{"id":38728,"date":"2025-06-26T17:10:50","date_gmt":"2025-06-26T10:10:50","guid":{"rendered":"https:\/\/www.worldvision.or.th\/?p=38728"},"modified":"2025-11-06T16:41:36","modified_gmt":"2025-11-06T09:41:36","slug":"together-with-communities-turning-voices-into-action","status":"publish","type":"post","link":"https:\/\/www.worldvision.or.th\/en\/grant-en\/together-with-communities-turning-voices-into-action\/","title":{"rendered":"Together with Communities: Turning Voices into Action"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"38728\" class=\"elementor elementor-38728 elementor-38705\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b4ab0cf e-flex e-con-boxed e-con e-parent\" data-id=\"b4ab0cf\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c1f2518 elementor-widget elementor-widget-text-editor\" data-id=\"c1f2518\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>In Thailand, although access to healthcare services has steadily improved, certain population groups, especially key populations at high risk of tuberculosis (TB) and HIV, continue to face exclusion from the health system due to stigma and discrimination. Addressing these issues effectively requires grassroots-responsive mechanisms, which led to the creation of \u2018Baan Samer,\u2019 an operational model focused on protecting human rights, gender equity, and building a sustainable health system from community to community.<\/p>\n<p><strong>Baan Samer: A Safe Space Co-Created by the Community for Rights, Equity, and Well-being<\/strong><\/p>\n<p>Equal access to rights and health services remains a challenge, particularly for vulnerable groups such as people living with HIV, people who use drugs, and TB patients, who often face stigma and discrimination. With over 30 years of experience in HIV-related rights work, Foundation for Action on Inclusion Rights (FAIR), in collaboration with the Department of Disease Control and partners from both government and civil society, developed the \u2018Sawaddee Pokpong\u2019 Crisis Response System (CRS) in 2019. This system receives complaints and protects against rights violations related to AIDS, sexual health, and vulnerable populations, and was initially implemented in 14 provinces.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b357990 e-flex e-con-boxed e-con e-parent\" data-id=\"b357990\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ab3f90d elementor-widget elementor-widget-gallery\" data-id=\"ab3f90d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;columns&quot;:1,&quot;columns_tablet&quot;:1,&quot;aspect_ratio&quot;:&quot;1:1&quot;,&quot;lazyload&quot;:&quot;yes&quot;,&quot;gallery_layout&quot;:&quot;grid&quot;,&quot;columns_mobile&quot;:1,&quot;gap&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;gap_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;gap_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;link_to&quot;:&quot;file&quot;,&quot;overlay_background&quot;:&quot;yes&quot;,&quot;content_hover_animation&quot;:&quot;fade-in&quot;}\" data-widget_type=\"gallery.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-gallery__container\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-100f47f e-flex e-con-boxed e-con e-parent\" data-id=\"100f47f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-544416c elementor-widget elementor-widget-text-editor\" data-id=\"544416c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>In 2024, FAIR expanded this system into \u2018Baan Samer\u2019 under the project \u2018Stop TB and AIDS through RRTTPR year 2024-2026\u2019, supported by the Global Fund and World Vision Thailand. The aim is to eliminate human rights and gender-related barriers to accessing TB and HIV services. \u2018Baan Samer\u2019 acts as a frontline mechanism for receiving complaints, recording facts, providing information and counselling, and referring cases to relevant agencies. It operates through a multidisciplinary team of specialists and offers services in four main areas:<\/p>\n<p>\u00b7 Rights, legal, and anti-discrimination services<br \/>\u00b7 Harm reduction services for drug use<br \/>\u00b7 Sexual and reproductive health services<br \/>\u00b7 Mental health and well-being services<\/p>\n<p>The core of Baan Samer lies in designing services that understand the needs of service users, emphasising co-development with target groups (Targeting Triage), diversity, intersecting identities, and individual contexts. This ensures effective and context-appropriate operations based on veracity aligned with community values. With data-driven work, systematic analysis, and cross-disciplinary collaboration, Baan Samer can manage rights violation cases systematically and drive effective policy advocacy.<\/p>\n<p><strong>The Home That is Equal for All<\/strong><\/p>\n<p>The name \u2018Baan Samer\u2019 carries dual meanings: <strong>\u2018Samer\u2019 means equality,<\/strong> and <strong>\u2018Baan\u2019 (home) represents a place that welcomes everyone unconditionally<\/strong>, regardless of their circumstances. This model is more than a complaint and protection mechanism\u2014it is a safe space driven by the community (Community-led Human Rights and Gender Service Model: CLHRGS) to eliminate stigma and discrimination against vulnerable populations such as people who use drugs, people living with HIV, and TB patients. \u2018Baan Samer\u2019 also plays a vital role in empowering individuals who face dehumanisation and discrimination, helping them develop skills to prevent repeated violations and access timely support. This is a community-powered initiative to protect rights, restore well-being, and reduce discrimination and human rights violations caused by TB, HIV, and related factors through proactive, systematic, and sustainable policy approaches.