Out-of-Pocket Expense

This survey tool collects data on how much clients or patients spend when availing STI, HIV, and AIDS-related services and/or commodities. The data collected from this tool will also be used to study how HIV-related expenditures affect the clients' or patients’ socioeconomic situation.

We appreciate your time and effort! Please remember that the feedback you will share is expenses related to when you availed any STI, HIV, AIDS services, and/or well-being care within the past six (6) months.

Important: Please note that the data collected through www.commusta.ph will be responsibly used for monitoring, research, and advocacy to improve the HIV & AIDS response in the Philippines

Note: For multiple choice questions, 🔘 means only one answer can be selected and ☑️ allows multiple answers.

OPET (Test)
Do you consent to documenting your feedback on the healthcare provider you visited? To understand TLF Share’s Privacy Policy, you may access it here.
Did you avail of any STI, HIV, AIDS services, and/or well-being care in the past 6 months?

DEMOGRAPHICS

What is your gender?
Select "Woman" if you identify as a transgender woman, cisgender woman, or woman. Choose "Man" if you identify as a transgender man, cisgender man, or man.
Do you consider yourself as?
Multiple selection allowed. You can choose more than one option.
Living Situation
Employment Status
Monthly Income Bracket
Do you have a disability?

OUT-OF-POCKET EXPENSES

Choose the items you have availed and paid for in the past 6 months
Multiple selection allowed. You can choose more than one option. Tap + to expand selection. Tap - to collapse.

ITEMS YOU PAID FOR:

CONDOMS

Is the price affordable for you?

LUBRICANTS

Is the price affordable for you?

Pre-Exposure Prophylaxis (PrEP) - first time to get pills or refill

Is the price affordable for you?

PrEp-related Medical Consultation

Is the price affordable for you?

PrEp-related Laboratories

Is the price affordable for you?

POST-EXPOSURE PROPHYLAXIS (PEP)

Is the price affordable for you?

HIV TESTING

Is the price affordable for you?

HIV CONFIRMATORY TESTING

Is the price affordable for you?

STI SCREENING/TESTING (EXAMPLE: SYPHILIS, HEPATITIS, HPV, CERVICAL CANCER)

List the STI screening or tests you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
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MEDICAL CONSULTATIONS (EXAMPLE: DOCTOR OR PROFESSIONAL FEES)

Is the price affordable for you?

MEDICAL CERTIFICATE RELATED SERVICES

What medical certificate-related service did you pay for? To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
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MEDICAL TESTS TAKEN TO IDENTIFY COMORBIDITIES

List the medical tests identifying comorbidities you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
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MEDICATIONS FOR COMORBIDITIES PRESENT (EXAMPLE: MEDICATIONS FOR HYPERTENSION, DIABETES, OTHER COMORBIDITIES)

List the medications for comorbidities you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
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OPPORTUNISTIC INFECTION MEDICATIONS (EXAMPLE: TB, CANDIDIASIS, COCCIDIOIDOMYCOSIS, PNEUMONIA, KAPOSI'S SARCOMA)

List the opportunistic infection medications you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
plus4 minus4

PROPHYLAXIS MEDICATION (EXAMPLE: AZITHROMYCIN, COTRIMOXAZOLE, ISONIAZID, OTHERS)

List the prophylaxis medication you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
plus4 minus4

ANTIRETROVIRALS OR PAYMENT FOR ANY SPECIFIC ANTIRETROVIRALS

List the specific antiretrovirals you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
plus4 minus4

ANY OTHER ARV-RELATED EXPENSES (EXAMPLE: COURIER FEE OF MEDICATIONS, STORAGE FEE)

List the ARV-related services you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
plus4 minus4

BASELINE & ROUTINE LABORATORIES (EXAMPLE: CD4, CBC, URINALYSIS, CHEST X-RAY)

Choose the baseline & routine laboratories you availed and paid for.
Is the price affordable for you?
Is the price affordable for you?
Is the price affordable for you?
Is the price affordable for you?
Is the price affordable for you?
Is the price affordable for you?

OTHER Baslenine and Routine Labs

List OTHER baseline & routine laboratories you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
plus4 minus4

OTHER RADIOLOGY AND IMAGING SERVICES FOR SPECIAL MONITORING PURPOSES

List the other radiology and imaging services you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
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FAMILY PLANNING SERVICES

List the family planning services you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
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PROSTATE EXAM

Is the price affordable for you?

