232 The Global HIV Epidemics among Sex Workers
Figure 4.C.5 ART Expansion among the Adult Population and Combination with Empowerment for Sex Workers in Thailand: Prevalence of HIV among Female Sex Workers
HIV prevalence (percent)
4.2 3.7 3.2
Status quo
2.7
Baseline + ART1
2.2
ART1 + scale (70%)
1.7 1.2 2011
2012
Source: Authors. Note: ART = antiretroviral therapy.
2013 2014 Year
2015
2016
Table 4.C.8 and Figure 4.C.6 present the number and trends of new HIV infections among the adult population in Thailand, between 2011 to 2016, when ART is expanded among eligible adults, according to national estimates. An additional scenario depicts the impact when the expansion of ART is combined with expanded coverage of the Empowerment Intervention, expands from 10% to 70% coverage of the female sex worker population by 2016. Among adults, a total of 24,784 new infections are averted between 2012 and 2016 when ART expands, when compared to the status quo. This represents a 21% reduction in new infections among the adult population, between 2012–2016. With the addition of the Empowerment Intervention, a total of 25,327 new infections are averted, resulting in a 22% reduction in new infections between 2011 and 2016. Thus, in addition ot the benefits observed with ART expansion, the expansion of the community empowerment-based, comprehensive HIV prevention for female sex workers averts an additional 543 infections among the adult population.