Feasibility of NGO-hospital cooperation in controlling MSM-driven HIV epidemics
Jiangsu Provincial Center for Diseases Control and Prevention, The Sector of HIV/AIDS/STI Prevention and Control, Nanjing, China
Issues: As one of the program cities of the China-Gates Foundation Cooperation Program for HIV Prevention and Control, Nanjing has approximately 75% of HIV cases that have been undetected. 37% of AIDS patients died of AIDS-related diseases in 2007, according to baseline surveys and data, and HIV prevalence among MSM increased rapidly from 0% to 6.3% from 2005 to 2009, respectively. Capacity of behavioral intervention among MSM and follow-up care for PLHA has been weak, as hospitals, MSM and PLHA are not jointly involved.
Description: The China-Gates Foundation Cooperation Program for HIV Prevention and Control aims to demonstrate the feasibility of controlling MSM-driven HIV epidemics in urban areas by establishing partnerships between government organizations and grassroots NGOs. After launching in August 2008 in Nanjing, many grassroots NGOs were mobilized to participate in provision of intervention, testing and counseling, status informing, care and support. In hospitals, PITC has been implemented with linkages to CDCs and grassroots NGOs. A CDC-hospital-NGO cooperation triangle was established accordingly.
Lessons learned: From 2007 to 2008 and 2008 to 2009, 44.3% and 77.2% more HIV cases were found, respectively; both percentages higher than that at the provincial level. Grassroots NGOs and hospitals are contributing more in case detection than in previous years. Increases in MSM tested and HIV cases detected among MSM were also observed as a result of MSM participation. After increased cooperation between hospitals and PLHA groups, more HIV cases received follow-up care and were surviving.
Next steps: The pilot will be replicated by local governments, with financial support from the provincial and central governments, to curb the increasing HIV epidemic among MSM in Nanjing.