China

2 Basic socio-demographic indicators HIV prevalence and epidemiological status (1985-2010) Risk behaviors (1995-2009) Vulnerability and HIV knowledge (2009) HIV Expenditure (2005-2009) National Response (2003-2010) Archives CONTENT

3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Sources: 1.UNFPA. (2010). State of World Population 2010, 2. UN Statistics Division. (2010). Social Indicators 3.Word Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved January, 2011, from http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2, 4. WHO. (2010). World Health Statistics 2010, 5. UNDP. (2010). Human Development Report 2010, and 6. UN Population Division. (2009). World Population Prospects The 2008 Revision.

HIV prevalence and epidemiological status

Estimated number of adults and children living with HIV and estimated new HIV infections, 2001 and 2009 5 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated number of adults (15+) living with HIV and female (15+) living with HIV, 2001 and 2009 6 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated number of AIDS related deaths, 2001 and 2009 7 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated size of key affected populations, 2009 8 Source: Prepared by www.aidsdatahub.org based on UNAIDS. China AIDS Fact Sheet , 2010 (Unpublished)

Annual reported HIV and AIDS cases, 1985- 2010 9 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS/STD Control and Prevention and Chinese Center for Disease Control and Prevention (Power Point Presentation by Dr. Wu Zunyou). HIV Testing & Treatment as Prevention in China, 2011

% distribution of estimated new and cumulative HIV infections by mode of transmission, 2009 10 New HIV infections Cumulative HIV infections Source: Prepared by www.aidsdatahub.org based on UNAIDS. China AIDS Fact Sheet , 2010 (Unpublished)

Cumulative number of HIV and AIDS cases and deaths, 2007-2009 11 Sources: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response, 2. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China

Trend of newly diagnosed HIV cases, by sex, Guangdong province, 1997-2007 12 Source: Centers for Disease Control and Prevention (CDC). (2009). HIV Infection--Guangdong Province, China, 1997-2007. MMWR Morb Mortal Wkly Rep, 58(15), 396-400

Trend of newly diagnosed HIV cases by mode of transmission, Guangdong province, 1997-2007 13 Source: Centers for Disease Control and Prevention (CDC). (2009). HIV Infection--Guangdong Province, China, 1997-2007. MMWR Morb Mortal Wkly Rep, 58(15), 396-400 † includes all persons who enter drug detox centers, presumed to have injected drugs

HIV prevalence among population (15-49) by different scenarios , 1990-2010 14 Source: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing Institute of Information and Control, et al. (2002). The Socioeconomic Impact of HIV/AIDS in China. (%) Three scenarios refers to early intervention, late intervention and no further more intervention

HIV prevalence among key affected populations by age group, 2009 15 Source: Prepared by www.aidsdatahub.org based on National HIV/AIDS Sentinel Surveillance Results, 2009 cited in State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Trends of HIV prevalence among key affected populations, 2005 - 2009 16 Sources: Prepared by www.aidsdatahub.org based on 1. Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005, 2. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Trends of HIV prevalence among key affected populations, Henan, 2005-2008 17 Source: Prepared by www.aidsdatahub.org based on UNAIDS, China HIV/AIDS Brief (unpublished)

HIV and Syphilis prevalence among key affected populations, 2008 18 Source: Prepared by www.aidsdatahub.org based on Comprehensive Surveillance among MARPs reported in WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009

HIV prevalence among MSM by age group, 2007 and 2009 19 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

HIV prevalence among MSM in Chongqing, Sichuan province, 2006-2009 20 Source: Prepared by www.aidsdatahub.org based on UNAIDS. China AIDS Fact Sheet , 2010 (Unpublished)

HIV prevalence among MSM in Chengdu, Sichuan province , 2003-2007 21 Source: Prepared by www.aidsdatahub.org based on Sichuan Center for Disease Control and Prevention, 2008 cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response.

