Deadly Denial

Barriers to HIV/AIDS Treatment for People Who Use Drugs in Thailand

Executive Summary and Recommendations

Recommendations

To the government of Thailand..

To the government of the United States

To the United Nations and International Donors to Thailand..

Methods

Background

Thailand as an HIV/AIDS "Success Story"

HIV/AIDS and Injection Drug Use in Thailand..

Narcotic Drug Law and Policy in Thailand..

Providing HIV Care and Treatment to People Who Use Drugs: General Principles

Findings

Drug Control Policy and Policing Practices Impeding Access to ART

Police Registration of Drug Users

Interference with Harm Reduction Services

Obstacles to ART in Healthcare Settings

Denial of Antiretroviral Treatment to Drug Users

Problematic Approaches to Methadone Patients

Lack of Knowledge on Drug-Drug Interactions

Inadequate Voluntary Counseling and Testing Services

Hepatitis C..

Access to HIV-related Services in Custodial Settings

Access to Antiretroviral Therapy

Access to Medication-assisted Treatment for Opioid Dependence..

Continuity of Care in and between Custodial Settings

Compulsory Drug Treatment Centers

Human Rights Standards

The Right to Health

Rights of Detainees to Health Care..

Conclusion

Acknowledgments