Prevention and Control Measures of the 12th Five-Year Action Plan for AIDS Prevention and Control in China

(1) Expand the coverage of publicity and education and create a good social atmosphere. Strengthen publicity and education for the public. The propaganda department coordinates and guides radio, film and television, press and publication departments, regards the promotion of comprehensive AIDS prevention and control knowledge as an important task of various news media at all levels, and increases the release of comprehensive AIDS prevention and control knowledge and public service advertisements. Make full use of newspapers, radio, television, internet, mobile phones and other media to continuously expand the coverage of publicity and education through relevant programs or special columns. Give full play to the role of public figures with social influence, encourage and mobilize people affected by AIDS to participate in publicity and education, and create a good atmosphere against social discrimination. Organs, organizations, enterprises and institutions, individual economic organizations, etc. Comprehensive AIDS prevention knowledge education should be included in the pre-job or on-the-job training of employees in this unit, and employees should be supported to participate in comprehensive AIDS prevention publicity activities. Incorporate the knowledge and policies of comprehensive AIDS prevention and control into the training content of party schools, administrative colleges, youth league schools and other institutions. The prevention and control knowledge and policies, publicity and education as an important part of the annual assessment of leading cadres.

Strengthen publicity and education in public places, communities, remote and poor areas and ethnic minority areas. Departments such as transportation, railways, health, quality inspection, housing and urban-rural construction should continue to set up public service advertisement columns for comprehensive AIDS prevention and control, and place publicity materials or broadcast publicity information in public places such as stations, docks, airports, entry and exit ports, parks and other public transport vehicles such as passenger trains, civil aircraft and passenger ships. Medical and health institutions at all levels and family planning technical service institutions should set up fixed publicity facilities and often carry out publicity and consultation on comprehensive AIDS prevention and control knowledge. Residents' committees and villagers' committees shall incorporate comprehensive AIDS prevention and control knowledge education into the content of grassroots cultural construction, and carry out publicity and education for the people in their respective areas. Science, technology, agriculture, culture, health and other departments should combine the publicity and education of comprehensive AIDS prevention knowledge with the construction of new socialist countryside and the activities of "agriculture, rural areas and farmers" such as culture, science and technology and health. Increase the content of comprehensive AIDS prevention and treatment education in rural related training, and highlight the publicity and education for farmers in high-prevalence areas and remote and poor areas. It is necessary to combine local folk customs and characteristics, organize volunteers to go deep into remote and poor villages and ethnic minority villages in a planned way, and strengthen the publicity of comprehensive AIDS prevention and control knowledge. Develop publicity materials that are easy to understand and use national languages, give play to the role of religious figures and influential public figures in ethnic minorities, and carry out publicity and education for ethnic minorities.

Strengthen publicity and education for key groups such as floating population, teenagers, women and prisoners. Commerce, quality inspection and other departments should strengthen the publicity and education of comprehensive AIDS prevention and control knowledge for overseas laborers and other entry-exit personnel. Human resources and social security departments should incorporate AIDS comprehensive prevention knowledge education into the relevant training of migrant workers. In urban areas where the floating population is relatively concentrated, health, public security and other departments should strengthen publicity and education on comprehensive AIDS prevention and control knowledge in areas or communities where the floating population lives. Industrial and commercial departments, federations of industry and commerce and other units should actively guide employers to put publicity materials and condoms in centralized residential places managed by migrant workers and carry out peer education activities. Population and family planning departments should give full play to the advantages of family planning technical service network and publicize the knowledge of comprehensive AIDS prevention and control to floating population and people of childbearing age. Labor export organizations, employers and human resources service institutions shall incorporate AIDS comprehensive prevention knowledge education into vocational skills training and safety education. Education, public security, health, the Communist Youth League and other departments and units should carry out publicity and education activities on comprehensive AIDS prevention and control knowledge among teenagers. Education, health, human resources and social security departments should establish a publicity and education mechanism for AIDS prevention, incorporate comprehensive knowledge education on AIDS prevention into relevant courses in medical colleges and normal colleges, carry out special education on comprehensive knowledge on AIDS prevention in junior high schools and above, strengthen the construction of teaching staff, and ensure the implementation of class hours and teaching effect. Give full play to the role of school associations, the Internet, student publications and other platforms, encourage young people to actively participate in publicity and education activities, and take the implementation of comprehensive AIDS prevention and control knowledge and skills as one of the contents of the school's annual assessment. Women's federations, population, family planning, health and other departments and units should pay attention to women who have been infected with AIDS and are at risk of infection, actively advocate and support the education of women's AIDS prevention and control knowledge, prevent spouse transmission and mother-to-child transmission, and earnestly safeguard women's legitimate rights and interests. Give full play to the advantages of trade unions, the Communist Youth League, women's federations, the Federation of Industry and Commerce, the Red Cross and other organizations, and continue to carry out special actions such as "Red Ribbon Health Action for Workers", "Red Ribbon for Youth", "Face to Face with Women" and "Red Ribbon Health Package". Public security, justice and other departments should strengthen the legal publicity and comprehensive AIDS prevention knowledge education for the supervised personnel according to the characteristics of the supervision places.

