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However, Thailand’s National AIDS Committee (NAC) reported an increase in the percentage of people testing for HIV from 40% in 2009 to 61.2% in 2014, but warns that its data is limited as it is based on research from just three areas.38 Migration can put people in situations of heightened vulnerability to HIV, due to factors such as social exclusion and a lack of access to healthcare services or social protection.In South-East Asia, HIV prevalence among migrants to Thailand from neighbouring countries is up to four times higher than among the general population.39 The highest prevalence among migrants in Thailand was found in the fishing industry, with rates of 2% among fishermen and 2.3% among fishery workers, compared to HIV prevalence of 1.1% and 0.74% among factory workers and farm workers, respectively.40 In a behavioural survey conducted in 24 provinces among migrant workers aged 15-49, 21.6% of male workers had sex with more than one partner in the previous year compared with 4.6% female workers.

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This may be the result of a lack of information about HIV or a lack of access to services.No need to waste time on long surveys either: just a couple questions and the app will start working its magic for you.KEY POINTS:• Thailand has one of the largest HIV prevalences in Asia and the Pacific, accounting for 9% of the region’s total HIV population.For example, a 2015 UNICEF study of young key populations in Thailand found only 31% of young female sex workers in Bangkok and 50% in Chiang Mai had received any HIV-related information or services in the past 12 months, compared to 80% of the other key populations surveyed such as men who have sex with men and people who inject drugs.24 The same study found that, of the young female sex workers surveyed, only 12% in Chiang Mai and 18% in Bangkok had tested for HIV in the past 12 months.Globally, transgender people are the most at-risk group of sex workers, with HIV prevalence estimated to be on average nine times higher than for female sex workers and three times higher than for male sex workers.25 There are more than 75,600 transgender people living in Thailand.Chiang Mai was the only city where testing had increased over time, from 22% in 2005 to 43% in 2014.29 There are a number of reasons transgender men and women are being left behind in prevention and treatment work.

Discriminatory heath systems, transphobia, family rejection and a lack of access to education and employment all discourage transgender people from seeking HIV services.30 Indeed, the 2015 UNICF study mentioned above found only 32% of young transgender people had correct HIV knowledge.31 Within the first few years of Thailand’s epidemic, HIV prevalence among people who inject drugs (sometimes referred to as PWID) rose from 0 to 40%.

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In recent years, efforts have been made to address the sexual and reproductive health of young people.

A ban on people aged 18 and under testing for HIV without parental consent was lifted in 2012.

Nearly 10 million people avoided HIV transmission because of early intervention programmes with key affected populations between 19.