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

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dc.contributor.authorZhang, Lei
dc.contributor.authorPhanuphak, Nittaya
dc.contributor.authorHenderson, Klara
dc.contributor.authorNonenoy, Siriporn
dc.contributor.authorSrikaew, Sasiwan
dc.contributor.authorShattock, Andrew J.
dc.contributor.authorKerr, Cliff C.
dc.contributor.authorOmune, Brenda
dc.contributor.authorvan Griensven, Frits
dc.contributor.authorOsornprasop, Sutayut
dc.contributor.authorOelrichs, Robert
dc.contributor.authorAnanworanich, Jintanat
dc.contributor.authorWilson, David P.
dc.date.accessioned2015-06-25T15:58:20Z
dc.date.available2015-06-25T15:58:20Z
dc.date.issued2015-05-01
dc.description.abstractThe 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.identifierhttp://documents.worldbank.org/curated/en/2015/05/24497789/scaling-up-hiv-treatment-msm-bangkok-take-modelling-costing-study
dc.identifier.doi10.1596/22066
dc.identifier.urihttps://hdl.handle.net/10986/22066
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectTREATMENT
dc.subjectDIAGNOSIS
dc.subjectRESISTANCE TESTING
dc.subjectSEX WORKERS
dc.subjectEPIDEMIOLOGICAL DATA
dc.subjectMOTHER-TO-CHILD TRANSMISSION
dc.subjectRISK BEHAVIOR
dc.subjectUNINFECTED INDIVIDUALS
dc.subjectBISEXUAL
dc.subjectSEXUAL PARTNERS
dc.subjectSYNDROMES
dc.subjectPREVENTION
dc.subjectHIGH-RISK BEHAVIORS
dc.subjectHEALTH EDUCATION
dc.subjectSEXUAL HEALTH
dc.subjectHEALTH CARE
dc.subjectDEATH
dc.subjectSEXUALLY TRANSMITTED INFECTIONS
dc.subjectDEATH RATE
dc.subjectPREVALENCE
dc.subjectHIV PREVENTION
dc.subjectEFFECTS
dc.subjectHEALTH
dc.subjectTRANSMISSION
dc.subjectDEPRESSION
dc.subjectVOLUNTARY COUNSELING
dc.subjectEPIDEMIC
dc.subjectPROJECTS
dc.subjectBASIC HEALTH
dc.subjectCONDOM DISTRIBUTION
dc.subjectMALE CIRCUMCISION
dc.subjectIMMUNE DEFICIENCY SYNDROMES
dc.subjectCELL COUNT
dc.subjectAIDS PROJECTS
dc.subjectHIGH RISK BEHAVIORS
dc.subjectSEXUAL TRANSMISSION
dc.subjectPUBLIC HEALTH
dc.subjectKNOWLEDGE
dc.subjectEXERCISES
dc.subjectHIV-POSITIVE PEOPLE
dc.subjectAIDS EPIDEMIC
dc.subjectMALE SEX WORKERS
dc.subjectLIFE
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectINTERVENTION
dc.subjectOPPORTUNISTIC INFECTIONS
dc.subjectPOINT-OF-CARE
dc.subjectSTIS
dc.subjectRISK BEHAVIORS
dc.subjectMEDICAL CLINICS
dc.subjectHIV INFECTION
dc.subjectMALE SEX
dc.subjectUNPROTECTED ANAL INTERCOURSE
dc.subjectSEXUAL ORIENTATION
dc.subjectINVESTMENT IN PREVENTION
dc.subjectCONDOM USE
dc.subjectSYMPTOMS
dc.subjectBISEXUAL MEN
dc.subjectSCREENING
dc.subjectANAL INTERCOURSE
dc.subjectHIV/AIDS
dc.subjectEPIDEMICS
dc.subjectMORTALITY
dc.subjectSOCIAL SUPPORT
dc.subjectHIV TESTING
dc.subjectIMMUNE DEFICIENCY
dc.subjectFEMALE SEX WORKERS
dc.subjectAIDS DEATHS
dc.subjectDIAGNOSES
dc.subjectMOTHER-TO-CHILD
dc.subjectNEEDLES
dc.subjectWORKERS
dc.subjectCASE MANAGEMENT SYSTEMS
dc.subjectHIV PREVENTION INTERVENTIONS
