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Hubei announces free and reduced fee policy for AIDS control
[Xinhua 10 June 2004]
http://news.xinhuanet.com/newscenter/2004-06/10/content_1519607.htm

Hubei AIDS control and prevention committee office announced on 10 June that, starting 1 July, they would initiate free anti-retroviral treatment for AIDS, reduced-fee treatment for common opportunistic infections, free voluntary HIV testing, free treatment to prevent mother-to-child transmission of HIV, as well as providing free milk powder to HIV+ mothers.

According to the joint statement by the Hubei Province Health and Finance departments, those people with HIV/AIDS who need anti-retroviral treatment can all receive free treatment. Those urban HIV-positive people who have not taken part in public health services or basic medical insurance programs, and all rural HIV-positive people, can get reduced-fee treatment for common opportunistic infections, enjoy free screening, free medical treatment, and regular medical check-ups. The reduced-cost treatment for commonly seen opportunistic infections are limited to the medicines used in the urban workers medical insurance program. All people who volunteer for HIV tests will be given free testing.

The prevention of mother to child transmission of HIV is an important part of the AIDS prevention plan. The document requires that free prevention services been offered to all appropriate pregnant women. All HIV+ pregnant women and their children will receive VCT, medicine to prevent the spread of HIV, and free testing of their children. All maternal health offices should carry out measures to institute the prevention of mother to child transmission of HIV, and urge women to terminate the pregnancy. For those women who are unwilling to end the pregnancy, provide scientific information and prenatal care, free preventive medicine, and request that they must accept a safe delivery. It is recommended that the child be fed using milk substitution powder rather than breast milk, with regular follow-up visits until it is 18 months old. The provincial government will be responsible for providing all milk powder needed until the child is 12 months old.

The notice also calls on each location to strictly adhere to the principle of informed consent, to distribute informed consent forms when carrying out anti-retroviral treatment and go to designated bureaus for free surveillance. It is essential to maintain strict confidentiality during the treatment process, and staff are forbidden from revealing any patient details to anyone not related to this work.