HIV/AIDS in China Beyond the Numbers-中国公共卫生艾滋病防治实践

AcknowledgementsAcronymsIntroductionChapter 1 AIDS Comes to China An open window lets in fresh air, and flies Closing the window Domestic invasion: HIV spreads in YunnanChapter 2 Selling Blood Spreads HIV Plasma collection in China The rise of plasma selling Early cases of HIV in plasma sellers Early warning signs of the epidemic to come: seen but not heeded The emergence of AIDS Villages: the media as catalyst for HIV/AIDS policy changes in China The enduring legacy: families destroyed, stigma entrenched Cleaning up the blood supply: comprehensive actionChapter 3 TheAIDS Warriors Making friends: the importance of local allies Beneath the red lantern: examining the commercial sex trade Lessons learned: listening to those youre trying to help Foreign money opens the door to new approaches Research is a back door for action A pragmatic response: the customer is always right Research to action: developing workable models in the sex trade First, make no enemiesChapter 4 AIDS Policy: Chinas Tipping Point The value of international partners Coming to terms with all the numbers Estimating the numbers at risk for HIV: China leads the way UNAIDS rocks the boat The shock of SARS A fresh promise of careChapter 5 Finding Those At Risk, Chinas Way Activists inside and outside China opposed mass screening of plasma sellers Forging ahead to meet local needs Taking testing to high risk groups So, how big is the epidemic? Manageable goalsChapter 6 Fulfilling a Promise: Universal Care HIV testing as a gateway to care The rocky road to treatment Getting medicine to those who need it Making treatment work for patients, and doctors Preventing HIV transmission from mother to infant Keeping drug users safe from HIV Preventing HIV transmission between men and women during sex Hitting the targetChapter 7 China Takes Charge of a Changing Epidemic A single, integrated data system The evolving epidemic A socially embedded disease requires social responses Gay men on the frontlines Taking over the purse strings Finding new platformsChapter 8 HIV-Related Stigma and Discrimination in China: A Persistent Puzzle The "Stigma Factor" ~ Sowing fear, reaping stigma Supportive families are not the norm "Innocence" is no protection Legislative challenges and conflicts Stigma and discrimination in the healthcare system Enlisting help in the battle against HIV-related stigmaChapter 9 Building on the Past, Facing the Future Building success over 30 years Listening, trying, measuring "Best practice" is not always best: daring to be different Putting national needs first The importance of political leadership A dedicated workforce Challenges Enduring stigma: silence is deadly A changing epidemic: gay men, sexual transmission A socially embedded approach Adapting for the future Community engagement in the response Breaking the silence 90-90-90 The journey continues Appendix HIV in China: 30 Years in Numbers The evolving epidemic Drug injecting spreads HIV in south-western China Plasma sales drive a second wave of HIV Tracking the path of the virus Limited spread through commercial sex HIV takes off among gay men Heading for parallel epidemics? Uncertainly over growing heterosexual transmission HIV transmission between husband and wife" Heterosexual transmission outside marriage The Viagra TM Generation? Funding increases by leaps and boundsRamping up testing and treatmentWhat is next? References