Geographic area: Thailand Health Condition: Between 1989 abd 1990, the proportio

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Geographic area: Thailand
Health Condition: Between 1989 abd 1990, the proportion of direct sex workers in THailand ingected the HIV tripled. From 3.5% to 9.3% and a year later reached 21.6%. Over the same period the proportion of male conscripts already ingected with HIC when tested on entry at age 21 rose sixfold, from 0.5% in 1989 to 3% in 1991.
Global importance of the health condition today: HIV?AIDS is one of the greates threats to human health worldwide, with an estimated 38.6 million people infected with the virus in 2005. The vast majority of people with HIV are in sub-Saharan Africa, where the life expectancy today is just 47 years' without AIDS, it is estimated that life expectancy would be 15 years longer. THe number of children who have lost a parent to AIDS is now estimated at 20 million.
Internvention or program: In 1991, the National AIDS committee led by Thailland's prime minister implemented the "100% condome program," in which all sex workers in sex establishments are required to use condoms with clients. Health officials provided boxes of condoms free of charge, and local police held meetings with sex establishments owners and sex workers, despite the illegality of prostitution. Men seeling treatment for sexually transmitted infections (STIs) were asked to name the sex establishment they had used, and health officials would then visit the establishment to provide more information.
Cost and cost-effectiveness: Total governemtn expenditure on the national AIDS program remained stead at approx $375 million from 1998 to 2001, with the majority spent on treatment and care (65%); this investment represents 109% of the nation's overall health budget.
Impact: Condom use in sex work nationwide increased from 14% in early 1989 to more than 90% by June 1992. An estimated 200,000 new ingections were averted between 1993 and 2000. The number if new STI cases fell from 200,000 in 1989 to 15,000 in 2001; the rate of new HIV infections fell fivefold between 1991 and 1995.

You will write an overview essay on what the case study was regarding, what you learned from it, and what you would do for the future.

Essays should be similar to the “conclusion” section of a paper and be approximately 1-2 paragraphs long.

Geographic area: Thailand
Health Condition: Between 1989 abd 1990, the proportion of direct sex workers in THailand ingected the HIV tripled. From 3.5% to 9.3% and a year later reached 21.6%. Over the same period the proportion of male conscripts already ingected with HIC when tested on entry at age 21 rose sixfold, from 0.5% in 1989 to 3% in 1991.
Global importance of the health condition today: HIV?AIDS is one of the greates threats to human health worldwide, with an estimated 38.6 million people infected with the virus in 2005. The vast majority of people with HIV are in sub-Saharan Africa, where the life expectancy today is just 47 years' without AIDS, it is estimated that life expectancy would be 15 years longer. THe number of children who have lost a parent to AIDS is now estimated at 20 million.
Internvention or program: In 1991, the National AIDS committee led by Thailland's prime minister implemented the "100% condome program," in which all sex workers in sex establishments are required to use condoms with clients. Health officials provided boxes of condoms free of charge, and local police held meetings with sex establishments owners and sex workers, despite the illegality of prostitution. Men seeling treatment for sexually transmitted infections (STIs) were asked to name the sex establishment they had used, and health officials would then visit the establishment to provide more information.
Cost and cost-effectiveness: Total governemtn expenditure on the national AIDS program remained stead at approx $375 million from 1998 to 2001, with the majority spent on treatment and care (65%); this investment represents 109% of the nation's overall health budget.
Impact: Condom use in sex work nationwide increased from 14% in early 1989 to more than 90% by June 1992. An estimated 200,000 new ingections were averted between 1993 and 2000. The number if new STI cases fell from 200,000 in 1989 to 15,000 in 2001; the rate of new HIV infections fell fivefold between 1991 and 1995.

You will write an overview essay on what the case study was regarding, what you learned from it, and what you would do for the future.

Essays should be similar to the “conclusion” section of a paper and be approximately 1-2 paragraphs long.

Explanation / Answer

This case study is regarding the prevalence of HIV cases in Thailand and how the Thailand government put forward a program called “100% condom program.” In Thailand, between 1989 and 1990, the proportion of direct sex workers with HIV tripled from 3.5% to 9.3% and a year later it reached to 21.6%. Over the same period the proportion of male conscripts already with HIV when tested at age 21 raised six fold, from 0.5% in 1989 to 3% in 1991.

In 1991, the National AIDS committee led by Thailand’s prime minister implemented the "100% condom program." According to this program all sex workers in sex establishments are required to use condoms with clients. Health officials provided boxes of condoms free of cost. Although it was illegal to practice prostitution, the local police held meetings with sex establishments’ owners and sex workers. People seeking treatment for sexually transmitted infections (STIs) were asked to name the sex establishment they had used. Later the health officials would visit the establishment to provide more information regarding this program. Condom use in sex workers nationwide increased from 14% in early 1989 to more than 90% by June 1992. Between 1993 and 2000, an estimated count of 200,000 new individuals with HIV was averted. The number if new STI cases fell from 200,000 in 1989 to 15,000 in 2001; the rate of new HIV infections fell fivefold between 1991 and 1995.

As the data showed a gross positive outcome of the program it can be implemented in other countries where the prevalence rate of HIV infection is found to be high. Health education can be given to people in the community regarding the use of condoms, its benefits and the outcome results. By giving people awareness and providing free condoms to the public the incidence rate of HIV infected cases can be reduced. Awareness and sex education should be given in schools and colleges.

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