Specifications for Roads and Bridges
Specifications are essential guidelines encompassing all aspects of work performance. Standard and supplemental specifications, along with special provisions, are crucial for the successful execution of projects. The Standard Specifications for Roads and Bridges provide detailed instructions for construction procedures, materials, and more, ensuring quality and consistency in civil engineering projects.
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LEADING THE WAY: THAILAND S HIV AND AIDS STRATEGY 2012-2016 Petchri Sirinirund National AIDS Management Center
Presentation Guide Background: HIV in Thailand & rationale for inclusion of S&D in National Strategy Process of how it came about National AIDS Strategy 2012-2016 National Strategic Information and Monitoring and Evaluation Plan 2012-2016 National Biannual Operational Plan
Projected New HIV Infections by Mode of Transmission (using Asian Epidemic Model) Total population : 64 million (2011) Casual and extramarital sex Spousal transmission Injecting Drugs 6% 32% 41% 10% 11% Sex workers and clients 62% of new infections Men who have sex with men 41% 2012-2016 43,040 new infections
ART coverage 2011: 77% CD4Level at the time of diagnosis and ART initiation CD4 at ART initiation CD4 at diagnosis 6% 6% 9% 10% 9% 21% 21% 21% 22% 11% 11% 15% 21% 20% 15% 14% 15% 14% 22% 19% 14% 15% 15% 15% 65% 63% 59% 57% 50% 50% 49% 49% Yr N 2008 13,972 2009 13,575 2010 13,237 2011 13,738 2008 6,163 2009 8,243 2010 8,601 2011 8,326 >350 cells/mm3 <100 cells/mm3 201-350 cells/mm3 100-200 cells/mm3 Source of data: NAP database, National Health Security Office
Process for Inclusion of S&D in National Strategy Participatory process from government and civil society sectors Evidence Annual report of the situation of AIDS rights by Foundation for AIDS Rights Study on stigma index Civil society s agenda for HIV and AIDS Extensively consultation process on human rights issues
AIDS ZERO Thailand National AIDS Strategy 2012-2016
Vision and Goals Vision: To get to Zero New HIV Infections Goal for 2016: New HIV infections reduced by two-thirds Rate of vertical transmission of HIV less than 2% Vision: To get to Zero AIDS-related Deaths Goal for 2016: Equal access to quality treatment, care, support and social protection for all people affected by HIV Vision: To get to Zero Stigma and Discrimination Goal for 2016: All laws and policies which obstruct equal access to prevention, treatment and care services are revised Human Rights and gender specific needs are addressed in all HIV responses AIDS related deaths reduced by half Stigma and discrimination of PLHIV and key affected populations reduced by half TB deaths among people living with HIV reduced by half
Access to prevention Access to treatment Zero stigma and discrimination Adequate resources Treatment as Prevention Zero new infections Zero AIDS related deaths
2 Strategic Directions A. Innovation and Change 1. Expand rights based and gender sensitive comprehensive prevention services for populations with risk behavior with highest number of HIV infections 2. Expand the protective social and legal environment essential for HIV prevention and care 3. Create sense of ownership at the local level in the expansion of prevention and control of AIDS 4. Implement a new generation of strategic information to inform and guide the national response at all levels B. Optimization and Consolidation 5. Harmonize and optimize interventions and programs focusing on: 1) Prevention of Mother to Child Transmission (PMTCT) 2) Prevention among Young People 3) Condom Programming 4) Blood Safety and Universal Precaution 5) Treatment, Care and Support 6) Care and Support for Children Affected by AIDS 7) Stigma and Discrimination 8) Public Communication
National Operational Plan 2013-2016 1. Review and change law, regulations, policies hindering access to services 2. Promote the implementation of enabling policies 3. Establish human rights protection mechanism at provincial level 4. Campaign for understanding on sexuality rights, AIDS rights and human rights 5. Promote the right based health and counseling services 6. Empower PLHIV and KAPs 10
New Routine Integrated HIV Information System Crisis response monitoring system Unified system to monitor violence, crisis related to rights, laws, stigma and discrimination from provincial to national level Establish new surveys to monitor HIV response
