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PrEP and PEP in the Philippines: Awareness, Access, and Challenges

PrEP and PEP in the Philippines have emerged as critical tools in the country’s ongoing response to the growing HIV epidemic. While these preventive medications offer powerful protection against HIV, many Filipinos remain unaware of their availability or unsure of how to access them. As the number of new HIV cases continues to rise, improving awareness, expanding access, and overcoming stigma are more important than ever.

The Growing HIV Crisis in the Philippines

Currently, the Philippines is experiencing one of the fastest-growing HIV epidemics in Southeast Asia. According to Currently, the Philippines is experiencing one of the fastest-growing HIV epidemics in Southeast Asia. According to the Department of Health, over 1,000 new HIV cases are reported each month. Although testing and treatment services have expanded in recent years, prevention remains a critical gap—especially among high-risk groups like men who have sex with men (MSM), sex workers, persons who inject illicit drugs, and young people.

What Are PrEP and PEP?

To begin with, it’s important to understand what these medications are.

PrEP (Pre-Exposure Prophylaxis) is a daily pill taken by HIV-negative individuals who are at high risk of infection. When taken consistently, PrEP can lower the chance of contracting HIV by as much as 99% through sexual activity and by approximately 74% among people who use injectable drugs.

On the other hand, PEP (Post-Exposure Prophylaxis) is taken within 72 hours after potential exposure to HIV—such as through unprotected sex, condom failure, or sexual assault. It must be taken daily for 28 days and should be started as soon as possible.

Together, PrEP and PEP offer a proactive and reactive approach to HIV prevention.

Why Awareness Remains Low

Despite their proven effectiveness, awareness of PrEP and PEP in the Philippines remains alarmingly low. Many individuals don’t know these options exist, while others believe they are not eligible to use them.

Moreover, myths and misconceptions contribute to the problem. For example:

  • Some believe PrEP is only for the LGBTQ+ community.
  • Others confuse PEP with emergency contraception.
  • There’s a widespread notion that taking PrEP eliminates the need for condom use.

Consequently, these misunderstandings discourage people from seeking help, even when they are at significant risk.

Barriers to Access

While PrEP and PEP are available in the country, access remains limited. Most treatment hubs offering these services are located in major urban centers like Metro Manila, Cebu, and Davao. As a result, people in rural or remote areas often face significant travel and financial barriers.

In addition:

  • Some health facilities lack trained staff to prescribe or counsel patients on PrEP and PEP use.
  • Stigma from healthcare providers or communities still deters many from seeking HIV-related services.
  • Cost can also be a concern. Although some NGOs and government clinics offer these medications for free, others may charge out-of-pocket fees.

We must address these challenges to ensure more inclusive HIV prevention efforts.

Ongoing Efforts and What Needs to Be Done

Fortunately, the Department of Health, along with organizations like UNAIDS and LoveYourself PH, is working to improve awareness and distribution of PrEP and PEP in the Philippines. Pilot programs, awareness campaigns, and training for healthcare providers are steps in the right direction.

Additional steps remain necessary. Moving forward, we need:

  • Expanded education campaigns to dispel myths and normalize HIV prevention.
  • More treatment hubs and community-based access points, especially outside major cities.
  • Stronger integration of PrEP and PEP into general healthcare services.
  • Continued government support to provide affordable or free access nationwide.

In summary, PrEP and PEP in the Philippines represent a major opportunity to prevent new HIV In summary, PrEP and PEP in the Philippines represent a major opportunity to prevent new HIV infections and protect vulnerable communities. But their full impact can only be achieved if more Filipinos know about them, can access them easily, and feel safe using them.

It pays to be informed
If you think you’re at risk or have recently been exposed to HIV, don’t wait. Talk to a doctor or visit a trusted clinic. Prevention is possible—and knowledge is the first step.

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References:

https://www.who.int/philippines/news/detail/11-06-2025-unaids–who-support-doh-s-call-for-urgent-action-as-the-philippines-faces-the-fastest-growing-hiv-surge-in-the-asia-pacific-region

https://sites.brown.edu/publichealthjournal/2024/03/21/hiv-in-the-philippines-a-persisting-public-health-crisis-closely-tied-to-social-stigma/