up the methadone maintenance treatment program in China课件.pptVIP

中国遏制与防治艾滋病行动计划(2006-2010年) （二）具体目标和工作指标。 到2007年底实现以下目标 有效干预措施覆盖当地70%以上的主要高危人群和流动人口。登记在册吸毒者500人以上的县（市)，建立药物维持治疗门诊，为40%以上符合条件的吸食阿片类毒品（主要指海洛因）成瘾者提供药物维持治疗。 到2010年底实现以下目标 有效干预措施覆盖当地90%以上的主要高危人群和流动人口。登记在册吸毒者500人以上的县（市)，建立药物维持治疗门诊，为70%以上符合条件的吸食阿片类毒品（主要指海洛因）成瘾者提供药物维持治疗。 * China’s Action Plan for Controlling HIV/AIDS (2006-2010) Specific Tasks (6) County (city) 500 registered drug users, By 2007: (in urban) MMT cover 40% (in rural) NEP cover 30% By 2010: (in urban) MMT cover 70% (in rural) NEP cover 50% * 组织管理结构 国 家 工 作 组 省 级 工 作 组 美沙酮口服液配制单位 美沙酮门诊 美沙酮门诊 美沙酮门诊 美沙酮门诊 卫生部 公安部 国家药监局 卫生厅 公安厅 省级药监局 省级疾病预防控制中心 秘 书 处 中国疾病预防控制中心性艾中心 当地工作组 * Organizational Structure State MMT Working Group Provincial MMT Working Group Methadone Formulation Unit MMT Clinics MMT Clinics MMT Clinics MMT Clinics Ministry of Health Ministry of Public Security State FDA China CDC Department of Health Department of Public Security Provincial FDA Provincial CDC Secretariat * * Evolution of Implementation Protocol 2003 Inclusion of the MMT program: Clients need to have several failed attempts to quit using heroin; at least two terms in a detoxification centre; being a registered local resident of the area in which the clinic dislocated; etc. The number of allowable missing treatment days: if an MMT client missed any cumulative 15 days in 90 days they were discharged from the programm. Services provided: relatively limited to administering of methadone July 2006 Inclusion of the MMT program: Clients no longer need a history of detoxification for entry and no longer required to be registered as local residents and a transfer system has been set up to meet the needs of those who are relocating either permanently or temporarily. The number of allowable missing treatment days: must miss seven consecutive days (a rarer event, to be disqualified). Services provided : counseling , HCV testing, ARV referral treatment, condom promotion, peer edu