Resource Investment And Needs Analysis For Hiv/aids Prevention And Control In China

Objectives:To describe and analyze China's HIV/AIDS prevention and control resource allocation framework. combined with a future resource needs prediction to provide related comments and suggestions for carrying out related works.Methods:The investment status of the national government, local governments, and international cooperation programs according to time, geography and working areas were collected and described through a quantitative study. Difficulties, issues and suggestions during resource investment and allocation were provided through qualitative interviews. A Data-base was established using Microsoft Office Excel 2003. SPSS 13.0 was used for statistics analysis. The analysis strategies included descriptive analysis, single factor analytic approach, multiple factors analytic approach, and consistency checking for different resource budgets. The prediction model was used with designated parameters and original data inputs for future resource prediction.Results:Total investments from central government, local government and international organizations reached 3.65,2.03 and 1.8 billion RMB from 2003 to 2007 accordingly. The fund grew with the increasing policies, per capita GDP and the number of people living with HIV/AIDS. Total investment for HIV/AIDS prevention and control has increased annually. Generally, the correlation between total investment and the prevention and control needs was positive (R=0.922, P<0.01 in 2006 and R=0.948, P<0.01 in 2007). Until now, all districts and counties have been covered by the HIV/AIDS investment. The working area investment between national government and international investment was not in accordance (X2=21839.1, P<0.01 at national level and x2=246554.5. P<0.01 at provincial level).HIV/AIDS related works have made great achievements. but the coverage of effective intervention services is still quite low. With respect to international programs, national and local government investment lacked specific management requests, monitoring and evaluation, auditing and risk analysis. The procedure and period of fund allocation was too long, but sustainability was better than many international programs and is the main role for HIV/AIDS prevention and control. According to the Asia HIV/AIDS Prevention and Control Commission recommended steps and HIV/AIDS Prevention and Control Prediction software, it was estimated that nearly 20.4 billion RMB is needed for HIV/AIDS prevention and control from 2009 to 2015 in China.Conclusions:Until now, China has established a long-term government dominated investment mechanism for HIV/AIDS prevention and control. The government and international fund have made the key role for controlling HIV/AIDS epidemic in China. Local people should be encouraged to engage in national funding plan development and leave enough flexibility and maneuverability. It is necessary to establish and improve prediction strategies and systems to meet specific Chinese situations.