7th AIDS Medium Term Plan 2023 TO 2028

Philippines: Fast Tracking Towards 2030

Strategy Summary Matrix

PREVENT
STRATEGIC PILLAR 1
PREVENT new infections among key populations and vulnerable populations including adolescents, and pregnant women

TARGETS
● 95% of 10 to 24 year old key populations have basic knowledge on HIV transmission and prevention
● Prevent new infections especially among 10 to 24 year old key populations
● Eliminate mother-to-child transmission

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

1. Universal access to Combination Prevention MOP release and implementation which 2023 to 2028 PNAC, DOH, DILG, Private sector (drug
combination includes DSWD, LGUs, CSOs, stores, condom
prevention of KPs ● National Condom Policy National Condom Strategy DepEd, CHED, TESDA manufacturers & sellers,
● Learning institution-based Combo-Prev information campaigns and other learning development partners
with condom access institutions
● Condoms and lubricants access points including for YKPs
● Condom not classified as contraband in closed settings like BJMP, Bureau of Dept of National
prisons Corrections Defense and AFP
● PrEP/PEP in community settings including access of SWs/PIP to
PrEP and PEP
● Guidelines on non-occupational PEP use
● Updated HIV 101 to include DSD [and basic rights information,
i.e., know your rights, when do you know when your rights are
violated, where to go when your rights are violated]
● Negative cohort retention strategy

1
 PREVENT
STRATEGIC PILLAR 1
PREVENT new infections among key populations and vulnerable populations including adolescents, and pregnant women

TARGETS
● 95% of 10 to 24 year old key populations have basic knowledge on HIV transmission and prevention
● Prevent new infections especially among 10 to 24 year old key populations
● Eliminate mother-to-child transmission

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

Develop person-centered Guideline Implementation Tools (GIT) and 2023 to 2024

training package for service provider on Combination Prevention,
Testing and treatment consistent with global guidance.

2. Prevention Comprehensive prevention communication plan with focused 2023 PNAC

communication plan strategies and messaging according to KP and vulnerable population PIA
grouping, and general public

Messaging for KP and vulnerable population creating demand for

services

3. Expansion of simplified ● Issuance and implementation of the PrEP Guidelines 2023 PNAC LGU Health Services
and differentiated PrEP ● Demedicalization of PrEP services for 18 years old and above 2023 DOH CSOs, KP CLOs, all service
Program in different ● MOU among public and private stakeholders for expanded 2023 to 2024 providers
modalities (e.g., PrEP access to PrEP
dispensing model (free
● Guidelines on access of PrEP for children and adolescents at risk 2023 to 2024 Development partners
/ subsidized; public
under 18 years old
sector, private-led, drug
store-led) ● Development and enforcement of PrEP guidelines for children 2025
and adolescents at risk

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 PREVENT
STRATEGIC PILLAR 1
PREVENT new infections among key populations and vulnerable populations including adolescents, and pregnant women

TARGETS
● 95% of 10 to 24 year old key populations have basic knowledge on HIV transmission and prevention
● Prevent new infections especially among 10 to 24 year old key populations
● Eliminate mother-to-child transmission

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

4. TransHealth package ● TransHealth Clinical Guidelines endorsed by PPATH and adopted 2023 to 2028 DOH, PPATH Philippine Medical
development and by the medical sector PNAC Association (PMA),
implementation ● TransHealth Clinical Guidelines disseminated to medical PNAC Secretariat Philippine Professional
(inclusion in the Health practitioners Association for
Sector Plan) ● TransHealth package developed per the Transhealth Guidelines Transgender Health
(PPATH) CSOs, TGW
community

