HIV and COVID-19

The HIV Telehealth Training Program (http), along with our partner experts, join us in creating the COVID-19 Supplemental Sessions for healthcare providers and our fellow Filipinos — hour long learning videos with live Q&As with our participants.

  1. COVID-19 101

Dr. Kate Leyritana discusses the basics of SARS-Cov-2 and COVID-19 disease. What testing and treatment modalities available locally, and how to approach someone who comes for a consult and presents with signs and symptoms.

This video was broadcasted on March 31, and some newer data may have come forth since then.

2. Life in the Time of COVID

How do we keep our homes and workplaces free from COVID-19? Dr. Angelo Ramos gives us some tips on how to stay safe while staying at home.

3. HIV Care Continuum During Philippine ECQ

Metro Manila, NCR, and eventually the whole of Luzon was placed on Enhanced Community Quarantine on March 12, 2020. Foremost on the minds of PLHIVs were how to get their ARTs when public transportation was unavailable. Benjamin Banguingan of DOH NCR explains how access to medications must remain universal despite the lockdown.

4. HIV and COVID-19

It has been reported widely that immunocompromised people are at high risk for mortality and complications once with COVID-19. Is this true? What’s the story on COVID and HIV? Dr. Louie Ocampo of UNAIDS enlightens us.

5. Communication and Resilience

Social Isolation with is not an easy thing to go through. How can we survive this? Do we come out of this as different versions of ourselves? Is there a New Normal we need to conform to?

Dr. Gia Sision and Dr. RJ Naguit discuss Mental Wellness while on lockdown, while Professor Beng Ramos-Mortel discusses Risk Communication strategies for our healthcare workers.

About http

http – HIV Telehealth Training Program

Telehealth is a means of delivering education through telecommunication technologies. Elsewhere in the world, telehealth has made it easier for healthcare workers in remote field settings to obtain guidance from professionals in the diagnosis, care, and referral of patients. Whereas telemedicine serves as the clinical application of technology, telehealth encompasses a broader scope, and aims to enhance both healthcare delivery and health education.

The rapid and consistent increase in the new cases of HIV in the Philippines calls for an equally aggressive response from medical providers to provide adequate care.  One of the current gaps in HIV healthcare is seen in the lack of formally trained providers to man the front lines of the treatment hubs and primary care facilities that cater to over 50,000 patients. The lack of a formal HIV Medicine training program and the paucity of Infectious Diseases specialists have led physicians of all specialties, nurses, social workers, and peer educators to provide primary healthcare as numerous HIV treatment centers are opened each year.

In an effort to augment current practices in HIV healthcare provider training, Sustained Health Initiatives of the Philippines (SHIP) organized the HIV Primary Care Skills upbuilding workshops in 2015. The workshop emphasized management of clinical scenarios, holistic HIV care, and engagement of the network of HIV healthcare providers. The generous feedback of participants in the workshops revealed how continuing medical education of HIV providers is a sound should be provided. However, it presented a significant logistical and financial investment for some.

To engage a greater number of healthcare providers, the power of internet and technology should be leveraged. The potential of a technology-driven learning program can overcome the Philippines’ innate geographical setbacks, and may prove to be a cost effective to provide training. Inspired by the success of the nationwide HIV telehealth training program of HAIVN in Vietnam, the HIV Telehealth Program will engage experts to lead issue-driven case study training and discussion in clinical and system-based care based on existing guidelines, updates on policies, and implementation of quality improvement activities, provide didactic training.

Telehealth allows for providers from multiple locations to connect simultaneously with a central team of experts, allowing for experience sharing and peer-to-peer learning between clinical sites. Learning is exponential, as participants can  also serve as hubs of information of the institutions within their jurisdiction. The three main tenets of telehealth are:

  • Longitudinal co-management of patients with specialists and case-based learning
  • Opportunities to learn from other community-based primary care physicians working in similar settings
  • Short didactic presentations on topics relevant to the case discussions

http aims to achieve the following objectives:

  1. to increase the knowledge base and skillsets of HIV healthcare providers in HIV primary care, management of opportunistic infections and co-occurring diseases, other issues surrounding HIV care
  2. to improve the communication and referral system among hubs and paramedical services
  3. to recommend this program to policy makers in the health ministry for nationwide scale-up                 

This program hopes that building up the knowledge and skill of the HIV healthcare provider will be translated to improved patient outcomes, better patient retention in care, towards the UNAIDS 90-90-90 target (90% of people living with HIV diagnosed-90% on treatment-90% virally suppressed).

