Study period: October 1, 2014–September 30, 2017
Thailand aims to end its AIDS epidemic by 2030 by increasing HIV testing rates to 90% among members of key populations and providing all HIV-positive individuals with antiretroviral therapy, regardless of their CD4 count. Current estimates project that between 2012 and 2016, approximately 40% of new HIV diagnoses in Thailand will be among MSM; however, only 29% of Thai MSM report getting tested for HIV annually, meaning that many MSM living with HIV do not know their status. Thailand urgently needs innovative strategies to engage and retain these ‘hard-to-reach’ MSM in HIV testing and care. In this prospective study, 571 Thai MSM were recruited either online or offline HIV pre-test counseling. Participants who tested positive were then referred to HIV treatment programs. Working in collaboration with Adam’s Love, a web-based health platform for GMT individuals, and two community-based organizations, Service Workers in Group (SWING) Foundation and The Rainbow Sky Association of Thailand (RSAT), the team will compare the effectiveness of online services and support interventions with traditional clinic-based HIV services and a hybrid model that combines elements of both strategies. The study aims to show how innovative technologies such as GMT-targeted websites using online counseling and support can be utilized to increase rates of HIV testing and referrals to prevention and treatment programs.
The study enrolled 571 MSM and TGW participants into one of the three self-selected groups. Group A: Those who received conventional offline HIV counseling and testing at the community-based clinics Group B1: Those who received online HIV pre-test counseling and offline HIV testing at Adam’s Love Offline Clinic (hybrid model) Group B2: Those who received online pre-test counseling, online supervised self-testing and post-test counseling by community health workers (CHWs)
The online, supervised, HIV self-testing and counseling provided by CHWs revealed high proportion of MSM and TGW who are first-time HIV testers and high HIV-positive yield, 47.3% and 15.9% respectively. The study signifies the needs of innovating interventions and service delivery models to reach high-risk and hard-to-reach MSM and TGW.
In Thailand, KPs still face severe stigma and discrimination which often leaves them inadequate at every stage of HV continuum of prevention, care and treatment. For this reason, Key Population-Led Health Services (KPLHS) model becomes indispensable for providing such services. PREVENTION saw the id
In community-based settings, PrEP service was integrated into Community-led Test & Treat study at RSAT Bangkok, SWING Bangkok and Pattaya, SISTERS. The two public health facilities include Lerdsin Hospital and Thammasat Hospital.
Two new rapid HIV tests by Alere™ have the potential to substantially decrease the window period for rapid tests. The Alere™ HIV Combo or a rapid fourth generation test, has recently been assessed at the Thai Red Cross Anonymous Clinic Laboratory in Bangkok, Thailand. Of 50 confirmed acute HIV sampl
This five-year study’s goal is to develop proper long-term management guidelines for people living with HIV (PLHIV) in Thailand targeted at preventable conditions such as metabolic disease and certain cancers. The information obtained from this study
This study will investigate preferences for HIV care among participants enrolled in the ‘Study to evaluate the feasibility of Community-based Test and Treat strategies among men who have sex with men and transgender women to increase the uptake of HI