(2) Expand the coverage of comprehensive intervention and improve the quality of intervention. Highlight key points and curb the spread of AIDS through sexual channels. Public security departments should continue to crack down on illegal and criminal acts such as prostitution and whoring, gathering people for fornication and so on. Health, publicity, culture, population and family planning, industry and commerce, quality inspection, tourism and other departments should implement the relevant regulations on placing condoms in public places such as hotels, strengthen inspection and guidance, and improve the accessibility of condoms. All provinces (autonomous regions and municipalities) should clearly place condoms or set up condom sale facilities in public places. Operators of relevant places should publicize the use of condoms in various ways. Strengthen health education and comprehensive intervention for high-risk behavior groups and spouses of infected people to improve condom use rate. It is necessary to incorporate AIDS and STD testing into the health examination of service personnel in key public places, and provide timely treatment services for AIDS patients and STD patients. Strengthen the capacity building of STD prevention and treatment in medical and health institutions, improve the treatment service network, improve the service environment, improve the service quality, standardize the treatment of STD patients in time, and closely combine STD diagnosis and treatment services with AIDS prevention and intervention. Actively explore the use of antiviral drugs to prevent transmission between spouses and men who have sex with men.

Carry out comprehensive intervention of drug addicts, solidly promote drug maintenance treatment, and reduce the harm of AIDS and drugs. While continuing to crack down on illegal and criminal acts of drug trafficking and drug abuse according to law, health, public security, justice, food and drug supervision and other departments should cooperate closely, combine the prevention of AIDS spread by drug abuse with the implementation of the Anti-drug Law of People's Republic of China (PRC) and the Regulations on Drug Rehabilitation, strengthen comprehensive intervention, and further expand the coverage of drug maintenance treatment. Relying on drug rehabilitation to maintain outpatient treatment, establish extended service points and improve service accessibility. Establish a linkage mechanism of compulsory isolation detoxification, community detoxification, community rehabilitation and drug maintenance treatment, actively explore drug maintenance treatment in community detoxification and community rehabilitation places, and do a good job in referral of compulsory isolation detoxification personnel to drug maintenance treatment institutions after discharge. Strengthen standardized management of drug maintenance treatment and improve service quality. According to the local actual situation, explore the establishment of incentive mechanisms such as fee reduction and exemption, strengthen the management and comprehensive services for drug addicts, improve the treatment maintenance rate and ensure the treatment effect. Continue to carry out clean needle exchange in places where drug maintenance treatment is difficult to cover.

Expand the coverage of preventing mother-to-child transmission and effectively reduce neonatal infection. The health department should take the maternal and child health care network as a platform, incorporate the prevention of mother-to-child transmission of AIDS and the prevention and treatment of congenital syphilis into the routine work of maternal and child health care and reproductive health services, establish a long-term working mechanism, and gradually expand the work to the whole country. All kinds of medical and health institutions that provide prenatal care and midwifery technical services should make full use of prenatal care services and provide AIDS and syphilis consultation, testing, referral or diagnosis and treatment services for pregnant women. For pregnant women infected with AIDS and syphilis and their babies, a series of intervention services such as treatment, preventive medication and follow-up are provided free of charge. Strengthen relevant monitoring, prevent opportunistic infections and early diagnosis of infants, so as to reduce the incidence of mother-to-child transmission of AIDS and congenital syphilis.

(3) Strengthen blood safety management to prevent iatrogenic transmission. Development and reform, finance, health and other departments shall, according to the local medical and health service development plan, ensure that the development of blood collection and supply services is compatible with the growth rate of medical service demand. Health, food and drug supervision, Red Cross and other departments and units should consolidate and strengthen the effectiveness of blood collection and supply institutions and blood management, implement the People's Republic of China (PRC) Blood Donation Law, actively establish volunteer organizations for blood donation, increase the proportion of regular blood donors, take effective measures to reduce blood donation among high-risk groups, and vigorously promote blood donation. Strengthen blood safety management, actively promote blood screening and nucleic acid detection, and basically cover the whole country by the end of the Twelfth Five-Year Plan. Improve the laboratory quality control system of blood collection and supply institutions, and strengthen the supervision and management of blood collection and supply and blood products production. Public security, health and other departments should regularly carry out activities to crack down on illegal blood collection and supply (plasma), manufacture and sell blood products and organize others to sell blood (plasma). Health departments should strengthen the training and management of clinical rational use of blood and hospital infection control in medical and health institutions, improve and implement the work system and technical specifications for preventing iatrogenic transmission of AIDS and hepatitis C, and strengthen patient safety protection and occupational protection of medical personnel.