5. PWUD/PWID Health ● Development of PWUD/PWID Health Package Comprehensive 2023 to 2028 PNAC. DOH, Drug prevention and
Package Approach including identification of harm reduction strategies LGUs with PWUD/PWID control enforcement
Comprehensive Service for PWUD/PWID to contribute to the third approach of PDEA’s Response, agencies
Approach three-pronged approach in reducing the harmful impact of drug PWID/PWUD communities
use
● Adoption of PWUD/PWID Health Package Comprehensive
Approach
● Expand prevention of HIV among PWUD /PWID in other areas
outside of Cebu

6. Implementation of ● Differentiated HIV Testing Guidelines enforced at all service 2023 to 2028 DOH, LGU Health Services PNAC, LACs
Differentiated HIV levels CSOs, KP CLOs PNAC Secretariat
Testing Service ● KPs linked to Differentiated HIV Testing services
Guidelines

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 PREVENT
STRATEGIC PILLAR 1
PREVENT new infections among key populations and vulnerable populations including adolescents, and pregnant women

TARGETS
● 95% of 10 to 24 year old key populations have basic knowledge on HIV transmission and prevention
● Prevent new infections especially among 10 to 24 year old key populations
● Eliminate mother-to-child transmission

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

7. Integration of STI and ● Mental Health Program in place 2023 to 2028 DOH, LGU health services, PNAC, LACs
mental health in HIV ● STI and HIV education in non-health (workplace, etc.) settings DepEd, CHED, DOLE, PNAC Secretariat
prevention ● STI and Hepatitis C screening included in health service protocol TESDA, CSOs Department
interventions for KPs for PDL of Migrant Workers, BJMP

8. Elimination of mother- Services in all health centers, birthing clinics, and private health 2023 t0 2028 DOH, LGU health centers, CSOs
to-child transmission facilities Private clinics and
practitioners

9. Develop evidence- ● Life Skill Approach to HIV Education Curriculum 2023 to 2028 DepEd, CHED, TESDA, PIA, DOH, LGUs,
based, age-appropriate, ● Age-appropriate, KP-focused Prevention Core Messages PopCom, Development Partners
comprehensive, and ● Comprehensive Sexuality Education DOH, NYC, SK
life-skill approach to
● CSE implementation guidelines
HIV education
curriculum for children, ● CSE implemented in schools, colleges and universities, technical
youth, and other and alternative education
vulnerable populations ● HIV prevention in closed settings Jails and other closed DOJ-BuCor, DILG-BJMP,
settings provincial jails

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 TREAT
STRATEGIC PILLAR 2
TREAT people living with HIV and improve their health outcomes and well-being

TARGET
● 95% of PLHIV know their status (diagnosed)
● 95% of diagnosed PLHIV are on treatment
● 95% of PLHIV on treatment are VL suppressed

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

1. Targeted HIV testing to ● Guideline implementation tools developed 2023 to 2028 DOH, LGUs, Workplaces
diagnose and link to ● Differentiated HIV testing guidelines enforced CBS implementers Private Department of
treatment remaining Testing facilities Migrant Workers
undiagnosed PLHIV CSOs

2. Strengthen and optimize ● Amended rHIVda guidelines (2019-0001A) making rHIVda 2023 to 2028 DOH- SACCL,
existing laboratory certification more accessible and easier for intending facilities LGU health services
networks for efficient issued and enforced Treatment hubs
rHIVda, laboratory testing ● Decrease in number of waiting time/days for confirmatory Testing facilities
for clinical management, results in rHIVda laboratories
monitoring, and VL ● rHIVda sites expansion
testing referral

3. Strengthen person- ● Differentiated service delivery enforced 2023 to 2028 DOH- LGU health services CSOs
centered case ● TLD transition for those qualified Treatment hubs
management for ● PhilHealth access of PDLs Tx facilities
treatment initiation and
adherence

4. Retention and return to ● One-stop shop facilities or service delivery network established 2023 to 2028 DOH- LGU health services CSOs and CLOs
care strategy ● Increase in Lost- to- follow-up clients traced and returned to Treatment hub
care Tx facilities
● Study on TLD transition among PLHIVs (e.g., Adverse reactions PLHIV organizations
and other effects)

