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Thailand Overview

Background:

HIVQUAL-Thailand, known as HIVQUAL-T, was implemented as a pilot program in 2003 with 12 hospitals, and now extends to 700 hospitals across 76 provinces, and includes a pediatric program in 200 hospitals across 30 provinces.

HIVQUAL-T began with 6 core indicators. For performance measurement, the Team developed both paper abstract forms and a customized version of the HIVQUAL software. 

QI initiatives were implemented following the initial data collection and analysis, such as improved HIV database systems and increased education for providers and patients on the importance of specific aspects of clinical care. 
 
HIVQUAL-T is now fully integrated into the Thai healthcare system.
 
For more information, please visit the HIVQUAL-T website.
 
Demographic Data:
Total population 63,444,000 
Gross national income per capita (PPP international $) 7,440 
Life expectancy at birth m/f (years) 69/75 
Healthy life expectancy at birth m/f (years, 2003) 58/62 
Probability of dying under five (per 1 000 live births) 8
 
Probability of dying between 15 and 60 years m/f (per 1 000 population) 264/155 
Total expenditure on health per capita (Intl $, 2006) 346 
Total expenditure on health as % of GDP (2006) 3.5
 
Adults living with HIV/AIDS*                      610,000 cases
Children living with HIV/AIDS*                    14,000 cases
HIV prevalence in pregnant women**          0.72%
Estimated new HIV-infected people (2009) 12,000 cases
Estimated new HIV-infected children (2008)
    (Transmission rate 3-6%***)                  175-350 cases 
HIV prevalence in TB patients                    15%
 
Source: *  UNAIDS, 2008 
             **  Division of Epidemiology, Thai MOPH 2008 
             ***Thai national PMTCT evaluation 2008
 
Health Infrastructure:
 
Thailand's health infrastrcuture operates across 927 districts in 76 provinces throughout 12 regions.Health facilities include university hospitals, medical centers and regional hospitals in each region, with the addition of a general hospital in each province and a community hospital in each district.
 
ART Facilities: 
 
Up to 200,000 PLHA are receiving ART in >900 hospitals in countrywide
Most of pediatric cases ( > 8,000) have received HIV care services from secondary and tertiary hospitals with pediatricians
 
ART Centers
Government hospitals 927 
Private hospitals 98
Laboratory Facilities
CD4 103
Viral load 29
Viral genotyping 10
HIV PCR (government) 15
 
Expansion of the Adult HIVQUAL-T Program                                
 
Expansion of the Pediatric HIVQUAL-T Program

 

Team/Leadership
Dr. Somsak Aklasilp
Deputy Director General, Department of Disease Control.
Ministry of Public Health
Dr. Sumet Ongwandee
Director
Ministry of Public Health
Dr.Rawiwan Hansudewechakul
Doctor, Chaingrai Hospital
Ministry of Public Health
Vipa Phawanaporn
Public Health Technical Officer
Ministry of Public Health
Dr. Somyot Kittimunkong
Chief of Treatment and Care Session, Bureau of AIDS and STI
Ministry of Public Health
Dr. Wittaya Petchdachai
Doctor, Prachomkao Hospital
Ministry of Public Health
Dr. Sorakij Bhakeecheap
Senior Manager
National Health Security Office
Dr. Rangsima Lolekha
CDC Asia Regional Officer; Chief, PMTCT and Pediatrics Section
Thailand MOPH-US.CDC Collaboration
Suchin Chunwimaleung
Computer System Analyst, Informatics Section
Thailand MOPH-US.CDC Collaboration
Dr. Mitchell Wolfe
Director of Global AIDS Program, Thailand MOPH - US CDC Collaboration, and CDC/Southeast Asia Regional Office
Thailand MOPH-US.CDC Collaboration
Dr. Ake-chittra Sukkul
Medical Officer
Thailand MOPH-US.CDC Collaboration
Worawan Faikratok
Project Coordinator
Thailand MOPH-US.CDC Collaboration
Program Organigram

Data Profile