The Royal Thai Government remains committed to support for HIV/AIDS care and prevention. Unlike many other governments, it has been willing to confront the real scale of the problem and to work with a wide range of non-government partners, providing program funds through a decentralized system directly to government, non-government and community-based organizations.

Government structures and processes in HIV/AIDS management are well established, with good national coverage. Members of the Thai Royal Family, prominent politicians and business leaders have all played key roles in raising public awareness about HIV/AIDS and in providing services.

Sentinel surveillance covers the while country. HIV counselling and testing is available in almost all hospitals and many clinics (though confidentiality and the patient's right to choose are not always guaranteed). Comprehensive prevention of mother-to-child transmission is institutionalized in public hospitals and supported by national policies and guidelines.

Non-governmental organizations (NGOs) and community-based organizations (CBOs) have been a mainstay of the Thai response. In particular, self-help groups of people with HIV/AIDS have played a key role in several areas. Usually operating at community level or through local hospitals or temples, self-help groups counsel people affected by HIV/AIDS, grow and distribute herbal medicines, run income-generation schemes among many other activities.

People with HIV/AIDS have also found a voice in advocacy and awareness raising, right up to the national level. The number of self-help groups in Thailand has grown from one in 1993 to around 300 today, many with funding from the Government's Accelerated Action on AIDS Committee and small grant funds managed by organizations like NAPAC/AIDSNet, bilateral donors and UN organizations, including UNICEF.

Many international organizations, NGOs and programs have their regional bases in Bangkok, including the UNICEF East Asia and Pacific Regional Office (EAPRO) and the UNAIDS secretariat-SEAPICT Intercountry Team. Several UNAIDS Cosponsors have strong country programs in Thailand