China

www.aidsdatahub.org

HIV and AIDSData Hub for Asia-PacificReview in slides

China

HIV and AIDS Data Hub for Asia-Pacific

2

Basic socio-demographic indicators

HIV prevalence and epidemiological status (1985-2010)

Risk behaviors (1995-2009)

Vulnerability and HIV knowledge (2009)

HIV Expenditure (2005-2009)

National Response (2003-2010)

Archives

CONTENT


3

BASIC SOCIO-DEMOGRAPHIC INDICATORS

Total population (in thousands) 1,354,146.443 (2010) 2

Annual population growth rate 0.6% (2010-2015) 2

Population aged 15-49 (thousands) 760,855 (2008) 6

Percentage of population in urban areas 47% (2010) 1

Crude birth rate (births per 1,000 population) 12.1 (2008) 3

Under-5 mortality rate (per 1,000 live births) 21 (2008) 4

Human development index (HDI) - Rank/Value 89/0.6633 (2010) 5

Life expectancy at birth (years) 73.5 (2010) 5

Adult literacy rate 93.7% (2005–2008) 5

Ratio of girls to boys in primary and secondary education (%) 104 (2008) 3

GDP per capita 6,827.95 (2009) 3

Per capita total health expenditure (Int.$) 233 (2007) 4

Sources: 1.UNFPA. (2010). State of World Population 2010, 2. UN Statistics Division. (2010). Social Indicators 3.Word Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved January, 2011, from http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2, 4. WHO. (2010). World Health Statistics 2010, 5. UNDP. (2010). Human Development Report 2010, and 6. UN Population Division. (2009). World Population Prospects The 2008 Revision.

www.aidsdatahub.org

HIV prevalence and epidemiological status


Latest!Latest!Latest!Latest!

Estimated number of adults and children living with HIV and estimated new HIV infections, 2001 and 2009

5Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.



Estimated number of adults (15+) living with HIV and female (15+) living with HIV, 2001 and 2009




Estimated number of AIDS related deaths, 2001 and 2009




Estimated size of key affected populations, 2009

8

Key affected populations (KAPs)

Population size estimates

Injecting drug users 2.26 (range 1.5~3) million

Female sex workers 2.68 (range 1.8~3.7) million

Client of female sex workers 26.5 (range 17.3~35.8) million

Men who have sex with men 4.1 (range 2.7~5.4) million

Source: Prepared by www.aidsdatahub.org based on UNAIDS. China AIDS Fact Sheet , 2010 (Unpublished)



Annual reported HIV and AIDS cases, 1985- 2010

9Source: Prepared by www.aidsdatahub.org based on National Center for AIDS/STD Control and Prevention and Chinese Center for Disease Control and Prevention (Power Point Presentation by Dr. Wu Zunyou). HIV Testing & Treatment as Prevention in China, 2011



% distribution of estimated new and cumulative HIV infections by mode of transmission, 2009

10

• New HIV infections • Cumulative HIV infections

Source: Prepared by www.aidsdatahub.org based on UNAIDS. China AIDS Fact Sheet , 2010 (Unpublished)



Cumulative number of HIV and AIDS cases and deaths, 2007-2009

11

Sources: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response, 2. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China


Trend of newly diagnosed HIV cases, by sex, Guangdong province, 1997-2007

12Source: Centers for Disease Control and Prevention (CDC). (2009). HIV Infection--Guangdong Province, China, 1997-2007. MMWR Morb Mortal Wkly Rep, 58(15), 396-400


Trend of newly diagnosed HIV cases by mode of transmission, Guangdong province, 1997-2007

13Source: Centers for Disease Control and Prevention (CDC). (2009). HIV Infection--Guangdong Province, China, 1997-2007. MMWR Morb Mortal Wkly Rep, 58(15), 396-400

† includes all persons who enter drug detox centers, presumed to have injected drugs


HIV prevalence among population (15-49) by different scenarios , 1990-2010

14Source: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing Institute of Information and Control, et al. (2002). The Socioeconomic Impact of HIV/AIDS in China.

(%)

Three scenarios refers to early intervention, late intervention and no further more intervention



HIV prevalence among key affected populations by age group, 2009

15Source: Prepared by www.aidsdatahub.org based on National HIV/AIDS Sentinel Surveillance Results, 2009 cited in State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.