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-088ce4a e-flex e-con-boxed e-con e-parent\" data-id=\"088ce4a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8317c47 elementor-widget elementor-widget-gallery\" data-id=\"8317c47\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;columns&quot;:2,&quot;lazyload&quot;:&quot;yes&quot;,&quot;gallery_layout&quot;:&quot;grid&quot;,&quot;columns_tablet&quot;:2,&quot;columns_mobile&quot;:1,&quot;gap&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;gap_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;gap_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;link_to&quot;:&quot;file&quot;,&quot;aspect_ratio&quot;:&quot;3:2&quot;,&quot;overlay_background&quot;:&quot;yes&quot;,&quot;content_hover_animation&quot;:&quot;fade-in&quot;}\" data-widget_type=\"gallery.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-gallery__container\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0151960 e-flex e-con-boxed e-con e-parent\" data-id=\"0151960\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7ad307c elementor-widget elementor-widget-text-editor\" data-id=\"7ad307c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>\u2018Baan Samer\u2019 reflects the integration of human rights, sexual health, and anti-stigma and anti-discrimination efforts related to TB and HIV through a community-driven mechanism. Its concept aligns with both global and national health strategies, such as:<\/p>\n<p>Global AIDS Strategy 2021\u20132026<br \/>World Health Organization\u2019s End TB Strategy<br \/>Thailand\u2019s National AIDS Elimination Action Plan 2023\u20132026<br \/>National TB Elimination Action Plan Phase 2 (2023\u20132027)<br \/>The Global Fund\u2019s approach to supporting Community-Led Crisis Response Systems (CRS) and Resilient and Sustainable Systems for Health (RSSH)<\/p>\n<p>In a health system led by communities, people are not just service recipients but co-designers, monitors, and evaluators of health interventions. Community participation enables:<br \/>Identification of real problems and barriers through lived experiences<br \/>Effective linkage with government services and partners<br \/>Empowerment of community members to understand and protect their rights<\/p>\n<p><strong>Strengthening \u2018Baan Samer\u2019: The Role of World Vision Thailand in Connecting Resources, Partnerships, and Communities<\/strong><\/p>\n<p>Under the project \u2018Stop TB and AIDS through RRTTPR year 2024-2026\u2019, supported by the Global Fund, World Vision Thailand has played a key role in strengthening \u2018Baan Samer\u2019, implemented by FAIR. This is a community-level mechanism designed to address vulnerabilities across multiple dimensions\u2014health, rights, and legal status. As the Principal Recipient of Global Fund support, World Vision Thailand systematically allocates funding to implementing agencies in the field and supports the development of essential tools for community-based work, such as vulnerability assessment toolkits and data reporting systems. These tools enable effective monitoring, evaluation, and evidence-based policy planning that aligns with real-world contexts.<\/p>\n<p>At the same time, World Vision Thailand serves as a central mechanism linking Baan Samer\u2019s operations with networks of government agencies, civil society, and stakeholders at both local and national levels. This support aims to develop Baan Samer into a stable and sustainable support mechanism, not merely a temporary project-based initiative, but an integrated space for health care, rights protection, and the elimination of stigma and discrimination against vulnerable populations. This foundation is crucial for reducing the spread of TB and HIV in Thailand in the long term. The strength of Baan Samer, as a proactive community mechanism aligned with national policy, will play a vital role not only in increasing access to treatment but also to address the underlying issues, leaving no one behind, by 2030 for HIV and 2035 for TB, in line with national targets and the Sustainable Development Goals (SDGs). Through collaboration among civil society, government, and NGOs, \u2018Baan Samer\u2019 demonstrates that community-led health and human rights initiatives can drive tangible and sustainable change.<\/p>\n<p><strong>Outcomes and Challenges of \u2018Baan Samer\u2019 Implementation<\/strong><\/p>\n<p>Between October 2024 and March 2025, \u2018Baan Samer\u2019 assisted a total of 111 cases, with most service users being key populations such as people living with HIV, people who use drugs, and migrants, primarily Thai nationals. The most utilised services were harm reduction and sexual and reproductive health services, followed by rights and legal services. Most users contacted Baan Samer through its hotline. These results reflect the effectiveness of proactive outreach in reaching target groups and directly addressing issues in the field. Additionally, all service users underwent mental health screening, received individual counselling, and participated in group support activities to enhance overall mental well-being.