Thailand’s HIV/AIDS program after weaning-off the global fund’s support

• DOI: 10.1186/1471-2458-13-1008
• Publication Date: 2013-10-25T11:13:26Z
• Authors: Walaiporn Patchar...; Noppakun Thammata...; Suwat Kittidilokkul; Thitikorn Topothai; Chompoonut Thaich...; Rapeepong Suphanc...; Nakorn Premsri; Viroj Tangcharoen...
• Keywords: Biostatistics

Though 85% of financing HIV/AIDS program was domestic resources, Global Fund (GF) programs played a significant role in prevention interventions and treatment for non-Thai Key Affected Populations (KAP) migrants. As upper-middle income country, Thailand is not eligible GF support. This study identified the remaining challenges funding Thai KAP migrants if supports were to curtail.Qualitative method applied including document review in-depth interviews 21 key informants who Principal Recipients, Sub-recipients, provincial level implementers policy makers health agencies. A multi-stakeholder consultation workshop convened discuss recommendations.The "public financed public services model" where Agents same entities resulted less accountability than "contractual agreement" as more accountable through results based financing. If curtail, impacts on current would be varied from low high degree negative consequences. Scale down scope targets, while keeping most critical components common coping mechanisms. All three, except one, Recipients had difficulties fund mobilization. Prevention among challenge.A pooled mechanism multiple sources proposed. Replacing conventional public-financed-public-service by contractual model preferable. The should continue migrant transition mechanism. Multi-countries or regional especially at border areas priorities.