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 TREAT
STRATEGIC PILLAR 2
TREAT people living with HIV and improve their health outcomes and well-being

TARGET
● 95% of PLHIV know their status (diagnosed)
● 95% of diagnosed PLHIV are on treatment
● 95% of PLHIV on treatment are VL suppressed

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

5. Early diagnosis (including HIV Testing guidelines enforced in a timely manner 2023 to 2028 DOH- LGU health services CSOs
infants)/ Detection of Private practitioners
new infections

6. Optimize use of Increase in number of PLHIVs tested for viral load regularly per 2023 to 2028 DOH- LGU health services
GeneXpert machines for standard Treatment hubs
TB, HIV (VL testing) Tx facilities

7. Strengthen TB HIV ● Existing systems and structures in TB for the technical 2023 to 2025 DOH, LGU health services, PNAC
Collaboration in support integration of TB and HIV leveraged Private practitioners Development partners
of integration of health ● Case managers are handling both HIV and TB CSOs and CLOs
programs, UHC and Life ● Routine reporting of integrated TB-HIV indicators such as no. HIV
Cycle/Stage Approach screened for TB, and TB screened for HIV, and the rest of the
cascade

8. Develop program on HIV ● HIV and Aging and Elderly Program developed 2023-2024 PNAC, DOH Treatment hubs
and Aging and Elderly; ● PLHIV package of services include program for the aging and 2024 onwards Positive Elders Philippines
and People deprived of elderly PLHIV (PEPh)
liberty living with HIV ● Package of services for PDLLHIV Jails (DOJ, BJMP, and
provincial jails)

6
 PROTECT
STRATEGIC PILLAR 3
PROTECT the rights of PLHIV, KPs and vulnerable communities

TARGET
● <10% of PLHIV and KPs experience stigma & discrimination
● <10% of PLHIV and KPs experience gender inequality and violence

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

1. Elimination of gender HR Roadmap Operational Plan and M & E Plan developed and 2023 to 2028 PNAC Legislative and Judicial,
and HIV-related stigma enforced LACs Executive Branches of
and discrimination government
across all settings – Improvement of the Legal Literacy and Sensitization trainings GF - supported project
community, workplace, Programs
education, health, 1.1. Improvement of Access to Legal Services
justice, and emergency
settings

2. Strengthening of 1. Subsidize activities of KP-led community groups 2023 to 2028

Community Systems 1.1. Provide admin support for CBOs/CSOs representing KPs
1.2. Fund HIV response advocacies of CBOs/CSOs
representing KPs
1.3. Provide support for the Network of CBOs/CSOs
1.4. Enhance/enrich KP-specific essential packages and their
implementation

3. Enhancement of Legal 1. Creation and/or updating of Local AIDS policies aligned with RA 2023 to 2028 LGUs with assistance
and Policy Environment 11166 from PNAC, CSOs and
2. Capitalizing on PNAC powers and functions community-led
2.1. Coordination with other agencies organizations at the local
2.2. KP-specific interventions level
2.3. Policy-making
2.4. Collaboration with CSOs and KPs, other sectors

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 PROTECT
STRATEGIC PILLAR 3
PROTECT the rights of PLHIV, KPs and vulnerable communities

TARGET
● <10% of PLHIV and KPs experience stigma & discrimination
● <10% of PLHIV and KPs experience gender inequality and violence

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

3. Advocacy relate legislation

4. Optimization of ● For Duty Bearers 2023 to 2028

strategic information ○ Conduct of Periodic Process Flow Check
for advocacy for Duty ○ Interfacing of CLM and integration of data in the HIV M&E
Bearers and Rights system
Holders ● For Rights Holders:
○ Capacity building for use of CLM and systematic data
gathering, analysis, and utilization of data (for publication,
dissemination, etc.).