<br \/>Despite the expansion of the CRS system to more provinces, local mechanisms still fall short of fully meeting community needs. Rights issues are not yet systematically integrated into community services. Key challenges include:<\/p>\n<p>Lack of community capacity development for case intake and data management<br \/>Case management is not yet linked to preventive service planning<br \/>Data use remains focused on reporting rather than driving development<br \/>Fragmented operations among agencies, lacking data and strategic integration<\/p>\n<p>The collected data does not yet fully reflect the values or needs of each community and cannot be deeply analysed to inform policy-level service adjustments or fully leverage big data. These challenges highlight the need to strengthen and equip such mechanisms with resources to make human rights a fundamental issue that communities can manage themselves, with support from both local and national agencies.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f43d87e e-flex e-con-boxed e-con e-parent\" data-id=\"f43d87e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-20f5bc3 elementor-widget elementor-widget-gallery\" data-id=\"20f5bc3\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;columns&quot;:2,&quot;lazyload&quot;:&quot;yes&quot;,&quot;gallery_layout&quot;:&quot;grid&quot;,&quot;columns_tablet&quot;:2,&quot;columns_mobile&quot;:1,&quot;gap&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;gap_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;gap_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;link_to&quot;:&quot;file&quot;,&quot;aspect_ratio&quot;:&quot;3:2&quot;,&quot;overlay_background&quot;:&quot;yes&quot;,&quot;content_hover_animation&quot;:&quot;fade-in&quot;}\" data-widget_type=\"gallery.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-gallery__container\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2b0c2a9 e-flex e-con-boxed e-con e-parent\" data-id=\"2b0c2a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a755e3a elementor-widget elementor-widget-text-editor\" data-id=\"a755e3a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>The Next Steps for \u2018Baan Samer\u2019<\/strong><\/p>\n<p>\u2018Baan Samer\u2019 aims to elevate rights, legal, anti-discrimination, and well-being services to become an integral part of the mainstream service system. Its four key strategic directions are:<\/p>\n<p><strong>\u00b7 Enhancing Service Quality and Standards:<\/strong> Advocate for rights and anti-stigma services to be recognised not as \u201cad hoc\u201d efforts but as core services with clear, auditable standards that can be continuously developed over the long term.<br \/><strong>\u00b7 Leveraging Technology for Targeted Development:<\/strong> Apply data and technology to effectively identify target groups, ensuring services are targeted, timely, and crisis-responsive. Systematic data synthesis will also support policy advocacy that reflects real needs in local contexts.<br \/><strong>\u00b7 Driving Sustainable Support Systems:<\/strong> Build understanding and collaboration with policy-setting agencies such as the National Health Security Office (NHSO) to have these services recognised as well-being services eligible for budget allocation. A transition plan will be developed to prepare for long-term integration into stable support systems.<br \/><strong>\u00b7 Raising Public Awareness of Rights: <\/strong>Promote public understanding of individual rights (Know Your Rights) so people can protect themselves from violations and access help promptly.<\/p>\n<p><strong>\u2018Baan Samer\u2019 is a vital model for reducing stigma and discrimination, increasing access to justice, and providing essential TB and HIV services<\/strong>\u2014especially for often-overlooked key populations. In the future, \u2018Baan Samer\u2019 will not be a single service point but will expand to other community-based organisations nationwide. It will integrate with existing health systems in a standardised, robust, and continuous manner to help Thailand achieve its goals of ending TB and HIV in line with national strategies.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>World Vision Thailand and Foundation for Action on Inclusion Rights (FAIR) collaborate to strengthen a Community Participation Model for Promoting Rights and Equity in a Sustainable Health System.<\/p>\n","protected":false},"author":26,"featured_media":38713,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[30,77],"tags":[184,116,206,17,18,130,132,148],"class_list":["post-38728","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-grant-en","category-news-en","tag-community-development","tag-end-tb","tag-gender","tag-health-for-migrants","tag-human-rights-en-2","tag-migrant-population","tag-social-justice","tag-stop-aids","entry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Together with Communities: Turning Voices into Action - World Vision Thailand<\/title>\n<meta name=\"description\" content=\"World Vision Thailand and Foundation for Action on Inclusion Rights (FAIR) collaborate to strengthen a 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