According to the State Department, a joint declaration signed this month outlines closer bilateral cooperation, with a focus on transitioning the Philippines toward greater self-reliance in its health systems. The framework, introduced under the Trump-Vance administration’s America First Global Health Strategy, includes co-funding, workforce development, health data systems, and emergency preparedness.
In practice, “self-reliance” signals reduced dependence on foreign aid. In the Philippines, however, LGBTQ-focused HIV programs have historically relied on international funding and technical support, including from the U.S. The Philippines is currently facing one of the fastest-growing HIV epidemics in the Asia-Pacific region, with new infections rising by about 543 percent between 2010 and 2023. Key populations, including men who have sex with men and transgender women, account for roughly 92 percent of new cases.
Desi Andrew Ching, president of HIV & AIDS Support House, said the agreement offers promise but hinges on implementation. Ching warns that the funding may not reach grassroots LGBTQ organizations that communities trust.