READ NEXT: HTTP BEGINNINGS

the Pilot Class

The Pilot Class is made up of participants from

  • Antipolo SHC
  • Bacoor SHC
  • Cainta Reproductive Wellness and SHC
  • Chinese General Hospital
  • DOH Regional Office IV-A
  • Imus Reproductive and Wellness Center
  • Laguna Medical Center
  • Love Yourself Inc
  • Muntinlupa Reproductive Health & Wellness Clinic
  • Ospital ng Biñan
  • San Pablo City SHC

READ NEXT: WANT TO JOIN FUTURE HTTP BATCHES?

http Beginnings

The HIV Telehealth Training Program is patterned after the model adopted in Vietnam, which was largely motivated by the University of New Mexico Health Sciences Center’s Department of Internal Medicine’s Extension for Community Healthcare Outcomes (ECHO) or Project ECHO. The latter was developed as an innovative approach to improve access to high quality clinical care among rural and underserved population in New Mexico through capacity building of primary care physicians and other healthcare workers. Project ECHO used videoconferencing technology to bring together multiple community-based primary care physicians with specialists from academic centers for the purpose of co-managing the patients handled by the former. 

Telehealth allowed for providers from multiple locations to connect simultaneously with a central team of experts, allowing for experience sharing and peer-to-peer learning between clinical sites. Learning is exponential, as participants can  also serve as hubs of information of the institutions within their jurisdiction.

Three years after its implementation in Vietnam, the success of telehealth is seen in the establishment of over 17 central hubs in their respective territories, leading to a network of 695 clinical sites, participants from 62 provinces. Certification of healthcare providers in HIV medicine were established through online courses, which was organized by five hubs, enabling 779 providers from 46 provinces to professionalize their services – physicians, physician assistants, nurses, and others.

Evaluation of the program showed improvement of self-assessed confidence in HIV care (mean baseline score 2.9; mean post score 3.9; p<.001), quality of care provided, and reduction of professional isolation.

SHIP Medical Director Dr. Kate Leyritana visited HAIVN to witness this marvel of distance education personally, and with the help of country director Dr. Todd Pollack and the Ho Chi Minh branch support staff, she was able to learn about Telehealth enough to propose it for the Philippines.

READ NEXT: THE PILOT CLASS

HTTP Batch 3 Session Topics


Module 1: Basic Knowledge on HIV Care

     
Session 1
Nov 7, 2019
Lecture 1: History & Epidemiology
Lecture 2: Clinical Course of HIV
Dr. Angelo Ramos
Dr. Karl Evans Henson
Session 2
Nov 14, 2019
Lecture 3: First Visit
Lecture 4: PhilHealth & OHAT
Dr. Kate Leyritana
Dr. Mary Ann Remonte
Session 3
Nov 21, 2019
Lecture 5: TB & HIV Dr. Christine Penalosa-Ramos
Session 4
Nov 28, 2019
Lecture 6: Common Opportunistic Infections Dr. Cybele Abad
Session 5
Dec 5, 2019
Lecture 7: ART Dosing & Side Effects Dr. Kate Leyritana
Session 6
Dec 12, 2019
Lecture 8: Follow-up of patients on treatment Dr. Joseph Buensalido

Session 7
Dec 19, 2019
Lecture 9: Adherence Ed Busi

Session 8
Jan 7, 2020
Lecture 10: Treatment Failure and ResistanceDr. Edsel Salvana


Module 2: Advanced Knowledge on HIV Care

     
Session 9
Jan 9, 2020
Lecture 11: Non-Infectious
Neurological Issues
Dr. Michelle Anlacan
Session 10
Jan 16, 2020
Lecture 12: Mental Health & Crisis Management, and Counseling Ivy Hapitan
Session 11
Jan 23, 2020
Lecture 13: Dermatology
Lecture 14: Nutrition & Wellness
Dr. Coco Tiongson
Sir Arvin Orajay
Session 12
Jan 30, 2020
Lecture 15: PEP, PrEP, SRR
Dr. Dessi Roman
Session 13
Feb 6, 2020
Lecture 16: Substance Abuse &
Harm Reduction
Lecture 17: Hepatitis and HIV
Rod Olete
Dr. Edhel Tripon
Session 14
Feb 13, 2020
Lecture 18: Prevention of Mother-
to-Child Transmission
Lecture 19: Pediatric HIV

Dr. Helen Madamba
Dr. Jing Pagcatipunan
Session 15
Feb 20, 2020
Lecture 20: SOGIESC
Lecture 21: Transhealth
Naomi Fontanos
Dr. Jojo Sescon
Session 16
Feb 27, 2020
Lecture 22:
HIV Stigma and Discrimination
Lecture 23: STI & Management
Dr. Louie Ocampo
Dr. Evalyn Roxas
Session 17
Mar 5, 2020
Lecture 24: RA 11166
Lecture 25: Self Care
Marcel Millam
Dr. Ronald Castillo
Supplemental Session 1COVID 101 Dr. Kate Leyritana
Supplemental Session 2Life in the Time of COVIDDr. Angelo Ramos
Continuity of CareBenj Baguingan
Supplemental Session 3 COVID-19 and
HIV, Sex and Intimacy
Dr. Louie Ocampo
Supplemental Session 4Mental Health Awareness
During a Pandemic
Dr. Gia Sison
Dr. RJ Naguit
Risk CommunicationProf. Buenalyn
Ramos-Mortel