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China: Integrating HIV/STI Prevention and Treatment

The UCLA Program in Global Health partners with Anhui Medical University in Hefei, China on "Ai Shi Zi" (pronounced "aces"). In Mandarin, "Ai Shi Zi" means "high-quality medical professional services for HIV infection". It is a five-year NIMH-funded study, the goal of which is to teach physicians how to enhance prevention and care for HIV and STIs. Because HIV and STIs are closely linked, prevention requires both state-of-the-art treatment and changes in sexual behavior.

A total of 60 counties in China's Anhui Province will be randomly assigned to one of two conditions: (1) primary and secondary training, in which county-level physicians are trained and, in turn, train township-level physicians; and (2) delayed-intervention control, in which physicians receive training only at the end of the 12-month assessment.The primary endpoint is a hypothesized reduction in the one-year incidence of Chlamydia and gonorrhea among patients of trained county- and township-level physicians, relative to delayed-intervention controls. Physicians and patients at the county and township levels will also be assessed using questionnaires at baseline and at 6 and 12 months following baseline.