
36:34Let's
36:35start
36:36with
36:37age
36:38group.
36:39Let's
36:40start
36:41with
36:42age
36:43group.
36:44Let's
36:45start
36:46with
36:47age
36:48group.
36:49Let's
36:50start
36:51with
36:52age
36:53group.
36:54Let's
36:55start
36:56with
36:57age
36:58group.
36:59Let's
37:00start
37:01with
37:02age
37:03group.
37:04Let's
37:05start
37:06with
37:07age
37:08group.
37:09Let's
37:10start
37:11with
37:12age
37:13group.
37:14Let's
37:15start
37:16with
37:17age
37:18group.
37:19Let's
37:20start
37:21with
37:22age
37:24group.
37:25Let's
37:26start
37:27with
37:28age
37:29group.
37:30Let's
37:31start
37:32with
37:33age
37:34group.
37:35Let's
37:36start
37:37with
37:38age
37:39group.
37:40Let's
37:41start
37:42with
37:43age
37:44group.
37:45Let's
37:46start
37:47with
37:48age
37:49group.
37:50Let's
37:51start
37:52with
37:53age
37:54group.
37:55Let's
37:56start
37:57with
37:58age
37:59group.
38:00Let's
38:01start
38:02with
38:03age
38:04group.
38:05Let's
38:06start
38:07with
38:08age
38:09group.
38:10Let's
38:11start
38:12with
38:13age
38:14group.
38:15Let's
38:16start
38:17with
38:18age
38:19group.
38:20Let's
38:21start
38:22with
38:23age
38:24group.
38:25Let's
38:26start
38:27with
38:28age
38:29group.
38:30Let's
38:31start
38:32with
38:33age
38:34group.
38:35Let's
38:36start
38:37with
38:38age
38:39group.
38:40Let's
38:41start
38:42with
38:43age
38:44group.
38:45Let's
38:46start
38:47with
38:48age
38:49group.
38:50Let's
38:51start
38:52with
38:53age
38:54group.
38:55Let's
38:56start
38:57with
38:58age
38:59group.
39:00Let's
39:01start
39:02with
39:03age
39:04group.
39:05Let's
39:06start
39:07with
39:08age
39:09group.
39:10Let's
39:11start
39:12with
39:13age
39:14group.
39:15Let's
39:16start
39:17with
39:18age