Investigators: John Knodel, PI, Suvinee Wiwatwanich, PI, Jiraporn Kespichayawattana, PI, Chanpen Saengtienchai, PI.
Description: The project goal is to examine how the impact of the epidemic on older persons and their contributions to mitigating its consequences are being transformed in the context of widespread provision of ART in Thailand. Among the issues explored are how having a HIV infected adult child receive ART affects parents’ roles in care giving, providing psychological support, paying expenses and encouraging treatment adherence. The project also examines changes in parents’ psychological well-being and in the reactions of other community members to their situation. The project focuses primarily on parents of adults on ART but also incorporates some comparisons with other family members. Thailand provides a particularly appropriate setting given the extensive progress made in the country towards universal access to ART and the large number of older persons involved. Two data collection strategies were followed. 1) an ART Recipient Survey in which 912 adults on ART completed a short self-administered questionnaire at 18 distribution sites in five provinces and Bangkok and 2) 108 extensive face-to-face interviews with parents of adult children on ART from all four regions of the country. The two sources are intended to complement each other. The ART Recipient Survey can provide estimates of some basic parameters within which the far more detailed information about the involvement of parents with adult children on ART derived from the survey of parents can be placed.
Coverage: Thailand.
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