Service Delivery network for People Living with HIV

Service Delivery Network for People Living with HIV (SDN for PLHIV)
 
The Service Delivery Network for People Living with HIV (PLHIV) in Quezon City was established last December 2013 with goal of providing the highest quality care, treatment, assistance and protection to all PLHIV, their children and affected families. With this goal, the SDN will facilitate health and psychosocial services to improve their quality of life.
 
The needs of people living with HIV, their children, and affected families span the continuum of treatment, care and support, encompassing, among others, the medical, psychosocial, economic, legal and spiritual domains and end of life care. No single agency can respond to the entire need of people living with HIV, given the wide range of services they need.
 
Previous consultations conducted by the Department of Social Welfare and Development (DSWD) also identified various gaps in programs and services for people living with HIV. Some agencies are not aware of their roles and/or responsibilities as stakeholders and are not willing to accommodate people living with HIV. There are few residential facilities accepting people living with HIV. Skills training and livelihood opportunities are also limited. Some service providers are not equipped with the knowledge, attitude and skills in handling or managing people living with HIV. Funding for HIV and AIDS programs are also low, affecting the services’ continuity and sustainability.
 
Consequently, referrals are not frequently made or received from among these stakeholders. Because receiving agencies do not provide feedback on the services provided including the outcomes of these referrals, monitoring the status of the people living with HIV clients has become difficult, resulting to very limited data on clients under treatment. The DSWD consultations also showed the absence of a coordinating body at the local level, including permanent focal persons on HIV and AIDS, in the service delivery agencies/organizations.
Quezon City prioritized the strengthening of an HIV Service Delivery Network, in recognition of the importance of providing a continuum of treatment, care and support services and adequately meeting the needs of people living with HIV. It will link identified referral sites/ service providers to facilitate collaboration and coordination and maximize use of resources in responding to service delivery gaps. The localized HIV Service Delivery Network will potentially increase access of people living with HIV to needed services, helping them live normal and productive lives and significantly contribute to their family and community.
 
The Service Delivery Network for People Living with HIV in Quezon City is a cooperative framework through which stakeholders fulfill their obligations to protect and promote the rights of people living with HIV, their children, affected families, and significant others by coordinating strategic partnership with civil society and government service delivery agencies. It ensures a referral relationship between all levels of the concerned stakeholders and guarantees that people living with HIV, including their children and affected families, receive the best possible treatment, care and support services. Thus, the Service Delivery Network’s main purpose is to provide an effective mechanism that will ensure access to a quality and timely delivery of services.
 
Service Delivery Network for People Living with HIV (SDN for PLHIV)
 
In December 2013, Mayor Bautista signed a Memorandum of Understanding (MOU) with different Stakeholders creating the Service Delivery Network for PLHIV in Quezon City. This is to establish an effective mechanism that will ensure access to quality and timely delivery of services for PLHIV in Quezon City. More than 13 external partners have signed the agreement to be part of this initiative. Since then, monthly meetings were held, centre of the discussions were how to improve referrals of services between Klinika Bernardo and partners from within the local government and external health facilities. These referrals include management of dermatologic conditions, cases that need hospital confinement, social services like enrolment to Philhealth, Disability Cards and livelihood assistance. SDN members identified focal persons that is responsible in receiving and sending referrals to partner facilities.
 
With increasing number of PLHIV under the care of Klinika Bernardo, a range of cases were tackled and limitations of the current services within the network were recognized. With this a much needed expansion of the membership of the SDN is planned to include more community-based organisation, legal support, facilities that can handle PLHIV pregnant mothers and others. The expansion will also include Diagnostics Laboratory who doing HIV Testing. This is to properly link cases of HIV diagnosed in this facilities. Addressing health concerns of PLHIV on treatment will prevent unnecessary loss of life.