"We're finding creative and cost-effective ways to get MSM and transgenders into testing, treatment and care," explained Andrew Boner, PSI Thailand country representative and CAP-3D chief of party. "Through groups like PSI we are involved with building the capacity of lots of local groups," said Thwin.
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Population Services International (PSI) manages the CAP-3D project, which runs from 2011 to 2016. "Key populations at risk of HIV are not necessarily reached by the public health system and you need community-based groups to reach them," said Aye Aye Thwin, director of the Office of Pubic Health at USAid's regional development mission to Asia in Bangkok. The project also covers tuberculosis and malaria in Burma but $30m of the total is for HIV programmes in Burma, China, Laos and Thailand. Our project flips that around so the big bubble is care and support and testing and prevention is the smaller."įunding for the Good Life Project is provided through the USAid's US$36m CAP-3D project. "The normal model is a big bubble of testing and prevention, and within that a smaller bubble of care and support. "We go out and talk to gay men at clinics and we guarantee support for the first three to six months. They are treated so badly that it's simply not worth engaging with," explained Berry. "What we've found when we talked to MSM is that they said they'd rather wait until they were really sick before getting tested because the health system is so poor.
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The HIV Foundation Thailand is one of the beneficiaries of USAid funding with the recently launched the Good Life Project, which reaches out to gay men, encourages them to get tested and then shepherds those who test positive through the public health system, the only source of free HIV care in the country. As with the much-hailed condom campaign, it is hoped that lessons learned in Thailand trying out innovative approaches to reach MSM and drug users will help neighbouring countries to tackle their own HIV epidemics more effectively.
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The two high-risk populations are being targeted with large-scale projects funded by the Global Fund to Fights AIDS, Tuberculosis and Malaria, and United States Agency for International Development (USAid). "According to Bangkok government figures 50% of newly diagnosed cases of HIV in Bangkok are gay men." "Since the mid-1990s the Thai government has really dropped the ball quite significantly in terms of legal and policy reform and also in terms of support for people living with HIV," said Scott Berry, executive director of the HIV Foundation Thailand.