OTHER TESTS AND SCREENING (EXAMPLE: COVID, HPV, HEPA, ETC)

List the tests or screenings you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
plus4 minus4

VACCINES (EXAMPLE: COVID, FLU, HPV, HEPA,  ETC)

Is the price affordable for you?
plus4 minus4

SURGICAL PROCEDURES

List the surgical procedures services you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
plus4 minus4

MENTAL HEALTH RELATED SERVICES (EXAMPLE: CONSULTATION, THERAPY, TREATMENT)

List mental health services you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
plus4 minus4

SPECIAL NUTRITION NEEDS

Is the price affordable for you?

EMERGENCY SHELTER

Is the price affordable for you?

HOLISTIC WELLNESS (EXAMPLE: SPIRITUAL SERVICES, YOGA, ENERGY HEALING, AROMATHERAPY, ACUPUNCTURE, TRADITIONAL MEDICINE, ETC)

List the holistic wellness services you availed and paid for. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
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STRESS MANAGEMENT SERVICES

Is the price affordable for you?

HEALTH INSURANCE

Is the price affordable for you?

OTHER CARE SERVICES

List the other care services you availed and paid for that were not covered in the previous questions. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
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OTHER EXPENSES

Did you have to travel to and from the facility or service provider when you accessed testing and/or treatment services within the past 6 months?

Transportation Expenses

List the transportation services you availed and paid for (Example: Jeepney, Bus, Taxi, Grab, Tricycle, etc). To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
plus4 minus4
Did you have other personal expenses related to access to testing and/or treatment services within the past 6 months? (Example: Test Kits, Meals, etc)

Other Personal Expenses

List all other personal expenses you had to pay for during your access to testing and/or treatment. To add an item, tap the (+) button. To remove an item, tap the (-) button.
Is the price affordable for you?
plus4 minus4

OTHER RELEVANT QUESTIONS, INCLUDING IMPACT OF OUT-OF-POCKET EXPENDITURES

Were you informed by your treatment hub that your treatment expenses can be charged against the PhilHealth Outpatient HIV/AIDS Treatment (OHAT) Package?
Did the treatment hub inform you how much they charge against the OHAT package based on the treatment services you accessed in the past 6 months?
Did you still have to pay for treatment services despite the OHAT budget?
Is this the first time you heard about OHAT?
Did you have to skip school to access the services you availed in the past 6 months?
Are you able to avail of paid leave benefits at work when you have to travel to service providers to access testing and/or treatment services?
Was your salary deducted when you could not access paid leave benefits during testing or treatment day?
This may apply to you if your employment status is “no work, no pay.”
Was your access to prevention or testing services within the past 6 months delayed because of the payments required by such services?
Did you have to skip accessing prevention or testing services within the past 6 months because of the payments required by such services?
Was your access to treatment or any treatment-related services within the past 6 months delayed because of the payments required by such services?
Did you have to skip accessing treatment or any treatment-related services within the past 6 months because of the payments required by such services?
Did you have to borrow or loan money to pay for all or either of the services you availed in the past 6 months?
In general, does paying for STI, HIV, and AIDS services impact your socioeconomic status?
0 of 200 max words

We appreciate your interest in answering this form. However, it seems that you have not availed of any STI, HIV, AIDS services, and/or well-being care in the past 6 months. 

That's okay! You can return to this form once you have availed of any of the services mentioned. Thank you very much.

Where did you find out about commusta.ph?

◘ Where did you find out about commusta.ph?
Multiple selection allowed. You can choose more than one option.
◘ Social media post
Multiple selection allowed. You can choose more than one option.
◘ Social media ad
Multiple selection allowed. You can choose more than one option.
Privacy Policy 

INTRODUCTION

Commusta.ph, through the management of TLF Share Collective Incorporated, respects right to privacy. Please read this policy carefully to understand how we collect, process, and use data.

The data collected at www.commusta.ph will be responsibly used for monitoring, research, and advocacy to improve the Philippines’ HIV and AIDS response.

During data collection, individuals are asked for consent in an appropriate custom regarding their information, as the right to privacy is observed whenever we collect data.

