Development of Health Service System for HIV/AIDS Patients in Kong Kai Lat Hospital, Sukhothai Province

Abstract

In Thailand, a lot of HIV/AIDS patients (PHAS) still need help for antiretroviral treatment and continuity of care. This group of PHAs have a high risk to get an opportunistic infection and dead. The objective of this action research is to decrease the number of this PHAs group in Kong Kai Lat community hospital in Sukhothai Province by making a policy, supporting the cooperation activities between community and PHAs, and a specific policy on health care service systems for PHAs in Kong Kai Lat community hospital from year 2013 – 2015. By using HIVQUAL-T program for statistically analyzing data and consumer satisfaction questionnaire, the result is concluded that the policies in this research can help PHAs in community to quickly get antiretroviral treatment. The policies also decrease the chance of old PHAS to get the opportunistic infection and their death rate. HIV/AID infection rate in the community is also reduced. But the median of the CD4 cells level in patients is still low, which is only around

80-120 cells/mm.