Lop Buri: HIV/AIDS Hospice
By: Kaycee Gilson & Hailey Muilenburg
•HIV and AIDS•
Human Immunodeficiency Virus (HIV) is a virus that causes destruction of the body’s immune system and defenses. If left untreated, HIV can lead to Acquired Immunodeficiency Syndrome (AIDS). AIDS is the most severe stage of HIV. HIV/AIDS can not be cured but there are treatments to prolong life and provide comfort. HIV compromises immunity and ability to fight infections which may lead to terminal infections and cancers. HIV is transmitted through bodily fluids such as blood, semen, vaginal fluids, and breastmilk. Common routes include vertical transmission (mother to infant) and horizontal transmission (sex between partners and IV drug use). Antiretroviral therapy (ART) is used to treat an infection but it cannot cure the patient of the virus. These drugs are often very costly and have many negative side effects. Efforts like this facility strive to prevent the spread of HIV by educating the public and reducing the stigma surrounding the illness.
The HIV/AIDS hospice provides a safe community and environment for those with HIV/AIDS. The center serves to improve the patient’s physical, social, and spiritual needs. The center also aims to educate, raise awareness, and decrease stigma about HIV/AIDS.
The first part of the tour was to the HIV/AIDS hospice museum. Fourteen donated human bodies occupied this space, ranging in age from childhood to adulthood. The museum contained ashes of over 10,000 individuals with HIV/AIDS. The ashes in the museum are a final resting place for individuals whose families refused them. The oldest of the remains are 20 years old. The bodies have been donated by the individuals to serve as a source of education and awareness. The museum housed mostly male and transgender individuals, but also included women and children. Prior to ART there were 1 to 2 deaths per day. Since the induction of ART, there are 1 to 2 deaths per month. Overall, the clinic has seen a decline in the number of individuals passing away with HIV/AIDS, but also a reduction in the number of new admits. The main focus of this museum was to provide education and awareness about HIV/AIDS.
This hospice center has a maximum capacity of 150 people. It is currently hosting 144 people. The center is divided into six sectors: male, female, family, end-stage AIDS, volunteer, and monk. The clinic covers all medical care including transportation and ARTs. There is one nurse and one doctor on staff. The patients receive weekly visits from the physician that resides in Bangkok. All other patient needs are taken care of by volunteers. If the hospice reaches capacity there is often a waitlist for those new admits. Individuals may be admitted by family that is unable or unwilling to provide care or if they are unable to provide care for themselves.
There is a lot of stigma surrounding HIV/AIDS, which is largely contributed to lack of education and cultural beliefs. The AIDS hospice provides a community free of social stigma and judgement that allows for collaboration among a select population. The patients did not seem “put off” by their location, but rather the status of their situation. The facility was kept clean and the patients seemed to be well cared for. The museum brought a lot of emotions to the surface of the students and created a very powerful statement about the devastating effects of HIV/AIDS. A facility such as this one would not be possible in the United States: medical expenses would not be covered by the government and the facility would not be open for the public to tour.