HIV prevalence among MSM, (2002-2007) 22 Source: Prepared by www.aidsdatahub.org based on Griensvena, F. v., Wijngaarden, J. W. d. L. v., Baral, S., et al. (2009). The Global Epidemic of HIV Infection among Men who have Sex with Men

HIV and Syphilis prevalence among MSM in selected cities, 2007 23 Sources: Prepared by www.aidsdatahub.org based on 1. Xing, G., Li-yan, W., Zheng-wei, D., et al. (2008). Characteristics of Sexual Behavior and HIV Prevalence among MSM in Selected Cities of China, 2006, 2. Hong-yan, L., Xiao-yan, M., & Yan-chun, L. (2008). A survey of HIV/STDs prevalence in 200 MSM and related factors in Beijing. Chinese Journal of AIDS & STD, and 3. Choi, K. H., Ning, Z., Gregorich, S. E., et al. (2007). The influence of social and sexual networks in the spread of HIV and syphilis among men who have sex with men in Shanghai, China.

HIV prevalence among MSM in different cities, 2005 24 Source: Prepared by www.aidsdatahub.org based on Xu, H., Zhang, B., Zeng, Y., et al. (2006). HIV epidemic status and behavioral surveillance among MSM in China. Paper presented at the AIDS 2006 - XVI International AIDS Conference, Toronto Canada August 12-18, 2006 0 0 0 1.35 1.92 2.27 0.94 0 0.5 1 1.5 2 2.5 Chongqing Dalian Qingdao Nanjing Xi’an Shenyang Total HIV positive (%)

HIV prevalence among FSWs by age group, 2007 and 2009 25 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Hepatitis C and Syphilis prevalence among different types of sex workers, Guiyang, 2007 26 Source: Prepared by www.aidsdatahub.org based on Dong-min, L., Fei, Y., Shao-yuan, H., et al. (2007). High Risk Behaviors and HIV/STI Prevalence among Female Sex Workers in Different Settings.

HIV prevalence among IDUS by age group and gender, 2007 and 2009 27 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

HIV prevalence among injecting drug users in selected sentinel sites, 1996-2007 28 Source: UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response,

HIV prevalence and incidence in 3 cohorts of injecting drug users in Xijiang, Guangxi and Sichuan, 2006 29 Source: Prepared by www.aidsdatahub.org based on Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention, China CDC. Presentation at XVI International AIDS Conference, Toronto, Canada, August 12-18, 2006 cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response.

Risk behaviours

% of key affected populations who reported condom use at last sex by age group, 2009 31 Source: Prepared by www.aidsdatahub.org based on National HIV/AIDS Sentinel Surveillance Results, 2009 cited in State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of key affected populations who reported condom use at last sex, 2005 - 2009 32 Sources: Prepared by www.aidsdatahub.org based on 1. Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005, 2. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of FSWs who reported the use of a condom with their most recent client by age group, 2007 and 2009 33 Sources: Prepared by www.aidsdatahub.org based on 1 State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Selected risk behaviors among different types of sex workers, Guiyang, 2007 34 Source: Prepared by www.aidsdatahub.org based on Dong-min, L., Fei, Y., Shao-yuan, H., et al. (2007). High Risk Behaviors and HIV/STI Prevalence among Female Sex Workers in Different Settings.

% of FSWs who reported the use of a condom use in commercial sex during last month, 1995-2005 35 Source: Prepared by www.aidsdatahub.org based on National HIV Sentinel Surveillance, 2006 cited in Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005 (%)

% of MSM who reported condom use at last anal sex with a male partner by age group, 2007 and 2009 36 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of condom use among MSM in selected cities, 2008 37 Source: Prepared by www.aidsdatahub.org based on Survey report on condom use among MSM in China Global Fund AIDS program (Round 5) areas, 2008 cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response,

% of IDUs who reported the use of a condom at last sex by age group and gender, 2007 and 2009 38 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of IDUs who reported the use of sterile injecting equipment at last injection by age group and gender, 2009 39 Source: Prepared by www.aidsdatahub.org based on National HIV/AIDS Sentinel Surveillance Results, 2009 cited in State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of IDUs who reported the use of sterile injecting equipment at last injection by age group and gender, 2007 and 2009 40 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of respondents having multiple sexual partners in the past year in six cities, 2008 41 Source: Prepared by www.aidsdatahub.org based on UNAIDS, Global Business Coalition, Century JinQin Marketing Research Company Renmin University, et al. (2008). AIDS-Related Knowledge, Attitudes, Behavior, and Practices: A Survey of 6 Chinese Cities. N= 6382 in 6 cities : Beijing, Kunming, Shanghai, Shenzen, Wuhan and Zhengzhou

% of respondents having sex with non-regular partners and condom use in the past six months, 2008 42 Source: Prepared by www.aidsdatahub.org based on UNAIDS, Global Business Coalition, Century JinQin Marketing Research Company Renmin University, et al. (2008). AIDS-Related Knowledge, Attitudes, Behavior, and Practices: A Survey of 6 Chinese Cities.

