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Few
countries have shown the link between behavior and HIV infection as clearly as Thailand.
Overall, behavioral changes have reduced the number of new HIV infections each year from
almost 143,000 in 1991 to 29,000 in 2000. With support from the Thai government and
leaders from all levels of society, emphasis was placed on reducing the risky sexual
practices and the vulnerability of young people as well as on more specific risky
behaviors of particular groups. Efforts were made to increase knowledge and awareness of
HIV, as well as to improve life skills, such as decision-making and negotiation. Condoms
were promoted and educational opportunities for young girls were increased so that they
were less likely to become sex workers. Also, national policy guidelines to protect the
human rights of people living with HIV/AIDS were issued. As shown in the graph, one of the
most striking effects of the national program was a reduction in visits to sex workers,
the behavior most closely associated with HIV infection in Thai studies. |