CHINA ELIMINATING AIDS-STIGMA INITIATIVE

WANG LONGDE MINISTRY OF HEALTH, CHINA
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Strategies to Eliminate AIDS Stigma
‡ Political commitment, leaders in the frontier ‡ Law enforcement, articulating anti-stigma terms ‡ Government policy, laying foundation for care ‡ Social marketing and community mobilization, creating a supportive atmosphere for people with HIV/AIDS
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President Hu Jintao and other senior leaders visit Beijing¶s Youan Hospital. President Hu shakes hands with an AIDS patient

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During the 2005 Spring Festival, Premier Wen Jiabao visited HIV-positive people and their families in Shancai county in Henan. He spent the festival with AIDS orphans and parents who had lost their children to the disease.

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Premier Wen Jiabao said in his published article ³Through campaign and education« to enable the whole society to treat people with HIV/AIDS appropriately, to provide more care to them, and to reduce stigma and discrimination against them.´

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Vice Premier Wu Yi went to Henan province to visit villages heavily affected by HIV. She visited HIV-positive villagers and their families and inspected the HIV/AIDS prevention programs in the province.

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Vice Premier Wu Yi said ³The whole society should be mobilized to eliminate discrimination against people with HIV/AIDS, and provide good care for them.´ She further emphasized ³we should promote education about the legal system; raise awareness of the laws governing HIV/AIDS prevention and control; eliminate social fears towards, and discrimination against, people affected by HIV/AIDS; and raise awareness of the legal obligations of HIV 5 positive people and AIDS patients.´

Law Enforcement
Infectious Disease Prevention and Control Act

Article 16: Government and society should care and help infectious disease patients, pathogen carriers and those suspected of having an infectious disease. They should get timely treatment and should not be discriminated against by others.

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Law Enforcement
Infectious Disease Prevention and Control Act
³«« ³«« ´ Article 12: ³««Organizations who work for disease prevention and control and who provide health care are not permitted to disclose confidential information about individuals. ³««For behaviors infringing on lawful rights and interests of groups and/or individuals, the groups and/or individuals can apply for administrative reconsideration or prosecute those responsible on the basis of relevant legislation´.
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Law Enforcement
Infectious Disease Prevention and Control Act
³ «« ««´ Article 68: ³If disease prevention and control organizations violate the present law, as in one of the following situations« 5)Intentional disclosure of confidential information of confirmed infectious disease patients, carriers of pathogens, unconfirmed cases and those in close contact with infectious disease patients«,´ the organizations and/or individuals responsible will be punished at different levels, such as, warning, demotion reassignment and dismissal.
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Law Enforcement
Infectious Disease Prevention and Control Act
³ ««´ Article 69: ³If health care organizations violate the present law, as in one of the following situations« 7)Intentional disclosure of confidential information of confirmed infectious disease patients, carriers of pathogens, unconfirmed cases and those in close contact with infectious disease patients«,´ the organizations and/or individuals responsible will be punished at different levels, such as, warning, demotion reassignment and dismissal.
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Law Enforcement
HIV/AIDS Act In the process of review for approval

Article 9: The laws and regulations protect the rights of HIVinfected individuals, AIDS patients, their spouses and children to employment, education, health services, and participation of social activities. Any institutes or individuals should not discriminate against HIV-infected individuals, AIDS patients, their spouses and children.
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³ ´ Policy ± Four Frees and One Care
‡ Free Voluntary Counseling and Testing (VCT) ‡ Free ARV drugs to AIDS patients who are rural residents or people with financial difficulties living in urban areas ‡ Free ARV drugs to HIV infected pregnant women to prevent mother-to-child transmission, and HIV testing of newborn babies

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³ ´ Policy ± Four Frees and One Care
‡ Free schooling for children orphaned by AIDS ‡ |

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

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Policy
State Council and Departments developed series AIDS implementation policies

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Comprehensive Policy Framework for HIV/AIDS Prevention and Control in China (State Council Document No.7)

‡ 2004-2008
Notice on HIV/AIDS Prevention IEC Guidelines 2004-2008 (State Council AIDS Working Committee Office)

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Notice on ARV Treatment and Voluntary Counseling and Testing (Ministry of Health and Ministry of Finance)

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Notice on ARV Treatment Management (Ministry of Health and State Administration of Traditional Chinese Medicine)
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Policy
‡ Notice on the Implementation of the AIDS Prevention and Care Guidelines of the State Council (Ministry of Education) ‡ Notice on Strengthening Assistance to Poor People Living with HIV/AIDS (PLWHA), Families of PLWHA and Orphans (Ministry of Civil Affairs) ‡ Notice on Professional Training on Infectious Diseases, including HIV/AIDS for Medical Staff (Ministry of Health) ‡ Notice on Pilot Programs for the Prevention of Mother-to-Child Transmission of HIV (Ministry of Health)

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Comprehensive AIDS Campaign

³Face-to-face´ Education by Women Federation

Multi-sector participation of AIDS Campaign

Knowledge test

Street campaign by students

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Comprehensive AIDS Campaign

Multiple formats (TV, newspapers, posters, banners) 
4 million copies of AIDS posters for each village, school and community in the country.

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Comprehensive AIDS Campaign
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Mobile AIDS Campaign Truck in Shanxi Yuncheng 

Troupes for AIDS campaign by Hebei Dachang
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Celebrities in Sports, Literary and Art Circles

Celebrities in literary and art circles have played an important role in publicizing HIV/AIDS knowledge and mobilizing HIV/AIDS-related activities.

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Participation of PLWHA in Combating Stigma and Discrimination
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More and more people living with HIV/AIDS are willing to publicize their status and to participate in HIV/AIDS-related activities.

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The Effects of Combating Discrimination
³ ´ HIV

The Four Free and One Care Policy has dramatically reduced stigma and discrimination in the community. HIV In Fuyang, Anhui Province, discrimination against PLWHA and their families was greatly reduced.
In China CARES sites, kids with HIV or from HIV family could play with other kids friendly.

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The Effects of Combating Discrimination
Fuyang, Anhui Province
³ « 2004 ³No-one wanted to be close to HIVpositive people because they were afraid of being infected. Recently, (AIDS) knowledge has been publicized and most people know about this disease, «most people have the courage to touch HIVpositive people.´ - Husband of a PLWHA (November, 2004)
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Challenges in Combating HIV/AIDS Stigma
O Stigma and discrimination are still prevalent

Laws and regulations for anti-stigma need to be fully implemented

Measures such as education and community mobilization need to be strengthened and reinforced
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