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National Health and Family Planning Commission: ART Must Not be Provided Compulsively

According to the official website of the National Health and Family Planning Commission, the General Office of the National Health and Family Planning Commission issued a notice emphasizing that ART should follow the principle of voluntariness and must not be provided compulsively.
Recently, the National Health and Family Planning Commission issued the Notice on Adjusting Criteria for Free ART, requiring to recommend ART for all HIV-infected persons and AIDS patients. ART should follow the principle of voluntariness with adequate preparations to provide pre-ART counseling and exclude ART contraindications. HIV-infected persons and AIDS patients must not be provided with ART compulsively.
The Notice requires CDCs and designated ART hospitals at all levels to further standardize ART management, improve ART adherence and outcome and reduce drug resistance.
In 2012, the National Health and Family Planning Commission promulgated the National Manual for Free ART (2012), defining the criteria for free ART to HIV-infected persons and AIDS patients.
In 2014, the National Health and Family Planning Commission issued the new Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection according to the guidance of WHO, revising the criteria for ART and expanding the coverage of ART clients.
In 2015, WHO revised criteria for ART again. Based on this revision, the AIDS Clinical Expert Panel of the National Health and Family Planning Commission conducted research and demonstration and decided to revise the criteria for free ART again and further expand the coverage of ART in China.
According to the latest technical standards published by WHO, the AIDS Clinical Expert Panel of the National Health and Family Planning Commission conducted research and decided to readjust the criteria for free ART in China.
Lun Wenhui (chief of the STD/AIDS Division, Dermatology Department, Beijing Ditan Hospital) indicated that the Notice made it easier for AIDS patients to access free ART. Previously, AIDS patients could only enjoy free ART after their CD4 (a type of human immune cells) count dropped to a defined threshold. Now, AIDS patients can go to hospitals for free ART on a voluntary basis regardless of CD4 count.
Lun Wenhui stated that the criteria for ART in China were based on recommendations from WHO. Previously, most experts thought AIDS patients with high CD4 count had better immunity and earlier treatment might lead to more side effects. Along with an increasing understanding of HIV/AIDS, earlier treatment can product better outcome regardless of CD4 count. (Source: Beijing News, June 21, 2016)