UNIVERSAL ACCESS


 National HIV programme and response 

The new National Plan for Strategic and Integrated HIV and AIDS Prevention and Alleviation (2007-2011), developed through a broadly consultative and inclusive national process, aims to increase HIV prevention efforts, improving the lives of PLWHA, and fighting stigma and discrimination.

 

The Plan also aims to integrate AIDS prevention and alleviation strategies into organizations at all levels, to promote a multi-stakeholder approach in addressing the epidemic and to integrate prevention, care and treatment for all targeted population groups.

 

Thailand has successfully expanded access to HIV care, treatment and support services for PLWHA and their families. ART has been included in the National Health Security Scheme and the Government issued two compulsory licenses for anti-retroviral drugs. ART coverage now reaches more than two thirds of those in need.


Thailand is considered a leading country in the region in recognizing the importance of migrant workers' access to health. The migrant health strategy developed jointly by the Thai Government and civil society focuses mainly on health promotion, prevention, treatment and care among migrants, as well as universal access to health, and the participation of migrants and communities in national responses to HIV.

 

HIV prevention measures for documented and undocumented migrants and mobile populations remain to be strengthened.


Migrants registering for a work permit in Thailand must undergo a health examination, but HIV testing is not mandatory, as stipulated in Thailand's National Code of Practice on Prevention and Management of HIV/AIDS in the Workplace (January 2005). If found unfit, migrant workers may lose their work permit and face deportation.


Registered migrants who pass the health examination are included in the national 30 baht health insurance scheme, with health services available at a subsidized cost and assignment of a health provider. ART is not available to migrants at subsidized cost, often making the therapy financially inaccessible to them. Stigma, discrimination and fear of arrest, especially among undocumented migrants, remain additional hindrances to migrants' access to health services.


Displaced persons from Myanmar, benefit from HIV prevention, care and treatment services from government mandated programmes funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM).

 

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*includes ASEAN Member States + Yunnan and Guangxi (China)