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St.Camillus Foundation of Thailand

"Garden of Eden"

Baankrai-Rayong Thailand

(July 2002)

 

Executive Summary

Project Title:             Garden of Eden (paradiso terrestre)

Project Holder:       Camillian Social Centre Rayong (CSC), under

St.Camillus Foundation of Thailand

Contact Person:        Fr. Giovanni Contarin , Director of CSC Rayong

Postal Address:      1/1 Soi Kiri, Huay Pong, Rayong 21150 , Thailand

Tel.     (038) 685480, 691480

Fax.    (038) 687480

E-mail            cscrayon@loxinfo.co.th

Situation

Rayong is a province in the eastern region of Thailand with the highest number of AIDS patients and people having HIV, and ranks the third of the country. Rayong records a dead toll of 1,047 and 3,997 AIDS patients from September 1984 to November 1999. It records the ratio of 70.68 AIDS patients per a hundred thousand people in 1999, while the highest is in 1996 at 155.67, the lowest in 1999, and in the previous year the figure is well over 139.36.

The Ministry of Public Health estimated that 984,000 people all across the country have infected HIV since the first AIDS patient was found. Among them, 289,000 died and 695,000 are currently living with HIV and AIDS. Among the infected, 55,000 will develop serious AIDS related complex this year, requiring medical care. Approximately the same number will die of AIDS. It is also estimated that 29,000 new infections would occur this year. Half of these are women who got the virus from their husbands or sex partners. A quarter would be infected from drug use, one fifth among sex workers and their clients, and 4,000 are children. This fact highlights the country three important areas, prevention of infection, reduction of HIV transmission from mother to child and care of AIDS patients.

 However, due to financial and economic crisis attacking the country since 1997, the government is not in a position to initiate interventions in all the above important areas. It needs co-operation and assistance from the private sector.

 

PROJECT DESCRIPTION

Background and Rationale

AIDS in Thailand has spread through different risk groups during an initial period. From 1984 to November 30, 1999 , the accrued number of AIDS patients in full-blown is 131,396, and 36,312 people died of AIDS.

The largest group of people with HIV are those aged 25-29 years. The largest group by profession infected with the virus is young employees and factory workers. The main risk factor in the same period is sexual relationships. The region with the highest rate of infection is the North.

Rayong is a province with the highest number of people with HIV/AIDS in the east and the third in the country. It records a death toll of 1,047 and 3,997 AIDS patients. The highest infection rate is found in intravenous drug users and direct prostitutes. Over half of the former and one third of direct sex workers were found HIV positive in June 1997. In some villages, all members are infected with the virus.

Most of them were young people.

The present Thai society sees an ever-increasing number of people infected with AIDS. This disease has now reached its entire cycle of infection having entered the family environment. Most children at the age of 5-12 years whose mothers have HIV and are still alive in 2000 will be orphans within the next two years.

It is estimated that the number of orphans whose parents died of AIDS and were younger than five years old in 1999 is 7,071, while there were only 51 in 1990, and this number continues to rise year after year.

The accumulated number of orphans under 12 in 1999 is 59,045. There are over 300,000 children under 12 whose mothers have HIV while both the children and their mothers are still alive.

Thai government is developing tactics and strategies to provide knowledge on risk behavior and to promote positive attitudes towards people with HIV/AIDS. It also promotes research and development especially on AIDS vaccines.

In Rayong, public health organizations provide medical care for AIDS patients who have complications and for people living with HIV. Other state agencies concentrate on prevention with workers and local communities. However, its resources, be they human, material and financial, are not enough to cope with this alarming and worsening problem. It is even worse when the country is attacked by financial and economic crises.

Children are victims of this AIDS infection and have posed serious problems on society. Children infected with HIV were orphaned when their fathers and mothers died of AIDS. Their relatives could not take care of them, while many others are reluctant or refuse to take care of them. Therefore, they do not have any one to take care of them. They do not have an opportunity to get an education. They lack love and warmth from their natural families. If these children grow up, they will certainly pose critical problems on society.

The Thai government does not have any clear policy or action on this issue whether to leave these children with their relatives or parents. If they do not have anywhere to go, what they will do, especially when they have the virus. They cannot just walk into an orphanage because they will certainly be rejected. NGOs taking care of orphans do not accept these HIV orphans because they do not know how to take care of children with a specific condition like this. Most of them prefer to follow a policy of leaving children with HIV/AIDS with their families.

The number of people with symptomatic HIV from 1984 to November 30, 1999 , is 51,801. Of this number, 5,424 people died. In 1998, it is recorded that 9,681 people had symptomatic HIV and 853 died (in year of sickness). In 1999, there is a report of 4,960 symptomatic HIV people with a fatality of 354 cases.

The Ministry of Public Health estimated the number of orphans less than five years of age in 1999 at 7,071. It estimated that there were only 51 orphans in 1990 whose parents died of AIDS and the number continued to rise year after year. The accumulated number of orphans as of 1999 is 21,321. For orphans below 12, the accumulated number in 1999 is 59,045. There are over 300,000 children under 12 whose mothers have HIV while both the children and their mothers are still alive. Most children at the age of 5-12 years whose mothers have HIV and are still alive in the year 2000 will be orphans by the next two years.

