HIV care cascade among cisgender men who have sex with men in a key population-led community center in the Philippines

Eustaquio, Patrick C.; Docken, Steffen S.; Leyritana, Katerina; Wulandari, Luh Putu Lila

doi:10.1177/0956462420987435

Cited by 9 publications

(16 citation statements)

References 57 publications

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“…with an opportunistic infection (OI)] or symptomatic, during the late stages of their illness. However, a recently published study [ 13 ] among young cis-MSM in a community-based treatment hub, also showed that a good proportion (35%) of newly diagnosed cases in their cohort presented with advanced HIV disease. This suggests that similar factors in both community- and hospital-based hubs played a role in the delay in diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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A descriptive retrospective study on HIV care cascade in a tertiary hospital in the Philippines

2023

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Introduction The HIV care cascade is a model used to examine the engagement of people living with HIV (PLHIV) in medical care from the time of diagnosis to sustained viral suppression. This study describes the stages of the cascade from linkage to care, antiretroviral therapy (ART) initiation, retention in care, and virologic suppression- at the University of the Philippines—Philippine General Hospital (UP-PGH) STD/AIDS Guidance and Intervention Prevention (SAGIP) treatment hub in the context of existing cascades with similar demographics. Methods We retrospectively reviewed the medical records of patients enrolled at the UP-PGH SAGIP treatment hub from June 2015 to December 2017. Baseline demographic and clinical data were collected, relevant to each stage of the cascade. Descriptive statistics using Microsoft Excel version 16.0 was used to characterize data and cumulative and conditional proportions were reported. Results Of the 584 patients included in the cohort, majority were male (91.1%), with a median age of 29 years (range, 0.17 to 68 years). Male-to-male sex was the most common mode of transmission (325/584, 55.6%). Among all patients enrolled at the UP PGH SAGIP treatment hub, 99.5% were linked to care, 95.0% initiated ART, 78.8% were retained in care and maintained on ART, 47.9% were tested for HIV viral load, and 45.5% achieved viral suppression. Conclusion A high proportion of patients enrolled at the UP-PGH SAGIP treatment hub are linked to care and initiate ART, exceeding the set goal of 90%, which is higher than reported nationwide. However, there is a substantial decrease in the number of patients who are subsequently retained in care, tested for HIV viral load, and achieve viral suppression. Gaps in the cascade related to healthcare delivery need to be investigated further and addressed by future studies. We recommend implementation of a community-based, patient-centered approach in order to reach the goals of the HIV cascade, with particular focus on young, MSM-PLHIV.

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Section: Discussionmentioning

confidence: 99%

“…looked at the care cascade outcomes among MSM in a key population-led, community-based, HIV test-and-treat center in Metro Manila. They found that they achieved higher rates than national outcomes as 78% initiated ART and 84% achieved VL suppression in their center [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

A descriptive retrospective study on HIV care cascade in a tertiary hospital in the Philippines

2023

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“…The HIV epidemic in the Philippines is one of the fastest growing epidemics globally, with 207% increase in new HIV infections and 388% increase in AIDS deaths from 2010 to 2020. In 2020, an estimated 73% of people living with HIV in the Philippines knew their status and 44% of people living with HIV were on antiretroviral therapy (ART) [ 1 - 4 ]. In 2 studies of cohorts of patients with HIV in Manila, 84% to 90% of patients who started ART had achieved viral suppression [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…In 2020, an estimated 73% of people living with HIV in the Philippines knew their status and 44% of people living with HIV were on antiretroviral therapy (ART) [ 1 - 4 ]. In 2 studies of cohorts of patients with HIV in Manila, 84% to 90% of patients who started ART had achieved viral suppression [ 4 , 5 ]. Most new and existing HIV infections occur among men who have sex with men (MSM) [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Delivering an mHealth Adherence Support Intervention for Patients With HIV: Mixed Methods Process Evaluation of the Philippines Connect for Life Study