5. Improvement of access ● Inventory of relevant social protection measures conducted 2023 to 2028 PNAC All agencies with social
to social protection ● Existing relevant social protection opportunities disseminated PNAC Secretariat protection programs in place
measures of KP and to KPs (e.g., PHIC, DOLE, DSWD,
PLHIV communities ● KPs are able to navigate access to social protection measures LGUs, etc.)
PIA, Department of Migrant
Workers

6. Making Redress ● Institutionalize the community paralegal program with clear 2023 to 2025
Mechanism functional linkages and/or integration to government redress
mechanism
● Institutionalize legal literacy and sensitization for law
enforcement, judiciary and lawyers, LGUs
● Enhanced capacity of CHR to investigate HIV-related

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 STRENGTHEN

STRATEGIC PILLAR 4
STRENGTHEN governance and leadership accountabilities, and systems for health, non-health, community and strategic information

TARGET: Harmonized, fully-resourced and crisis-resilient HIV response

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

1. Strengthening of ● PNAC Transition Plan developed, approved and implemented By end of 2023 PNAC and its Committees PNAC individual members
collaborative capacity, ● Activities under the 13 functions of PNAC are budgeted in the PNAC has put PNAC Secretariat and their regional and local
governance and core PNAC allocation in place offices
leadership ● AO on structure and accountability mechanism issued systems of LGUs
accountabilities in governance CSOs
● Structure and accountability mechanism established in all
PNAC and PNAC and Development partners
regions and functional
Secretariat as per RA accountability
o (e.g., Subnational ie regional and local governance
11166 at all levels of
structure) to decentralize functions of PNAC;
a. Harmonize the HIV and
o LACs linked to PNAC through an accountability
programs, projects, AIDS Response
mechanism; PNAC member and LGU performance
and activities of all in the country;
scorecard developed and strategic review of performance
stakeholders on HIV
implemented)
Response as well as 2023 to 2024
● All member government agencies of PNAC have their
those that impact
respective costed HIV and AIDS plan (per their mandate
7th AMTP
according to RA 11166)
● Non health sectoral plan on HIV
● All official representatives or their alternates and their
technical focal persons are participating in regular meetings
and activities of the Council as provided for in RA 11166;
● Selection protocol for CSO/KP representation in PNAC (CSO
Caucus) finalized and implemented
● Translation of national laws and policies to internal issuances
and guidelines of member / respective National Government
Agencies

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 STRENGTHEN

STRATEGIC PILLAR 4
STRENGTHEN governance and leadership accountabilities, and systems for health, non-health, community and strategic information

TARGET: Harmonized, fully-resourced and crisis-resilient HIV response

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

● CSO-representatives in PNAC strengthen their links to their KP

constituencies and ensure that regular mutual feedbacking
happen as outlined in the MOP of the PNAC CSO Caucus
● Institutional capacity building of PNAC Secretariat in
coordination, policy and planning, management, research and
M&E
o PNAC Secretariat has costed annual plans that are co-
developed with PNAC committees
o PNAC Secretariat efficiently executes its functions per RA
11166 (sourcing funds, implementation, monitoring and
evaluation of the AMTP),
o PNAC Secretariat provide efficient and effective staff
support to the Council and its committees (administrative
and logistical, and coordinative support to activities;
scheduled meetings are implemented on time and
minutes disseminated, among other functions)
o PNAC Secretariat has an MEL Unit
o PNAC Secretariat performance indicators established and
annual review of performance implemented (OPCR)
Costed

2. Strengthening capacity ● Local AIDS Ordinances aligned with RA 11166; 2023 to 2028 PNAC PROTECT Health
of LGUs to lead the ● Local HIV and AIDS response plans aligned with 7th AMTP LACs (USAID/Palladium)
local response, specific ● Participation of and representation of CSOs in LACs provided PNAC Secretariat
to their needs, under local AIDS ordinances DILG Development Partners
mirroring the role of LGUs
● LGUs with need-specific local HIV response plans

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 STRENGTHEN

STRATEGIC PILLAR 4
STRENGTHEN governance and leadership accountabilities, and systems for health, non-health, community and strategic information

TARGET: Harmonized, fully-resourced and crisis-resilient HIV response

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

PNAC such as drafting

of policy, coordinating,
monitoring, and
funding.

