Thailand

Stop TB and AIDS through RTTR (STAR): Program Report

The program goal is to end AIDS in Thailand by 2030 (reducing annual new infections to below 1,000 cases (from the current 8,134 estimated new infections annually)) and to reduce the prevalence of TB from 159 per 100,000 to 120 per 100,000 between 2015 and 2019. From 1 October 2016 to 30 September 2017, the program performed outstandingly over the target in three indicators of MSW, FSW and MW reached with HIV prevention program. The percentage of result over target reported at 115.58%, 120.40%, and 119.83% consecutively. Overachieving results of these indicators described as following:

i) For MSW, the program could exceed the reach target because SRs conducting BCC workshop in
bar. At the workshop, SR introduced knowledge and information of HIV prevention including HIV,
VCCT, STIs, TB, PrEP, and PEP. Condom and lubricant were made available for MSWs. SR MPLUS
targeted non-venue based MSW who work around the public park in Chiang Mai. The online
application was also used as a channel to reach non venue-based MSWs. The SRs conducted
face-to-face individual talk for the online-reached MSWs. HIV Testing Center (HTC) operated by
SRs could offer additional service of syphilis testing to MSWs.

ii) For FSW, the outstanding performance of resulting from the high season for tourism in Thailand.
SR SWING engaged with employers and organized outreach session in bar before FSWs started
working. The SR reached out to new FSW area in Surawong.

iii) For MW, SRs reached performance were access the target resulting from combination HIV-TB
service provided to migrants in community and at workplace. SR STM started engaging
employers of FSWs at the border of Songkhla. [20 pages] Read More...

Improving Harm Reduction Program in Thailand: An Assessment of the STOP TB and AIDS Through RRTTR (STAR) Program

Thailand continues to experience significant health and social challenges associated with illicit drug use, including injection drug use. Rates of infectious diseases among people who inject drugs (PWID) in Thailand remain high, and access to evidence-based addiction treatments remain low. This is due in part to Thailand’s continued emphasis on drug law enforcement, and the adverse impacts such emphasis has on the delivery of essential healthcare to people who use drugs. At this time, Thailand is also experiencing a growth in non-injection amphetaminetype substance (ATS) use, which has created new challenges. [38 pages] Read More...

Assessment to improve the Harm Reduction Program

Since 2015, Raks Thai Foundation is the PR under the NFM. Under their Stop TB and AIDS through RRTTR (STAR) Programme, the Harm Reduction program is active in 12 provinces, providing 14 dropin centers (DICs), outreach activities, distribution of needles and syringes, information packages and condoms, referral to HIV and STI testing and treatment and other health services and referrals to Methadone maintenance treatment for PWIDs. The service providers are RTF with two DICs, O-Zone with 8 DICs, and Thai Drug Users Network (TDN) with 4 DICs. NSP is only available in the DICs and through outreach of these centers; the number of NSP has been reduced due to the close down of DICs and the termination of partnerships with local pharmacies under the NFM. The number of needles distributed per person per year is 144. According to program data from RTF, the Harm Reduction program is reaching about 7,000-9,000 PWID per year in the 12 provinces or around 16-20% of the national estimate of PWID in need of Harm Reduction services. [29 pages] Read More...

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