HIV Treatment in the Philippines: What You Need to Know

The Philippines faces significant challenges in addressing HIV treatment, with a combination of limited funding, outdated medications, and high treatment costs creating obstacles for those affected. Despite these hurdles, some government programs and private healthcare initiatives aim to provide support for people living with HIV (PLHIV). Here’s an overview of what you need to know about HIV treatment in the Philippines.

Recent advancements have made it possible for individuals to perform HIV testing at home using HIV test kits. This offers a more private and accessible way to know your status.

Treatment Availability

Antiretroviral therapy (ART) is available in public hospitals, with the government offering subsidized treatment programs. Major centers such as San Lazaro Hospital and the Research Institute for Tropical Medicine (RITM) specialize in HIV treatment. However, patients in these facilities may face privacy concerns, as testing and treatment are documented, and their HIV status is recorded.

For those seeking greater privacy and advanced facilities, Makati Medical Center and The Medical City are considered top-tier options. However, treatment in these private institutions can be significantly more expensive. Despite the availability of ART, the country often relies on older medications, as newer drugs like Atripla are not yet widely used in the Philippines.

Costs

The government spends approximately ₱12,520 per year per patient for initial ART treatment. If health complications arise, the cost can increase to around ₱18,360 annually, as additional medications are required.

While ART is subsidized, PLHIV often bear the cost of laboratory tests and other medical requirements. These include tests such as complete blood count, chest X-rays, and liver and kidney profiles, which cost around ₱2,000 initially. These tests are necessary to determine the appropriate treatment plan.

To reduce the financial burden on PLHIV, PhilHealth offers an Outpatient HIV/AIDS Treatment (OHAT) Package, which reimburses up to ₱30,000 per year. This covers medications, laboratory tests (including CD4 level and toxicity monitoring), and professional fees. This program aligns with global goals to combat the spread of HIV and improve the quality of life for affected individuals.

Challenges

Not everyone diagnosed with HIV is placed on ART immediately, as the decision to start therapy depends on the progression of the disease and World Health Organization (WHO) recommendations. Treatment focuses on boosting the immune system while managing costs.

Common side effects of ART medications like Zidovudine and Lamivudine include nausea, diarrhea, dizziness, headaches, and muscle pain (myopathy). Proper monitoring and support are essential to manage these side effects.

ART requires a lifetime commitment. Patients benefit significantly from family and community support, which helps them adhere to their treatment regimen and maintain mental health.

Maintaining Health

While ART does not cure HIV, it helps manage the virus, delays the progression to AIDS, and extends the life expectancy of PLHIV. Support networks play a crucial role in encouraging medication adherence and promoting overall well-being.

HIV treatment in the Philippines remains a complex issue. While government programs like PhilHealth and public hospitals provide some assistance, significant financial burdens persist for PLHIV, particularly in accessing advanced treatments. Greater investment in healthcare, updated medications, and public awareness are needed to make HIV treatment more accessible and effective.

Despite the challenges, with timely HIV testing, proper treatment, and strong support systems, PLHIV in the Philippines can lead longer and healthier lives.