Publication:
Scaling up HIV Treatment for MSM in Bangkok: What Does It Take? – A Modelling and Costing Study

dc.contributor.author Zhang, Lei
dc.contributor.author Phanuphak, Nittaya
dc.contributor.author Henderson, Klara
dc.contributor.author Nonenoy, Siriporn
dc.contributor.author Srikaew, Sasiwan
dc.contributor.author Shattock, Andrew J.
dc.contributor.author Kerr, Cliff C.
dc.contributor.author Omune, Brenda
dc.contributor.author van Griensven, Frits
dc.contributor.author Osornprasop, Sutayut
dc.contributor.author Oelrichs, Robert
dc.contributor.author Ananworanich, Jintanat
dc.contributor.author Wilson, David P.
dc.date.accessioned 2015-06-25T15:58:20Z
dc.date.available 2015-06-25T15:58:20Z
dc.date.issued 2015-05-01
dc.description.abstract The HIV epidemic amongst men who have sex with men (MSM) in Bangkok is substantial. The population size of MSM in Bangkok is 120,000-250,000, with approximately one-third (33.5 percent) considered high-risk, characterized by their young age, multiple partnerships, frequent unprotected anal intercourse, and sexual activities around MSM hotspots. In metropolitan Bangkok, HIV prevalence among MSM reportedly increased from 21 percent to 28 percent between 2000 and 2012. The Thai Working Group of Estimation and Projection (2013) projected an estimate of 39,000 new HIV infections would occur in Thailand during 2012-2016, based on the AIDS Epidemic Model (AEM). MSM will account for 44 percent of these new HIV cases, and 25-30 percent of these infections will likely to occur in Bangkok. In 2011, the United Nations held a high-level meeting on HIV/AIDS where they adopted the ambitious epidemiological targets of the United Nations Political Declaration on HIV/AIDS (UNPD), to be met by 2015. Attaining these specific targets would lead to substantial progress towards ending AIDS. UNAIDS has also been prioritizing the “Getting to Zero” initiative (“Zero new HIV infections. Zero AIDS-related deaths. Zero discrimination.”). The Bangkok Metropolitan Administration (BMA) recently responded with the “Bangkok: Getting to Zero” initiative, which strategizes an increased focus on prevention amongst MSM in the city. The clinical trial, HPTN052, demonstrated a 96 percent reduction of HIV transmission among heterosexual discordant couples who received ART. “Treatment as prevention” has become an increasingly accepted strategy to prevent new infections. A cost-effectiveness analysis comparing current levels of investment in targeted HIV prevention interventions for MSM in Bangkok (including treatment), with scenarios of increased coverage, would provide evidence to shape efficient national and metropolitan strategies. A return-on-investment analysis would provide an economic rationale to finance this strategy in allocating sufficient resources to address the epidemic at the most appropriate scale. Demonstration by the study that a significant reduction in transmission (including potential elimination) are both feasible and cost effective, may galvanize global political support. en
dc.identifier http://documents.worldbank.org/curated/en/2015/05/24497789/scaling-up-hiv-treatment-msm-bangkok-take-modelling-costing-study
dc.identifier.uri http://hdl.handle.net/10986/22066
dc.language English
dc.language.iso en_US
dc.publisher World Bank, Washington, DC
dc.rights CC BY 3.0 IGO
dc.rights.holder World Bank
dc.rights.uri http://creativecommons.org/licenses/by/3.0/igo/
dc.subject TREATMENT
dc.subject DIAGNOSIS
dc.subject RESISTANCE TESTING
dc.subject SEX WORKERS
dc.subject EPIDEMIOLOGICAL DATA
dc.subject MOTHER-TO-CHILD TRANSMISSION
dc.subject RISK BEHAVIOR
dc.subject UNINFECTED INDIVIDUALS
dc.subject BISEXUAL
dc.subject SEXUAL PARTNERS
dc.subject SYNDROMES
dc.subject PREVENTION
dc.subject HIGH-RISK BEHAVIORS
dc.subject HEALTH EDUCATION
dc.subject SEXUAL HEALTH
dc.subject HEALTH CARE
dc.subject DEATH
dc.subject SEXUALLY TRANSMITTED INFECTIONS
dc.subject DEATH RATE
dc.subject PREVALENCE
dc.subject HIV PREVENTION
dc.subject EFFECTS
dc.subject HEALTH
dc.subject TRANSMISSION
dc.subject DEPRESSION
dc.subject VOLUNTARY COUNSELING
dc.subject EPIDEMIC
dc.subject PROJECTS
dc.subject BASIC HEALTH
dc.subject CONDOM DISTRIBUTION
