Implementation of a Test, Treat, and Prevent HIV program among men who have sex with men and transgender women in Thailand, 2015-2016

Antiretroviral therapy reduces the risk of serious illness among people living with HIV and can prevent HIV transmission. We implemented a Test, Treat, and Prevent HIV Program among men who have sex with men (MSM) and transgender women at five hospitals in four provinces of Thailand to increase HIV...

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Bibliographic Details
Published in:PloS one 2018-07, Vol.13 (7), p.e0201171-e0201171
Main Authors: Ongwandee, Sumet, Lertpiriyasuwat, Cheewanan, Khawcharoenporn, Thana, Chetchotisak, Ploenchan, Thiansukhon, Ekkachai, Leerattanapetch, Niramon, Leungwaranan, Banlang, Manopaiboon, Chomnad, Phoorisri, Thanongsri, Visavakum, Prin, Jetsawang, Bongkoch, Poolsawat, Monsicha, Nookhai, Somboon, Vasanti-Uppapokakorn, Monthinee, Karuchit, Samart, Kittinunvorakoon, Chonticha, Mock, Philip, Prybylski, Dimitri, Sukkul, Ake-Chittra, Roels, Thierry, Martin, Michael
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Analysis
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Biology and Life Sciences
Care and treatment
CD4 antigen
Disease control
Disease prevention
Disease transmission
Feasibility studies
Gays & lesbians
Health aspects
Health risks
HIV
HIV infections
HIV tests
Hospitals
Human immunodeficiency virus
Infections
Medicine and health sciences
Men
Mens health
MSM (Men who have sex with men)
People and Places
Prevention
Prophylaxis
Public health
Recruitment
Sex
Sexually transmitted diseases
STD
Systematic review
Therapy
Transgender people
Transgender persons
Urban areas
Wellness programs
Womens health
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Summary:Antiretroviral therapy reduces the risk of serious illness among people living with HIV and can prevent HIV transmission. We implemented a Test, Treat, and Prevent HIV Program among men who have sex with men (MSM) and transgender women at five hospitals in four provinces of Thailand to increase HIV testing, help those who test positive start antiretroviral therapy, and increase access to pre-exposure prophylaxis (PrEP). We implemented rapid HIV testing and trained staff on immediate antiretroviral initiation at the five hospitals and offered PrEP at two hospitals. We recruited MSM and transgender women who walked-in to clinics and used a peer-driven intervention to expand recruitment. We used logistic regression to determine factors associated with prevalent HIV infection and the decision to start antiretroviral therapy and PrEP. During 2015 and 2016, 1880 people enrolled. Participants recruited by peers were younger (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0201171