COUNTRY: KINGDOM OF THAILAND

COMMITTEE: HISTORICAL WORLD HEALTH ORGANISATION

TOPIC: HIV CASE IN THAILAND

1. HISTORY OF ISSUE AND KEY AREAS OF DISCUSSION

In 1984 Thailand was reported the first case from Thailand student who returned from
collage in the United States and the first laboratory detection of HIV in 1984.
Starting in early 1988, HIV infection spread explosively.In 1991, the government start
to build the strategy to combat the disease and in receny years, the number of new
infections has declined.In 2002 thailand get the second highest prevalence of HIV in
Asia with a rate of 1.8 percent and in 2017 HIV prevalence had declined to 1.1
percent with 75 percent having access to ART.Thailand’s early cases of HIV/AIDS
occurred primarily among gay men and then the virus started to spread rapidly in
injecting drug users, followed by prostitutes.In 2003 and 2005 there were increases in
HIV from 17 to 28 percent among MSM in Bangkok then in 2005 more than 40
percent of new infections were among women majority infected through intercourse
with long-term lovers.A low level of condom is the factors responsible for the spread
of HIV for women’s activity in the illegal sex trade.
2. COUNTRY STANCE
HIV is a chronic disease.The cabinet and NAC approved the national AIDS strategic
plan for 2014-2016 and the updated NASP has reinforced the original 2012-2016
strategies and incorporated additional measures that will enable the country to achieve
the ending AIDS targers by 2030 also the significant steps have been towards
ensuring financial sustainability of the response.Thailand has performed well in
extending ART ro as many PLHIV as possible with steady improvements in coverage
over time and criteria for initiating ART have been changed.The first change form
CD4 has been implemented nationwide as of actober 1, 2012.As part of its ending
AIDS strategy, the country has endorsed provision of ART and to be implemented
from 1 october, 2014.Three national health insurance schemed have been harmonized
to ensure standardization and full access to ART,with a high level of coverage on
screening PLHIV for TB and screening for HIV among TB patiens.But the mortality
rate is still too high and this needs to be urgently addressed.in 2015 youths and
General Population has been noticeable progress in expanded coverage of prevention
in the schools.There is no clear sign of improvement in knowledge, condom use and
STI among general population and youths on the national scale.
3. POTENTIAL SOLUTIONS AND GOALS
- Increase the comprehensive sexuality education (CSE), put this curriculum in
every school because this curriculum is really good because:
1. They will know how to stay healthy, stay well being and also to maintain self-
esteem
2. They will know how to respect each other
3. They will invated to how they will survive about their choice
CSE can postpone the sexual intercourse, bring down the frequency sex, increase
condom use also increase the contraceptive use.
The characterictics of CSE is the content based on sience or scientific evidence also
the content is adjusted age, comprehensive, more than biology, reproduction system, risk and
disease.
The topic divided into 8 concept which is about relationships,value,rights,culture and
sexuality,understanding gender,violence and staying safe,skills for health and well being,the
human body and development,sexuality and sexual behavior,sexual and reproductive health