Healthier Geographies: Mediating the Gaps between the Needs of People Living with HIV and AIDS and Health Care in Chiang Mai, Thailand

Abstract

In this article, I contribute to our understanding of the plurality of approaches that construct the geographies of health care through an examination of the distribution of health care services for people living with HIV/AIDS (PLWHA) in Chiang Mai Province, Thailand. In particular, I focus on the development of a network of support groups for PLWHA in order to examine the differences in the sociospatial organization of these groups, the practices of social actors participating in the groups' activities, and how these activities are mediated through place-based social relations. The first section of the article analyzes the spatial distribution of PLWHA support groups in relation to the distribution of AIDS cases over two time periods, 1994 and 1997. The second section goes below the surface of the spatial distribution, examining similarities and differences in PLWHA support groups through an analysis of survey data collected on thirty-five groups in 1997. The final section deepens this examination through an analysis of ethnographic data collected on the outreach efforts of one nongovernmental organization (NGO) and one PLWHA support group with which it worked. Each section offers opportunities for the extension of our understanding of the development of PLWHA support groups, their distribution in relation to the spread of AIDS cases, and their place-based meanings.