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

Deadly Denial

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

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Executive Summary and Recommendations


To the government of Thailand

To the government of the United States

To the United Nations and International Donors to Thailand



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


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




November 2007 Volume 19, No. 17(C)