(four) to expand the coverage of monitoring and testing, to maximize the discovery of infected people. Development and reform, health, quality inspection and other departments should rely on the existing medical and health services and infectious disease monitoring network, equipped with necessary equipment and personnel, further strengthen the monitoring and testing capacity building, improve the comprehensive monitoring and laboratory testing network of AIDS, sexually transmitted diseases and hepatitis C, gradually promote the identification and detection of new AIDS infections, virus infection window detection and early diagnosis technology of AIDS infection in infants, and improve the accessibility and quality of testing services. All provincial centers for disease control and prevention confirm that the central laboratory has the ability to carry out the detection of new and past AIDS infections. Strengthen the management of detection and case report in medical and health institutions, grasp the epidemic dynamics and epidemic characteristics in time, and give early warning of possible epidemic situations. Strengthen the analysis and utilization of monitoring information, establish an inter-departmental information cooperation and sharing mechanism, and regularly announce the epidemic situation. Health departments should reasonably set up and adjust voluntary counseling and testing points, carry out AIDS, syphilis and hepatitis C testing and consulting work, and regularly carry out AIDS and syphilis testing and consulting for infected people, spouses of patients and high-risk behavior groups. Public security, justice and health departments should strengthen AIDS testing and counseling for supervised personnel.

(five) to expand the coverage of treatment, improve the level and accessibility of treatment. According to the specific situation of infected people and patients, according to the principle of local treatment, timely anti-HIV treatment, and strengthen follow-up to improve the treatment effect. Actively mobilize the families of infected people and community organizations to participate in the treatment of non-hospitalized patients and improve treatment compliance. Improve the management system of medical and health institutions in anti-HIV, anti-opportunistic infection treatment, follow-up, drug supply and so on. And the referral and connection mechanism of treatment in different places, strengthen the treatment of patients in the supervised personnel and floating population, and improve the accessibility and standardization of treatment. Strengthen the screening and diagnosis of tuberculosis and hepatitis C for infected people and patients, do a good job in treatment and follow-up services, and continuously improve the treatment effect. Health and traditional Chinese medicine departments should give full play to the role of traditional Chinese medicine, explore a comprehensive treatment plan of integrated traditional Chinese and western medicine for AIDS, expand the scale of traditional Chinese medicine treatment and improve the quality of treatment. Development and reform, finance, health and other departments should strengthen the discipline and capacity building of designated general hospitals and infectious disease hospitals, improve the comprehensive diagnosis and treatment ability, strengthen supervision and management, and implement the responsibility of providing diagnosis and treatment services for infected people and patients. Local grassroots medical and health institutions should do a good job in prevention and control in accordance with the requirements of the National Basic Public Health Service Standard on residents' health records, health education and prevention and control of infectious diseases, and gradually realize the equalization of AIDS prevention and control services. Public medical institutions should strengthen the nature of social welfare and actively undertake the functions of AIDS testing and consultation, clinical treatment management and prevention of mother-to-child transmission of AIDS. Governments at all levels should give subsidies to the AIDS prevention and control tasks undertaken by medical institutions according to the actual situation.

We will further improve the supply guarantee system for AIDS treatment drugs, and improve the systems of drug procurement, distribution, payment and reserve. Development and reform, finance, human resources and social security, industry and information technology, food and drug supervision, health and other departments should, according to the needs of AIDS treatment, combine the affordability of finance and medical insurance funds, timely include the essential drugs against opportunistic infections in the national essential drugs list, and do a good job in connecting with the basic medical insurance system. Development and reform, finance, customs, taxation and other departments should continue to implement tax incentives for imported and domestic anti-HIV drugs. Departments of commerce, industry and information technology, intellectual property rights, health and other departments should explore the feasibility of domestic enterprises to license the production of imported patented drugs with large dosage and high price, so as to minimize the cost of drugs. Development and reform, food and drug supervision, industry and information technology, health and other departments should strengthen the guidance and coordination of domestic pharmaceutical enterprises, and accelerate the research and development, production and approval of drugs in the field of AIDS treatment. Explore the determination of designated pharmaceutical production enterprises through public bidding. Industry and information technology, health, finance and other departments should adjust the variety and quantity of reserved drugs according to the development and needs of the new situation, and do a good job in the technical reserve of new drugs.