Trends of HIV prevalence among key affected populations, 2005 - 2009

16

Sources: Prepared by www.aidsdatahub.org based on 1. Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005, 2. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.



Trends of HIV prevalence among key affected populations, Henan, 2005-2008

17Source: Prepared by www.aidsdatahub.org based on UNAIDS, China HIV/AIDS Brief (unpublished)


HIV and Syphilis prevalence among key affected populations, 2008

18Source: Prepared by www.aidsdatahub.org based on Comprehensive Surveillance among MARPs reported in WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009



HIV prevalence among MSM by age group, 2007 and 2009

19Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.



HIV prevalence among MSM in Chongqing, Sichuan province, 2006-2009

20Source: Prepared by www.aidsdatahub.org based on UNAIDS. China AIDS Fact Sheet , 2010 (Unpublished)


HIV prevalence among MSM in Chengdu, Sichuan province , 2003-2007

21Source: Prepared by www.aidsdatahub.org based on Sichuan Center for Disease Control and Prevention, 2008 cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response.


HIV prevalence among MSM, (2002-2007)

22Source: Prepared by www.aidsdatahub.org based on Griensvena, F. v., Wijngaarden, J. W. d. L. v., Baral, S., et al. (2009). The Global Epidemic of HIV Infection among Men who have Sex with Men


HIV and Syphilis prevalence among MSM in selected cities, 2007

23

Sources: Prepared by www.aidsdatahub.org based on 1. Xing, G., Li-yan, W., Zheng-wei, D., et al. (2008). Characteristics of Sexual Behavior and HIV Prevalence among MSM in Selected Cities of China, 2006, 2. Hong-yan, L., Xiao-yan, M., & Yan-chun, L. (2008). A survey of HIV/STDs prevalence in 200 MSM and related factors in Beijing. Chinese Journal of AIDS & STD, and 3. Choi, K. H., Ning, Z., Gregorich, S. E., et al. (2007). The influence of social and sexual networks in the spread of HIV and syphilis among men who have sex with men in Shanghai, China.


HIV prevalence among MSM in different cities, 2005

24Source: Prepared by www.aidsdatahub.org based on Xu, H., Zhang, B., Zeng, Y., et al. (2006). HIV epidemic status and behavioral surveillance among MSM in China. Paper presented at the AIDS 2006 - XVI International AIDS Conference, Toronto Canada August 12-18, 2006

0 0 0

1.35

1.92

2.27

0.94

0

0.5

1

1.5

2

2.5

Chongqing Dalian Qingdao Nanjing Xi’an Shenyang Total

HIV

po

sit

ive

(%)



HIV prevalence among FSWs by age group, 2007 and 2009



Hepatitis C and Syphilis prevalence among different types of sex workers, Guiyang, 2007

26Source: Prepared by www.aidsdatahub.org based on Dong-min, L., Fei, Y., Shao-yuan, H., et al. (2007). High Risk Behaviors and HIV/STI Prevalence among Female Sex Workers in Different Settings.



HIV prevalence among IDUS by age group and gender, 2007 and 2009



HIV prevalence among injecting drug users in selected sentinel sites, 1996-2007

28Source: UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response,


HIV prevalence and incidence in 3 cohorts of injecting drug users in Xijiang, Guangxi and Sichuan, 2006

29

Source: Prepared by www.aidsdatahub.org based on Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention, China CDC. Presentation at XVI International AIDS Conference, Toronto, Canada, August 12-18, 2006 cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response.

www.aidsdatahub.org

Risk behaviours



% of key affected populations who reported condom use at last sex by age group, 2009




% of key affected populations who reported condom use at last sex, 2005 - 2009

32

Sources: Prepared by www.aidsdatahub.org based on 1. Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005, 2. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.



% of FSWs who reported the use of a condom with their most recent client by age group, 2007 and 2009

33Sources: Prepared by www.aidsdatahub.org based on 1 State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.


Selected risk behaviors among different types of sex workers, Guiyang, 2007

34Source: Prepared by www.aidsdatahub.org based on Dong-min, L., Fei, Y., Shao-yuan, H., et al. (2007). High Risk Behaviors and HIV/STI Prevalence among Female Sex Workers in Different Settings.


