Abstract
Thailand has been praised as an example of achievement in fighting against HIV/AIDS within developing countries. The HIV incidence is now ten times lower compared to the peak level during early 1990s. Its successful programs include 100 % condoms campaign among female sex workers (FSWs), prevention of mother to child HIV transmission (PMTCT), and scaling up of highly active antiretroviral treatment program. While these interventions have averted 6 million HIV infections, the country still faces difficulty controlling spreading of HIV among key populations. Thailand has played major roles in seeking new effective HIV prevention strategies by taking part in significant international multicenter biomedical HIV trials including Preexposure Prophylaxis (PrEP), Treatment as Prevention (TasP), and rectal microbicides. To cope with the challenging situation, collective efforts on how to translate these new HIV prevention strategies into public health practices are underway. Thailand is implementing a demonstration project on the Test and Treat strategy among men who have sex with men. The plan for pilot project on PrEP among high-risk populations is now being discussed. The importance of HIV voluntary counseling and testing is also recognized as an entry point for high-risk HIV-negative persons into a PrEP program and for HIV-positive persons in early stage of HIV disease into a TasP program. As there is no “magic bullet” for HIV prevention; comprehensive HIV prevention programs tailored for specific key populations are needed for the country.
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References
AVERTing HIV and AIDS. HIV and AIDS in Asia [Internet]. United Kingdom: AVERTing HIV and AIDS. 2013. http://www.avert.org/aids-asia.html. Accessed 26 Sept 2012.
National AIDS Committee Thailand. Thailand global AIDS response progress report [Internet]. 2012. http://www.aidsdatahub.org/dmdocuments/UNGASS_2012_Thailand_Narrative_Report.pdf. Accessed 26 Sept 2012.
National Consultation on the Strategic Use of ARVs. Report on National Consultation on the Strategic Use of ARVs, 9–10 August 2012, Bangkok, Thailand. Nontaburi: Ministry of Public Health; 2012. Figure 4: Baseline scenario for HIV in Thailand; p. 15.
Chasombat S, Lertpiriyasuwat C, Thanprasertsuk S, et al. The National Access to Antiretroviral Program for PHA (NAPHA) in Thailand. Southeast Asian J Trop Med Public Health. 2006 Jul;37(4):704–15.
AVERTing HIV and AIDS. HIV & AIDS in Thailand [Internet]. United Kingdom: AVERTing HIV and AIDS. 2013. http://www.avert.org/thailand-aids-hiv.html. Accessed 26 Sept 2012.
UNAIDS. World AIDS day Report 2011. Geneva: UNAIDS; 2011.
WHO. Regional health sector strategy on HIV, 2011–2015. New Delhi: WHO, Regional Office for South-East Asia; 2012.
Nontaburi: Ministry of Public Health. 2007. http://www.gfaidsboe.com/Downloads/book/2554/IBBS_MSM_2553_Mar%202011.pdf Thai. Accessed 26 Sept 2012.
Committee NAIDS. 2012 Thailand AIDS response progress report: Status at a glance. Nontaburi: National AIDS Management Center; 2012.
The fight against AIDS in Thailand [Internet]. China: China Central Television. 2012. http://english.cntv.cn/program/asiatoday/20120724/100108.shtml. Accessed 26 Sept 2012.
UNAIDS. HIV prevention needs and successes: a tale of three countries—an update on HIV prevention success in Senegal, Thailand and Uganda. Geneva: UNAIDS; 2001.
Chaikhuangaew S, Radchadamat P, Saimee A, Wanna A. AIDS counselling service clients at Eungpung Clinic, Chiang Mai. J Health Sci. 1996;5(2):173–9.
Tantipiwatanaskul P. Country watch: Thailand. Sex Health Exch. 1999(3):9–10.
Dwyer JM, Mahathir M, Nath LM. Challenge and response: HIV in Asia and the Pacific. Med J Aust. 1996 Nov 4;165(9):489–93.
Rojanapithayakorn W, Hanenberg R. The 100 % condom program in Thailand. AIDS. 1996 Jan;10(1):1–7.
Celentano DD, Nelson KE, Lyles CM, et al. Decreasing incidence of HIV and sexually transmitted diseases in young Thai men: evidence for success of the HIV/AIDS control and prevention program. AIDS. 1998 Mar 26;12(5):F29–36.
Thisyakorn U, Khongphatthanayothin M, Sirivichayakul S, et al. Thai Red Cross zidovudine donation program to prevent vertical transmission of HIV: the effect of the modified ACTG 076 regimen. AIDS. 2000 Dec 22;14(18):2921–7.
Shaffer N, Chuachoowong R, Mock PA, et al. Short-course zidovudine for perinatal HIV-1 transmission in Bangkok, Thailand: a randomised controlled trial. Bangkok Collaborative Perinatal HIV Transmission Study Group. Lancet. 1999 Mar 6;353(9155):773–80.
