China’s “Twelfth Five-Year Plan” to contain and prevent AIDS

1. Current status of prevention and control

In recent years, all regions and relevant departments have conscientiously implemented the Party Central Committee’s , the State Council made a series of decisions and arrangements on AIDS prevention and control, and implemented various comprehensive prevention and control measures. The prevention and control work has made significant progress. The rapid rise of the AIDS epidemic has slowed down, the case fatality rate has declined, social discrimination has decreased, and HIV infection The quality of life of HIV/AIDS patients (hereinafter referred to as infected persons) and AIDS patients (hereinafter referred to as patients) has been significantly improved, and the overall goals of the "China Action Plan to Contain, Prevent and Control AIDS (2006-2010)" have been basically achieved.

However, the current AIDS epidemic situation is still severe, social discrimination is widespread, the epidemic is serious in some areas and among groups with high-risk behaviors, there are still a considerable number of infected people and patients who have not been discovered, the epidemic of syphilis and other sexually transmitted diseases is on the rise, and AIDS The risk factors for transmission are widespread and persist, infected people are gradually entering the onset stage, the number of patients is significantly increasing, and deaths are increasing. Prevention and control work faces some new challenges: sexual transmission has become the main route of transmission, the mode of transmission is more hidden, the epidemic situation among men who have sex with men has increased significantly, transmission between spouses has increased, and the mother-to-child transmission rate in areas where prevention of mother-to-child transmission projects have not been carried out is at a relatively low level. High levels; increasing resistance to anti-HIV treatment increases the pressure and difficulty of treatment. At the same time, some regions and departments do not pay enough attention to AIDS prevention and control, policies are not implemented in place, and prevention and control measures are insufficiently covered; existing prevention and control technologies, methods, and capabilities cannot meet work needs, and the pertinence and effectiveness of prevention and control work need to be further improved. , the basic work at the grassroots level needs to be strengthened. New problems arising in prevention and control work are intertwined with existing problems and difficult issues, making the situation more complex and making the prevention and control tasks very arduous.

2. Goals and working principles

(1) Goals. Reduce new AIDS infections, reduce AIDS mortality, reduce discrimination against people affected by AIDS, and improve the quality of life of infected people and patients. By the end of 2015, the rapid rise of the AIDS epidemic in key areas and key populations has been basically contained. The number of new AIDS infections has been reduced by 25% compared with 2010, the AIDS case fatality rate has dropped by 30%, and the number of surviving infected people and patients has been controlled at around 1.2 million. .

1. The awareness rate of comprehensive AIDS prevention and treatment knowledge (including knowledge on the prevention and treatment of AIDS, STDs, hepatitis C and voluntary blood donation) is over 85% for urban residents aged 15-60 and over 80% for rural residents; entry and exit The population, floating population and women aged 15-49 reached more than 85%; high-risk behavior groups and teenagers reached more than 90%; and the supervised persons in supervision places reached more than 95%. All general middle schools, secondary vocational schools, and general colleges and universities carry out special education or publicity and education activities on comprehensive AIDS prevention and control knowledge every school year in accordance with regulations; major news media at all levels publish public service advertisements on comprehensive AIDS prevention and control knowledge, accounting for more than 5% of public service advertisements. . The population blood donation rate reaches 10/1,000 population, and the growth level of blood donation volume and number of blood donations in each province (autonomous region, municipality) is not lower than the growth level of local medical service demand.

2. The coverage rate of effective intervention measures for high-risk behavioral groups reaches more than 90%, and the proportion of people who accept AIDS tests and know the test results reaches more than 70%; all family planning technical service institutions distribute and promote the use of condoms; 95% Hotels and other public places place condoms or set up automatic condom vending machines; the condom usage rate among high-risk behavior groups reaches more than 90%; counties (cities, cities, towns and cities) with more than 500 registered opioid addicts (mainly heroin) District) establish drug addiction treatment maintenance clinics and their extended medication points to provide drug addiction treatment maintenance services to more than 70% of eligible addicts; the annual new AIDS infection rate among those participating in drug addiction treatment maintenance treatment is controlled below 1%; intravenous The proportion of injecting equipment used by injecting drug users should be controlled below 15%.

3. The HIV antibody detection rate among pregnant and lying-in women reaches more than 80%, and the rate in high-endemic areas reaches more than 90%; the proportion of HIV-infected pregnant women and their babies who are born using anti-HIV drugs reaches more than 90%. After receiving comprehensive intervention services, the mother-to-child transmission rate of HIV among pregnant women has been reduced to less than 5%; the syphilis detection rate among pregnant women has reached more than 70%. 100% of medical and health institutions at the county level and above take the initiative to provide necessary HIV and syphilis testing and consultation services to patients at risk of HIV infection. More than 70% of infected people and their spouses receive HIV testing at least once a year. 95% of supervision places will HIV testing is included as a routine examination for newly-supervised personnel.

4. More than 80% of HIV-infected people and patients who meet treatment standards receive standard anti-HIV treatment, and more than 85% receive treatment lasting 12 months; more than 90% of HIV-infected people and patients receive standard anti-HIV treatment every year Accept at least one tuberculosis-related examination, and the proportion of dual-infected patients who meet the treatment conditions will receive more than 80% of anti-tuberculosis and anti-HIV treatments; the proportion of patients who meet the standards will take more than 80% of drugs to prevent opportunistic infections; a cumulative total of traditional Chinese medicine The number of people receiving treatment increased by 70% compared with 2010. The proportion of syphilis patients and syphilis-infected pregnant women receiving standardized diagnosis and treatment has reached more than 80%, the annual reported incidence rate of primary and secondary syphilis in the country has been controlled below 5%, and the annual reported incidence rate of congenital syphilis has been reduced to 30/100,000. Live births below.

(2) Working principles. Adhere to the leadership of government organizations, departments responsible for their respective responsibilities, and the joint participation of the whole society; adhere to prevention first, combination of prevention and control, prevention and control in accordance with the law, and scientific prevention and control; insist on highlighting key points, classified guidance, expanding coverage, and improving quality.

3. Prevention and Control Measures

(1) Expand the coverage of publicity and education and create a good social atmosphere. Strengthen publicity and education to the public.

Strengthen AIDS epidemiology and intervention research, strengthen application research on therapeutic drugs, detection reagents, preventive drugs and supplies, strengthen drug resistance monitoring, early diagnosis, identification and detection of new infections, rapid diagnosis, prevention and treatment effect evaluation, and integrated traditional Chinese and Western medicine treatment , research on social issues related to comprehensive prevention and treatment of AIDS, etc., focusing on solving key issues such as prevention and treatment strategies and intervention measures, and accelerating the transformation of scientific and technological achievements.

Continue to strengthen international cooperation, actively introduce advanced international concepts and technologies for comprehensive AIDS prevention and treatment, and learn from and absorb the prevention and treatment experience of other countries. Strengthen preventive intervention efforts in border areas through bilateral cooperation with neighboring countries. Actively conduct publicity to the outside world, provide technical support to some developing countries, and expand my country's international influence in the field of comprehensive AIDS prevention and treatment.

5. Supervision and Evaluation

Strengthen the supervision and evaluation of AIDS prevention and treatment, and improve the national comprehensive AIDS prevention and treatment data information management system. All localities and relevant departments must formulate plans according to their responsibilities, conduct supervision and inspections, and pay attention to the evaluation of prevention and control effects. The Office of the State Council AIDS Prevention and Control Working Committee has formulated the supervision and evaluation framework of this action plan, conducted supervision and inspection on the implementation of prevention and control work, and will evaluate the implementation effect of this action plan in early 2016.