China’s approach to HIV case management has evolved from little to none before the “Four Frees and One Care” policy was issued in 2004 to a complex two-stage system whereby people with diagnosed HIV infection were managed differently depending on whether they were or were not eligible for antiretroviral therapy (ART). Those in the pre-ART period were followed by local epidemiologists, while those who had initiated ART were followed by ART doctors. Unfortunately, many PLWH were lost to follow-up in the pre-ART period. However, after CD4 count-based ART eligibility requirements were abolished in 2016, HIV case management could be integrated into ART service delivery. This evolution reflects China’s consistent, pragmatic approach to evidence-based policymaking that allows new findings and innovative strategies to be quickly adopted in order to benefit as many PLWH as possible.
- Ministry of Health Working Group on Clinical AIDS Treatment. China free antiretroviral therapy manual. 3rd ed. Beijing: People’s Medical Publishing House; 2012. [in Chinese].Google Scholar
- National Center for AIDS/STD Control and Prevention. 2008 National HIV/AIDS prevention and treatment implementation report and plan for 2009. National Provincial AIDS Directors Meeting. Beijing: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention; 2009.Google Scholar
- National Center for AIDS/STD Control and Prevention. 2017 National HIV/STD/HCV prevention and treatment implementation report. National Provincial AIDS Directors Meeting. Ningbo: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention; 2018.Google Scholar
- Pisani E, Wu Z. HIV in China: 30 years in numbers. In: Wu Z, editor. HIV/AIDS in China—beyond the numbers. Singapore: People’s Medical Publishing House; 2017. p. 150–73.Google Scholar