This report presents the findings of research carried out in northern Thailand. It highlights the issues faced by older people affected by HIV/AIDS (including the burden of caregiving), the contributions they are making to their households, and the lack of services and support available to them. The report is intended for policy makers in government, donor organisations, civil society and age care organisations to help them better understand the links between old age, poverty and HIV/AIDS in Thailand. The report concludes with key recommendations to form the basis of an agenda for action to improve the lives of older people affected by HIV/AIDS.