 

INFORMATION COLLECTION

We do not collect sensitive personal information unless you consent to provide it. The information we collect is limited to information that helps advocate better HIV service delivery, responsive HIV policies, appropriate and equitable HIV financing and investments, and eradication or reduction of violence, harassment, stigma & discrimination experienced by the PLHIV community, the key and affected, and vulnerable population.

We collect information using the following data collection tools:

 

A. The Exit Feedback Tool

This survey tool measures the quality of HIV service delivery provided by healthcare providers or facilities. Clients or patients who accessed or received STI, HIV, and AIDS services within the last seven (7) days share their experiences during access to these services.

The following personal information, with consent, is collected from individuals when they consented to provide them using the Exit Feedback Tool (EFT):

  1. Birthdate and Age
  2. Sex-assigned-at-birth
  3. Gender Identity
  4. HIV Sectoral or Key Affected and Vulnerable Population Identities
    • Persons living with HIV (PLHIV)
    • Men who have sex with men (MSM)
    • Persons who inject drugs (PWID)
    • Persons who use drugs (PWUD)
    • Transgender women (TGW)
    • Persons deprived of liberty (PDL)
    • Person in prostitution
    • Sex worker
    • Persons who pay for sex
    • Pregnant persons
    • Partners of PLHIV
    • Migrant worker
  1. Disability
  2. Contact information
    • Mobile number
    • Email address
  1. Sexual and reproductive health
  2. Name of visited healthcare facility to receive STI, HIV, and AIDS services

 

B. The Service Quality Tool

This is a comprehensive and in-depth survey tool on service quality meant to be answered by clients/patients who received HIV services within the past six (6) months.

The following personal information, with consent, is collected from individuals when they consented to provide them using the Service Quality Tool (SQT):

  1. Birthdate and Age
  2. Sex-assigned-at-birth
  3. Gender Identity
  4. HIV Sectoral or Key Affected and Vulnerable Population Identities
    • Persons living with HIV (PLHIV)
    • Men who have sex with men (MSM)
    • Persons who inject drugs (PWID)
    • Persons who use drugs (PWUD)
    • Transgender women (TGW)
    • Persons deprived of liberty (PDL)
    • Person in prostitution
    • Sex worker
    • Persons who pay for sex
    • Pregnant persons
    • Partners of PLHIV
    • Migrant worker
  1. Disability
  2. Contact information
    • Mobile number
    • Email address
  1. Sexual and reproductive health
  2. Name of visited healthcare facility to receive STI, HIV, and AIDS services

 

C. The Violence, Harassment, Stigma & Discrimination (VHSD) Tool

This survey tool documents PLHIV and KP’s experiences of violence, harassment, stigma, and discrimination in different settings, such as Healthcare Facilities, Workplaces or Employment, Educational or Learning Institutions, Government Agencies, Religious Facilities, General Communities or Public Spaces, Households, Family, or Intimate Relationships, during access to Justice, During Crises and Humanitarian Emergencies, Online Spaces, and other spaces. This also documents, among other things, the redress-seeking behavior of PLHIV KPs and the availability and accessibility of redress mechanisms.

The following personal information, with consent, is collected from individuals when they consented to provide them using the Violence, Harassment, Stigma & Discrimination (VHSD) Tool:

  1. Birthdate and Age
  2. Sex-assigned-at-birth
  3. Gender Identity
  4. HIV Sectoral or Key Affected and Vulnerable Population Identities
    • Persons living with HIV (PLHIV)
    • Men who have sex with men (MSM)
    • Persons who inject drugs (PWID)
    • Persons who use drugs (PWUD)
    • Transgender women (TGW)
    • Persons deprived of liberty (PDL)
    • Person in prostitution
    • Sex worker
    • Persons who pay for sex
    • Pregnant persons
    • Partners of PLHIV
    • Migrant worker
  1. Disability
  2. Contact information
    • Mobile number
    • Email address

 

D. The Out-of-Pocket Expense Tool (OPET)

This survey tool collects data on how much clients or patients spend when availing STI, HIV, and AIDS-related services and/or commodities. The data collected from this tool will also be used to study how HIV-related expenditures affect the clients’ or patients’ socioeconomic situation.