% of surveyed populations who never used a condom before, 2008 43 \ Source: Prepared by www.aidsdatahub.org based on UNAIDS, Global Business Coalition, Century JinQin Marketing Research Company Renmin University, et al. (2008). AIDS-Related Knowledge, Attitudes, Behavior, and Practices: A Survey of 6 Chinese Cities. N= 6382 in 6 cities : Beijing, Kunming, Shanghai, Shenzen, Wuhan and Zhengzhou

% of migrant workers who had commercial and casual sex in the past 12 months and who used a condom at last sex, 7 north and north-east provinces, 2008 44 Source: Prepared by www.aidsdatahub.org based on UNAIDS. China AIDS Fact Sheet , 2010 (Unpublished)

Vulnerability and HIV knowledge

% of key affected populations who had comprehensive knowledge of HIV by age group, 2009 46 Source: Prepared by www.aidsdatahub.org based on National HIV/AIDS Sentinel Surveillance Results, 2009 cited in State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of key affected populations who had comprehensive knowledge of HIV, 2005-2009 47 Sources: Prepared by www.aidsdatahub.org based on 1. Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005, 2, State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of IDUs who had comprehensive knowledge of HIV by age group and gender, 2007 and 2009 48 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of MSM who had comprehensive knowledge of HIV by age group, 2007 and 2009 49 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of FSWs who had comprehensive knowledge of HIV by age group, 2007 and 2009 50 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of young people (15-24) with comprehensive HIV knowledge, 2007 and 2009 51 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2.China_Interim Evaluation of 2008 Action Plan cited in State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of adults (15-49) who had correct knowledge of HIV prevention, 2008 52 Source: Prepared by www.aidsdatahub.org based on UNAIDS, Global Business Coalition, Century JinQin Marketing Research Company Renmin University, et al. (2008). AIDS-Related Knowledge, Attitudes, Behavior, and Practices: A Survey of 6 Chinese Cities.

% of adults (15-49) who had correct knowledge of HIV transmission, 2008 53 Source: Prepared by www.aidsdatahub.org based on UNAIDS, Global Business Coalition, Century JinQin Marketing Research Company Renmin University, et al. (2008). AIDS-Related Knowledge, Attitudes, Behavior, and Practices: A Survey of 6 Chinese Cities.

% of selected populations who know where to get an HIV test, 2008 54 Source: Prepared by www.aidsdatahub.org based on UNAIDS, Global Business Coalition, Century JinQin Marketing Research Company Renmin University, et al. (2008). AIDS-Related Knowledge, Attitudes, Behavior, and Practices: A Survey of 6 Chinese Cities. N= 6382 in 6 cities : Beijing, Kunming, Shanghai, Shenzen, Wuhan and Zhengzhou

% of selected populations who know where to get a condom and how to use it correctly, 2008 55 Source: Prepared by www.aidsdatahub.org based on UNAIDS, Global Business Coalition, Century JinQin Marketing Research Company Renmin University, et al. (2008). AIDS-Related Knowledge, Attitudes, Behavior, and Practices: A Survey of 6 Chinese Cities. N= 6382 in 6 cities : Beijing, Kunming, Shanghai, Shenzen, Wuhan and Zhengzhou

HIV Expenditure

Amount of domestic and international HIV expenditures and % shared by government, 2008 - 2009 57 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

% distribution of total HIV expenditures by financing source, 2008 - 2009 58 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Amount of national funds spent by governments from domestic sources for AIDS, 2003-2009 59 Sources: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2006). 2006 Report on the Global AIDS Epidemic, 2. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

