Scaling up HIV Treatment for MSM in Bangkok : What Does It Take? – A Modelling and Costing Study
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, multip...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2015
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2015/05/24497789/scaling-up-hiv-treatment-msm-bangkok-take-modelling-costing-study http://hdl.handle.net/10986/22066 |
| id |
okr-10986-22066 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
TREATMENT DIAGNOSIS RESISTANCE TESTING SEX WORKERS EPIDEMIOLOGICAL DATA MOTHER-TO-CHILD TRANSMISSION RISK BEHAVIOR UNINFECTED INDIVIDUALS BISEXUAL SEXUAL PARTNERS SYNDROMES PREVENTION HIGH-RISK BEHAVIORS HEALTH EDUCATION SEXUAL HEALTH HEALTH CARE DEATH SEXUALLY TRANSMITTED INFECTIONS DEATH RATE PREVALENCE HIV PREVENTION EFFECTS HEALTH TRANSMISSION DEPRESSION VOLUNTARY COUNSELING EPIDEMIC PROJECTS BASIC HEALTH CONDOM DISTRIBUTION MALE CIRCUMCISION IMMUNE DEFICIENCY SYNDROMES CELL COUNT AIDS PROJECTS HIGH RISK BEHAVIORS SEXUAL TRANSMISSION PUBLIC HEALTH KNOWLEDGE EXERCISES HIV-POSITIVE PEOPLE AIDS EPIDEMIC MALE SEX WORKERS LIFE PATIENT PATIENTS INTERVENTION OPPORTUNISTIC INFECTIONS POINT-OF-CARE STIS RISK BEHAVIORS MEDICAL CLINICS HIV INFECTION MALE SEX UNPROTECTED ANAL INTERCOURSE SEXUAL ORIENTATION INVESTMENT IN PREVENTION CONDOM USE SYMPTOMS BISEXUAL MEN SCREENING ANAL INTERCOURSE HIV/AIDS EPIDEMICS MORTALITY SOCIAL SUPPORT HIV TESTING IMMUNE DEFICIENCY FEMALE SEX WORKERS AIDS DEATHS DIAGNOSES MOTHER-TO-CHILD NEEDLES WORKERS CASE MANAGEMENT SYSTEMS HIV PREVENTION INTERVENTIONS HIV TB SURVEILLANCE SEX WITH MEN REDUCTION IN TRANSMISSION LIFESTYLE HEALTHCARE WORKERS MEDICINE HEALTH OUTCOMES PREVENTION INTERVENTIONS SEXUAL BEHAVIORS DECISION MAKING MEASUREMENT UNAIDS DRUG USE WORKSHOPS SYRINGES BURDEN OF DISEASE WORLD HEALTH ORGANIZATION MOBILE CLINICS THERAPY INTERNET PEOPLE WITH AIDS NEW INFECTIONS SEXUAL BEHAVIOR SEX WEIGHT HIV TRANSMISSION COMMERCIAL SEX HOMOSEXUALITY EXERCISE DISEASE CLINICS CASE MANAGEMENT SEX WORKER ISOLATION PARTNERS CONDOM INFECTION DISABILITY INFECTIONS INJECTING DRUG USE ALL POPULATION INFECTION RATE RESEARCH PROGRAM SAFE SEX SEXUAL IDENTITY STRATEGY EPIDEMIOLOGY REGISTRATION MILITARY MEDICINE AIDS RESEARCH HIV INFECTIONS HOSPITALS HEALTH INTERVENTIONS CIRCUMCISION AIDS NEW CASES HEALTH SERVICES IMPLEMENTATION CONDOMS AIDS PROGRAM CASE MANAGEMENT MODEL BREASTFEEDING VIRAL LOAD |
| spellingShingle |
TREATMENT DIAGNOSIS RESISTANCE TESTING SEX WORKERS EPIDEMIOLOGICAL DATA MOTHER-TO-CHILD TRANSMISSION RISK BEHAVIOR UNINFECTED INDIVIDUALS BISEXUAL SEXUAL PARTNERS SYNDROMES PREVENTION HIGH-RISK BEHAVIORS HEALTH EDUCATION SEXUAL HEALTH HEALTH CARE DEATH SEXUALLY TRANSMITTED INFECTIONS DEATH RATE PREVALENCE HIV PREVENTION EFFECTS HEALTH TRANSMISSION DEPRESSION VOLUNTARY COUNSELING EPIDEMIC PROJECTS BASIC HEALTH CONDOM DISTRIBUTION MALE CIRCUMCISION IMMUNE DEFICIENCY SYNDROMES CELL COUNT AIDS PROJECTS HIGH RISK BEHAVIORS SEXUAL TRANSMISSION PUBLIC HEALTH KNOWLEDGE EXERCISES