Department of Disease Control, Ministry of Public Health, Nonthaburi.
Research Institute for Health Sciences, Chiang Mai University.
AIDS. 2020 Sep 1;34 Suppl 1:S103-S114. doi: 10.1097/QAD.0000000000002586.
OBJECTIVE(S): To share Thailand's journey to develop and implement a national response to measure and tackle HIV-related stigma and discrimination and key implementation lessons learned.
A national response to stigma and discrimination including policy, measurement, and interventions. Intervention activities began in health facilities because of their key role in achieving health outcomes.
Three building blocks were implemented: policy and its translation into a roadmap for action; measurement development and routinization to inform intervention design and track progress; and intervention development and implementation.
Thailand has successfully integrated a response to stigma and discrimination into its national HIV response. Stigma and discrimination-reduction was included as a key strategic goal for the first time in the 2014-2016 National AIDS Strategic Plan. A costed national stigma and discrimination-reduction roadmap incorporated into the operational plan provided clear strategic direction on how to move forward. The development of HIV-related stigma and discrimination measures and their incorporation into the national HIV monitoring and evaluation framework has led to routine data collection to monitor stigma and discrimination in health facilities, key populations, and the general population. Development and successful piloting of a health facility stigma-reduction package - the 3 × 4 approach - has led to national scale-up of the approach through a modified approach. Thailand continues to evolve and innovate the program, including developing new activities to tackle stigma and discrimination beyond the health system.
Thailand's experience demonstrates the key elements needed to make addressing stigma and discrimination a priority in the national HIV response.
分享泰国在制定和实施国家应对措施以衡量和解决与艾滋病相关的污名和歧视方面的经验，并介绍主要的实施经验教训。
这是一项针对污名和歧视的国家应对措施，包括政策、衡量和干预措施。干预活动始于卫生机构，因为它们在实现健康成果方面发挥着关键作用。
实施了三个构建模块：政策及其转化为行动路线图；衡量方法的开发和常规化，以指导干预设计和跟踪进展；以及干预措施的开发和实施。
泰国已成功将对污名和歧视的应对措施纳入国家艾滋病应对计划。减少污名和歧视被首次纳入 2014-2016 年国家艾滋病战略计划的关键战略目标。包含在运营计划中的、有成本核算的国家减少污名和歧视路线图为如何前进提供了明确的战略方向。艾滋病毒相关污名和歧视衡量工具的开发及其纳入国家艾滋病毒监测和评估框架，导致了在卫生机构、重点人群和一般人群中常规收集污名和歧视数据。减少卫生机构污名的一揽子计划（3×4 方法）的制定和成功试点，导致通过修改方法在全国范围内推广该方法。泰国继续对该方案进行演变和创新，包括开发新的活动来解决超越卫生系统的污名和歧视问题。
泰国的经验证明了在国家艾滋病应对措施中优先解决污名和歧视问题所需的关键要素。