GDP lost due to HIV and AIDS in 2010 (Billion Yuan) by early, late and high scenarios 60 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing Institute of Information and Control, et al. (2002). The Socioeconomic Impact of HIV/AIDS in China. (Billion Yuan)

National response

Number of people tested for HIV by county, 2010 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS/STD Control and Prevention and Chinese Center for Disease Control and Prevention (Power Point Presentation by Dr. Wu Zunyou). HIV Testing & Treatment as Prevention in China, 2011

Proportion of population tested for HIV by county, 2010 63 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS/STD Control and Prevention and Chinese Center for Disease Control and Prevention (Power Point Presentation by Dr. Wu Zunyou). HIV Testing & Treatment as Prevention in China, 2011

% of key affected populations who received an HIV test in the past 12 months and knew the results by age group, 2009 64 Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China

% of key affected populations who received an HIV test in the past 12 months and knew the results, 2007 and 2009 65 Source: Prepared by www.aidsdatahub.org based on UNAIDS, Report on the Global AIDS Epidemic, 2010

% of key affected populations reached with HIV prevention programme by age group, 2009 66 Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

% of key affected populations reached with HIV prevention programme, 2007-2009 67 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2.  State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Availability and coverage of harm reduction programmes for IDUs, 2007-2009 68 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

Number and % of HIV infected pregnant women who received ARVs to reduce the risk of mother to child transmission, 2007-2009 69 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China. Note: The percentages of PMTCT coverage were not calculated based on the estimated number of HIV infected pregnant women in the last 12 months but on the actual number of HIV infected women who delivered in a given year. Conclusions based on these figures should therefore be made with caution.

Status of PMTCT coverage, 2009 70 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

Number of adults and children with advanced HIV infection who received antiretroviral therapy and reported deaths, 2005 - 2010 71 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS/STD Control and Prevention and Chinese Center for Disease Control and Prevention (Power Point Presentation by Dr. Wu Zunyou). HIV Testing & Treatment as Prevention in China, 2011

Number of adults and children with advanced HIV infection who received ART by age group and gender, 2007-2009 72 By gender By age group Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Cumulative number of AIDS patients receiving ART, 2003-2007 73 (Number) Year Source: State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China

Number of adults and children who are in need of ART and % of ART coverage, 2009 74 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

Number of children (<15 years) who are in need of ART, who are receiving ART and % of ART coverage, 2009 75 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

% of adults and children who are known to be on treatment 12 months after initiation of ART, 2007 and 2009 76 Sources: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Archives

HIV prevalence and epidemiological status

Provinces and sites with highest HIV prevalence among IDUs, 2000 79 Source: China Annual STI and HIV/AIDS Sentinel Surveillance Reprot 2000 and Year 2000 Annual Report Guangxi Epidemic Prevention Station cited in The UN Theme Group on HIV/AIDS in China. (2002). HIV/AIDS: China's Titanic Peril: 2001 Update of the AIDS Situation and Needs Assessment Report. 17 12 12 35 21 70 58 75 80 39 84 0 50 100 Sentinel site Liuzhou Pingxiang Baise Sentinel site Yingjiang Kaiyuan Wenshan Ruili Urumqi Yining Jangxi Guangxi Guangdong Yunnan Xinjiang (%) Province Site

Transmission mode distributing among cumulative AIDS cases receiving ART, 2003-2007 80 Others Blood transfusion Sexual transmission Injecting drug use Commercial blood donation Source: State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China

Number of reported HIV cases through mother-to-child transmission, 1995-2004 81 Source: Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention. Presentation at XVI International Conference on AIDS, Toronto-Canada, August 12-18, 2006 1 1 4 3 3 10 32 41 124 686 0 100 200 300 400 500 600 700 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 HIV reported cases

Trend in proportion of mother-to-child infection over annual reported infections, 1998-2004 82 Source: Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention. Presentation at XVI International Conference on AIDS, Toronto-Canada, August 12-18, 2006 0.1 0.1 0.2 0.4 0.4 0.6 2.1 0 0.5 1 1.5 2 2.5 1998 1999 2000 2001 2002 2003 2004 HIV positive (%)

