| 4. In which ways is the initiative creative and innovative?
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“Mor Lum against Aids”
Prepare a patient for antiretroviral treatment
The model of service development
1. Patient logbooks were introduced to record medication diaries.
2. Patients are advised by registered nurses.
3. Patients’ information are registered with NAP and HIVQUL, STIQuality, VCT Quality 3
4. Patients are educated in antiretroviral drugs by registered nurses, pharmacists and physicians. They are supposed to remember how the drugs look like and how many drugs they take a day.
5. There is the holistic center, a group of patients with HIV/AIDS in Sisaket Province, working for HIV/AIDS patients in cooperation with Sisaket Hospital. They have been trained by public sectors to be able to work with hospitals. Their job are offering a consult and a home visit before and during the treatment, sending medicine by post, offering a consult in Hot Line, etc.
6. AIDS campaign in 1993, “Mor Lum against AIDS” invited to perform in German in 2004, etc.
7. It won the second prize in the organization of AIDS care at office contest by Department of Disease Control in 2014.
8. It was the Red Ribbon Award Winners for 2006, held by the United Nations in Toronto, Canada.
9. It was held training on AIDS education to students in 2010
10. It was conducted a campaign against AIDS on February 14, 2010
11. We participated in Innovation Award in 2010 and 2015
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| 5. Who implemented the initiative and what is the size of the population affected by this initiative?
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Strategic method
According to national plan for strategic and integrated HIV and AIDS prevention and alleviation (2011-2016) and plan for Preventing and Solving AIDS Problems in Sisaket Province, Sisaket Hospital has established a medical clinic to serve HIV/AIDs patients for 21 years. It is clear that we have succeeded in reducing the number of HIV/AIDs patients and HIV-exposed infants by 90 percent.
Six practical strategies for meeting Getting to zero goals;
1. Social justice, the process of ensuring that individuals fulfill their societal roles and receive what was their due from society.
2. a paradigm for HIV/AIDs prevention
3. Emphasis on work, efficiency, and effect
4. Leadership, cooperation, and sustainable resources
5. Empowering people and gave them self-appreciation.
6. Cooperating with Affiliated Party and Network Group of disabled to improve efficiency.
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| 6. How was the strategy implemented and what resources were mobilized?
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The model of service development
1. Patient logbooks were introduced to record medication diaries.
2. Patients are advised by registered nurses.
3. Patients’ information are registered with NAP and HIVQUL, STIQuality, VCT Quality 3
4. Patients are educated in antiretroviral drugs by registered nurses, pharmacists and physicians. They are supposed to remember how the drugs look like and how many drugs they take a day.
5. There is the holistic center, a group of patients with HIV/AIDS in Sisaket Province, working for HIV/AIDS patients in cooperation with Sisaket Hospital. They have been trained by public sectors to be able to work with hospitals. Their job are offering a consult and a home visit before and during the treatment, sending medicine by post, offering a consult in Hot Line, etc.
6. AIDS campaign in 1993, “Mor Lum against AIDS” invited to perform in German in 2004, etc.
7. It won the second prize in the organization of AIDS care at office contest by Department of Disease Control in 2014.
8. It was the Red Ribbon Award Winners for 2006, held by the United Nations in Toronto, Canada.
9. It was held training on AIDS education to students in 2010
10. It was conducted a campaign against AIDS on February 14, 2010
11. We participated in Innovation Award in 2010 and 2015
Resources used in the improvement process
Financial support
- A budget funded by National Health Security Office (NHSO) together with hospital subsidies
Technical support
- There has been a computer program that is being executed
Human resources
- A staff shortage solved by the assistance of the holistic center and budget from National Health Security Office
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| 7. Who were the stakeholders involved in the design of the initiative and in its implementation?
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There are many organizations taking part in solving the problems such as
Department of Disease Control
- Provided financial support to screen HIV/AIDs patients
- Hold an assembly for departments in the Ministry of Public Health to carry out the same improvement
The Office of Disease Prevention and Control 10 Ubonratchathani
- Provided financial support on conferences about preventing transmission of HIV
- Hold a training course to train staffs to screen for sexually transmitted diseases.
National Health Security Office 10 Ubonratchathani
- Provided financial support on conferences to educate HIV prevention
Sisaket Provincial Health Office
- Participate in publicizing the conferences and the latest status of the AIDS epidemic
Public sectors
- Provided partial financial support on conferences and campaigns for education of HIV and other sexually transmitted diseases.
Educational institution
- Carry out a campaign in educational institutions and educate students on HIV/AIDS and other sexually transmitted diseases.
Community leaders/ Village Health Volunteers
- Take care of their communities and educate people in community on diseases.
Private sectors
- Participate in a campaign, educate people in HIV/AIDS, take care of and offer a consult to HIV/AIDS patients.
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| 8. What were the most successful outputs and why was the initiative effective?
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1. The cooperation of HIV/AIDs patients, their families, communities, local government, and other organizations. There is a “care team” In community including volunteers such as friend to friend group, Sisaket holistic group, etc.
2. Focusing on not only AIDS, but other HIV/AIDs patients ‘problems
3. Communities realize their own problems and how to solve them.
4. Developing HIV/AIDs patients’ competency
5. The discussion on HIV/AIDs has consistently been held.
6. Developing competency of public health centers
7. the government is supposed to provide financial support and
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| 9. What were the main obstacles encountered and how were they overcome?
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Problems and obstacles
- Being disgusted by communities
- Migration due to work and being not likely to be allowed to have a day leave
- No care givers
- Elderly or disabled HIV/AIDs patients has no opportunities to be treated properly
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