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Xinjiang HIV/AIDS Prevention and Care Project

Objectives: This project aims to reduce the transmission of HIV/AIDS infection and contribute to the reduction of the impact of the epidemic on the social and economic development of the Xinjiang Region. The project will increase the capacity of the Xinjiang Region to respond to the HIV/AIDS epidemic with an effective multisectoral prevention and care program.

Australian Contribution: A$18.4 million

Duration: 2002-2009

Location: Xinjiang Uygur Autonomous Region

Project Components:

• Component 1 is 'Planning and Coordination'. The objective is to improve institutional capacity at the regional, prefecture and county levels to plan and co-ordinate multi-sectoral responses to the HIV/AIDS epidemic.
• Component 2 is 'Health Promotion'. The objective is to enable the general population and vulnerable groups to adopt healthy behaviours and accepting attitudes relating to the transmission and management of HIV/AIDS.
• Component 3 is 'Indirect and Direct Care'. The objective is to enable health workers and family carers to adopt best practice standards in indirect and direct care environments or at-risk of HIV infection.
• Component 4 is 'Project Management'. The objective is to effectively and efficiently manage the Project to achieve design goals and objectives within budget and planned timeframe.

Planned outcomes:

• Provision of education to senior policy makers and planners of the need for, and elements of, a planned and resourced response to HIV/AIDS.
• HIV/AIDS response plans by selected Project partner agencies within the Regional Multi-Sectoral Leading Group.
• Multi-sectoral HIV/AIDS response plans at prefecture and county level in participating locations.
• Well-designed proposals for intervention trials that support agency HIV/AIDS plans.
• Comprehensive M&E reports of intervention trials.
• Inter-agency coordination and communication mechanisms in place.

Achievements to date:

• Multisectoral approach. Project continues to provide sound and innovative support for strengthening multisectoral response to HIV epidemic in Xinjiang Uygur Autonomous Region (XUAR) via the Activity Support Facility (ASF). Among the total 46 ASF projects undergoing, 22 are from the non-health sector.
• Ownership. Good and generally increasing level of 'ownership' of Project processes by partner agencies. The Regional Bureau of Health (BoH) has been active to promote the project to the Ministry of Health (MoH) and other provinces/regions at occassions like the Joint Monitoring & Evaluation Group Visit organised by the MoH and the 4th Conference of International Coopertion Programs on AIDS in China in Dec 2007.
• Capacity development. The project has assisted in significant capacity development in project, systems and technical management in partner agencies. The project's expansion led by the Bureau of Health to Hetian Prefecture and city is a good example of the counterparts strong ability in managing projects and using project developed capacities to combat HIVAIDS spread in resource scarce areas
• Behavioural change. Strong uptake of harm reduction practices and some evidence of reduction of stigma and discrimination against People Living with HIVAIDS (PLWHA) and Most At Risk Peoples (MARP)s in project supported communities.
• Best practice standards. The project has received international recognition for demonstrating innovative responses to the prevention of HIV/AIDS, for example through mobilising the support and involvement of islamic religious leaders to promote harm reduction approaches. The development of a comprehensive needle and syringe program in Yining was cited by the World Health Organisation as best practice. In healthcare agencies covered by the Infection Control (IC) program implemented by First Affiliated Hospital of Xinjiang Medical University, significant improvements in the implementation of protocols in relation to IC and practices such as hand washing and safe handling of medical waste are evident. Excellent progress has been made in home based care outcomes in community settings.

Managing Contractor (MC): Melbourne Development Institute Pty Ltd.

Team Leader (TL):

Kim Wheeler
kimw@xjhapac.com
48 Beijing South Road
Urumqi Xinjiang Uyghur Autonomous Region, PRC
Phone: +86-9913660044
Fax: +86-9913660074
Mobile: +86-13999985484
www.xjhapac.com

Chinese Counterpart:

Dr Zhang Yongzhong
Deputy Director General Bureau of Health,
Xinjiang Uygur Autonomous Region, PRC
Phone: +86-(0)991 8561177

AusAID Contact:

Wang Jun
Senior Program Officer,
No 21, Dong Zhi Men Wai Dajie, Beijing, PRC
Phone: +86-10 5140 4405
Fax: +86-10 5140 4199
Email: wang.jun@dfat.gov.au

May 2008

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