Annual reported HIV and AIDS cases, 1985-2007 83 0 10000 20000 30000 40000 50000 AIDS HIV/AIDS AIDS 5 3 5 23 29 52 38 126 136 230 233 714 1028 6120 12652 7550 7909 8539 HIV/AIDS 492 216 261 274 531 1567 2649 3343 3306 4677 5201 8219 9732 21691 47606 40711 44070 39866 1985- 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Note: up to October 2007 Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China Number Year

Age distribution of reported HIV and AIDS cases, 2007 84 Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China (%) Year Age 20-39 were more affected

Estimated number of people living with HIV, 2001 and 2007 85 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008 ). China: Epidemiological Fact Sheet on HIV and AIDS- Core Data on Epidemiology and Response. 470,000 700,000 120,000 200,000 0 400,000 800,000 2001 2007 Adults and children Women

The evolution and development of HIV epidemic in China 86 Source: Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention. Presentation at XVI International Conference on AIDS, Toronto-Canada, August 12-18, 2006 1989 1995 1998 1985

% of female among all HIV cases, 1998-2004 87 Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office, & UN. (2004). A Joint Assessment of HIV/AIDS Prevention, Treatment and Care in China Data is end up by September 2004

HIV prevalence among IDUs in Guangxi Province, 1995-2002 88 Source: Prepared by www.aidsdatahub.org based on The UN Theme Group on HIV/AIDS in China. (2002). HIV/AIDS: China's Titanic Peril: 2001 Update of the AIDS Situation and Needs Assessment Report.

Risk behaviours

Level of drug injection among female sex workers in China, 1998-2001 90 Source: Prepared by www.aidsdatahub.org based on Hoek, A. v. d., Yuliang, F., Dukers, N. H. T. M., et al. (2001). High Prevalence of Syphilis and Other Sexually Transmitted Diseases among Sex Workers in China: Potential for Fast Spread of HIV.

% of population (16-60) reporting the use of a condom with non-regular partner, 2003 91 Source: Prepared by www.aidsdatahub.org based on Futures Group Europe, China-UK HIV / AIDS Prevention and Care Project, Condom Social Marketing Project, et al. (2004). AIDS Crisis Impending. Research on Knowledge, Attitudes and Behaviors Related to HIV / AIDS in China. (%) Note: The sample size was 3216 and conducted among: 7 Cities: Beijing, Shanghai, Guangzhou, Wuhan, Chengdu, Shenyang, Xi'an. 7 Towns: Zhuji, Changle, Beining, Zhuangxinji, Linxiang, Pengzhou, Xingping. The rural areas are selected from the 7 towns listed above, and plus one village from Huangp).

% of IDUs reported having sex with female sex workers in major cities 92 Source: Prepared by www.aidsdatahub.org based on Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention. Presentation at XVI International Conference on AIDS, Toronto-Canada, August 12-18, 2006 cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response, Note: year is not available

% of syringes sharing among injecting drug users, 1995-2002, China 93 Source: Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention. Presentation at XVI International Conference on AIDS, Toronto-Canada, August 12-18, 2006 上：First half year; 下：Second half year

Vulnerability and HIV knowledge

% of MARPs correctly identify HIV transmission ways and reject misconceptions, 2005 95 Source: Prepared by www.aidsdatahub.org based on Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005 (%)

% of population (15-49) who heard HIV/AIDS, 2000 96 Source: Prepared by www.aidsdatahub.org based on East-west Center. (2002). HIV/AIDS in China: Survey Provides Guidelines for Improving Awareness Note: The total Sample size is 7,053. Approximately half were male. Urban and rural population are not available. Urban areas: Jing An (Shanghai); Sanya (Hainan); Rural areas: Chang Ping (Beijing); Dong Ning (Heilongjiang); Shang Cai (Henan); Hui Dong (Guangdong); Bai Se (Guangxi).

