The Hiv / Aids Epidemic Essay

The Hiv / Aids Epidemic Essay

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Since the first occurrence of the world wide HIV/AIDS epidemic in South East Asia, Thailand has been a leader within the region in addressing HIV on a large scale, preventative level. In 1990, the 100% condom campaign targeting condom use in the sex work industry. Although sex work is and always has been illegal in Thailand, it is something that is tolerated by the Thai government. Although this means there is an increase in high risk behavior, it has made outreach to these populations easier, as they are not targeted for prosecution. Beginning in 1990 by Thailand’s top Public Health official Wiwat Rojanapithayakorn, the campaign was started to fight Thailand’s rapidly growing HIV and AIDS burden. In 1990, there were 100,000 cases of HIV reported in Thailand. This jumped to over 1 million cases in 1993, and 97% of them were linked to the sex work industry. Rojanapithayakorn was able to convince the Thai government to work with the sex industry, rather than against them, to promote condom use. A “no condom, no sex” policy was instituted, and brothels who did not comply were swiftly shut down. This program initially started in the Ratchaburi province, but was extended to the rest of the country after high success rates. Within three years of the program being extended to a national level, condom use in sex workers increased from around 25%, to over 90%. Due to the condom campaign, the new infection rate dropped from 143,000 per year to less than 14,000 annually. This program was so successful that neighboring countries, including Vietnam, Cambodia, and Lao PDR, soon adopted similar programs. However, due to political turmoil starting with the first Shinawatra Coup d’tat in 1997, the program lost its stable funding, and ...


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...nt years, abolishing the rules limiting ARV treatment to only those with a certain CD4 count. Now, all patients diagnosed with HIV are eligible for ARV drugs. Although it is Thailand’s eventual goal to extend ARV treatment to 90% of the population, new treatment guidelines have increased the number of people qualified for ARV treatment. Even though this goal could ultimately not be reached, this does not negate Thailand’s success in treatment outreach. The reason that Thailand has been so successful with their health plan with HIV patients is because the treatment is integrated within their broader health plan. This has incentivized more people to seek treatment, as they are not facing the stigma of having to seek specific treatment. Additionally, the expansion of free healthcare services has cut Thailand’s dependency on International HIV and AIDS funding.




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The Hiv / Aids Epidemic Essay

- Since the first occurrence of the world wide HIV/AIDS epidemic in South East Asia, Thailand has been a leader within the region in addressing HIV on a large scale, preventative level. In 1990, the 100% condom campaign targeting condom use in the sex work industry. Although sex work is and always has been illegal in Thailand, it is something that is tolerated by the Thai government. Although this means there is an increase in high risk behavior, it has made outreach to these populations easier, as they are not targeted for prosecution....   [tags: AIDS, HIV, Antiretroviral drug, Condom]

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