3. Forging linkage with ● Subnational implementing/monitoring teams (regional, 2023 to 2024 PNAC, LACs. Individual member
subnational actors provincial, and LACs) DILG and LGUs agencies of PNAC
including Regional ● Establishment of linkage with other relevant councils (e.g.:
Development Councils, Philippine Council for Mental Health, National Nutrition
LACs, DILG regional Council, Council for the Welfare of Children and Committee on
offices and other Children and HIV, Multi-Sector Governance Council, Inter-
relevant offices Agency Committee on Anti-Illegal Drugs)

4. Properly defined HIV ● Operational guidelines to align with UHC guidelines developed, 2023 to 2024 DOH
program at all levels of disseminated, and observed and sustained PNAC and individual
implementation in the ● Annual HIV Partners Forum until end of 7th members
context of UHC and ● Collaborative mechanism among all stakeholders in place (tied AMTP PNAC Secretariat
resilient systems with #1 -Governance and Accountability) LGUs
(includes crisis-
● Crisis adaptive Business Continuity Plan developed,
resiliency)
implemented, and monitored
● rHIVda laboratories able to do same day treatment initiation

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 STRENGTHEN

STRATEGIC PILLAR 4
STRENGTHEN governance and leadership accountabilities, and systems for health, non-health, community and strategic information

TARGET: Harmonized, fully-resourced and crisis-resilient HIV response

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

5. Rationalize laws, ● Contradictions identified and aligned thru clear implementing 2023 to 2024 PNAC and individual CSOs
policies, Administrative rules and regulations and guidelines when applicable and sustained members
Orders, and/or ● Synchrony with RA 11036 Mental Health Act until end of 7th PNAC Secretariat
practices that impact ● Synchrony of RA 9165 with RA11166 to allow for HIV AMTP LGUs
HIV and AIDS Response prevention among PWID (Amendments to RA 9165 to make DILG
needle-syringe program an exception to Sec. 10, 12, and other Department of Migrant
related provisions) Workers
● DOH’s procurement system and supply chain management DOH and concerned
streamlines (Adequate, efficient, and evidence-based, timely bureaus; CHDs, LGUs
forecasting, procurement, warehousing, and distribution of
diagnostic supplies, medicines, and commodities at all levels of
HIV response)
● Integration of HIV program in the implementation of UHC
o UHC Omnibus Guidelines disseminated and HIV and AIDS
services under the principles of UHC clear to LGU health
system
o LGUs capacitated for HIV and AIDS service delivery under
the UHC principle/guideline
● Policy environment at the national and subnational levels are
conducive to social contracting
● Continuing engagement with the Justice system, law
enforcement agencies

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 STRENGTHEN

STRATEGIC PILLAR 4
STRENGTHEN governance and leadership accountabilities, and systems for health, non-health, community and strategic information

TARGET: Harmonized, fully-resourced and crisis-resilient HIV response

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

6. Community systems ● CSOs and CLOs are eligible to access government funding
strengthening - service through social contracting (e.g., SEC-accredited CSOs)
delivery, advocacy and ● Community utilization of CLM
CLM

7. Strengthening the ● Clear operational and collaborative guidelines for Health Care
resilience of health Provider Networks (aka SDN) linking health and non-health
systems including services (e.g., Joint Memo Circular of DSWD, DOH, DILG and
skilled and sensitized CSOs -referral system)
human resource for ● Community-led organizations supported by government across
health, integrated levels of implementation to deliver services
service delivery
systems, procurement
and supply chain
management, and
information systems

