Ethical Dilemma of Hiv Disclosure in Intimate Relationships

HIV Prevention with Positives in Thailand: Ethical Dilemma of HIV Status Disclosure in intimate relationship. Abstract Every year, there are about ten thousand new HIV infection cases in Thailand. The majority of new HIV transmissions in Thailand have changed from commercial sex to intimate relationships while HIV prevention generally focuses on self protection and universal precaution. In 2003, Center for Disease Control and Prevention recommend to integrate HIV preventive measure into routine HIV care. According to a survey of People Living with HIV and AIDS (PLWHA) in Thailand, 45% of HIV infections came from transmission between spouses and 10% believed that their partners knew their HIV status before having a relationship.†¦show more content†¦Most of these preventive measures aim at self protection of the general HIV-negative population and vulnerable groups. HIV-positive people have not been included in prevention strategies and messages. Fear of further stigmatization exclude concept of responsibility for health of sexual partner as an alternative strategy and prevention program. (B ayer 1996) However research has shown that after most PLWHA learn their HIV status they reduce their unprotected sex, though some still engage in unsafe sex.(Janssen, Holtgrave, Valdiserri et al. 2001; Marks, Richardson, Crepaz et al. 2002) In 2003, the Centers for Disease Control recommended the ‘Prevention with Positives’ strategy to promote sexual health among PLWHA attending HIV/AIDS clinic and to help reduce onward HIV transmission.(Centers for Disease Control and Prevention 2003) Positive prevention was recommended by UNAIDS (the Joint United Nations Program on HIV/AIDS); it has been implemented in industrialized countries, and should be a priority in high-prevalence regions.(Bunnell R, J. and K 2006) Advance in medical treatment, especially antiretroviral treatment have improved quality of life and prolongs survival. 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