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Challenges Moving from Sciences to Implementation in China

Challenges Moving from Sciences to Implementation in China. Zunyou Wu National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention. Goal. By 2015 ： The number of people living with HIV/AIDS be controlled no more than 1,200,000 .

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Challenges Moving from Sciences to Implementation in China

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  1. Challenges Moving from Sciences to Implementation in China Zunyou Wu National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention

  2. Goal By 2015： • The number of people living with HIV/AIDS be controlled no more than 1,200,000. • New HIV infection25%； • AIDS Mortality30%。 To achieve these targets, We need implementation sciences

  3. Can incidence decline but annual reported HIV cases continually increase? Cases HIV/AIDS reported in China during 1985-2011 Year HIV AIDS Death

  4. Since ART launch in 2002, AIDS mortality dropped significantly Further have mortality DROP We need ImplementationSciences

  5. Annual Reported AIDS Mortality Q1: Why ART , but Mortality ？ Q2: When and how to get Mortality  ? ??? ??? 80% Deaths without ART • 5 Reported death same year Reported death previous year

  6. Late Diagnosis Still an Issue

  7. 25 22,825 (100%) Number of individuals (1,000) Losses along the Continuum of HIV Care 20 15 9,091 (40%) 10 7,754 (34%) 4,830 (21%) 2,691 (12%) 5 732 (8%) 0 Screened HIV-Positive Confirmed HIV-Positive Received CD4 Test Notified HIV-Positive Received ART Received VL Test

  8. New vs. existing strategies Use New Strategies • TEST as Prevention • TREATMENT as Prevention Continue Use Traditional ones Education Condom promotion Harm reduction Counseling STD management

  9. Who Working with? HIV Positives HIV Negatives Prevention by Working with

  10. ART vs. PrEP ART HIV + PrEP At risk Population size Population size

  11. New strategies

  12. Conclusion Fully Implement Existing Approved Strategies Adopt new strategies positively

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