• Challenge and co-operation: civil society activism for access to HIV treatment in Thailand.

      Ford, N; Wilson, D; Cawthorne, P; Kumphitak, A; Kasi-Sedapan, S; Kaetkaew, S; Teemanka, S; Donmon, B; Preuanbuapan, C; Médecins Sans Frontières, Bangkok, Thailand. david.wilson.thai@gmail.com (Published by Wiley-Blackwell, 2009-03)
      Civil society has been a driving force behind efforts to increase access to treatment in Thailand. A focus on HIV medicines brought civil society and non-governmental and government actors together to fight for a single cause, creating a platform for joint action on practical issues to improve care for people with HIV/AIDS (PHA) within the public health system. The Thai Network of People with HIV/AIDS, in partnership with other actors, has provided concrete support for patients and for the health system as a whole; its efforts have contributed significantly to the availability of affordable generic medicines, early treatment for opportunistic infections, and an informed and responsible approach towards antiretroviral treatment that is critical to good adherence and treatment success. This change in perception of PHA from 'passive receiver' to 'co-provider' of health care has led to improved acceptance and support within the healthcare system. Today, most PHA in Thailand can access treatment, and efforts have shifted to supporting care for excluded populations.
    • HIV prevention, care, and treatment in two prisons in Thailand.

      Wilson, D; Ford, N; Ngammee, V; Chua, A; Kyaw, M K K; Médecins Sans Frontières, Bangkapi, Bangkok, Thailand. (Public Library of Science, 2007-06)
    • Monitoring the response to antiretroviral therapy in resource-poor settings: the Malawi model.

      Harries, A D; Gomani, P; Teck, R; de Teck, O; Bakali, E; Zachariah, R; Libamba, E; Mwansambo, A; Salaniponi, F; Mpazanje, R; et al. (2004-12)
      With assistance from the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), Malawi is scaling-up the delivery of antiretroviral (ARV) therapy to HIV-positive eligible patients. The country has developed National ARV Treatment Guidelines, which emphasize a structured and standardized approach for all aspects of ARV delivery, including monitoring and evaluation. Using the successful DOTS model adapted by National TB Control Programmes throughout the world, Malawi has developed a system of quarterly ARV cohort and cumulative ARV quarterly analyses. Thyolo district, in the southern region of Malawi, has been using this system since April 2003. This paper describes the standardized ARV treatment regimens and the treatment outcomes used in Thyolo to assess the impact of treatment, the registration and monitoring systems and how the cohort analyses are carried out. Data are presented for case registration and treatment outcome for the first quarterly cohort (April to June) and the combined cohorts (April to June and July to September). Such quarterly analyses may be useful for districts and Ministries of Health in assessing ARV delivery, although the burden of work involved in calculating the numbers may become large once ARV delivery systems have been established for several years.
    • Simplifying and adapting antiretroviral treatment in resource-poor settings: a necessary step to scaling-up.

      Calmy, A; Klement, E; Teck, R; Berman, D; Pécoul, B; Ferradini, L (Wolters Kluwer, 2004-12-03)