% of FSWs who reported the use of a condom use in commercial sex during last month, 1995-2005

35Source: Prepared by www.aidsdatahub.org based on National HIV Sentinel Surveillance, 2006 cited in Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005

(%)



% of MSM who reported condom use at last anal sex with a male partner by age group, 2007 and 2009



% of condom use among MSM in selected cities, 2008

37Source: Prepared by www.aidsdatahub.org based on Survey report on condom use among MSM in China Global Fund AIDS program (Round 5) areas, 2008 cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response,



% of IDUs who reported the use of a condom at last sex by age group and gender, 2007 and 2009




% of IDUs who reported the use of sterile injecting equipment at last injection by age group and gender, 2009




% of IDUs who reported the use of sterile injecting equipment at last injection by age group and gender, 2007 and 2009

40

Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.


% of respondents having multiple sexual partners in the past year in six cities, 2008

41

Source: Prepared by www.aidsdatahub.org based on UNAIDS, Global Business Coalition, Century JinQin Marketing Research Company Renmin University, et al. (2008). AIDS-Related Knowledge, Attitudes, Behavior, and Practices: A Survey of 6 Chinese Cities.

N= 6382 in 6 cities : Beijing, Kunming, Shanghai, Shenzen, Wuhan and Zhengzhou


% of respondents having sex with non-regular partners and condom use in the past six months, 2008

42Source: Prepared by www.aidsdatahub.org based on UNAIDS, Global Business Coalition, Century JinQin Marketing Research Company Renmin University, et al. (2008). AIDS-Related Knowledge, Attitudes, Behavior, and Practices: A Survey of 6 Chinese Cities.



% of surveyed populations who never used a condom before, 2008

43

\





% of migrant workers who had commercial and casual sex in the past 12 months and who used a condom at last sex, 7 north and north-east provinces, 2008

44Source: Prepared by www.aidsdatahub.org based on UNAIDS. China AIDS Fact Sheet , 2010 (Unpublished)

www.aidsdatahub.org

Vulnerability and HIV knowledge



% of key affected populations who had comprehensive knowledge of HIV by age group, 2009




% of key affected populations who had comprehensive knowledge of HIV, 2005-2009

47

Sources: Prepared by www.aidsdatahub.org based on 1. Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005, 2, State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.



% of IDUs who had comprehensive knowledge of HIV by age group and gender, 2007 and 2009




% of MSM who had comprehensive knowledge of HIV by age group, 2007 and 2009




% of FSWs who had comprehensive knowledge of HIV by age group, 2007 and 2009




% of young people (15-24) with comprehensive HIV knowledge, 2007 and 2009

51

Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2.China_Interim Evaluation of 2008 Action Plan cited in State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.



% of adults (15-49) who had correct knowledge of HIV prevention, 2008

52




% of adults (15-49) who had correct knowledge of HIV transmission, 2008




% of selected populations who know where to get an HIV test, 2008





% of selected populations who know where to get a condom and how to use it correctly, 2008



www.aidsdatahub.org

HIV Expenditure



Amount of domestic and international HIV expenditures and % shared by government, 2008 - 2009




% distribution of total HIV expenditures by financing source, 2008 - 2009




Amount of national funds spent by governments from domestic sources for AIDS, 2003-2009

59Sources: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2006). 2006 Report on the Global AIDS Epidemic, 2. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.


GDP lost due to HIV and AIDS in 2010 (Billion Yuan) by early, late and high scenarios

60Source: Prepared by www.aidsdatahub.org based on National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing Institute of Information and Control, et al. (2002). The Socioeconomic Impact of HIV/AIDS in China.

(Bil

lio

n Y

ua

n)

7.6

11.8

15.9

0

10

20

Early Late High

www.aidsdatahub.org

National response



Number of people tested for HIV by county, 2010

Source: Prepared by www.aidsdatahub.org based on National Center for AIDS/STD Control and Prevention and Chinese Center for Disease Control and Prevention (Power Point Presentation by Dr. Wu Zunyou). HIV Testing & Treatment as Prevention in China, 2011



Proportion of population tested for HIV by county, 2010




% of key affected populations who received an HIV test in the past 12 months and knew the results by age group, 2009

64Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China



% of key affected populations who received an HIV test in the past 12 months and knew the results, 2007 and 2009

65Source: Prepared by www.aidsdatahub.org based on UNAIDS, Report on the Global AIDS Epidemic, 2010



% of key affected populations reached with HIV prevention programme by age group, 2009

66Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.



