CONTENTS
ACKNOWLEDGEMENTS............................................................................................................3
PREFACE.....................................................................................................................................4
FOREWORD................................................................................................................................5
EXECUTIVE SUMMARY.............................................................................................................6
INTRODUCTION.........................................................................................................................8
Chapter 1..................................................................................................................................10
The HIV/AIDS situation in Thailand and evaluation of the threat.........................................10
A. The HIV/AIDS epidemic in Thailand......................................................................10
B. The HIV/AIDS problem in the Royal Thai Army (RTA)..........................................11
Direct impact.............................................................................................................11
Indirect impact..........................................................................................................12
Chapter 2..................................................................................................................................13
The role of the Royal Thai Army in HIV/AIDS prevention and impact alleviation and
Thailandûs response to HIV/AIDS............................................................................................13
Phase 1: The denial period, 1984-1987......................................................................13
Phase 2: The awakening period, 1987-1990...............................................................13
Phase 3: The operation period, 1991-1996.................................................................14
Phase 4: Dealing with the effect of the Asian economic crisis, 1997-2002.............15
Phase 5: Economic recovery, since 2003...................................................................15
Part 1: The role of the RTA in developing national HIV/AIDS prevention and
impactalleviation policy and programmes..................................................................16
A. The National Committee on AIDS Prevention and Alleviation..............................16
B. The RTA Medical Department Committeee on HIV/AIDS Prevention and
Control............................................................................................................................16
C. Committee on AIDS Prevention and Control, Ministry of Defence.......................18
D. Committee on AIDS Prevention and Control, the RTA..........................................18
Part 2: The role of the RTA in monitoring the national HIV/AIDS situation..............19
A. HIV surveillance among RTA conscripts.................................................................19
B. Behavioural surveillance among RTA conscripts...................................................20
C. Surveillance of sexually transmitted infections (STIs) among RTA conscripts............20
D. Surveillance of HIV/AIDS patients among RTA personnel....................................20
E. A ùknowledge, attitudes and preventionû survey of HIV/AIDS in the RTA............21
Part 3: The role of the RTA in implementing HIV-prevention programmes.............22
A. The fight against AIDS among RTA conscripts in Chiang Mai.............................22
B. Development of the ùfriend-help-friendû campaign in Fort Naresuan,
Phitsanuloke...................................................................................................................24
C. The ùThanarat Modelû on behavioural change operations among RTA
conscripts........................................................................................................................24
Part 4: The role of the RTA in providing care and support to people living with
........................................................................................................................27
Part 5: The role of the RTA in promoting HIV/AIDS research...................................29
A. Epidemiology............................................................................................................29
B. Virology.....................................................................................................................29
C. Vaccine development..............................................................................................29
HIV/AIDS2
HIV/AIDS prevention and control : an experience of the Royal Thai Army in Thailand
Part 6: The role of the RTA in national and international coordination and
collaboration on HIV/AIDS............................................................................................32
CONCLUSION...............................................................................................................................33
1. Effectiveness..............................................................................................................34
2. Efficiency....................................................................................................................34
3. Relevance...................................................................................................................35
4. Sustainability..............................................................................................................35
5. Ethical soundness.....................................................................................................36
REFERENCES.............................................................................................................................37
ANNEX.......................................................................................................................................39
Chart 1. Timeline of HIV/AIDS events in Thailand 1984-2003...................................39
Chart 2. Royal Thai Army organization.........................................................................40
Chart 3. Royal Thai Army HIV/AIDS organization.......................................................41
Map of Thailand
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