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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