Posts or Comments 19 March 2024

Monthly Archive for "May 2021"



Children &Schools Bill Brieger | 11 May 2021

Expanding “Malaria Smart Schools” in Uganda will help end malaria

We occasionally share global health posts from the Blog, “Social, Cultural, and Behavioral Issues in PHC and Global Health“, a site that provides students from the Johns Hopkins Bloomberg School of Public Health a chance to learn about and create advocacy material. Below is a posting from May 10, 2021 by Sally Farrington Thompson.

Inside the first grade class of a Malaria Smart School

Uganda suffers from one of the highest burdens of malaria in Sub-Saharan Africa and in the world. Many Ugandans are familiar with bed nets and many have visited health clinics for malaria treatment. But still, malaria affects a high percentage of the country’s population.

In 2019, I traveled to outside of Kampala, Uganda to visit a malaria education and prevention program run by the National Malaria Controlle Program within the Ugandan Ministry of Health and USAID’S President’s Malaria Initiative (PMI). The program is referred to a Malaria Smart School where education about malaria is incorporated into the curriculum of each grade.

A “malaria corner” in a Malaria Smart School classroom

Each classroom has what is called a “malaria corner” where students’ projects on the anatomy of mosquitos, malaria parasite life cycle, the spread of malaria, and artistic expressions about malaria are featured.

The Malaria Smart School also incorporates education on malaria into song, dance, and art. In this way, students are learning more about how malaria is spread than any generation before them, which is also an important factor considering their population is so large! Pictured below is a poem written by the malaria smart school students. The poem was recited along with dance and acting.

The Ugandan Ministry of Health and PMI have been pleased with the Malaria Smart School program. It was evident during my visit that the students have gained a comprehensive knowledge of malaria and a knowledge they share and are passing onto their families and people they live with. In fact, one of the primary goals of this program was to break behavior cycles in the community regarding malaria through the students’ learning. The result of this program is that children are able to teach older generations proper preventative strategies about malaria, treatment options, and even basic scientific epidemiology of malaria.

This is already disrupting behaviors, leading older generations to seek proper care and follow proper mitigation efforts to combat malaria. If these programs were to expand to other regions in Uganda, within even a generation, there would be a significant decline in malaria cases because of the knowledge learned and passed on by these children. The Malaria Smart School program is one many countries should model in their national malaria control programs, and with outside support from partnering organizations like PMI, this model could really impact the global burden of malaria.

HIV Bill Brieger | 10 May 2021

Restrictions on the Reproductive Health Law fueling the HIV epidemic in the Philippines

We occasionally share global health posts from the Blog, “Social, Cultural, and Behavioral Issues in PHC and Global Health“, a site that provides students from the Johns Hopkins Bloomberg School of Public Health a chance to learn about and create advocacy material. Below is a posting from May 9, 2021 by “laarnipatotoy“.

The Philippines has seen an increase in the incidence of HIV cases in recent years. According to UNAIDS report, there have been approximately 16,000 new cases of HIV in the county in the year 2019 alone.It is estimated that 83% of newly diagnosed cases of HIV are among men who have sex with men (MSM) and transgender women having sex with men (TGW), majority of which are between the ages of 15 to 24 years

Photo credit: https://www.scmp.com/lifestyle/health-wellness/article/2180244/hiv-philippines-why-it-must-act-fast-control-growing

old.In a 2015 survey conducted by the Philippines Department of Health illustrated that only 35% of MSM and TGW had proper knowledge on HIV.Many young Filipinos lack knowledge about HIV and other sexually transmitted diseases which is attributable to the absence of a comprehensive sexual education in schools and universities. Furthermore, only 40% of MSM admitted to using condoms according to the UNAIDS survey in 2018. The Philippine government have made efforts to address the rise of HIV cases in the country; however, policies’ restrictions on certain HIV programs create barriers to control and reverse the ascending trend of the epidemic.

The Philippines has seen an increase in the incidence of HIV cases in recent years. According to UNAIDS report, there have been approximately 16,000 new cases of HIV in the county in the year 2019 alone.It is estimated that 83% of newly diagnosed cases of HIV are among men who have sex with men (MSM) and transgender women having sex with men (TGW), majority of which are between the ages of 15 to 24 years old.In a 2015 survey conducted by the Philippines Department of Health illustrated that only 35% of MSM and TGW had proper knowledge on HIV.Many young Filipinos lack knowledge about HIV and other sexually transmitted diseases which is attributable to the absence of a comprehensive sexual education in schools and universities. Furthermore, only 40% of MSM admitted to using condoms according to the UNAIDS survey in 2018. The Philippine government have made efforts to address the rise of HIV cases in the country; however, policies’ restrictions on certain HIV programs create barriers to control and reverse the ascending trend of the epidemic.

Photo credit: https://filipinofreethinkers.org/2011/01/28/the-height-of-hypocrisy-cbcp-claims-to-be-proactive-against-hivaids/

The Catholic Church has been a significant influence in Philippine society and its political system since the Spanish colonization. Approximately 80 percent of Filipinos identify as Catholics, therefore laws and regulations are often aligned with the conservative teachings of the Roman Catholic Church. The Republic Act 10354: The Responsible Parenthood and Reproductive Health Act of 2012, also known as the Reproductive Health law, was passed by the government of the Philippines that secures the right of every national to have universal access to modern family planning, methods of contraception, sexual education, and reproductive health. Church leaders and other conservative officials opposed the RH law, proclaiming that it will only encourage acts of immorality. The Catholic Bishops Conference of the Philippines is in strong opposition against the distribution of contraceptives and integration of sexual education in schools. The institution advocates for abstinence as a solution to the growing HIV epidemic and advises government officials to rely on parents to educate their children regarding sex.

After only one year of the law’s passing, the Supreme Court announced its suspension following allegations from the CBCP that it is unconstitutional. In 2014, the Supreme Court lifted the suspension and deemed the RH law constitutional. Despite this major achievement, incidence of HIV cases continues to escalate and revisions to the current policies under RH law are necessary to control disease transmission. For instance, Section 7 of the RH Law declares that all citizens have access to family planning services with the exception of individuals under the age of 18, who are required to have consent from parents or legal guardians before access to contraceptives and family planning services are granted. This restriction inhibits sexually active teens and young adults to gain access to condoms which puts them at risk for contracting HIV and other sexually transmitted infections. In addition, Section 14 of the RH Law states that age and development-appropriate reproductive health education should be integrated in school curriculums only after consultations from school officials, interest groups and parent-teachers associations regarding course content. The section also declares the Department of Education to formulate a reproductive health curriculum to be applied in public schools and possibly adopted by private school institutions. This presents potential variations in the content of sex education and such inconsistencies can impact the quality of education the students receive.

As a healthcare professional, I strongly believe that a revision to the current Reproductive Health law in the Philippines, particularly in Section 7 and 14, is necessary to control the upsurge of HIV cases in the country. Mandatory enforcement of unbiased comprehensive sexual education in schools and revoking current age restrictions to condom access will eliminate barriers to condom use and safe sex practices. In addition, it will empower teens and young adults to make informed decisions regarding their reproductive health. The revision of the Reproductive Health law should be viewed in the broader context of disease control and prevention rather than a promotion of immorality and promiscuity. An effective, evidenced-based prevention strategy will facilitate the end of the HIV crisis in the country.