{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T01:44:07Z","timestamp":1778291047405,"version":"3.51.4"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T00:00:00Z","timestamp":1675900800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>In Thailand, where the HIV epidemic is concentrated among key populations (KPs), particularly men who have sex with men (MSM) and transgender women (TGW), an HIV service delivery model tailored to KPs was piloted. This study evaluated the acceptability and retention of clients who accepted and declined the KP\u2010led HIV treatment service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was conducted using secondary data from three community\u2010based organizations (CBOs) and three hospitals in Thailand. KP lay providers were trained to lead HIV treatment service in which MSM and TGW living with HIV received counselling and a 3\u2010month antiretroviral therapy (ART) supply at CBOs. Thai MSM and TGW who were at least 18 years, on ART for at least 6\u201312 months, without co\u2010morbidities\/co\u2010infections, and virally suppressed were eligible and offered the service. Those who declined received ART via other service models offered by the hospitals and served as a comparison group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 220 clients screened between February 2019 and February 2020, 72% (159\/220) were eligible of which 146 were MSM and 13 were TGW. Overall, 45% (72\/159) accepted the KP\u2010led service. Of those who declined, 98% (85\/87) preferred to see the physician at the hospital. After 12 months of follow\u2010up, among those accepted, 57% were in care at the CBO, 32% were referred back to and in care in other service models offered by the hospital, 10% were successfully transferred out to other hospital and 1% were lost to follow\u2010up (LTFU); among those declined, 92% were in care in any service models offered by the hospital, 5% were successfully transferred out to other hospital, 2% were LTFU and 1% died (<jats:italic>p<\/jats:italic>\u2010value&lt;0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite moderate acceptability and retention in care at the CBO among the clients accepting the KP\u2010led service, almost all clients were engaged in care overall. Multiple service models that meet the preferences and needs of KPs living with HIV should be available to optimize engagement in care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.26062","type":"journal-article","created":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T16:43:57Z","timestamp":1675961037000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Acceptability and retention of the key population\u2010led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand"],"prefix":"10.1002","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5380-2013","authenticated-orcid":false,"given":"Sita","family":"Lujintanon","sequence":"first","affiliation":[{"name":"Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"},{"name":"Institute of HIV Research and Innovation Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1902-4016","authenticated-orcid":false,"given":"Sorawit","family":"Amatavete","sequence":"additional","affiliation":[{"name":"Institute of HIV Research and Innovation Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prattana","family":"Leenasirimakul","sequence":"additional","affiliation":[{"name":"Nakornping Hospital Chiang Mai Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jantana","family":"Meechure","sequence":"additional","affiliation":[{"name":"Hangdong Hospital Chiang Mai Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Preudtipong","family":"Noopetch","sequence":"additional","affiliation":[{"name":"Hatyai Hospital Songkhla Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Supakarn","family":"Sangtong","sequence":"additional","affiliation":[{"name":"Mplus Foundation Chiang Mai Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satayu","family":"Sittikarn","sequence":"additional","affiliation":[{"name":"CAREMAT Chiang Mai Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Poonnanat","family":"Phoopisutthisak","sequence":"additional","affiliation":[{"name":"Rainbow Sky Association of Thailand Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3941-3457","authenticated-orcid":false,"given":"Pich","family":"Seekaew","sequence":"additional","affiliation":[{"name":"Institute of HIV Research and Innovation Bangkok Thailand"},{"name":"Department of Epidemiology Columbia University Mailman School of Public Health New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7326-6342","authenticated-orcid":false,"given":"Stephen","family":"Mills","sequence":"additional","affiliation":[{"name":"FHI 360 and LINKAGES Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Praphan","family":"Phanuphak","sequence":"additional","affiliation":[{"name":"Institute of HIV Research and Innovation Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6293-9422","authenticated-orcid":false,"given":"Reshmie A.","family":"Ramautarsing","sequence":"additional","affiliation":[{"name":"Institute of HIV Research and Innovation Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0036-3165","authenticated-orcid":false,"given":"Nittaya","family":"Phanuphak","sequence":"additional","affiliation":[{"name":"Institute of HIV Research and Innovation Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,2,9]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"In Danger. 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