dc.subject MALE CIRCUMCISION
dc.subject IMMUNE DEFICIENCY SYNDROMES
dc.subject CELL COUNT
dc.subject AIDS PROJECTS
dc.subject HIGH RISK BEHAVIORS
dc.subject SEXUAL TRANSMISSION
dc.subject PUBLIC HEALTH
dc.subject KNOWLEDGE
dc.subject EXERCISES
dc.subject HIV-POSITIVE PEOPLE
dc.subject AIDS EPIDEMIC
dc.subject MALE SEX WORKERS
dc.subject LIFE
dc.subject PATIENT
dc.subject PATIENTS
dc.subject INTERVENTION
dc.subject OPPORTUNISTIC INFECTIONS
dc.subject POINT-OF-CARE
dc.subject STIS
dc.subject RISK BEHAVIORS
dc.subject MEDICAL CLINICS
dc.subject HIV INFECTION
dc.subject MALE SEX
dc.subject UNPROTECTED ANAL INTERCOURSE
dc.subject SEXUAL ORIENTATION
dc.subject INVESTMENT IN PREVENTION
dc.subject CONDOM USE
dc.subject SYMPTOMS
dc.subject BISEXUAL MEN
dc.subject SCREENING
dc.subject ANAL INTERCOURSE
dc.subject HIV/AIDS
dc.subject EPIDEMICS
dc.subject MORTALITY
dc.subject SOCIAL SUPPORT
dc.subject HIV TESTING
dc.subject IMMUNE DEFICIENCY
dc.subject FEMALE SEX WORKERS
dc.subject AIDS DEATHS
dc.subject DIAGNOSES
dc.subject MOTHER-TO-CHILD
dc.subject NEEDLES
dc.subject WORKERS
dc.subject CASE MANAGEMENT SYSTEMS
dc.subject HIV PREVENTION INTERVENTIONS
dc.subject HIV
dc.subject TB
dc.subject SURVEILLANCE
dc.subject SEX WITH MEN
dc.subject REDUCTION IN TRANSMISSION
dc.subject LIFESTYLE
dc.subject HEALTHCARE WORKERS
dc.subject MEDICINE
dc.subject HEALTH OUTCOMES
dc.subject PREVENTION INTERVENTIONS
dc.subject SEXUAL BEHAVIORS
dc.subject DECISION MAKING
dc.subject MEASUREMENT
dc.subject UNAIDS
dc.subject DRUG USE
dc.subject WORKSHOPS
dc.subject SYRINGES
dc.subject BURDEN OF DISEASE
dc.subject WORLD HEALTH ORGANIZATION
dc.subject MOBILE CLINICS
dc.subject THERAPY
dc.subject INTERNET
dc.subject PEOPLE WITH AIDS
dc.subject NEW INFECTIONS
dc.subject SEXUAL BEHAVIOR
dc.subject SEX
dc.subject WEIGHT
dc.subject HIV TRANSMISSION
dc.subject COMMERCIAL SEX
dc.subject HOMOSEXUALITY
dc.subject EXERCISE
dc.subject DISEASE
dc.subject CLINICS
dc.subject CASE MANAGEMENT
dc.subject SEX WORKER
dc.subject ISOLATION
dc.subject PARTNERS
dc.subject CONDOM
dc.subject INFECTION
dc.subject DISABILITY
dc.subject INFECTIONS
dc.subject INJECTING DRUG USE
dc.subject ALL
dc.subject POPULATION
dc.subject INFECTION RATE
dc.subject RESEARCH PROGRAM
dc.subject SAFE SEX
dc.subject SEXUAL IDENTITY
dc.subject STRATEGY
dc.subject EPIDEMIOLOGY
dc.subject REGISTRATION
dc.subject MILITARY MEDICINE
dc.subject AIDS RESEARCH
dc.subject HIV INFECTIONS
dc.subject HOSPITALS
dc.subject HEALTH INTERVENTIONS
dc.subject CIRCUMCISION
dc.subject AIDS
dc.subject NEW CASES
dc.subject HEALTH SERVICES
dc.subject IMPLEMENTATION
dc.subject CONDOMS
dc.subject AIDS PROGRAM
dc.subject CASE MANAGEMENT MODEL
dc.subject BREASTFEEDING
dc.subject VIRAL LOAD
dc.title Scaling up HIV Treatment for MSM in Bangkok en
dc.title.subtitle What Does It Take? – A Modelling and Costing Study en
dc.type Working Paper en
dc.type Document de travail fr
dc.type Documento de trabajo es
dspace.entity.type Publication
okr.crosscuttingsolutionarea Gender
okr.date.disclosure 2015-05-18
okr.doctype Publications & Research
okr.doctype Publications & Research :: Working Paper
okr.docurl http://documents.worldbank.org/curated/en/2015/05/24497789/scaling-up-hiv-treatment-msm-bangkok-take-modelling-costing-study
okr.globalpractice Health, Nutrition, and Population
okr.identifier.externaldocumentum 090224b082e97c38_1_0
okr.identifier.internaldocumentum 24497789
okr.identifier.report 96523
okr.language.supported en
okr.pdfurl http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2015/05/18/090224b082e97c38/1_0/Rendered/PDF/Scaling0up0HIV0ng0and0costing0study.pdf en
okr.region.administrative East Asia and Pacific
okr.region.country Malaysia
okr.sector Health and other social services
okr.theme Social dev/gender/inclusion :: Gender
okr.theme Human development :: Health system performance
okr.theme Human development :: HIV/AIDS
okr.topic Gender :: Gender and Health
okr.topic Health, Nutrition and Population :: HIV AIDS
okr.topic Health, Nutrition and Population :: Health Monitoring & Evaluation
okr.unit Global Practice on Health, Nutrition, and Population (GHNDR)
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