HIV-POSITIVE PEOPLE AIDS EPIDEMIC MALE SEX WORKERS LIFE PATIENT PATIENTS INTERVENTION OPPORTUNISTIC INFECTIONS POINT-OF-CARE STIS RISK BEHAVIORS MEDICAL CLINICS HIV INFECTION MALE SEX UNPROTECTED ANAL INTERCOURSE SEXUAL ORIENTATION INVESTMENT IN PREVENTION CONDOM USE SYMPTOMS BISEXUAL MEN SCREENING ANAL INTERCOURSE HIV/AIDS EPIDEMICS MORTALITY SOCIAL SUPPORT HIV TESTING IMMUNE DEFICIENCY FEMALE SEX WORKERS AIDS DEATHS DIAGNOSES MOTHER-TO-CHILD NEEDLES WORKERS CASE MANAGEMENT SYSTEMS HIV PREVENTION INTERVENTIONS HIV TB SURVEILLANCE SEX WITH MEN REDUCTION IN TRANSMISSION LIFESTYLE HEALTHCARE WORKERS MEDICINE HEALTH OUTCOMES PREVENTION INTERVENTIONS SEXUAL BEHAVIORS DECISION MAKING MEASUREMENT UNAIDS DRUG USE WORKSHOPS SYRINGES BURDEN OF DISEASE WORLD HEALTH ORGANIZATION MOBILE CLINICS THERAPY INTERNET PEOPLE WITH AIDS NEW INFECTIONS SEXUAL BEHAVIOR SEX WEIGHT HIV TRANSMISSION COMMERCIAL SEX HOMOSEXUALITY EXERCISE DISEASE CLINICS CASE MANAGEMENT SEX WORKER ISOLATION PARTNERS CONDOM INFECTION DISABILITY INFECTIONS INJECTING DRUG USE ALL POPULATION INFECTION RATE RESEARCH PROGRAM SAFE SEX SEXUAL IDENTITY STRATEGY EPIDEMIOLOGY REGISTRATION MILITARY MEDICINE AIDS RESEARCH HIV INFECTIONS HOSPITALS HEALTH INTERVENTIONS CIRCUMCISION AIDS NEW CASES HEALTH SERVICES IMPLEMENTATION CONDOMS AIDS PROGRAM CASE MANAGEMENT MODEL BREASTFEEDING VIRAL LOAD Zhang, Lei Phanuphak, Nittaya Henderson, Klara Nonenoy, Siriporn Srikaew, Sasiwan Shattock, Andrew J. Kerr, Cliff C. Omune, Brenda van Griensven, Frits Osornprasop, Sutayut Oelrichs, Robert Ananworanich, Jintanat Wilson, David P. Scaling up HIV Treatment for MSM in Bangkok : What Does It Take? – A Modelling and Costing Study |
| geographic_facet |
East Asia and Pacific Malaysia |
| description |
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. |
| format |
Working Paper |
| author |
Zhang, Lei Phanuphak, Nittaya Henderson, Klara Nonenoy, Siriporn Srikaew, Sasiwan Shattock, Andrew J. Kerr, Cliff C. Omune, Brenda van Griensven, Frits Osornprasop, Sutayut Oelrichs, Robert Ananworanich, Jintanat Wilson, David P. |
| author_facet |
Zhang, Lei Phanuphak, Nittaya Henderson, Klara Nonenoy, Siriporn Srikaew, Sasiwan Shattock, Andrew J. Kerr, Cliff C. Omune, Brenda van Griensven, Frits Osornprasop, Sutayut Oelrichs, Robert Ananworanich, Jintanat Wilson, David P. |
| author_sort |
Zhang, Lei |
| title |
Scaling up HIV Treatment for MSM in Bangkok : What Does It Take? – A Modelling and Costing Study |
| title_short |
Scaling up HIV Treatment for MSM in Bangkok : What Does It Take? – A Modelling and Costing Study |
| title_full |
Scaling up HIV Treatment for MSM in Bangkok : What Does It Take? – A Modelling and Costing Study |
| title_fullStr |
Scaling up HIV Treatment for MSM in Bangkok : What Does It Take? – A Modelling and Costing Study |
| title_full_unstemmed |
Scaling up HIV Treatment for MSM in Bangkok : What Does It Take? – A Modelling and Costing Study |
| title_sort |
