EpiC Semi-Annual Report (FY21 Q3-Q4 April to September 2021) - Thailand

The project worked to maintain epidemic control among key populations, including men who have sex with men (MSM), male sex workers (MSW), transgender women (TG), transgender sex workers (TGSW), and female sex workers (FSW). Key quantitative outcomes for the period from April 1 to September 30, 2021, include reaching 51,893 individuals with HIV prevention services, representing 242% of the annual target. A cumulative total of 79,022 individuals were reached with HIV testing, reflecting 209% of the HIV testing target. The project supported HIV testing for 36,506 clients, with 72% of testing conducted among self-reported key populations. The case-finding rate was 3.67%, with MSM having the highest case-finding rate at 4.3%. Implementation partners pivoted to more online activities in response to COVID-19 social distancing measures, resulting in a small decrease in online reach. Physical outreach declined 76% compared to the previous semi-annual period, while the number of walk-in clients decreased 58%. Coverage decreased among all key populations in this reporting period compared to Q1-Q2 of FY21. However, some implementing partners, such as Mplus Phitsanulok, were able to fully resume services and initiate new programs, allowing them to reach more clients. The project supported the diagnosis of 2,840 new cases of HIV infection, or 89% of the annual target. EpiC Thailand partners supported ART initiation for 1,440 clients under direct PEPFAR support, reflecting 64% of the FY21 TX_NEW target. If the 1,247 clients supported to initiate treatment at non-PEPFAR sites were included, EpiC would have achieved 119% of the annual TX target. The project also supported PrEP initiation for a total of 4,310 clients, or 77% of the annual PrEP target. The EpiC Thailand Project faced challenges due to COVID-19 restrictions, including the closure of six KPLHS sites and the reduction of operation hours or closure of clinics due to staff quarantine. Mobile testing was not allowed in many areas, resulting in a drastic decline in testing. However, some implementing partners were able to adapt and continue providing services, such as Mplus Phitsanulok, which was able to fully resume services and initiate new programs.