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14.11.2007 – 02:15

Bill & Melinda Gates Foundation

Gates Foundation Commits to Expansion of HIV Prevention in China

Seattle, November 14 (ots/PRNewswire)

- New initiative to support prevention programs targeting
high-risk  groups
The Bill & Melinda Gates Foundation announced today that it will
commit US$50 million to work in partnership with the Chinese
government and non-governmental organizations to expand HIV
prevention efforts in China. The funding will increase access to HIV
prevention programs targeting those most vulnerable to infection,
including injection drug users, sex workers, and men who have sex
with men.
"By rapidly expanding access to effective HIV prevention, China
has an opportunity to prevent a widespread HIV/AIDS epidemic," said
Dr. Tachi Yamada, president of the Gates Foundation's Global Health
Program. "China's leaders say they are serious about fighting AIDS,
and we're pleased to partner with them on these efforts."
Although China's national HIV prevalence is low - less than 0.1%
of the total population - infection rates are high among key risk
groups. For example, HIV prevalence among injection drug users
exceeds 50% in some provinces, and in the past two years there have
been substantial increases in HIV infection rates among men who have
sex with men.
"To effectively fight HIV/AIDS, we must ensure that prevention
programs reach those most likely to become infected and transmit the
virus to others," said Dr. Wu Zunyou, director of China's National
Center for AIDS/STD Control and Prevention. "At the same time, we
must combat the terrible stigma that still surrounds the disease in
our country."
Stigma and discrimination against people with HIV remain major
problems in China. For example, a 2005 study by researchers in Yunnan
province found that nearly a third of doctors said they would refuse
to treat an HIV-positive person.
The new Gates Foundation funding will support both government and
non-governmental programs focused on the following:
    -- Prevention services for high-risk groups: Expanding effective HIV
       prevention programs targeting high-risk groups, including injection
       drug users, sex workers, and men who have sex with men
    -- HIV testing: Increasing access to HIV counseling and testing,
       particularly for high-risk groups, to help ensure that people know
       their HIV status
    -- Prevention and support for people living with HIV: Ensuring that HIV-
       positive people receive appropriate care and support, including
       prevention programs to help reduce high-risk behavior that could pass
       on the virus to others
    -- Stigma reduction: Reducing the stigma of AIDS by educating both the
       general public and those who work with high-risk groups and people
       living with HIV/AIDS
Of the US$50 million committed today, a US$20 million grant will
go to the Chinese Ministry of Health. Decisions about specific
programs to be supported with this grant will be made by the Office
of the State Council AIDS Working Committee. The remaining US$30
million will be used to provide grants to local, national, and
international non-governmental organizations (NGOs).
A small team of Gates Foundation staff in Beijing will administer
the funding announced today and provide technical advice and support
to the government and NGOs. The foundation's China office is led by
Dr. Ray Yip, who was formerly the country director of China for the
U.S. Centers for Disease Control and Prevention.
Partnership Supports Priorities in China's AIDS Plan
The new funding comes as China begins implementing an ambitious
five-year plan to expand HIV/AIDS efforts. In recent years, estimated
government spending on HIV/AIDS programs has increased substantially
- from about US$12.5 million in 2002 to more than US$150 million in
2007. In addition, the Global Fund to Fight AIDS, Tuberculosis, and
Malaria has committed approximately US$180 million to China for HIV
prevention and treatment programs.
The Chinese government has made important progress in reaching key
high-risk groups with HIV prevention services. For example, the
government has opened some 350 methadone maintenance clinics
throughout the country. However, experts warn that far more remains
to be done, especially to ensure that ongoing HIV prevention programs
reach all those in need with effective interventions.
"I am very encouraged by the good progress that China is making in
responding to the AIDS epidemic," said UNAIDS Executive Director Dr.
Peter Piot. "I am sure this valuable new commitment from the Gates
Foundation, which will also assist civil society organizations, will
lead to an even stronger response to HIV in China at all levels."
Guided by the belief that every life has equal value, the Bill &
Melinda Gates Foundation works to help all people lead healthy,
productive lives. In developing countries, it focuses on improving
people's health, and giving them the chance to lift themselves out of
hunger and extreme poverty. In the United States, it seeks to ensure
that all people, especially those with the fewest resources, have
access to the opportunities they need to succeed in school and life.
Based in Seattle, the foundation is led by CEO Patty Stonesifer and
Co-chair William H. Gates Sr., under the direction of Bill and
Melinda Gates and Warren Buffett.


Andrew Shih, +1-212-584-5012,

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