Most of the activities in this proposal are based on existing interventions, or larger-scale implementation of pilot government and NGO-run projects. However, existing programs will only be used as the foundation for this project, as prevention efforts in China are lagging behind treatment and care. Much greater emphasis will be put on outreach to marginalized and vulnerable groups, community involvement, and stigma reduction campaigns. Overall, links to existing programs will assure that existing capacity of organizations such as Marie Stopes, PATH, Futures Group, and others is fully utilized. Links to bilateral projects (such as DFID, US-CDC GAP and Swedish SIDA-WHO), government departments, and UN agencies will prevent duplication of efforts [please see Annex 9 for more details on existing programs]. There will also be strong links to current central government programs including China CARES and policies regarding the implementation of the “Four Frees One Care” policy (including VCT services), improving community involvement in HIV/AIDS prevention and control, and rapid scale-up of anti-stigma and discrimination campaigns among all sectors of society.

Innovative aspects of this project include: NGO/PLWHA support and participation; MSM recognized as a vulnerable population in need of HIV prevention services; mechanisms created to provide discounted STI services as part of HIV prevention efforts; community-led anti-stigma campaigns with PLWHA and civil society participation; better use of surveillance information in HIV prevention planning (such as hospital screening, blood banks, etc.)