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Review
. 2007 Feb 24;369(9562):679-90.
doi: 10.1016/S0140-6736(07)60315-8.

Evolution of China's response to HIV/AIDS

Zunyou Wu  1 , Sheena G Sullivan, Yu Wang, Mary Jane Rotheram-Borus, Roger Detels
Affiliations
Review

Evolution of China's response to HIV/AIDS

Zunyou Wu et al. Lancet. .

Abstract

Four factors have driven China's response to the HIV/AIDS pandemic: (1) existing government structures and networks of relationships; (2) increasing scientific information; (3) external influences that underscored the potential consequences of an HIV/AIDS pandemic and thus accelerated strategic planning; and (4) increasing political commitment at the highest levels. China's response culminated in legislation to control HIV/AIDS-the AIDS Prevention and Control Regulations. Three major initiatives are being scaled up concurrently. First, the government has prioritised interventions to control the epidemic in injection drug users, sex workers, men who have sex with men, and plasma donors. Second, routine HIV testing is being implemented in populations at high risk of infection. Third, the government is providing treatment for infected individuals. These bold programmes have emerged from a process of gradual and prolonged dialogue and collaboration between officials at every level of government, researchers, service providers, policymakers, and politicians, and have led to decisive action.

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Figures

Figure 1
Figure 1
Important events in China's HIV/AIDS policy development, 1985–2006 ART=antiretroviral therapy. MMT=methadone maintenance treatment. NEP=needle exchange programme. PMTCT=prevention of mother-to-child transmission.
Figure 2
Figure 2
Reported HIV/AIDS cases by year, 1985–2005
Figure 3
Figure 3
Prevalence of participant characteristics in the methadone maintenance treatment pilot project
Figure 4
Figure 4
Chinese central government spending on HIV/AIDS by year, 1985–2005
Figure 5
Figure 5
Reported HIV cases by province, 1985–2005
See this image and copyright information in PMC

Comment in

References

    1. State Council of the People's Republic of China. Regulations on AIDS prevention and treatment. Decree of the State Council of the People's Republic of China number 457. Beijing, 2006 (in Chinese).
    1. State Council of People's Republic of China. China's action plan for reducing and preventing the spread of HIV/AIDS (2006–2010). State Council Document (2006) number 13. Beijing, 2006 (in Chinese).
    1. Settle E. AIDS in China: an annotated chronology: 1985–2003. China AIDS Survey; Montreal: 2003.
    1. Ma Y, Li ZZ, Zhang KX. Identification of HIV infection among drug users in China. Zhonghua Liu Xing Bing Xue Za Zhi. 1990;11:184–185. (in Chinese).
    1. Wu Z, Liu Z, Detels R. HIV-1 infection in commercial plasma donors in China. Lancet. 1995;346:61–62. - PubMed

Uncited reference

    1. Wu Z. Sustainability of effective STD/HIV prevention intervention targeting female prostitutes and their clients at five different setting in China. Final Report to the World AIDS Foundation. Chinese Academy of Preventive Medicine; Beijing, China: 2002.

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