% of population (16-60) with knowledge of HIV prevention, 2003 97 Source: Prepared by www.aidsdatahub.org based on Futures Group Europe, China-UK HIV / AIDS Prevention and Care Project, Condom Social Marketing Project, et al. (2004). AIDS Crisis Impending. Research on Knowledge, Attitudes and Behaviors Related to HIV / AIDS in China. (%) 40.3 26.1 25.2 24.3 44.3 26.0 23.0 26.5 42.2 26.0 24.1 25.4 0 30 60 avoiding blood transfusions avoiding injection avoiding sex with IDUs limiting sexual intercourse to one uninfected partner Male Female Total Note: The sample size was 3216 and conducted among: 7 Cities: Beijing, Shanghai, Guangzhou, Wuhan, Chengdu, Shenyang, Xi'an. 7 Towns: Zhuji, Changle, Beining, Zhuangxinji, Linxiang, Pengzhou, Xingping. The rural areas are selected from the 7 towns listed above, and plus one village from Huangp).

% of population (16-60) with knowledge of HIV prevention (Cont.), 2003 98 Source: Prepared by www.aidsdatahub.org based on Futures Group Europe, China-UK HIV / AIDS Prevention and Care Project, Condom Social Marketing Project, et al. (2004). AIDS Crisis Impending. Research on Knowledge, Attitudes and Behaviors Related to HIV / AIDS in China. (%) Note: The sample size was 3216 and conducted among: 7 Cities: Beijing, Shanghai, Guangzhou, Wuhan, Chengdu, Shenyang, Xi'an. 7 Towns: Zhuji, Changle, Beining, Zhuangxinji, Linxiang, Pengzhou, Xingping. The rural areas are selected from the 7 towns listed above, and plus one village from Huangp).

HIV Expenditure

Amount of domestic and international AIDS spending and % of government sharing in AIDS funds, 2006-2009 100 Sources: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic , and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Income of local residents and medical expenses among AIDS patients, 2002 101 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing Institute of Information and Control, et al. (2002). The Socioeconomic Impact of HIV/AIDS in China. (Yuan) HAART: Highly Active Anti-Retroviral Therapy

National Response

% of key affected populations who received an HIV test in the past 12 months and knew the results, 2007-2009 103 Sources: Prepared by www.aidsdatahub.org based on 1. Comprehensive surveillance among FSW, IDU, and MSM, 2008 reported in WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009, and 2. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Percentage of MARPs reached with HIV prevention program, received HIV test in the last year and knew the result, 2008 104 Source: Prepared by www.aidsdatahub.org based on Comprehensive Surveillance among MARPs reported in WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009

% of MARPs reached by prevention programs, 2003-2005 105 Source: Prepared by www.aidsdatahub.org based on Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005 45.0 25.0 38.0 8.0 8.0 0.0 25.0 50.0 prevention (Injecting drug users) harm- reduction prevention (Men who have sex with men) outreach prevention outreach (%) (Sex workers)

% of population (15-49) who ever received an HIV test, 2003 106 4.6 4.7 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 (%) 10.0 Male Female Source: Prepared by www.aidsdatahub.org based on Futures Group Europe, China-UK HIV / AIDS Prevention and Care Project, Condom Social Marketing Project, et al. (2004). AIDS Crisis Impending. Research on Knowledge, Attitudes and Behaviors Related to HIV / AIDS in China.

% of adults and children with advanced HIV infection receiving antiretroviral therapy, 2003-2005 107 Source: Prepared by www.aidsdatahub.org based on European Union, WHO, UNICEF, et al. (2006). China: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update 5 12 20 0 5 10 15 20 25 2003 2004 2005 ART coverage (%)

Coverage of intervention programmes for MARPs, 2005-2008 108 Sources: Prepared by www.aidsdatahub.org based on 1 Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005, 2.   State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. National Comprehensive Response Management Information System cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response, 2005 and 2007 achievement = based on 2006 and 2008 UNGASS report 2008 achievement = National Comprehensive Management Information System

‘Four Frees and One Care’ nationwide policy 109 Free ARV drugs to HIV patients who are rural residents or people with financial difficulties living in urban areas; Free Voluntary Counseling and Testing (VCT); Free drugs to HIV infected pregnant women to prevent parent-to-child transmission, and HIV testing of newborn babies; Free schooling for children orphaned by AIDS; and Care and economic assistance to the households of people living with HIV/AIDS.

110 THANK YOU slides compiled by www.aidsdatahub.org Data shown in this slide set are comprehensive to the extent they are available from country reports. Please inform us if you know of sources where more recent data can be used. Please acknowledge www.aidsdatahub.org if slides are lifted directly from this site