CHINA ELIMINATING AIDSSTIGMA INITIATIVE

1
???????????CHINA ELIMINATINGAIDS-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 Beijings
Youan Hospital. President Hu shakes hands with an
AIDS patient
4

• 2005?????,??????????????????????,?????????????,???
  ????????????????
• 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.

?????????????,????????? ?????????????????,??
??????,?????? Premier Wen Jiabao said in
his published article Through 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.

????????????????? ???????, ??????????????????
?????????,????????,?????????,??????????????????
? Vice Premier Wu Yi said The whole society
should be mobilized to eliminate discrimination
against people with HIV/AIDS, and provide good
care for them. She further emphasized we
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 positive people and AIDS
patients.
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????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
• ???? ????????????????????????????????
• ????????????,???????????????????????
• Article 12 Organizations who work for
  disease prevention and control and who provide
  health care are not permitted to disclose
  confidential information about individuals.
• 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
• ????? ??????????????,????????(?)??????????????
  ??????????????????????????????,????????????????
  ????????,??????????????
• Article 68 If 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
• ????? ??????????,????????
• (?)????????????????????????????????????????????
  ,????????????????????????,??????????????
• Article 69 If 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 HIV-infected 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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??--????? 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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??--????? 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
• ???????????????????
• 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)
• ???????????????????????????????
• Notice on ARV Treatment and Voluntary
  Counseling and Testing (Ministry of Health and
  Ministry of Finance)
• ????????????????????????????????????
• 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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????ComprehensiveAIDS Campaign
????? ?? Face-to-face Education by Women
Federation

• ????????????,???????
• Multi-sector participation of AIDS Campaign

?????? Knowledge test ???? Street campaign by
students
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????ComprehensiveAIDS Campaign

• ??????(????????????)
• Multiple formats (TV, newspapers, posters,
  banners)

400???????????????? 4 million copies of AIDS
posters for each village, school and community in
the country.
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????ComprehensiveAIDS Campaign

• ?????????????????,?????????
• 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

• ???HIV????????????,??????????

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

• ????,???????????????????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 ?????????,??????,???
????????, (???)??????,???????????,?????????????
-- ????????(2004?11?)

• No-one wanted to be close to HIV-positive 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 HIV-positive
  people.
• - Husband of a PLWHA
  (November, 2004)

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???????,????Challenges in Combating HIV/AIDS
Stigma

• ????????
• 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