O'Connor¹,

Leyritana²,

Doyle³

et al. 2022

JMIR Form Res

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Background The Philippines HIV epidemic is one of the fastest growing epidemics globally, and infections among men who have sex with men are increasing at an alarming rate. Connect for Life Philippines is a mobile health (mHealth) intervention that supports antiretroviral therapy (ART) adherence in this key population through individualized voice calls and SMS text messages. Objective The objective of this process evaluation is to assess the intervention reach, dose delivered and received, fidelity, and acceptability and to describe contextual factors affecting the implementation of an mHealth adherence support intervention for patients on ART in a clinic in Metro Manila, Philippines. Methods A mixed methods process evaluation approach was used in an observational cohort study. Quantitative data sources for the process evaluation were call and SMS text message logs obtained from the mHealth platform and questionnaires collected at 12-, 24-, and 48-week study visits. Qualitative data were collected from process reports and through a series of focus group discussions conducted with a subset of participants during the intervention development phase, after an initial 8-week pilot phase, and at the end of the study. Results The 462 study participants received 31,095 interactive voice calls and 8234 SMS text messages during the study. Owing to technical issues, intervention fidelity was low, with only 22.1% (102/462) of the participants receiving reminders via voice calls and others (360/462, 77.9%) receiving only SMS text messages during the intervention. After 48 weeks in the study, 63.5% (293/462) of the participants reported that they would be quite likely or very likely to recommend the program to a friend, and 53.8% (249/462) of the participants reported that they benefited quite a bit or very much from the intervention. Participants who were on ART for <6 months at the beginning of the study and those who received the daily or weekly pill reminders were more likely to report that they benefited from the intervention (P=.02 and P=.01, respectively). Conclusions The Connect for Life intervention had high participant satisfaction and acceptability, especially among those who received high dose of the intervention. However, poor reliability of local telecommunication networks had a large impact on the intervention’s usability, fidelity, and dose received.

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“…Because of the established linkages between migration and health (Thomas et al, 2019) and the paucity of knowledge about Asian gay and bisexual men, this research focuses on Filipino gay and bisexual men as members of the rapidly growing Filipino new settler group. This focus is also appropriate due to the Philippines experiencing a fast-growing HIV epidemic, particularly among men who are having sex with other men (Adia et al, 2020; Eustaquio et al, 2021; Gangcuangco, 2019; Restar et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Exploring Understandings of Sexuality Among “Gay” Migrant Filipinos Living in New Zealand

et al. 2022

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Ethnicity, sexuality, and health are inextricably linked. This study reports on individual interviews carried out with 21 “gay” migrant Filipinos living in New Zealand to understand sexual identity and identify how they manage the disclosure of their identity. The participants provided both simple and complex accounts of sexuality. For many, these aligned with Western notions of how gay and bisexual are understood as categories; but for others, their understandings and use of such terms was influenced by Filipino cultural and contextual meanings. This included the use of “gay” as a catch-all category, including for those who identify as transgender. Active and careful management of their diverse identities was reported by participants. While disclosure to family was reasonably common, this was couched in terms of sexuality being tolerated rather than fully accepted. Disclosing identity was comparatively easier in New Zealand, but nonetheless there was active control over disclosure in some work and medical situations. Such findings add a degree of complexity within health promotion and public health, as identity cannot be regarded as static and common understandings do not exist. However, the strong community orientation and relative openness of “gay” Filipinos in relation to sexuality and gender afford opportunities for targeted interventions among this group.

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HIV care cascade among cisgender men who have sex with men in a key population-led community center in the Philippines

Cited by 9 publications

References 57 publications

A descriptive retrospective study on HIV care cascade in a tertiary hospital in the Philippines

A descriptive retrospective study on HIV care cascade in a tertiary hospital in the Philippines

Delivering an mHealth Adherence Support Intervention for Patients With HIV: Mixed Methods Process Evaluation of the Philippines Connect for Life Study

Exploring Understandings of Sexuality Among “Gay” Migrant Filipinos Living in New Zealand

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