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The USAID | Health Policy Initiative in the Greater Mekong Region and China (HPI/GMR-C) is carried out in support of the United States Government's (USG's) comprehensive and coordinated approach to China and in support of the Minimum Package of Services (MPS) model. HPI/GMR-C aims to improve the enabling environment for HIV in Yunnan and Guangxi provinces with a focus on most at-risk populations (MARPs) and people living with HIV (PLHIV) in the following technical areas: capacity building, community mobilization, policy, stigma and discrimination, and strategic information. HPI/GMR-C initiatives have included:

  • Conducting operational policy assessments in key areas such as overcoming barriers to participation in voluntary counseling and testing (VCT) programs
  • Improving the policy environment to scale up medication-assisted therapy (MAT)
  • Developing strategies for sustainable, long-term provincial response mechanisms
  • Strengthening the HIV legal environment
  • Reviewing policy regulations to support increased community mobilization and the registration of civil society groups
  • Providing advocacy training and small grants to the emerging civil society sector to support local-level advocacy efforts
  • Addressing HIV-related stigma and discrimination
  • Strengthening analysis and advocacy through the A2 Project through supporting the application of the Goals Model  

Previously, under Task Order 1 (Mar. 2006–Dec. 2007), the project helped to form and strengthen the first county- and provincial-level PLHIV networks in Guangxi and Yunnan. The project brought together government, civil society, and PLHIV to ensure the long-term sustainability and growth of PLHIV networks. The project also mobilized journalists to combat HIV-related stigma and discrimination, and enhanced provincial resource planning through use of the Goals Model. As a result, the central government adopted use of the Goals Model for planning in additional provinces.

The transition from Task Order 1 to HPI/GMR-C marked a significant shift in focus toward a stronger emphasis on strengthening the Minimum Package of Services.


Assessment of the Regulations to Support NGO Registration, Yunnan. The need for a civil society response to HIV is increasingly being acknowledged in China. However, the formation and legal registration of NGOs, particularly those working with most at-risk populations, has been a lengthy and difficult process. The project has identified this as a critical issue and is actively working with stakeholders to support increased community mobilization. In March 2009, the project undertook to assess the five options available to NGOs for formal registration. This ground breaking report has recently been distributed and follow up activities are underway.

MAT Pilot Assessment Lays the Groundwork for Improved Dialogue on HIV Prevention among Injecting Drug Users in Yunnan. In late 2008, HPI/GMR-C conducted an operational policy assessment of the MAT pilot to (1) identify any policy barriers, (2) explore strategies to address barriers, and (3) develop strategies to harmonize health and public security policy approaches. The assessment has been instrumental in opening a dialogue between the Bureaus of Public Health and Public Security and the community.

Improving Mechanisms for Long-term Planning of a Multisectoral Response, Yunnan. HPI/GMR-C provided the Yunnan Provincial AIDS Bureau with assistance in documenting the key elements of a Long-term Working Mechanism (LTWM) for Yunnan's HIV Prevention and Control Program to assist in long-term planning which will serve as a blueprint document outlining the province’s approach to combating HIV over the coming years. 

Assessment of Barriers to the Implementation of the VCT Policy in Yunnan and Guangxi. Despite the existence of national and provincial guidelines promoting VCT, the uptake of VCT has been limited and this, in-turn, severely undermines prevention efforts. Subsequently, the project has been working with the Bureau of Public Health to improve the VCT policy and, in parallel, is working with other international NGOs to increase demand generation.

Assessment of the HIV Legal Environment, Yunnan. Based on the project's HIV legal assessment completed in October 2008, HPI/GMR-C will work in collaboration with the International Development Law Organization (IDLO) to support the establishment of the first-ever dedicated HIV legal clinic in Yunnan.

Mapping of HIV Programs for MSM (China and Mekong). The project supports the development of a computer database to manage information on HIV programs targeting MSM and organizational capacity-building needs for local NGOs in the region. The system is named PRISM—Purple Sky Network Regional Information System on MSM. This initiative grew from the 2008 MSM programming mapping conducted by HPI/GMR-C. Information will be used to strengthen national and regional HIV-related MSM advocacy.

Advocacy Training for MSM in Yunnan and Guangxi. The project has conducted two week-long advocacy MSM and HIV training courses in Yunnan and Guangxi.  This is the first time that MSM community representatives have received training in advocacy. The workshops were then followed by the allocation of small grants to build the MSM community capacity to implement local-level advocacy efforts. Similar tailored advocacy training is planned for PLHIV community advocates.

Allocation of Small Grants to the PLHIV Community Advocates, Yunnan. As of June 1, 2009, six small grants have been allocated to PLHIV community groups to enable them to implement local-level advocacy campaigns.

Last Updated 10/22/10