Kanshana S, Simonds RJ. National program for preventing mother-child HIV transmission in Thailand: successful implementation and lessons learned. AIDS. 2002 May 3;16(7):953–9.
Phanuphak N, Lolekha R, Chokephaibulkit K et al. Thai national guidelines for the prevention of motherto-child transmission of HIV: March 2010. Asian Biomed. 2010;4(4):529–40.
Cohen MS, Chen YQ, McCauley M, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011 Aug 11;365(6):493–505.
Srithanaviboonchai K, Leusaree T, Lo YR, et al. Preparation for the Implementation of Thailand’s First Program on Access to Free HAART: An Experience from Northern Thailand [Internet]. Oral Abstract: The XIV International AIDS Conference: Abstract no. TuOrG1246. Geneva: International AIDS Society. 2013. http://www.iasociety.org/Abstracts/A2881.aspx. Accessed 7 Nov 2012.
Prevention NAIDS, Committee A. UNGASS country progress report Thailand—reporting period January 2008–December 2009. Nontaburi: National AIDS Prevention and Alleviation Committee; 2010.
Grant RM, Lama JR, Anderson PL, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010 Dec 30;363(27):2587–99.
Choopanya K, Martin M, Suntharasamai P, Sangkum U, Mock P, Leethochawalit M, et al. Antiretroviral prophylaxis for HIV infection in injecting drug users in Bangkok, Thailand (the Bangkok Tenofovir Study): a randomised, double-blind, placebo-controlled phase 3 trial. Lancet. 2013;381(9883):2083–90. http://dx.doi.org/10.1016/ S0140–6736(13)61127–7. Accessed 13 June 2013
Likhitwonnawut U, Sirinrund P, Miller L, Suwannapattana N, Nacapew S, editors. Pre-exposure Prophylaxis (PrEP) in Thailand: report of the stakeholder meeting. Nonthaburi: Ministry of Public Health; 2010.
Thigpen MC, Kebaabetswe PM, Paxton LA, et al. Antiretroviral preexposure prophylaxis for heterosexual HIV transmission in Botswana. N Engl J Med. 2012 Aug 2;367(5):423–34.
Baeten JM, Donnell D, Ndase P, et al. Antiretroviral prophylaxis for HIV prevention in heterosexual men and women. N Engl J Med. 2012 Aug 2;367(5):399–410.
Yang D, Chariyalertsak C, Wongthanee A, et al. Acceptability of HIV pre-exposure prophylaxis (PrEP) with Truvada among men who have sex with men (MSM) and male-to-female transgender persons (TG) in northern Thailand [Internet]. Oral abstract at 19th International AIDS Conference: Abstract no. TUAC0303 Geneva: International AIDS Society. 2013. http://iset.aids2010.org/Abstracts/A200744180.aspx. Accessed 26 Sept 2012.
National Consultation on the Strategic Use of ARVs. Report on the National Consultation on the Strategic Use of ARVs—Thailand. 9 and 10 August 2012 [Internet]. Nontaburi: Ministry of Public Health. 2012. www.aidsstithai.org/contents/download/221. Accessed 26 Sept 2012.
Thailand National Working Group on HIV Counseling and Testing. Minutes from the National Working Group on HIV Counseling and Testing Meeting, 5 October 2012, Bangkok, Thailand. Bangkok: Thailand National Working Group on HIV Counseling and Testing; 2012.
Sweat M, Morin S, Celentano D, et al. Community-based intervention to increase HIV testing and case detection in people aged 16–32 years in Tanzania, Zimbabwe, and Thailand (NIMH Project Accept, HPTN 043): a randomised study. Lancet Infect Dis. 2011 Jul;11(7):525–32.
Lugada E, Millar D, Haskew J, et al. Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya. PLoS One. 2010;5(8):e12435.
Phanuphak N, Pattanachaiwit S, Pankam T, et al. Active voluntary counseling and testing with integrated CD4 count service can enhance early HIV testing and early CD4 count measurement: experiences from the Thai Red Cross Anonymous Clinic in Bangkok, Thailand. J Acquir Immune Defic Syndr. 2011 Mar 1;56(3):244–52.
Sungkanuparph S, Techasathit W, Utaipiboon C et al. Thai national guidelines for antiretroviral therapy in HIV-1 infected adults and adolescents 2010. Asian Biomed. 2010;4(4):515–28.
Thailand National Working Group on HIV Treatment and Care. Minutes from the National Working Group on HIV Treatment and Care Meeting, 2 October 2012, Bangkok, Thailand. Bangkok: Thailand National Working Group on HIV Treatment and Care; 2012.
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Chariyalertsak, S., Srithanaviboonchai, K., Phanuphak, N. (2014). Implementing Biomedical HIV Prevention Advances in Thailand. In: Eaton, L., Kalichman, S. (eds) Biomedical Advances in HIV Prevention. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8845-3_11
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