Thailand experienced a generalized human immunodeficiency virus (HIV) epidemic during the 1990s. HIV prevalence among pregnant women was 2.0% and mother-to-child transmission (MTCT) rate >20% (1-3). In June 2016, became first country in Asia to validate elimination of MTCT by meeting World Health Organization (WHO) targets. Because Thailand's experience implementing successful prevention program might be instructive for other countries, interventions, outcomes, factors that contributed...

Summary: We assessed willingness to participate in an HIV recombinant gpl20 bivalent subtypes B/E candidate vaccine efficacy trial among 193 injection drug users (IDUs) attending treatment clinics Bangkok, Thailand. IDUs previously enrolled a prospective cohort study were invited group sessions describing potential trial, then completed questionnaires assessing comprehension and participate. A week later, they follow-up questionnaire that again participate, as well barriers positive motives...

To characterize the clinical spectrum of disease and immune status adult HIV-1-infected patients in Bangkok.Cross-sectional survey hospital admissions.From November 1993 through June 1996, demographic, clinical, laboratory data were collected from HIV-infected inpatients (> or =14 years old) at an infectious diseases hospital.Of 16,717 persons admitted, 3112 (18.6%) HIV-seropositive, 2261 whom admitted for first time. Of 2261, 1926 (85.2%) male, 1942 (85.9%) had been infected heterosexually...

Couples HIV testing and counseling (CHTC) at antenatal care (ANC) settings allows pregnant women to learn the status of themselves their partners. can make decisions together prevent transmission. In Thailand, men were tested ANC only if partners positive. A CHTC program based in was developed implemented 16 pilot hospitals 7 provinces during 2009–2010. Cross-sectional data collected using standard collection forms from all accompanying who presented first visit hospitals. for analyzed...

Two HIV-1 envelope subtypes have accounted for virtually all infections in Thailand: subtype B' (Thai B), found mainly injection drug users (IDU), and E, over 90% of sexually infected persons an increasing proportion IDU recent years. It remains unclear whether there are differences pathogenesis associated with these subtypes.From November 1993 to June 1996, demographic, risk, clinical, laboratory data were collected by enhanced surveillance from HIV-infected inpatients (> or =14 years) at...

Each year in Thailand, about 10,000 children are born at risk for mother-to-child human immunodeficiency virus (HIV) transmission. In 2000, Thailand implemented a national program to prevent HIV transmission.To describe the results of implementation program.Monthly collection summary data from hospitals.Public health hospitals (n = 822) all 12 regions representing 75 provinces, excluding Bangkok.Women giving birth October 2000 through September 2001, including HIV-seropositive women and...

More than 30% of perinatally HIV-infected children in Thailand are 12 years and older. As these youth become sexually active, there is a risk that they will transmit HIV to their partners. Data on the knowledge, attitudes, practices (KAP) limited. Therefore, we assessed KAP reporting sexual behaviors receiving care at two tertiary hospitals Bangkok, living an orphanage Lopburi, Thailand. From October 2010 July 2011, 197 completed audio computer-assisted self-interview assess regarding...

In 2000, Thailand implemented a national program to prevent mother-to-child HIV transmission (PMTCT).To describe the effectiveness of prevention in Thailand.A register HIV-exposed children at birth was created with follow-up infection status. The included born HIV-infected women between 1 January 2001 and 31 December 2003 84 public health hospitals six provinces Thailand. main outcome measure children.A total 2200 mothers were registered. Of these mother-infant pairs, 2105 (95.7%) received...

A provider-assisted, counselling-based, paediatric HIV disclosure model was developed and implemented at two tertiary-care hospitals in Bangkok, Thailand. All undisclosed perinatally acquired HIV-infected children, aged 7–18 years, their caretakers were offered the four-step service, including: screening, readiness assessments preparation, sessions, follow-up evaluations. To assess psychosocial outcomes of disclosure, we compared scores Children Depression Inventory PedsQL 4.0™ baseline...

We developed an intervention program for HIV-infected Thai adolescents with two group sessions and individual sessions, focusing on four strategies: health knowledge, coping skills, sexual risk reduction, life goals. An audio computer-assisted self-interview (ACASI) was administered to assess attitudes, practices (KAP) regarding antiretroviral therapy management, reproductive health, HIV-associated behavior. The implemented in HIV clinics; 165 (84%) (intervention group) participated the...