(six) to strengthen the service and management of infected people and patients, and fully implement the nursing measures. Health, education, human resources and social security departments should adhere to the "four exemptions and one care" policy and strive to eliminate discrimination against infected people, patients and their families in medical treatment, employment and enrollment. Improve the level of AIDS treatment and further reduce the burden of medical expenses. On the basis of continuing to implement the policy of free antiviral treatment and medical insurance reimbursement, civil affairs departments and other departments should solve the cost of anti-opportunistic infection treatment through medical assistance according to the actual situation of patients with opportunistic infections, and local governments should provide help to patients with living difficulties and effectively reduce their medical expenses burden. Civil affairs, the Red Cross and other departments and units should strengthen the rescue work for infected people and patients, provide emotional support and hospice care for patients in the later period, and bring eligible infected people and patients into the minimum living guarantee to protect their privacy. Poverty alleviation, human resources and social security departments should combine government assistance with advocating mobilization and caring actions, combine comprehensive AIDS prevention with poverty alleviation and development, support infected people and patients with difficulties in life to carry out self-help in production, and protect the legitimate employment rights and interests of infected people and patients who are able to work and willing to work according to law. The financial and educational departments should formulate and implement the aid policy for the children of poor families who attend ordinary high schools and colleges and universities because of AIDS. Civil affairs departments should bring all children orphaned by AIDS into the orphan protection system; For children or adolescents infected with HIV, appropriate subsidies for basic living expenses. Civil affairs, education and other departments should strengthen psychological counseling for children affected by AIDS to ensure the healthy growth of children.

Propaganda, health and other departments should strengthen legal publicity and moral education for infected people and patients, enhance their legal concept, improve their sense of social responsibility, and urge infected people and patients to inform their spouses or sexual partners in time. Public security and judicial departments should, jointly with relevant departments, severely crack down on illegal and criminal activities that intentionally spread AIDS and falsely use the identity of infected persons, establish and improve the supervision system for illegal and criminal infected persons and patients, do a good job in the connection of treatment and assistance after their return to society, and maintain social harmony and stability. Health, foreign affairs, education, public security, human resources and social security, quality inspection, foreign experts and other departments should actively cooperate to do a good job in AIDS prevention and control for foreigners in China.

(seven) the implementation of classified guidance, and comprehensively promote the prevention and treatment of AIDS. In high epidemic areas, it is necessary to focus on strengthening the treatment, management, care and assistance of patients to prevent the second generation transmission, so as to reduce new infections and mortality and curb the upward trend of the epidemic as soon as possible. High-incidence counties (cities, districts) should incorporate AIDS and syphilis testing and counseling into pre-marital voluntary medical examinations, and county-level medical institutions should incorporate AIDS testing into routine examinations in hospitals and clinics, and provide necessary AIDS testing and counseling services for high-risk behavior groups in accordance with the principle of "knowing and not refusing". Township hospitals and community health service centers should carry out rapid AIDS testing and counseling and syphilis testing for high-risk behavior groups; Actively promote anti-HIV treatment as a preventive strategy, according to the number and distribution of patients, in accordance with the principle of convenience for patients and quality assurance, reasonably set up treatment service outlets to provide treatment services. Moderately endemic areas should control the spread and spread of the epidemic. Moderately epidemic counties (cities, districts) should expand the scope of AIDS testing according to the actual situation, and county-level medical institutions should actively provide necessary AIDS testing and consulting services for key departments and inpatients in accordance with the principle of "knowing and not refusing"; Promote anti-HIV treatment as a preventive strategy in a timely manner, and designate designated medical institutions to provide standardized treatment services for patients according to local actual conditions. In low epidemic areas, we should focus on strengthening monitoring, publicity and education to maintain a low epidemic situation.

It is necessary to give full play to the role of the comprehensive AIDS prevention and control demonstration zone, study the new situation and new problems in the comprehensive AIDS prevention and control, solve the key and difficult problems in the prevention and control work, constantly sum up the experience of AIDS prevention and control in different regions and modes of transmission in China, and explore the working mode of comprehensive AIDS prevention and control. Venereal diseases and hepatitis C. Relevant departments and regions should integrate prevention and control resources and strengthen the organization and management, technical guidance, supervision and evaluation of the demonstration area.