1

China 2010 UNGASS Country Progress Report

2

PurposeTo provide a snapshot of progress made in fulfilling commitments made at the 2001 UN General Assembly Special Session on AIDS

– Epidemic update– Awareness– Prevention among MARPs– PMTCT– Treatment– Expenditure

Source: 1. China 2010 UNGASS Country Progress Report2. A Joint Assessment of HIV/AIDS Prevention, Treatment and Care in China (2007)

Purpose

3

Summary of the AIDS epidemic in 2009

Populations affected

People living with HIV 740,000

Number of AIDS cases

105,000

New HIV infections 48,000

Deaths due to AIDS 26,000

HIV Prevalence

Whole population 0.057%

Population aged 15-24 0.2%

Female sex workers 0.6%

MSM 5.0%

IDU 9.3%

4

HIV awareness of major populations

Result of the China Five-year Action Plan mid-term evaluation in 2008

84.3

75.5

85.182.3

74.5

60

70

80

90

100

Urban residents Rural residents In-school youthaged 15-24

Out-of-schoolyouth aged 15-24

Rural migrantworkers%

5

Interventions among female sex workers

%

82.1

40.546.4

28.8

85.1

54.1

74.3

36.9

0

10

20

30

40

50

60

70

80

90

Coverage of HIVtesting

Coverage ofprevention

programmes

Knowledge on HIVprevention

Condom use withlast client

2007

2009

6

Interventions among MSM

%

28.8

37.8

55.1

64.4

44.9

75.1

51.1

73.1

0

10

20

30

40

50

60

70

80

Coverage of HIVtesting

Coverage ofprevention

programmes

Knowledge on HIVprevention

Condom use duringlast sex with male

partner

2007

2009

7

Interventions among IDU

%

34.2

49.0

24.8

41.1

85.1

57.3

38.537.3

0

10

20

30

40

50

60

70

80

90

Coverage of HIVtesting

Coverage ofprevention

programmes

Knowledge on HIVprevention

Condom use duringlast sexualintercourse

2007

2009

8

Average number of on treatment participants per clinic increased from 122 (Jan 2008) to 160 (Dec 2009)

Cumulative and on-treatment MMT patients

241975

112831

178684

97554

3734581161209 26165

57947

93773

2004 2005 2006 2007 2008 2009

Cumulative Currently on treatment

Scale up of MMT

9

20062007

20082009

729775

897964

0

100

200

300

400

500

600

700

800

900

1000

num

ber o

f clin

ics

Average number of IDUs using needle exchange services increased from 36,000 to 39,000 per month between 2008 and 2009.

The percentage of IDUs who used sterile injection equipment the last time they injected drugs increased from 40.5% to 71.5% between 2007 and 2009

Number of operational needle exchange clinics

10

PMTCT

Year No. of counties supported by central government financing

No. of pregnant women who received HIV screening (million)

No. of reported HIV cases among pregnant women

2007 271 1.96

2009 453 4.00 3662

Reported HIV infected pregnant women in 2009

3662

Gave birth2065

Mother Received ARV

1554

Percentage of PMTCT 75.3%

(1554/2065)

Live infant2059

Infant received ARV

1701

Percentage of Infant received

ARV 82.6% (1701/2059)

Note: PMTCT coverage among estimated HIV infected pregnant women in 2009 is 22.4% (1554/6953)

11

Adult ART：

In 1821 counties of 31 provinces;

Cumulative treatment: 81739

Current on treatment: 65481

Child ART：

In 276 counties of 27 provinces

A total of 1793 children received

treatment, of whom 1594 are on

treatment

Second line ART: 22400

10000

20000

30000

40000

50000

60000

70000

80000

90000

2003 2004 2005 2006 2007 2008 2009

Currently on ART Cumulative ART

Number of HIV positive persons who received ART

As of end 2009

12

Coverage of ART

• Percentage of persons receiving treatment among estimated living patients, including adults and children in 2009

• Percentage of treatment among estimated population of people requiring treatment, including adults and children in 2009

• Percentage of adults and children with HIV known to be on treatment 12 months after initiation of ART in 2009

62.4%

34.4%

82.3%

13

Domestic and international expenditure on AIDS

YearTotal(Yuan)

Domestic International

Total Percentage Total Percentage

2008 2,249,724,600

1,639,520,000 72.88% 610,204,600 27.12%

2009 2,415,305,100 1,835,810,000 76.01% 579,495,100 23.99%

14

Domestic expenditure on AIDS

Funding support from central government and local government (million Yuan)

392

810

801

850

944

1071

1223

98

189

228

342

569

613

0 200 400 600 800 1000 1200 1400 1600 1800 2000

2003

2004

2005

2006

2007

2008

2009

Central Government Local Government*

15

Expenditure on AIDS

International AIDS spending in 2009

Global Fund,

31.4m, 55%

UN agencies,

48.2m

8%

All other

international

140.8m, 24%, Bilateral, 76.3m

13%

International AIDS spending in 2008

Global Fund, 305.7m, 50%

UN agencies, 54.3m, 9%

Bilateral, 90.9m, 15%

Other international

organizations, 159.3m, 26%

16

1. Progress but epidemic not yet under control;

2. Not all leadership adequately mobilized;

3. Inadequate intervention among MARPs;

4. Uneven implementation of ‘Four Frees One Care’ policy;

5. Limited civil society participation and capacity;

6. Continued high level of stigma and discrimination;

7. Not enough capacity and staff involved in the AIDS response.

Challenges