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Abstract
In order to respond to the challenges and effectively control the HIV epidemic in
focus areas and populations, the Chinese Ministry of Health (MoH) launched the
China Comprehensive AIDS Response Program (China CARES) in two phases starting
in 2003 covering a total of 127 individual geographic areas. The areas included
counties, cities and districts, but will be referred collectively in this document as sites.
The China CARES program was launched in 28 provinces, municipalities and
autonomous regions (excluding Beijing, Tianjing and Shanghai) as well as within the
Production and Construction Corps of Xinjiang in China, covering more than 40,000
administrative villages, 2,468 families and a total population of 81.63 million. A total
of 53,981 hospitals at all levels were also included.
The overall goal of China CARES was to explore a comprehensive HIV control and
prevention mechanism consistent with local situations to prevent the further spread
of HIV through mother to child transmission. During the five years from 2003 to
2008, China CARES played an exemplary role in the national HIV/AIDS prevention and
control program through emphasizing work priorities, establishing a working network,
reinforcing staff capacity, streamlining work processes and yearly indicators, adapting
to local conditions and sufficiently accounting for local social, cultural and economic
backgrounds and epidemiological characteristics to explore a locally adapted, feasible
and appropriate working mechanism. In addition, by consistently summarizing
experiences and lessons learned, the successful experience of China CARES has
expended across China.
Over the five years of its practice, all of the objectives set by China CARES have
been achieved, including:
1. The surveillance system has been improved. HIV screening labs have reached
412.
2.
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