8. Establish a ● Costed 7th AMTP Monitoring and Evaluation Plan -input and 2023 to 2024 PNAC particularly the
comprehensive and output indicators per sector and sustained PNAC M&E Committee;
integrated National HIV ● M&E MOP and tools developed until end of 7th DOH-EB
and AIDS Monitoring & ● Components of HIV and AIDS M&E systems linked and AMTP PNAC individual members
Evaluation System- interfacing; LGUs
● National HIV, AIDS ● PNAC Monitoring platform developed - “data hub” CSOs
and STI Surveillance ● Data from: LGUs and LACs, PNAC member agencies, CSOs, KP KP communities
and Information communities, and development partners are collected,
System in DOH-

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 STRENGTHEN

STRATEGIC PILLAR 4
STRENGTHEN governance and leadership accountabilities, and systems for health, non-health, community and strategic information

TARGET: Harmonized, fully-resourced and crisis-resilient HIV response

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

Epidemiology analyzed and transformed to knowledge sources that inform

Bureau HIV and AIDS programming and implementation
● Non-health ● Community-Led Monitoring (CLM) (stigma and discrimination,
monitoring financing, policy, and service quality)
● Community-led ● National AIDS Spending Assessment (NASA)
Monitoring ● Regional AIDS Spending Assessment (RASA) integrated to
National AIDS Spending Assessment (NASA)
● National Composite Policy Index (NCPI)
● Annual HIV and AIDS Report
● Research Agenda (with costing)
● PNAC data hub
● Inventory on hindering and supportive policies to HIV
Response

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 SUSTAIN
STRATEGIC PILLAR 5
SUSTAIN the harmonized, fully resourced and crisis resilient HIV response

TARGET: Harmonized, fully-resourced and crisis-resilient HIV response

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

1. Increase domestic ● HIV and AIDS Response Resource Mobilization Plan developed, 2023 to 2028 PNAC (Financing PROTECT Health
investment in HIV and implemented, and monitored Committee) (USAID/Palladium)
AIDS Response ● PNAC member NGAs allocating budget for HIV response PNAC NGA members
according to their respective mandate Development Partners
● Sustained budget advocacy by CSO, especially at the LGU level PNAC Secretariat
● Increase in number of Fast Track Cities
● LGUs include HIV Investment and Ordinances Planning in their
MOOE
● Capacity of LGUs in evidence-based HIV and AIDS planning
● Capacity of LGUs to appreciate and implement social
contracting
● Capacity of CLOs for social contracting
● CSO funding mechanism, including social contracting, social
enterprise
● Local HIV response is indicator for LGU seal of good
governance
● Full utilization of OHAT funds for HIV programming

2. Development of Transition Plan developed, implemented, and monitored Development: PNAC and implementers
Transition plan for 2023 of externally funded
externally funded Implementation initiatives
initiatives such as in and monitoring-
Global Fund, PEPFAR 2024 onwards Development partners

15
 SUSTAIN
STRATEGIC PILLAR 5
SUSTAIN the harmonized, fully resourced and crisis resilient HIV response

TARGET: Harmonized, fully-resourced and crisis-resilient HIV response

COLLABORATING
STRATEGIES SUGGESTED MILESTONES TIMELINE LEAD STAKEHOLDER
STAKEHOLDER

3. Harness private sector ● Advocacy on private sector partnership 2023 to 2028 PNAC CSOs
partnerships to ● Enhance existing partnership with private sector with HIV
complement/augment programs in place
government resources

4. Advocacy for policies PNAC National Advocacy Plan implemented and monitors 2023 to 2028 PNAC, LACs
supporting the multi- CSOs
sectoral HIV response
(i.e., SOGIE,
Decriminalization of
drug use, sex work,
condoms in jails and
prisons, etc.)

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 with funding support from
Pilipinas Shell Foundation Inc.
Principal Recipient of Global Fund HIV PROTECTS Grant

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