Persons with HIV/AIDS suffered discrimination, and local governments sometimes tried to suppress their activities. At the same time, international involvement in HIV/AIDS prevention, care, and treatment, as well as central government pressure on local governments to respond appropriately, brought improvements in some localities. Some hospitals that previously refused to treat HIV/AIDS patients had active care and treatment programs because domestic and international training programs improved the understanding of local healthcare workers and their managers. In Beijing dozens of local community centers encouraged and facilitated HIV/AIDS support groups. Some NGOs working with HIV/AIDS patients and their family members continued to report difficulties with local governments, particularly in Henan Province. Henan authorities provided free treatment to persons with HIV/AIDS, but foreign and local observers noted that local governments were reluctant or even hostile toward coordinating efforts with NGOs and preferred to work independently. The law does not provide for freedom of association, as workers were not free to organize or join unions of their own choosing. Independent unions are illegal, and the right to strike is not protected in law. The trade union law gives the ACFTU control over all union organizations and activities, including enterprise-level unions, and requires the ACFTU to "uphold the leadership of the Communist Party." While ACFTU constituent unions were generally unassertive and ineffective in protecting the rights and interests of members, the ACFTU successfully advocated for and positively influenced the implementation of government policies protecting rights and interests of workers. The ACFTU and its provincial and local branches continued to organize new unions at a rapid pace. The All-China Federation of Trade Unions (ACFTU), which is controlled by the CCP and chaired by a member of the Politburo, is the sole legal workers' organization. According to the latest available ACFTU data, as of September 2008 there were 212 million ACFTU members, a net increase of 72.1 percent from 2003. The ACFTU claimed that 73.7 percent of workers were ACFTU members. The number of ACFTU-affiliated trade union organizations increased to 1.7 million by September 2008, up 9.8 percent over 2007 and up 90.4 percent over 2003. A total of 3.7 million enterprises established trade union organizations, up 15.3 percent over 2007 and up 133.9 percent over 2003. Additionally, the ACFTU continued its campaign to target foreign-invested enterprises and announced that by the end of 2008, the number of trade union members in foreign-invested enterprises across the country (including Hong Kong, Macau, and Taiwan-invested enterprises) had reached 15.9 million and the rate of unionization in such transnational corporations had reached 83 percent.

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