The following personal information, with consent, is collected from individuals when they consented to provide them using the Out-of-Pocket Expense Tool (OPET):

  1. Birthdate and Age
  2. Sex-assigned-at-birth
  3. Gender Identity
  4. HIV Sectoral or Key Affected and Vulnerable Population Identities
    • Persons living with HIV (PLHIV)
    • Men who have sex with men (MSM)
    • Persons who inject drugs (PWID)
    • Persons who use drugs (PWUD)
    • Transgender women (TGW)
    • Persons deprived of liberty (PDL)
    • Person in prostitution
    • Sex worker
    • Persons who pay for sex
    • Pregnant persons
    • Partners of PLHIV
    • Migrant worker
  1. Disability
  2. Contact information
    • Mobile number
    • Email address
  1. Geographical location
    • Home city
    • Home province
  1. Living situation
    • Living with family
    • Living with friends or community members
    • Living in shelter
    • Living alone
  1. Employment status
    • Permanently Employed (Full-time)
    • Permanently Employed (Part-time)
    • Temporarily Employed
    • Contract of Service or Contract Employment
    • Seasonally Employed
    • Freelancer or Independent Contractor
    • Self-employed
    • Unemployed
    • Not Applicable, still a student
  1. Monthly income bracket
    • Below PHP 10,957.00
    • PHP 10,957.00 to PHP 21,914.00
    • PHP 21,915.00 to PHP 43,828.00
    • PHP 43,829.00 to PHP 76,669.00
    • PHP 76,670.00 to PHP 131,484.00
    • PHP 131,485.00 to PHP 219,140.00
    • PHP 219,141.00 and above

 

E. The Financing or Investment Capture Tool (FCT)

This data collection tool documents allotted HIV budget and investment by the government and private organizations.

We may collect personal information using this tool, with consent, such as the key informant’s name and designation in a government office or private organization’s office giving information about their offices’ HIV financing and investments.

 

INFORMATION PROCESSING AND MANAGEMENT

All personal information collected through the commusta.ph is considered raw information in the context of data analysis. Raw information refers to unprocessed or unstructured data that has been collected and has yet to undergo any form of transformation or analysis. For example, the dataset birthdate and sex-assigned-at-birth obtained through the Exit Feedback Tool are considered raw information. Access to collected raw information is exclusive to TLF Share’s data management team only.

TLF Share conducts regular and routine data processing and analysis, which refers to systematic procedures for transforming raw data and packaging them into meaningful information, insights, and actionable outcomes.

 

USE OF INFORMATION

All individual information that undergoes processing and analysis is packaged into aggregated data, reports, and presentations. Aggregated data refers to information that has been summarized or combined from individual-level data points into a more concise and simplified form.

Examples of aggregated data include:

  • Total number of MSM who visited healthcare facilities for their sexual and reproductive health needs
  • Total number of intersex people accessing HIV services
  • Total number of young adults living with HIV
  • Total number of ARV stockouts in a month
  • Average monthly income among PLHIV
  • Average amount of paid HIV services in a year

STORAGE, SECURITY, RETENTION, AND DESTRUCTION

TLF Share adopts and executes reasonable technical approaches and measures to safeguard the collected personal information from unethical and illegal processing, modification, disclosure, and/or destruction.

However, please note that no method of information systems security and technique is completely secure. Transmission of data over the Internet or information stored on servers that are accessible online is not 100% safe and secure. While we try our best to safeguard any collected personal data, we cannot guarantee its absolute security.

Collected personal information shall be retained only for the period necessary to serve the purpose of its collection or as required under any contract, by applicable law, or policy issuance. Thereafter, personal information shall be disposed of securely to prevent further processing, unauthorized access, or disclosure to other parties.

AMENDMENT OR CHANGES TO THIS POLICY

TLF Share reserves the right to amend this Privacy Policy at any time to comply with applicable laws and regulations, and to reflect the objectives of commusta.ph’s operations and environment. Please periodically review this Policy on our website for the latest information.

CONTACT DETAILS

You may contact our Data Privacy Officer through the contact details provided below for queries, clarifications, and/or complaints regarding how we process personal information.

Data Privacy Officer
HIV Community-Led Monitoring System (CLMS) | www.commusta.ph
TLF Share Collective Incorporated
Email: tlfmanila@gmail.com and clmsystem.tlfshare@gmail.com

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