AIDS Projects Management Group, Asia Pacific, Bangkok, Thailand
Issues: The numbers of men who have sex with men (MSM) and transgender people (TGs) living with HIV in Bangkok is at unprecedented levels. Bangkok is now the epicenter for HIV infection within the Greater Mekong sub-region. This inquiry explored the priorities for service delivery in Bangkok to manage the increased number of MSM and TG who will soon know they are living with HIV and who will required treatment, care and support as well as support and education to prevent HIV transmission in the future.
Description: This inquiry explored the views of key stakeholders responding to MSM and TG in Bangkok between March 2009 and January 2010.
Lessons learned: There is an urgent need to build and support a network of community care and support in Bangkok for MSM and TG with HIV, to better integrate MSM and TG with HIV in to existing health services and engage them effectively in HIV prevention practice. The minimum level of service needed to actively involve MSM and TG with HIV in reversing incidence and improving health is a target of between 60-80% coverage which means regular service intervention that crosses clinical and community sectors and reaches between 25,000-37,500 MSM and TG with HIV .
Next steps: Bangkok needs an innovative HIV care and support program for MSM and TG that integrates medical and community care partners in a system of shared service delivery. A number of promising community care and support models exist in the city which offer a way forward for scale up.