1 / 12

From Science to Policy ─ Evolution of China’s Needle Exchange Program (NEP)

From Science to Policy ─ Evolution of China’s Needle Exchange Program (NEP) . Xiaobin Cao Ph.D National Center for AIDS/STD Control and Prevention China CDC July 23, 2012 Washington DC. Contributors. Dr. Wu Zunyou, China CDC China’s National NEP Working Group

sinjin
Download Presentation

From Science to Policy ─ Evolution of China’s Needle Exchange Program (NEP)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. From Science to Policy─ Evolution of China’s Needle Exchange Program (NEP) Xiaobin Cao Ph.D National Center for AIDS/STD Control and Prevention China CDC July 23, 2012 Washington DC

  2. Contributors • Dr. Wu Zunyou, China CDC • China’s National NEP Working Group • China Ministry of Health • International community: Global Fund US, UK et al. • AIDS 2012 Conference Secretariat

  3. Why China Initiated NEPs? • Large number of heroin users more than 1 million • High HIV prevalence 6% nationwide • Prevalent high-risk behavior among drug users: highneedle sharing low condom use • NEP has been proven to be an effective harm reduction strategy worldwide. HIV sentinel surveillance data on IDUs, 1995-2009

  4. Evidence-based Evolution • A small pilot feasibility study in 1997, sponsored by World AIDS Foundation • The first NEP Workshop in 1997, hosted by Chinese Preventive Medicine Academy. • A scale-up pilot study in two provinces in 1999, sponsored by China Ministry of Health. • Implementation in four provinces since 2000, sponsored by China-UK Program and China-Australia Program. • Scale-up nationwide since 2003, sponsored by China CARE program.

  5. Milestones in China’s NEP 1st Five-year AIDS Plan (2001-2005) Web-based Data Management System (2008) First NEP workshop in China (1997) Scale up Pilot NEP study in 2 provinces （1999) 2nd Five-year AIDS Plan (2006-2010) 3rd Five year Action Plan（2011-2015） China CARE project （2003) 2001 2008 2007 2009 2010 2004 1999 2000 2002 2003 2005 2006 1998 Preparation Phase （Before 1999) National Scale-up Phase （Since Jul, 2003) Pilot Phase （1999 to 2003)

  6. Supportive Legislations Former Minister of Health visited NEP sties Policy and Third Five-year AIDS Action Plan (2011-2015), issued by State Council, the Central Government

  7. Geographical Distribution XINJIANG BEIJING NINGXIA QINGHAI SHAANXI JIANGSU HUBEI SICHUAN CHONGQING ZHEJIANG JIANGXI HUNAN GUIZHOU • By March 2012, 966 NEP sites 466 counties in 18 provinces, covering 44,530 injecting drug users monthly (50 drug users per site) FUJIAN YUNNAN GUANGDONG GUANGXI HAINAN

  8. NEP in China • Financial sources: Before 2010: Government & international support; After 2010: Government • NEP operators: Peer educators, CDCs, NGOs, pharmacies • Participants of NEP:Heroin users recruited from community NEP Guideline

  9. Web-based Data Management System

  10. Challenges • Misunderstanding of drug use and debate on NEP still exists. • Lack of comprehensive evaluation on the role of NEP in HIV prevention in China. • Which NEP model is better in China? • Peer educators (how can we know they really distribute?) • Health workers • NGO?

  11. Next Steps • Decrease the negative attitude toward drug use and NEPs. • Strengthen the leadership on NEPs. • Implement the comprehensive evaluation on NEPs. • Encourage the active involvement of target population: e.g. Community-based organizations (CBOs), Grass-rooted organizations

  12. Thank you!

More Related