scaling up hiv treatment for msm in bangkok : what does it take? – a modelling and costing study |
| publisher |
World Bank, Washington, DC |
| publishDate |
2015 |
| url |
http://documents.worldbank.org/curated/en/2015/05/24497789/scaling-up-hiv-treatment-msm-bangkok-take-modelling-costing-study http://hdl.handle.net/10986/22066 |
| _version_ |
1764449984767328256 |
| spelling |
okr-10986-220662021-04-23T14:04:06Z Scaling up HIV Treatment for MSM in Bangkok : What Does It Take? – A Modelling and Costing Study Zhang, Lei Phanuphak, Nittaya Henderson, Klara Nonenoy, Siriporn Srikaew, Sasiwan Shattock, Andrew J. Kerr, Cliff C. Omune, Brenda van Griensven, Frits Osornprasop, Sutayut Oelrichs, Robert Ananworanich, Jintanat Wilson, David P. TREATMENT DIAGNOSIS RESISTANCE TESTING SEX WORKERS EPIDEMIOLOGICAL DATA MOTHER-TO-CHILD TRANSMISSION RISK BEHAVIOR UNINFECTED INDIVIDUALS BISEXUAL SEXUAL PARTNERS SYNDROMES PREVENTION HIGH-RISK BEHAVIORS HEALTH EDUCATION SEXUAL HEALTH HEALTH CARE DEATH SEXUALLY TRANSMITTED INFECTIONS DEATH RATE PREVALENCE HIV PREVENTION EFFECTS HEALTH TRANSMISSION DEPRESSION VOLUNTARY COUNSELING EPIDEMIC PROJECTS BASIC HEALTH CONDOM DISTRIBUTION MALE CIRCUMCISION IMMUNE DEFICIENCY SYNDROMES CELL COUNT AIDS PROJECTS HIGH RISK BEHAVIORS SEXUAL TRANSMISSION PUBLIC HEALTH KNOWLEDGE EXERCISES HIV-POSITIVE PEOPLE AIDS EPIDEMIC MALE SEX WORKERS LIFE PATIENT PATIENTS INTERVENTION OPPORTUNISTIC INFECTIONS POINT-OF-CARE STIS RISK BEHAVIORS MEDICAL CLINICS HIV INFECTION MALE SEX UNPROTECTED ANAL INTERCOURSE SEXUAL ORIENTATION INVESTMENT IN PREVENTION CONDOM USE SYMPTOMS BISEXUAL MEN SCREENING ANAL INTERCOURSE HIV/AIDS EPIDEMICS MORTALITY SOCIAL SUPPORT HIV TESTING IMMUNE DEFICIENCY FEMALE SEX WORKERS AIDS DEATHS DIAGNOSES MOTHER-TO-CHILD NEEDLES WORKERS CASE MANAGEMENT SYSTEMS HIV PREVENTION INTERVENTIONS HIV TB SURVEILLANCE SEX WITH MEN REDUCTION IN TRANSMISSION LIFESTYLE HEALTHCARE WORKERS MEDICINE HEALTH OUTCOMES PREVENTION INTERVENTIONS SEXUAL BEHAVIORS DECISION MAKING MEASUREMENT UNAIDS DRUG USE WORKSHOPS SYRINGES BURDEN OF DISEASE WORLD HEALTH ORGANIZATION MOBILE CLINICS THERAPY INTERNET PEOPLE WITH AIDS NEW INFECTIONS SEXUAL BEHAVIOR SEX WEIGHT HIV TRANSMISSION COMMERCIAL SEX HOMOSEXUALITY EXERCISE DISEASE CLINICS CASE MANAGEMENT SEX WORKER ISOLATION PARTNERS CONDOM INFECTION DISABILITY INFECTIONS INJECTING DRUG USE ALL POPULATION INFECTION RATE RESEARCH PROGRAM SAFE SEX SEXUAL IDENTITY STRATEGY EPIDEMIOLOGY REGISTRATION MILITARY MEDICINE AIDS RESEARCH HIV INFECTIONS HOSPITALS HEALTH INTERVENTIONS CIRCUMCISION AIDS NEW CASES HEALTH SERVICES IMPLEMENTATION CONDOMS AIDS PROGRAM CASE MANAGEMENT MODEL BREASTFEEDING VIRAL LOAD 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. 2015-06-25T15:58:20Z 2015-06-25T15:58:20Z 2015-05-01 Working Paper http://documents.worldbank.org/curated/en/2015/05/24497789/scaling-up-hiv-treatment-msm-bangkok-take-modelling-costing-study http://hdl.handle.net/10986/22066 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper East Asia and Pacific Malaysia |