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. In collaboration with FHI 360’s LINKAGES program and funding support from United States Agency for International Development (USAID) under the US President’s Emergency Plan for AIDS Relief (PEPFAR), PREVENTION saw the ideal opportunity to complement national efforts to evaluate the feasibility of implementing Test & Treat strategy in the non-traditional settings such as drop-in centers run by community health workers.
Starting in May 2015, this prospective observational cohort study has enrolled up to 2,705 Thai MSM and TGW from Rainbow Sky Association of Thailand (RSAT) in Bangkok and Songkhla, Service Workers in Group Foundation (SWING) in Bangkok and Chonburi, Sisters Foundation in Chonburi, Caremat and Mplus in Chiang Mai. All participants received HIV testing at baseline and were followed up to 18 – 24 months.
Initial findings include:
The study has demonstrated early diagnosis and early initiation of ART. The early diagnosis results in higher median CD4 counts of 366 cells/mm 3 than national median CD4 counts of 313 cells/mm 3 . The median (IQR) time from HIV diagnosis to ART initiation is 15 (8-22) days. More importantly, KPLHS has shown as a promising strategy to identify high-risk individuals with high seroconversion rate.
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
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 th