China 2010 UNGASS Country Progress Report

Purpose Purpose To 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: China 2010 UNGASS Country Progress Report A Joint Assessment of HIV/AIDS Prevention, Treatment and Care in China (2007)

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%

HIV awareness of major populations CAN WE SHOW NATIONAL AVERAGE? DEFINE AWARENESS – UNDER NOTES SECTION % Result of the China Five-year Action Plan mid-term evaluation in 2008

Interventions among female sex workers %

Interventions among MSM %

Interventions among IDU %

Scale up of MMT Average number of on treatment participants per clinic increased from 122 (Jan 2008) to 160 (Dec 2009) 8

Number of operational needle exchange clinics 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

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 Mother Received ARV 1554 Percentage of PMTCT 75.3% (1554/2065) Gave birth 2065 Percentage of Infant received ARV 82.6% (1701/2059) Infant received ARV 1701 Live infant 2059 Note: PMTCT coverage among estimated HIV infected pregnant women in 2009 is 22.4% (1554/6953)

Number of HIV positive persons who received ART 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: 2240 As of end 2009

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%

Domestic and international expenditure on AIDS Year Total (Yuan) Domestic International 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%

Domestic expenditure on AIDS Funding support from central government and local government (million Yuan)

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%

Challenges 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.