Evolution of information-driven HIV/AIDS policies in China.

Evolution of information-driven HIV/AIDS policies in China.
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DOI:
10.1093/ije/dyq217
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发表时间:
2010-12
影响因子:
7.7
通讯作者:
Liau A
Liau A
中科院分区:
医学1区
文献类型:
--
作者:
Sun X;Lu F;Wu Z;Poundstone K;Zeng G;Xu P;Zhang D;Liu K;Liau A

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背景 随着中国继续致力于普及艾滋病毒/艾滋病预防、治疗和护理服务,其艾滋病毒/艾滋病政策已变得越来越信息化。我们回顾了中国国家层面的主要艾滋病毒/艾滋病政策,并讨论了政策差距和未来的挑战。方法 我们对对中国艾滋病流行产生重大影响的国家级关键政策进行了案头审查,并审查了与中国艾滋病防治相关的最新流行病学数据。结果 对中国艾滋病防治工作产生重大影响的国家政策包括: “四免一关怀”; 5年行动计划;和艾滋病毒/艾滋病监管。这些具有里程碑意义的政策在过去十年中促进了服务的大规模扩展。例如,接受美沙酮维持治疗的吸毒者人数由2005年的8,116人大幅增加至2009年的241,975人;增加了近30倍。 “四免一关怀”政策使接受抗逆转录病毒治疗的艾滋病患者人数从 2003 年的约 100 人增加到 2009 年的 8 万多人。然而,耻辱和歧视仍然是艾滋病毒/艾滋病患者获得服务的主要障碍。结论 中国当前的国家政策越来越信息驱动和对疫情变化的响应。然而,政策实施仍存在差距,需要新的政策来应对新的挑战。
Background As China continues to commit to universal access to HIV/AIDS prevention, treatment and care services, its HIV/AIDS policies have become increasingly information driven. We review China’s key national-level HIV/AIDS policies and discuss policy gaps and challenges ahead. Methods We conducted a desk review of key national-level policies that have had a major impact on China’s HIV/AIDS epidemic, and examined recent epidemiological data relevant to China’s HIV response. Results National-level policies that have had a major impact on China’s HIV/AIDS response include: ‘Four Frees and One Care’; 5-year action plans; and HIV/AIDS regulation. These landmark policies have facilitated massive scaling up of services over the past decade. For example, the number of drug users provided with methadone maintenance treatment significantly increased from 8116 in 2005 to 241 975 in 2009; almost a 30-fold increase. The ‘Four Frees and One Care’ policy has increased the number of people living with AIDS on anti-retroviral treatment from some 100 patients in 2003 to over 80 000 in 2009. However, stigma and discrimination remains major obstacles for people living with HIV/AIDS trying to access services. Conclusions China’s current national policies are increasingly information driven and responsive to changes in the epidemic. However, gaps remain in policy implementation, and new policies are needed to meet emerging challenges.
DOI: 10.1093/ije/dyq213
发表时间: 2010-12
影响因子: 7.7
作者:
Mao Y;Wu Z;Poundstone K;Wang C;Qin Q;Ma Y;Ma W
通讯作者: Ma W
DOI: 10.1097/01.aids.0000304704.71917.64
发表时间: 2007-12-01
期刊: AIDS
影响因子: 3.8
作者:
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通讯作者: Wu, Zunyou
DOI: 10.1521/aeap.2006.18.6.518
发表时间: 2006-12-01
影响因子: 1.8
作者:
Cao, Xiaobin;Sullivan, Sheena G.;Wu, Zunyou
通讯作者: Wu, Zunyou