[HIV/AIDS cases detection in medical institutions from 2008 to 2013 in China]

To assess the detection of HIV/AIDS cases in medical institutions in China from 2008 to 2013.

'Provider-initiated Opt-out HIV testing and counseling' method was offered to patients who met the needs for preoperation, perinatal examination, at the sexually transmitted disease (STD) clinic or other types of testing services.

From 2008 to 2013, the number of HIV screening tests offered in medical institutions increased by 206.8%, from 24.94 million to 76.54 million. The number of diagnosed HIV cases increased by 149.8%, from 18 241 to 45 560. HIV positive coarse rate showed a slight decrease, from 7.3 per ten thousand in 2008 dropped to 6.0 per ten thousand in 2013. The HIV positive rate detected at the STD clinics or from other attendants showed a gradual decrease in 2009 and remained relatively stable. HIV positive rates showed at the programs as preoperative testing, regular screening programs on blood products, on pretreatment-regular-blood-testing or through perinatal examination, maintained at low levels. Proportions of case detection at medical institutions increased annually from 2008 to 2013 (32.4%, 36.0%, 40.2%, 45.3%, 47.9% and 50.6% respectively) in China. Among them, the proportion of case detection via other types of testing services appeared over 50%. Over 20% of the HIV cases were identified via preoperative testing.

Significant effects were seen through programs as offering Provider-initiated HIV testing and counseling to patients that receiving testing at the STD clinics or through other types of testing services. Opt-out HIV testing and counseling should be routinized in all the HIV related divisions in medical institutions.