 

The Project Holder: Camillian Social Centre Rayong

 

Camillian Social Centre (CSC) has officially been opened on 29 January 1996 . It is located in Rayong, an eastern province of Thailand , where the rate of HIV infection is the highest in the region and the third in the country. It is dedicated to the care of people living with HIV and AIDS patients who are poor, abandoned or rejected by their families and communities. As of 30 June 2000 , the total number of people living with HIV and AIDS patients being cared for is 70. It also organizes prevention training for high school students, factory workers, employees of small enterprises, sex workers, and members of local communities. The

prevention training focuses on providing a knowledge and understanding of HIV/AIDS, communication skills, risk factors and behaviors, and how to prevent themselves from infection. Due to the serious problem of HIV infection, orphans who have lost their parents because of AIDS and also infected with the virus are referred to CSC because they are abandoned. Some of them are children of AIDS patients living in CSC. It accepts these children so that they will be able to live with their parents until their last day. This is one way to promote a family atmosphere, which is helpful for the psychological well being of the children.

A childcare centre has been set up to accommodate and care for children whose parents died of AIDS. The front building of the centre serves as an accommodation and classrooms for AIDS orphans. The work with children living with HIV, whose parents have died of AIDS or are staying at CSC, started in May 1998. It was officially been opened with a religious ceremony in November 1999.

 

Land and Location

A good-hearted Catholic living in Rayong has donated 18.000 square meters of land. The land is situated at Bankrai district, about 17 km from Rayong municipality area, is near a canal and 100 meter away from the main road.

The land has been given to the St. Camillus foundation of Thailand free of charge.

Preparation of land is necessary because a part of it is wild forest.

Construction of a Center

Five houses, each divided in two units will occupy the land. Every unit can accommodate two or three people. All the houses will have facilities for daily activities outside but under the same roof (manual work, laundry, small meals, toilet, equipment) and for resting inside, is important to keep the inner site clean and quiet with good ventilation to avoid TB infection.

The houses will be situated in different corners and in the middle there will be a multi-purpose construction, where there will be a common room, a store and space for playing and meeting purposes. The size of each unit will be 7X5 meters, one house 14X10 meters, plus a balcony in front and back of each unit.

The cost of each unit is estimated to be approximately 170.000 Baht.

The central building will provide opportunities for community life without disturbing people in the houses. The size of the central building will be a rectangle of 200 square meters. The cost is approximately 120.000 Baht.

Objectives

 To build a good family atmosphere for HIV adults and children able to take care of themselves in a good and healthy atmosphere

  1. To help mothers and children who are powerless and unprotected to have security in life and enable them to live a normal life.

  2. To provide education for the children at the center so that they will obtain necessary knowledge to lead their life when they grow up.

  3. To motivate families and society to be aware of the significance of the adverse effects on families, children and youth from behavior that risks HIV infection.

Target Groups

A group of 30 to 35 people, mothers with children or poor homeless and discriminated families from the southeast region of Thailand can be accommodated.

The target group are people still in good physical condition able to take care of themselves or at least of their basic needs, are usually in the ARC complex stage, in need of getting cure for opportunistic infections. These people can live in good condition for years.

Activities

    1. Community life style; meals together, in a family environment and regular weekly meetings.

    2. Vegetable gardening, breeding small animals and fishing.

    3. Cleaning houses and the surrounded area, preparing food.

    4. Care of the children, sending them to school and giving assistance at home.

    5. Work outside in the nearby factories.

    6. Maintenance of the houses and public facilities.

    7. Daily physical exercise.

1.Outings

All the members can freely go out, to the market or wherever they need to go in accordance with the dispositions and programs developed in the community meetings.   Activities in the local community and with neighbors are welcome.

2.Medical treatment

All the members will carry the "golden card", and get health care treatment at the local hospital of Bankrai , because all are legally resident at the center.   CSC provides regular training for all the members to promote a good attitude and love for themselves, keeping the houses and surrounds, and knowing how to prevent opportunistic infections and live healthily.

3.Human Development

CSC will regularly organize sessions for the members to help them reflect on their work and life.   This reflection aims at reinforcing their motivation, commitment and dedication. The sessions will also provide up to date information on the AIDS situation and treatment. Regularly, the sessions will also evaluate the work done and social and psychological development and health conditions.

4.Volunteers

The Garden of Eden will regularly invite some volunteers offering their time to take care of and teach to the children. These volunteers are both local people, from elsewhere and abroad, including locals and foreigners as well. These volunteers will come to help take care of the children and will live at the center as real members, sharing and helping each other. There are local volunteers who will come to the centre regularly, one or two days a week, or more days but stay only for a few hours for each visit. Foreign volunteers who come for a short stay of a few months will help teach the children everyday and participate in daily activities. They will also help take the sick people to local hospitals and help in educating about prevention and care on a daily basis.

 5.Costs

1. Preparation of land and digging a pool       180.000 Baht  

2. Building 5 Houses (240.000 each)                 1.200.000 Baht

3. Central building                                                  120.000 Baht

4. Furniture (15.000 each unit)                            120.000 Baht

 5. Kitchen for each house                                   40.000X5 200.000 Baht

6. Simple fencing                                                    150.000 Baht

7. Water system (well and pipes)                        90.000 Baht

8. Electrical system                                                 90.000 Baht

9. Trees and garden development                     150.000 Baht

TOTAL COST                                                           2.300.000 Baht (56.000 US $)

 

6.Sustainability

In order to guarantee a long term financial sustainability of the Garden of Eden without being a burden for the St.Camilllus Foundation, some operative guidelines must be specified since the beginning.

-income generation activities must be done by all the members (manual work and work outside the center).

-vegetables and fruit tree must be grown in the garden of each house.

-rice will be provided by CSC.

-link with relatives, association, religious groups, supportive groups must be established to guarantee the financial support on an individual base.