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Integrating HIV/STI Prevention / Treatment in China

"Ai Shi Zi" (pronounced: "aces"), which in Mandarin simultaneously means "AIDS Plus"and "high-quality medical professional services for HIV infection," is a five-year NIMH-funded study. The goal 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.

Our 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.