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TABLE OF CONTENTS

FOREWORD

PREFACE

1. Background....................................................................................................

1.1 Introduction....................................................................................................

1.2 Characteristics of the HIV/AIDS epidemic in Pingxiang.............................................

1.3 What is a continuum of care for PLHA..................................................................

1.4 Continuum of care for PLHA in China....................................................................

1.5 Purpose of the document.................................................................................

2. Assessment........................................................................................................

2.1 Description of Pingxiang City and Ningming County.................................................

2.2 Beginning the assessment: Site selection............................................................

2.3 Development of operational and support management structure................................

2.4 Assessment of needs in Pingxiang and Ningming.....................................................

3. Planning and preparation..................................................................................

3.1 Building understanding, acceptance and support for PLHA.........................................

3.2 Planning to maximize adherence..........................................................................

3.3 Policies and procedures...................................................................................

3.4 Planning for VCT services....................................................................................

3.5 Planning services to manage opportunistic infections...............................................

3.6 TB / HIV: Planning TB services in the context of a CoC.............................................

3.7 Prevention of mother-to-childtransmission...................................................................

3.8 Planning to provide antiretroviral therapy...............................................................

3.9 Facility management.........................................................................................

3.10 Health centers...............................................................................................

3.11 Planning to strengthen follow-up care and support in a CoC framework.....................

4. Implementation...................................................................................................

4.1 Stakeholder roles during implementation......................................................................

4.2 Addressing stigma and discrimination....................................................................

4.3 Providing VCT services........................................................................................

4.4 The center of medical care in the CoC: Management of opportunistic infections.............

4.5 Linking TB / HIV in practice................................................................................

4.6 The implementation of PMTCT services in Pingxiang....................................................

4.7 Operationalizing ART.........................................................................................

4.8 Referral mechanisms in the Pingxiang CoC................................................................

4.9 Providing follow-up care and support.......................................................................

5. Desired results, achievements, and lessons learned.....................................

5.1 Desired results....................................................................................................

5.2 Progress and achievements..................................................................................

5.3 Lessons learned from Pingxiang............................................................................

6. Future directions for the CoC in Pingxiang....................................................

Annex 1: Members of the Pingxiang HIV Coordination Committee...................

Annex 2: Timeline of planning and implementation...........................................

Annex 3: Baseline Assessment Discussion Guide.............................................