Thailand's HIV epidemic is heavily concentrated among men who have sex with (MSM), and surveillance efforts are mostly based on case local biobehavioral surveys.

Early infant diagnosis (EID) has been a component of Thailand's prevention mother-to-child HIV transmission (PMTCT) programme since 2007. This study assessed the uptake, EID coverage, proportion HIV-exposed infants receiving definitive diagnosis, (MTCT) rates and linkage to care treatment.Infant polymerase chain reaction (PCR) testing data from National AIDS Program database were analyzed. coverage was calculated as percentage number ≥ 1 PCR test divided by estimated prevalence live-birth...

While disclosure of HIV status to perinatally HIV-infected children has become an increasingly important clinical issue, specific guidelines are lacking. We developed a pediatric diagnosis model support caretakers. All greater than 7-years-old at two participating hospitals in Bangkok, Thailand, and their caretakers, were offered according the 4-step protocol: (1) screening; (2) readiness assessment; (3) disclosure; (4) follow-up. Disclosure occurred after agreement both providers Among 438...

Introduction Most paediatric antiretroviral treatments (ARTs) in Thailand are limited to tertiary care hospitals. To decentralize HIV treatment and care, Chiangrai Prachanukroh Hospital (CRH) strengthened a provincial network by training community hospital (CH) teams receive referrals of children for follow‐up. In this study, we assessed factors associated with death clinical outcomes HIV‐infected who received at CRH CHs after implementation community‐based network. Methods Clinical records...

<sec> <title>BACKGROUND</title> Background: Respondent-driven sampling (RDS) is the current standard for key populations at risk HIV infections but usually limited to local implementation in single towns or cities. Web-based eliminates this spatial constraint often relies on self-selected convenience samples. We piloted an online RDS survey with biomarker collection among men who have sex (MSM) Thailand. </sec> <title>OBJECTIVE</title> Objective: To study feasibility of using a largely...

Summary To determine factors associated with caretaker’s readiness to disclose an HIV diagnosis their child, a prospective study was conducted among caretakers of HIV-infected children aged seven 16 years who were receiving care at two paediatric treatment centres in Bangkok. Caretakers offered preparation counselling and perceptions on disclosure assessed using semi-structured questionnaire. Among had participated the process for least one year, 71% (195/273) ready disclosure. Using...

Identifying psychosocial needs of perinatally HIV-infected (pHIV) youth is a key step in ensuring good mental health care. We report pHIV identified using the “Youth Counseling Needs Survey” (YCS) and during individual counseling (IC) sessions. receiving care at two tertiary-care hospitals Bangkok or an orphanage Lopburi province were invited to participate IC The youths’ assessed instructive sessions four main areas: general health, reproductive mood, concerns. Prior session asked complete...

<sec> <title>BACKGROUND</title> A recent infection testing algorithm (RITA) incorporating case surveillance (CS) with the rapid test for HIV (RTRI) was integrated into services in Thailand. </sec> <title>OBJECTIVE</title> To describe establishment of and report lessons learned initial outcomes from April through August 2022 <title>METHODS</title> We conducted desk reviews, developed a protocol manual, selected sites, trained staff, implemented surveillance, analyzed outcomes. Remnant blood...

Abstract Background Respondent-driven sampling (RDS) is the current standard for key populations at risk HIV infections but usually limited to local implementation in single towns or cities. Web-based eliminates this spatial constraint often relies on self-selected convenience samples. We piloted a web-based RDS survey with biomarker collection among men who have sex (MSM) Thailand. Objective This study aimed evaluate and demonstrate feasibility of implementing as routine surveillance system...

Abstract Background A recent infection testing algorithm (RITA) incorporating case surveillance (CS) with the rapid test for HIV (RTRI) was integrated into services in Thailand as a small-scale pilot project October 2020. Objective We aimed to describe lessons learned and initial outcomes obtained after establishment of nationwide from April through August 2022. Methods conducted desk reviews, developed protocol manual, selected sites, trained staff, implemented surveillance, analyzed...

Background An electronic medical record (EMR) has the potential to improve completeness and reporting of notifiable diseases. We developed assessed validity an HIV case detection algorithm deployed final in a national automated system Thailand. Methods The algorithms leveraged combination standard laboratory codes, prescriptions International Classification Diseases, 10th Revision diagnostic codes identify cases. initial was applied EMR from 2014 June 2020 HIV-infected subjects build...