dc.subjectHIV
dc.subjectTB
dc.subjectSURVEILLANCE
dc.subjectSEX WITH MEN
dc.subjectREDUCTION IN TRANSMISSION
dc.subjectLIFESTYLE
dc.subjectHEALTHCARE WORKERS
dc.subjectMEDICINE
dc.subjectHEALTH OUTCOMES
dc.subjectPREVENTION INTERVENTIONS
dc.subjectSEXUAL BEHAVIORS
dc.subjectDECISION MAKING
dc.subjectMEASUREMENT
dc.subjectUNAIDS
dc.subjectDRUG USE
dc.subjectWORKSHOPS
dc.subjectSYRINGES
dc.subjectBURDEN OF DISEASE
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectMOBILE CLINICS
dc.subjectTHERAPY
dc.subjectINTERNET
dc.subjectPEOPLE WITH AIDS
dc.subjectNEW INFECTIONS
dc.subjectSEXUAL BEHAVIOR
dc.subjectSEX
dc.subjectWEIGHT
dc.subjectHIV TRANSMISSION
dc.subjectCOMMERCIAL SEX
dc.subjectHOMOSEXUALITY
dc.subjectEXERCISE
dc.subjectDISEASE
dc.subjectCLINICS
dc.subjectCASE MANAGEMENT
dc.subjectSEX WORKER
dc.subjectISOLATION
dc.subjectPARTNERS
dc.subjectCONDOM
dc.subjectINFECTION
dc.subjectDISABILITY
dc.subjectINFECTIONS
dc.subjectINJECTING DRUG USE
dc.subjectALL
dc.subjectPOPULATION
dc.subjectINFECTION RATE
dc.subjectRESEARCH PROGRAM
dc.subjectSAFE SEX
dc.subjectSEXUAL IDENTITY
dc.subjectSTRATEGY
dc.subjectEPIDEMIOLOGY
dc.subjectREGISTRATION
dc.subjectMILITARY MEDICINE
dc.subjectAIDS RESEARCH
dc.subjectHIV INFECTIONS
dc.subjectHOSPITALS
dc.subjectHEALTH INTERVENTIONS
dc.subjectCIRCUMCISION
dc.subjectAIDS
dc.subjectNEW CASES
dc.subjectHEALTH SERVICES
dc.subjectIMPLEMENTATION
dc.subjectCONDOMS
dc.subjectAIDS PROGRAM
dc.subjectCASE MANAGEMENT MODEL
dc.subjectBREASTFEEDING
dc.subjectVIRAL LOAD
dc.titleScaling up HIV Treatment for MSM in Bangkoken
dc.title.subtitleWhat Does It Take? – A Modelling and Costing Studyen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crosscuttingsolutionareaGender
okr.date.disclosure2015-05-18
okr.date.doiregistration2025-05-05T12:29:22.942247Z
okr.doctypePublications & Research
okr.doctypePublications & Research::Working Paper
okr.docurlhttp://documents.worldbank.org/curated/en/2015/05/24497789/scaling-up-hiv-treatment-msm-bangkok-take-modelling-costing-study
okr.globalpracticeHealth, Nutrition, and Population
okr.guid381411468179976136
okr.identifier.externaldocumentum090224b082e97c38_1_0
okr.identifier.internaldocumentum24497789
okr.identifier.report96523
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2015/05/18/090224b082e97c38/1_0/Rendered/PDF/Scaling0up0HIV0ng0and0costing0study.pdfen
okr.region.administrativeEast Asia and Pacific
okr.region.countryMalaysia
okr.sectorHealth and other social services
okr.themeSocial dev/gender/inclusion :: Gender
okr.themeHuman development :: Health system performance
okr.themeHuman development :: HIV/AIDS
okr.topicGender::Gender and Health
okr.topicHealth, Nutrition and Population::HIV AIDS
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.unitGlobal Practice on Health, Nutrition, and Population (GHNDR)
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