% of key affected populations reached with HIV prevention programme, 2007-2009




Availability and coverage of harm reduction programmes for IDUs, 2007-2009

68

Number of needle and syringe programme sites per 1000 IDUs

1.7

Number of opioid substitution therapy sites per 1000 IDUs

1.2

Number of needles/ Syringes distributed by needle and syringe programme sites per IDU per year

23.2

% of IDUs reached with HIV prevention programme

39

Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010



Number and % of HIV infected pregnant women who received ARVs to reduce the risk of mother to child transmission, 2007-2009


Note: The percentages of PMTCT coverage were not calculated based on the estimated number of HIV infected pregnant women in the last 12 months but on the actual number of HIV infected women who delivered in a given year. Conclusions based on these figures should therefore be made with caution.



Status of PMTCT coverage, 2009

70Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010



Number of adults and children with advanced HIV infection who received antiretroviral therapy and reported deaths, 2005 - 2010




Number of adults and children with advanced HIV infection who received ART by age group and gender, 2007-2009

72

• By gender • By age group

Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.


Cumulative number of AIDS patients receiving ART, 2003-2007

73

(Nu

mb

er)

Year

Source: State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China



Number of adults and children who are in need of ART and % of ART coverage, 2009




Number of children (<15 years) who are in need of ART, who are receiving ART and % of ART coverage, 2009




% of adults and children who are known to be on treatment 12 months after initiation of ART, 2007 and 2009

76Sources: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

www.aidsdatahub.org

Archives

www.aidsdatahub.org

HIV prevalence and epidemiological status


Provinces and sites with highest HIV prevalence among IDUs, 2000

79Source: China Annual STI and HIV/AIDS Sentinel Surveillance Reprot 2000 and Year 2000 Annual Report Guangxi Epidemic Prevention Station cited in The UN Theme Group on HIV/AIDS in China. (2002). HIV/AIDS: China's Titanic Peril: 2001 Update of the AIDS Situation and Needs Assessment Report.

1712 12

35

21

70

58

7580

39

84

0

50

100

Sentinelsite

Liuzhou Pingxiang Baise Sentinelsite

Yingjiang Kaiyuan Wenshan Ruili Urumqi Yining

Jangxi Guangxi Guangdong Yunnan Xinjiang

(%)

Province

Site


Transmission mode distributing among cumulative AIDS cases receiving ART, 2003-2007

80

OthersBlood transfusion Sexual transmission Injecting drug use Commercial blood donation

Source: State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China


Number of reported HIV cases through mother-to-child transmission, 1995-2004

81Source: Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention. Presentation at XVI International Conference on AIDS, Toronto-Canada, August 12-18, 2006

1 1 4 3 3 10 32 41

124

686

0

100

200

300

400

500

600

700

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

HIV

rep

orte

d ca

ses


Trend in proportion of mother-to-child infection over annual reported infections, 1998-2004


0.1 0.10.2

0.4 0.40.6

2.1

0

0.5

1

1.5

2

2.5

1998 1999 2000 2001 2002 2003 2004

HIV

po

sit

ive

(%

)


Annual reported HIV and AIDS cases, 1985-2007

83

0

10000

20000

30000

40000

50000

AIDS

HIV/AIDS

AIDS 5 3 5 23 29 52 38 126 136 230 233 714 1028 6120 12652 7550 7909 8539

HIV/AIDS 492 216 261 274 531 1567 2649 3343 3306 4677 5201 8219 9732 21691 47606 40711 44070 39866

1985-1990

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Note: up to October 2007

Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China

Nu

mb

er


Age distribution of reported HIV and AIDS cases, 2007

84

1.33

33.3

39.5

13.5

5.2 4.21.6 2.2

20.8

37.9

20.1

10.17.3

0

10

20

30

40

50

0- 10- 20- 30- 40- 50- 60-

HIV

AIDS

Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China

(%)

Year

Age 20-39 were more affected


Estimated number of people living with HIV, 2001 and 2007

85Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008 ). China: Epidemiological Fact Sheet on HIV and AIDS- Core Data on Epidemiology and Response.

