title: Vulnerable populations in Thailand: giving voice to women living with HIV/AIDS.
abstract: Thailand was the first Asian country hit by the AIDS epidemic, and in the 1990s reported the fastest spread of HIV/AIDS in the world. According to Thailand's Ministry of Public Health, women, primarily between the child-bearing ages of 15 and 49, are increasingly becoming infected with HIV. A number of factors contribute to the increasing AIDS epidemic, including the rise of the commercial sex industry in Thailand; social disparities that have existed between men and women throughout Thailand's history; and the gender-expectations faced by Thai women toward family and society. Thailand enjoys one of the oldest, reputedly successful primary health care delivery systems in the world; one that relies on community health workers to reach the most rural of populations. In the mid-1990s, day care centers were established at district hospitals by the Thai government to provide medical, psychological, and social care to people living with HIV/AIDS (PWA). Buddhist temples also provide a source of alternative care for PWAs. However, the AIDS policy of the Thai government relies on families to care for the country's sick. Although poor women are a vulnerable population in Thailand, they are changing the paradigm of AIDS stigma while providing a significant cost-savings to the Thai government in their caregiving activities. Based on existing nursing studies on Thailand, this chapter gives voice to poor Thai women living with HIV/AIDS, and examines how they make sense of their gendered contract with society and religion while being HIV/AIDS caregivers, patients, or both.
authors.affiliation: University of North Dakota, Grand Forks, USA.
authors.forename: Adeline
authors.initials: A
authors.lastname: Nyamathi
authors.forename: Chandice
authors.initials: C
authors.lastname: Covington
authors.forename: Malaika
authors.initials: M
authors.lastname: Mutere
mesh_terms: D000223:Adaptation, Psychological; D000884:Anthropology, Cultural; D001294:Attitude to Health / Q000208:ethnology; D002016:Buddhism; D003151:Community Health Centers / Q000458:organization & administration; D003466:Cultural Characteristics; D005260:Female; D015658:HIV Infections / Q000208:ethnology*; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration; D015399:Nursing Research / Q000458:organization & administration*; D011203:Poverty; D011320:Primary Health Care / Q000458:organization & administration; D012307:Risk Factors; D011477:Sex Work; D012923:Social Class; D012945:Social Values; D013240:Stereotyping; D013785:Thailand; D035862:Vulnerable Populations / Q000208:ethnology*; D014930:Women / Q000523:psychology; D016387:Women's Health / Q000208:ethnology*; D014933:Women's Rights