He said that while he had not seen important collaboration between key partners in response to other diseases, collaboration was a hallmark of the HIV response. Thailand has already achieved the first With the new plan, the government commits to supporting combination prevention programmes for key populations and working in partnership with community-led organizations to reach people at higher risk in the locations where they live and work.
The strategy gets to the subnational level, tailoring programmes to specific populations in specific locations. It also plans to increase the integration of HIV health services with hepatitis C, tuberculosis and other infectious diseases. I also would like to emphasize that strong partnerships between the government, civil society, the private sector and development partners will ensure that Thailand becomes the first country in Asia to end the AIDS epidemic.
HIV/AIDS in Thailand - Wikipedia
Thailand has made great strides in reducing its mother-to-child-transmission MTCT rate. Harm reduction services for people who inject drugs, such as needle and syringe programmes NSPs , are available in Thailand, although they are limited. On average, a person who injects drugs in Thailand received just 14 clean needles and syringes per year in A reduction in the number of NSPs in Thailand began in ; two years later 24 out of 38 sites had shut. This was due to a sudden termination of a partnership with local pharmacists due to reduced funding.
In order to increase access, O-zone, a Thai non-governmental organisation, has been implementing a peer-led, community-based methadone delivery service in the mountain village of Santikhiri in Chiang Rai province, where peer outreach workers operate methadone delivery at a drop-in centre with supervision from Mae Chan Hospital. Initiated in , the initiative attracted media attention and support from government agencies and has since been replicated in Huay Pung in Chiang Rai province.
It began to be piloted in Thailand in By , PrEP pilots were operating at five sites for men who have sex with men and transgender women. Between 4, and 4, people in Thailand were using PrEP as of , with this number expected to rise to between 7, and 7, by the end of As use of antiretroviral treatment in Thailand increases, so does the potential for transmission of drug-resistant HIV. In a study of people, mainly men who have sex with men, an overall HIV drug resistance prevalence of 9. Authorities have frequently used this order to detain and charge peaceful protesters.
The Thai authorities have created a fearful environment where people cannot speak or assemble peacefully without risking arrest and prosecution.
Particularly crucial has been their support for the production of generic antiretrovirals ARVs and their representation of particularly marginalised key population groups. For instance, CSO-driven projects have made up almost the entire response to HIV among people who use and inject drugs and provided critical leadership in moving the advocacy agenda forward. Law enforcement can act as an obstacle to HIV treatment and prevention; Thailand is one of several Asian countries that have programmes in place to prevent this.
Despite improved laws and policies to protect people living with HIV, research shows that undocumented migrants face stigma and discrimination from healthcare workers and employers. This is one of the main barriers they face when accessing treatment. Factors preventing people who inject drugs from accessing services include misconceptions such as the distribution of needles promoting drug addiction.
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Despite same sex activity long being legal in Thailand, and the passing of the Gender Equality Act in to quell discrimination against lesbian, gay, bisexual, transgender people and men who have sex with men, 92 , homophobia can still prevent people from accessing HIV services. A study of men who have sex with men and transgender women aged found HIV-related stigma acted as a barrier to accessing testing, prevention and treatment services. Poverty continues to be a huge challenge, particularly among the half of the population of a total of Funding from international donors continues to fall.
In contrast, only 3. Although the general political consensus appears to be that the Thai government will honour its responsibility to fully support key populations, debates within government ministries are occurring as to whether or not the domestic budget should be used to support key populations from migrant communities.
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Although Thailand made enormous progress with HIV prevention in the s, the rate of decline in HIV prevalence has slowed down in recent years. Access to prevention services and behaviour change communication has not been enough to significantly reduce the rate of new infections, particularly among men who have sex with men. But to be in with a real chance of ending AIDS by , Thailand will also need to give significant focus to new and innovative intersectional strategies to reach both young people and key affected populations, particularly men who have sex with men and those from migrant communities.
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HIV/AIDS in Thailand
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Please help to ensure that disputed statements are reliably sourced. Archived from the original on 26 November Retrieved 17 June Representations in fiction and narrative non-fiction" PDF. Journal of International Women's Studies. Retrieved 21 March Pakistan has one of Asia's highest HIV prevalence rates". Male homosexuality in Thailand: Global Academic Publishers, Accessed August 25, This article incorporates text from this source, which is in the public domain.
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