470,000

700,000

120,000

200,000

0

400,000

800,000

2001 2007

Adults and children

Women


The evolution and development of HIV epidemic in China


1989

1995 1998

1985


% of female among all HIV cases, 1998-2004

87Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office, & UN. (2004). A Joint Assessment of HIV/AIDS Prevention, Treatment and Care in China

15.3 14.3

19.422.7

25.4

35.639.0

0.0

25.0

(%) 50.0

1998 1999 2000 2001 2002 2003 2004

Data is end up by September 2004


HIV prevalence among IDUs in Guangxi Province, 1995-2002

88Source: Prepared by www.aidsdatahub.org based on The UN Theme Group on HIV/AIDS in China. (2002). HIV/AIDS: China's Titanic Peril: 2001 Update of the AIDS Situation and Needs Assessment Report.

29 3339 39

50

62 65 64

0

50

(%)100

1995 1996 1997 1998 1999 2000 2001 2002

www.aidsdatahub.org

Risk behaviours


Level of drug injection among female sex workers in China, 1998-2001

90Source: Prepared by www.aidsdatahub.org based on Hoek, A. v. d., Yuliang, F., Dukers, N. H. T. M., et al. (2001). High Prevalence of Syphilis and Other Sexually Transmitted Diseases among Sex Workers in China: Potential for Fast Spread of HIV.

6.9 5.2 714.8

1

97

0

20

40

60

80

100

120

1998(Guangzhou)

2000 (Shangdon)

2000 (Guangxi)

2000 (Beijing)

2001 (BSS-Yunnan and

Sichuan)

Per

cen

t (%

)

Injector (FSWS)

Shared


% of population (16-60) reporting the use of a condom with non-regular partner, 2003

91

Source: Prepared by www.aidsdatahub.org based on Futures Group Europe, China-UK HIV / AIDS Prevention and Care Project, Condom Social Marketing Project, et al. (2004).

AIDS Crisis Impending. Research on Knowledge, Attitudes and Behaviors Related to HIV / AIDS in China.

(%)

Note: The sample size was 3216 and conducted among:

7 Cities: Beijing, Shanghai, Guangzhou, Wuhan, Chengdu, Shenyang, Xi'an.

7 Towns: Zhuji, Changle, Beining, Zhuangxinji, Linxiang, Pengzhou, Xingping.

The rural areas are selected from the 7 towns listed above, and plus one village from Huangp).


% of IDUs reported having sex with female sex workers in major cities

92

14.9

23

14

48.6

11.3

5.6 46.7

11.2

0

10

20

30

40

50

60

Quanzhou Donguan Nanning Xingyi Xiaogan Nanchong Yining Kunming Total

Perc

en

t (%

)

Source: Prepared by www.aidsdatahub.org based on Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention. Presentation at XVI International Conference on AIDS, Toronto-Canada, August 12-18, 2006 cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response,

Note: year is not available


% of syringes sharing among injecting drug users, 1995-2002, China


上： First half year;

下： Second half year

www.aidsdatahub.org

Vulnerability and HIV knowledge


% of MARPs correctly identify HIV transmission ways and reject misconceptions, 2005

95Source: Prepared by www.aidsdatahub.org based on Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005

36.0 37.3

23.5

0.0

10.0

20.0

30.0

40.0

50.0

Injecting drug users Men who have sex with men Female Sex workers

(%)


% of population (15-49) who heard HIV/AIDS, 2000

96Source: Prepared by www.aidsdatahub.org based on East-west Center. (2002). HIV/AIDS in China: Survey Provides Guidelines for Improving Awareness

(%)

76.072.0

96.0 94.0

80.0

0.0

50

100

Male Female Male Female TotalRural Urban Total

Note: The total Sample size is 7,053. Approximately half were male. Urban and rural population are not available. Urban areas: Jing An (Shanghai); Sanya (Hainan); Rural areas: Chang Ping (Beijing); Dong Ning (Heilongjiang); Shang Cai (Henan); Hui Dong (Guangdong); Bai Se (Guangxi).


