Decentralization of the provision of health services to people living with HIV/AIDS in rural China: the case of three counties |
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Authors: | Xiulan Zhang Pierre Miège Yurong Zhang |
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Institution: | (1) School of Social Development and Public Policy, Beijing Normal University, New Main Building Room 2011, 19 Xin Jie Kou Wai Street, Beijing, 100875, PR China |
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Abstract: | This study is based on a large-scale household survey and in-depth interviews of key informants that was conducted in villages
in three counties of two provinces in China. We assess the new decentralized service provision system for people living with
HIV/AIDS in rural populations in China. Since 2003, new social assistance schemes, and, more importantly, decentralization
of routine treatment and care to community health stations, were progressively implemented in rural areas most affected by
the HIV/AIDS epidemic. Though some problems remain, such as persistent discrimination towards infected patients and the lack
of sufficient training of medical staff, the new decentralized pattern of service provision has lowered barriers to health
access and alleviated economic pressure on affected households. |
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Keywords: | |
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