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Government Dominating, Social Supporting and Patie
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    RESEARCH ARTICLES

    Government Dominating, Social Supporting and Patients Cooperating

    -A New Social Care Model for HIV/AIDS Patients in Suizhou, China

    Xiaodong Tan1*, Zhao Peng1, Guan Shan1, Weihua He2, Dongre Liu3, Zhongming Gao3, Changsong Sun3

    Abstract: As the world's most populous country, China is performing the national health promotion and controlling of HIV/AIDS campaign. This paper presents a successful social model in China for HIV/AIDS care. Suizhou, a middle city in China, developed a "government dominating, social supporting and patients cooperating" social model, and got a grateful results. This model consisted of 4 nets: supervised management net, health promotion net, community salvation net and "warm homestead" net. In this model, most of organizations, government branches, and some enterprises performed different tasks: leadership or financial support. Meanwhile, all the neighbors took care of the HIV/AIDS patients and help their family. This model has run for more than 4 years and gotten a better social and financial result. It is worthy to introduce for worldwide use.

    Key words: AIDS; AIDS/HIV; social care; health promotion; epidemiology

    The human immunodeficiency virus type 1 (HIV-1) has spread rapidly in Asia since 1989 [1-3]. Many of these countries have insufficient funds to test all blood and plasma of donors, and several do not inform donors who were found to be HIV-1 antibody-positive that they were infected. HIV infection through plasma donation has been reported in a few developing countries, including China. Thousands of commercial plasma collection centers were established in townships, counties and villages in China between 1990 and 1994, the majority of which are in rural areas. Donating plasma for money was an easy way for rural farmers to augment their income. The majority of paid plasma donors were adults aged 20~50 years.

    To date, HIV/AIDS control activities in China have been and continued to be an important task of local and provincial government. Currently accepted frameworks of HIV/AIDS control emphasized the importance of health education, especially the education about HIV/AIDS sexual transmission. The literature has shown that many countries and international organizations are engaged in establishing control models and precaution measures to protect against HIV/AIDS since HIV/AIDS was discovered in 1980's. Some successful control methodologies, which were applied well in European and North American countries, may not be applied in other countries due to the differences in their cultural, economic and social system [4-7]. To find a fitting social care system for HIV/AIDS has become one of most urgent tasks for each society, especially for those third world and developing countries. China, as well as many other Asian countries, also faces the issues of finding suitable social control and care models for different HIV/AIDS infectious areas. In China, there are three kinds of HIV/AIDS transmission pathways each of which has its own mainly infected area: the injection transmission is mostly located in Southwest of China; and sexual transmission is mainly located in South and Southeast of China; while blood and blood-products transmission existed mostly in the poorly developed places of central China, particularly in some mountain areas [8-11] ......

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