% of population (16-60) with knowledge of HIV prevention, 2003

97Source: Prepared by www.aidsdatahub.org based on Futures Group Europe, China-UK HIV / AIDS Prevention and Care Project, Condom Social Marketing Project, et al. (2004). AIDS Crisis Impending. Research on Knowledge, Attitudes and Behaviors Related to HIV / AIDS in China.

(%)

40.3

26.1 25.2 24.3

44.3

26.023.0

26.5

42.2

26.024.1

25.4

0

30

60

avoiding blood transfusions avoiding injection avoiding sex with IDUs limiting sexual intercourseto one uninfected partner

Male

Female

Total Note: The sample size was 3216 and conducted among:





% of population (16-60) with knowledge of HIV prevention (Cont.), 2003

98Source: Prepared by www.aidsdatahub.org based on Futures Group Europe, China-UK HIV / AIDS Prevention and Care Project, Condom Social Marketing Project, et al. (2004). AIDS Crisis Impending. Research on Knowledge, Attitudes and Behaviors Related to HIV / AIDS in China.

(%)

51.2 51.849.1 48.9

52.450.4

64.862.0

56.4 57.8

50.5

59.4

45.8

40.3 40.737.0

31.1

40.0

0

50

100

Total 16-25 Total 26-35 Total 36-45 Total 46-55 Total 56-60 Total 16-60

AbstinenceBeing faithful to one uninfected partnerConsistent and correct condom use

Note: The sample size was 3216 and conducted among:




www.aidsdatahub.org

HIV Expenditure


Amount of domestic and international AIDS spending and % of government sharing in AIDS funds, 2006-2009

100Sources: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic , and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.


Income of local residents and medical expenses among AIDS patients, 2002

101Source: Prepared by www.aidsdatahub.org based on National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing Institute of Information and Control, et al. (2002). The Socioeconomic Impact of HIV/AIDS in China.

(Yu

an)

HAART: Highly Active Anti-Retroviral Therapy

www.aidsdatahub.org

National Response



% of key affected populations who received an HIV test in the past 12 months and knew the results, 2007-2009

103

Sources: Prepared by www.aidsdatahub.org based on 1. Comprehensive surveillance among FSW, IDU, and MSM, 2008 reported in WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009, and 2. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.


Percentage of MARPs reached with HIV prevention program, received HIV test in the last year and knew the result, 2008

104Source: Prepared by www.aidsdatahub.org based on Comprehensive Surveillance among MARPs reported in WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009


% of MARPs reached by prevention programs, 2003-2005

105Source: Prepared by www.aidsdatahub.org based on Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005

45.0

25.0

38.0

8.08.0

0.0

25.0

50.0

prevention

(Injecting drug users)

harm- reduction prevention

(Men who have sex with men)

outreach prevention outreach

(%)

(Sex workers)


% of population (15-49) who ever received an HIV test, 2003

106

4.6 4.7

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

(%) 10.0

Male Female

Source: Prepared by www.aidsdatahub.org based on Futures Group Europe, China-UK HIV / AIDS Prevention and Care Project, Condom Social Marketing Project, et al. (2004). AIDS Crisis Impending. Research on Knowledge, Attitudes and Behaviors Related to HIV / AIDS in China.


% of adults and children with advanced HIV infection receiving antiretroviral therapy, 2003-2005

107Source: Prepared by www.aidsdatahub.org based on European Union, WHO, UNICEF, et al. (2006). China: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update

5

12

20

0

5

10

15

20

25

2003 2004 2005

AR

T c

ove

rag

e (%

)


Coverage of intervention programmes for MARPs, 2005-2008

108

Sources: Prepared by www.aidsdatahub.org based on 1 Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005, 2. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. National Comprehensive Response Management Information System cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response,

2005 and 2007 achievement = based on 2006 and 2008 UNGASS report

2008 achievement = National Comprehensive Management

Information System


‘Four Frees and One Care’ nationwide policy

109

1. Free ARV drugs to HIV patients who are rural residents or people with financial difficulties living in urban areas;

2. Free Voluntary Counseling and Testing (VCT);

3. Free drugs to HIV infected pregnant women to prevent parent-to-child transmission, and HIV testing of newborn babies;

4. Free schooling for children orphaned by AIDS; and

5. Care and economic assistance to the households of people living with HIV/AIDS.


110

THANK YOU

slides compiled by www.aidsdatahub.org

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be used.

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