AIDSAIDS 　　 Project　in　ThailandProject　in　Thailand２０１０２０１０

Khemmarat District, Khemmarat District,

Ubonratchathani ProvinceUbonratchathani Province

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Basic Health Information in Basic Health Information in ThailandThailand Average Life Expectancy at birth: 　 72 Infant Mortality Rate: 7/1000pp Under-5 Mortality Rate: 　 8/1000pp Maternal Mortality Rate: 110/100,000pp 　　　　 　 (Reference ： WHO2008 ）

HIV Prevalence 1.4 ％ PLWHA (People Living With HIV/AIDS) Present estimated 610,000pp 　 (UNAIDS 2007) Total more than 1 millioin pp 　　　　　　　　　　　　　　　　　　　　　　　　

（ Reference ： UNAIDS/WHO 2008)

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HIVHIV Prevalence Rate in ThailandPrevalence Rate in Thailand

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Number of PLWHA in ThailandNumber of PLWHA in Thailand

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SHARE Acitivity History in SHARE Acitivity History in ThailandThailand

Support for Refugee （ 1983-1985 ）　　 Medical Treatment Activity in the refugee village at

Thai-Cambodia border Primary Health Care Project with participated by

residents （ 1990-1995 ）　　 - Diarrhea Prevention, Health Check, Life Improvement,

Manage Child-Independent Center AIDS Project （ 1994-Present ）　　 Ubonratchathani Province, Amnatcharan Province

（ Completed ）　 ・ Support PLWHA 　　 ・ HIV Prevention Englightenment project 　　・ Train

leaders　　

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Map of new project siteMap of new project site

Khemmarat District, Ubonratchathani Province

One of 22 Districts

Ubon City

Khemmarat Dis.

Khemmarat is the most highest prevelance between border districts.

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Meaning to conduct activities in Meaning to conduct activities in KhemmaratKhemmarat

Intervention to vulnerable target group, which are needed help ：

　 At present, MOPH indicate the vulnerable group to HIV/AIDS as Immigrant Labour, Youth, MSM, iDU, PLWHA.

Khemmarat district character ： Since Khemmarat is located at border of Lao PDR across with Mekong river, Lao immigrant labors across to Khemmarat every day. People move in and out of Khemmarat frequently.

Siriousness of AIDS ：　 Number of PLWHS in Khemmarat is the most between

border districts in Ubonratchathani province and has been incresing.

Existence of NGO ：　 There was no NGO in Khemmarat before SHARE got

into.

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HIV/AIDS prevention & care project along the Thai-Lao boarder area

Project site ： Khemmarat District, Ubonratchathani Province

Duration ： From Jan 2008 to present Project Goal: The number of people who contract STDs,

including HIV, will decrease, while the number of PLWHA and affected who have access to holistic care will increase in Kemarat.

Stakeholder ： Provincial Health Office, CDC7 (under MOPH), Khemmarat district hospital, District administration, Educational sector, Isaan (Northeast) Thai PLWHA Network, templesBudget Scale ： 500,000$ （ 3 year ）

Main fund: MOFA, GF Staff ： 11pp (Thai office; 10, HQ; １）  

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SHARE New ProjectSHARE New Project

１） Care support for PLWHA

・ PLWHA group at Khemmarat hospital

２） HIV Prevention and Englightenment project in community

・ Latian immigrant labour

・ MSM・ Youth

Population 77,000 (Khemmarat District in Ubon prv.)Target group ： PLWHA, Laotian immigrant labour (Sex worker), Karaoke bar owners, MSM, Youth

www.***.com１）１） Expected Outcome for Expected Outcome for PLWHA support PLWHA support activitiesactivities　 　 Comprehensive care and support system

are built up cooperated by PHA leader and health staff.

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１）１） Activities for PLWHA groupActivities for PLWHA group Monthly meeting with Adult and Kids group Family camp （ Yearly ） Meeting between PLWHA leader and hospital

staff Quarterly feedback and plan meeting with

PLWHA leaders and hospital staff Support for counseling by PLWHA leaders Support for Home visit by PLWHA leaders Group management training for PLWHA leaders Feedback of activities Study tour

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１）１） Activity for PLWHA groupActivity for PLWHA group

PLWHA leaders work for group members

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Activity for PLWHA groupActivity for PLWHA group

　

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Kids group (Doraemon) Kids group (Doraemon) activitiesactivities

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Family CampFamily Camp

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Outcomes and Challenges Outcomes and Challenges ＜＜PLWHAPLWHA ＞＞

Outcomes ・ PLWHA group （ adult ）： Group has been working

actively with cooperation by hospital although there’s already a group before SHARE intervention. SHARE provided support for PLWHA group leaders to conduct home visit and counseling and leader training.

　・ Set up kids, who are influenced by HIV/AIDS, group to conduct monthly activity and support kids and their family. We could see kids’ smile more often after activities.

　・ Conversation between family became more lively. They could become kind each other.

　・ Cooperation between hospital and PLWHA leaders enhanced more.

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Challenging issuesChallenging issues

・ Luck of number of PLWHA leaders　・ There are still prejudice and

discrimination in the village. 　

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２）　　＜２）　　＜ Laotian immigrant Laotian immigrant laborlabor ＞＞ Expected Outcome

Lao migrant including CSW can receive health servic, fullfill their basic needs and access to safer labour environment. 

＜ Activities ＞　・ Meeting for Laotian service workers at Karaoke bar. Topic: HIV/AIDS basic knowledge and prevention, Lifeskill, reporductive health, etc. 　・ Provide health service cooperating with hospital

staff and health office staff　・ Karaoke owner network meeting, Study tour　・ Training for SHARE Staff　

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Meeting with service workers

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Karaoke bar

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Owner network meeting

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ChallengesChallenges ＜＜ Immigrant laborImmigrant labor ＞＞

　・ Most service workers at Karaoke move every a few months, therefore, need to consider efficient activity ways toward both including new workers and long stayed workers.

　 ・ Some workers don’t have ID card or passport, therefore, when polices patrol karaoke bar while having activities, activities cannot continue. SHARE need to urge polices to cooperate.

　 ・ When working with hospital staff and karaoke owner, we faced some gaps between them and SHARE in terms of understanding of services workers and HIV/AIDS. 　

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Outcomes and challengesOutcomes and challenges ＜＜MSMMSM ＞＞ Expected outcomes ： MSM can have better acsess

information on STI, HIV/AIDS and prevention tools. Activities ：　・ Monthly meeting for MSM group members and leaders　・ Set up and manage drop-in-center Outcomes: ・ As a result of MSM Leaders training for a year, MSM

leaders could achieve well facilitator for HIV prevention and enlightening training for youth.

　・ MSM leaders had initiative to conduct AIDS campaign in community.

Challenges ：　・ More Training for MSM leaders with higher quality　・ Some members and leaders left for work, therefore,

members decreased and participation of activities are not stable.

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MSM group monthly meeting on Life goal

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MSM group monthly meeting

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MSM Study tour to Lao PDR