Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand
Abstract Introduction In Thailand, where the HIV epidemic is concentrated among key populations (KPs), particularly men who have sex with men (MSM) and transgender women (TGW), an HIV service delivery model tailored to KPs was piloted. This study evaluated the acceptability and retention of clients...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-02-01
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| Series: | Journal of the International AIDS Society |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jia2.26062 |
| _version_ | 1797894137126584320 |
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| author | Sita Lujintanon Sorawit Amatavete Prattana Leenasirimakul Jantana Meechure Preudtipong Noopetch Supakarn Sangtong Satayu Sittikarn Poonnanat Phoopisutthisak Pich Seekaew Stephen Mills Praphan Phanuphak Reshmie A. Ramautarsing Nittaya Phanuphak |
| author_facet | Sita Lujintanon Sorawit Amatavete Prattana Leenasirimakul Jantana Meechure Preudtipong Noopetch Supakarn Sangtong Satayu Sittikarn Poonnanat Phoopisutthisak Pich Seekaew Stephen Mills Praphan Phanuphak Reshmie A. Ramautarsing Nittaya Phanuphak |
| author_sort | Sita Lujintanon |
| collection | DOAJ |
| description | Abstract Introduction In Thailand, where the HIV epidemic is concentrated among key populations (KPs), particularly men who have sex with men (MSM) and transgender women (TGW), an HIV service delivery model tailored to KPs was piloted. This study evaluated the acceptability and retention of clients who accepted and declined the KP‐led HIV treatment service. Methods A retrospective cohort study was conducted using secondary data from three community‐based organizations (CBOs) and three hospitals in Thailand. KP lay providers were trained to lead HIV treatment service in which MSM and TGW living with HIV received counselling and a 3‐month antiretroviral therapy (ART) supply at CBOs. Thai MSM and TGW who were at least 18 years, on ART for at least 6–12 months, without co‐morbidities/co‐infections, and virally suppressed were eligible and offered the service. Those who declined received ART via other service models offered by the hospitals and served as a comparison group. Results Of 220 clients screened between February 2019 and February 2020, 72% (159/220) were eligible of which 146 were MSM and 13 were TGW. Overall, 45% (72/159) accepted the KP‐led service. Of those who declined, 98% (85/87) preferred to see the physician at the hospital. After 12 months of follow‐up, among those accepted, 57% were in care at the CBO, 32% were referred back to and in care in other service models offered by the hospital, 10% were successfully transferred out to other hospital and 1% were lost to follow‐up (LTFU); among those declined, 92% were in care in any service models offered by the hospital, 5% were successfully transferred out to other hospital, 2% were LTFU and 1% died (p‐value<0.001). Conclusions Despite moderate acceptability and retention in care at the CBO among the clients accepting the KP‐led service, almost all clients were engaged in care overall. Multiple service models that meet the preferences and needs of KPs living with HIV should be available to optimize engagement in care. |
| first_indexed | 2024-04-10T07:04:03Z |
| format | Article |
| id | doaj.art-987f27763b4c43b185eb6e43ed015547 |
| institution | Directory Open Access Journal |
| issn | 1758-2652 |
| language | English |
| last_indexed | 2024-04-10T07:04:03Z |
| publishDate | 2023-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the International AIDS Society |
| spelling | doaj.art-987f27763b4c43b185eb6e43ed0155472023-02-27T11:46:28ZengWileyJournal of the International AIDS Society1758-26522023-02-01262n/an/a10.1002/jia2.26062Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in ThailandSita Lujintanon0Sorawit Amatavete1Prattana Leenasirimakul2Jantana Meechure3Preudtipong Noopetch4Supakarn Sangtong5Satayu Sittikarn6Poonnanat Phoopisutthisak7Pich Seekaew8Stephen Mills9Praphan Phanuphak10Reshmie A. Ramautarsing11Nittaya Phanuphak12Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USAInstitute of HIV Research and Innovation Bangkok ThailandNakornping Hospital Chiang Mai ThailandHangdong Hospital Chiang Mai ThailandHatyai Hospital Songkhla ThailandMplus Foundation Chiang Mai ThailandCAREMAT Chiang Mai ThailandRainbow Sky Association of Thailand Bangkok ThailandInstitute of HIV Research and Innovation Bangkok ThailandFHI 360 and LINKAGES Bangkok ThailandInstitute of HIV Research and Innovation Bangkok ThailandInstitute of HIV Research and Innovation Bangkok ThailandInstitute of HIV Research and Innovation Bangkok ThailandAbstract Introduction In Thailand, where the HIV epidemic is concentrated among key populations (KPs), particularly men who have sex with men (MSM) and transgender women (TGW), an HIV service delivery model tailored to KPs was piloted. This study evaluated the acceptability and retention of clients who accepted and declined the KP‐led HIV treatment service. Methods A retrospective cohort study was conducted using secondary data from three community‐based organizations (CBOs) and three hospitals in Thailand. KP lay providers were trained to lead HIV treatment service in which MSM and TGW living with HIV received counselling and a 3‐month antiretroviral therapy (ART) supply at CBOs. Thai MSM and TGW who were at least 18 years, on ART for at least 6–12 months, without co‐morbidities/co‐infections, and virally suppressed were eligible and offered the service. Those who declined received ART via other service models offered by the hospitals and served as a comparison group. Results Of 220 clients screened between February 2019 and February 2020, 72% (159/220) were eligible of which 146 were MSM and 13 were TGW. Overall, 45% (72/159) accepted the KP‐led service. Of those who declined, 98% (85/87) preferred to see the physician at the hospital. After 12 months of follow‐up, among those accepted, 57% were in care at the CBO, 32% were referred back to and in care in other service models offered by the hospital, 10% were successfully transferred out to other hospital and 1% were lost to follow‐up (LTFU); among those declined, 92% were in care in any service models offered by the hospital, 5% were successfully transferred out to other hospital, 2% were LTFU and 1% died (p‐value<0.001). Conclusions Despite moderate acceptability and retention in care at the CBO among the clients accepting the KP‐led service, almost all clients were engaged in care overall. Multiple service models that meet the preferences and needs of KPs living with HIV should be available to optimize engagement in care.https://doi.org/10.1002/jia2.26062HIVantiretroviral therapydifferentiated service deliverymen who have sex with mentransgender womenThailand |
| spellingShingle | Sita Lujintanon Sorawit Amatavete Prattana Leenasirimakul Jantana Meechure Preudtipong Noopetch Supakarn Sangtong Satayu Sittikarn Poonnanat Phoopisutthisak Pich Seekaew Stephen Mills Praphan Phanuphak Reshmie A. Ramautarsing Nittaya Phanuphak Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand Journal of the International AIDS Society HIV antiretroviral therapy differentiated service delivery men who have sex with men transgender women Thailand |
| title | Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand |
| title_full | Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand |
| title_fullStr | Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand |
| title_full_unstemmed | Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand |
| title_short | Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand |
| title_sort | acceptability and retention of the key population led hiv treatment service for men who have sex with men and transgender women living with hiv in thailand |
| topic | HIV antiretroviral therapy differentiated service delivery men who have sex with men transgender women Thailand |
| url | https://doi.org/10.1002/jia2.26062 |
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