Since 1997. Taiwan Lourdes Association (Hereinafter abbreviated as TLA) has entered to its 25th year. Based on the service provided this year, we have summarized our achievements into four main categories :

(1)Stability
In 2021, the overall volume of case services remained roughly stable. Observing the age trend of the overall service recipients in recent years, we noticed a gradual increase in the average age of the service recipients. Particularly noteworthy is the fact that in 2020, the average age of heroin users served by our Taipei office surpassed 50 for the first time. While only about one-fifth of the service recipients were new cases this year (2021), comprising 18%, it is evident that the age of those seeking assistance differs from the age distribution in CDC statistics on infection.
Upon further examination, our service recipients include people living with HIV/AIDS(Hereinafter abbreviated as PLWHA) we have served more than 20 years ago, as well as newly added service recipients each year. However, the broader societal stigma and discrimination surrounding "substance abuse," "HIV," and "LGBTQ+" persist to some extent. Additionally, private financial assistance organizations have become increasingly stringent in determining eligibility for emergency relief and other financial aid in recent years. Based on the observation of our referrals situation, we could find a gradual decline on the sources from external units. The reduction is not indicative of a lack of demand but rather reflects a diminishing availability of external system resources and energy. Despite these challenges, the economic needs of service recipients persist. Facilitating their reintegration becomes increasingly difficult.

(2)Adjustment
In 2019, our organization received subsidies from the Ministry of Health and Welfare, allowing us to leverage our accumulated years of experience from the Chaolu  Farm and expand it into a therapeutic community for addiction treatment. After months of preparation, we officially commenced operations in 2020. Guided by a harm reduction approach that respects human dignity, our intervention covers the holistic aspects of individuals, including physical, psychological, interpersonal, social, occupational, and spiritual dimensions. Our goal is to empower individuals on their journey toward recovery. Through reflective learning during the service process, we continuously make rolling adjustments, accumulating localized experience in harm reduction therapeutic community services. 
From September to October, a two-month series of international seminars on harm reduction psychology was held, enhancing harm reduction knowledge through online sessions, videos, and post-event discussions. In recent years, there has been an increase in cases involving non-opioid substance users with comorbid mental health conditions. Workshops, practical exercises, and simulations were conducted to enhance the professional capabilities of our staff. 

(3)Enhancement
In the first half of 2021, the COVID-19 pandemic led to the suspension of individual counseling and volunteer care visits to detainees in correctional facilities. Instead, we provided counseling services through written correspondence, offering consultations, emotional support, and counseling to maintain continuous support. Furthermore, various in-person gatherings and group activities, such as DA groups, shifted to online formats. This facilitated virtual gatherings, creating a safe and comfortable space for communication and enhancing opportunities for interpersonal support. Taking the Hualien and Taitung regions as examples, where resources are limited and the terrain is challenging, conducting online meetings factored in the reduced travel distance, thereby increasing member participation. As the pandemic situation gradually improves in the latter half of the year, we've resumed both physical and online activities, considering the differences in the nature of in-person and online gatherings. This approach ensures that service recipients can participate in activities, fostering positive connections without being hindered by geographical location or time constraints. 

(4) Advocacy
With the international medical research confirming the concept of U=U (Undetectable=Untransmittable), the 21st article of HIV Infection Control and Patient Rights Protection Act. in Taiwan underwent an amendment. The original regulation stated, ‘The definition of unsafe sex involve direct contact without the use of protective barriers for organ mucous membranes or body fluids, with a medical assessment indicating a potential risk of HIV infection.' The amendment now reads, ' The definition of unsafe sex shall be formulated by the central competent authority following the relevant regulations outlined by the World Health Organization.' This amendment was announced and implemented on July 21, 2021. Our organization has used various means such as press conferences and videos to help the public understand the U=U concept. This effort contributes to a reconsideration of the existing systems related to PLWHA and strives to create a more understanding and compassionate society 

Since 1997. Taiwan Lourdes Association (Hereinafter abbreviated as TLA) has entered to its 25th year. Based on the service provided this year, we have summarized our achievements into four main categories :

(1)Stability
In 2021, the overall volume of case services remained roughly stable. Observing the age trend of the overall service recipients in recent years, we noticed a gradual increase in the average age of the service recipients. Particularly noteworthy is the fact that in 2020, the average age of heroin users served by our Taipei office surpassed 50 for the first time. While only about one-fifth of the service recipients were new cases this year (2021), comprising 18%, it is evident that the age of those seeking assistance differs from the age distribution in CDC statistics on infection.
Upon further examination, our service recipients include people living with HIV/AIDS(Hereinafter abbreviated as PLWHA) we have served more than 20 years ago, as well as newly added service recipients each year. However, the broader societal stigma and discrimination surrounding "substance abuse," "HIV," and "LGBTQ+" persist to some extent. Additionally, private financial assistance organizations have become increasingly stringent in determining eligibility for emergency relief and other financial aid in recent years. Based on the observation of our referrals situation, we could find a gradual decline on the sources from external units. The reduction is not indicative of a lack of demand but rather reflects a diminishing availability of external system resources and energy. Despite these challenges, the economic needs of service recipients persist. Facilitating their reintegration becomes increasingly difficult.

(2)Adjustment
In 2019, our organization received subsidies from the Ministry of Health and Welfare, allowing us to leverage our accumulated years of experience from the Chaolu  Farm and expand it into a therapeutic community for addiction treatment. After months of preparation, we officially commenced operations in 2020. Guided by a harm reduction approach that respects human dignity, our intervention covers the holistic aspects of individuals, including physical, psychological, interpersonal, social, occupational, and spiritual dimensions. Our goal is to empower individuals on their journey toward recovery. Through reflective learning during the service process, we continuously make rolling adjustments, accumulating localized experience in harm reduction therapeutic community services. 
From September to October, a two-month series of international seminars on harm reduction psychology was held, enhancing harm reduction knowledge through online sessions, videos, and post-event discussions. In recent years, there has been an increase in cases involving non-opioid substance users with comorbid mental health conditions. Workshops, practical exercises, and simulations were conducted to enhance the professional capabilities of our staff. 

(3)Enhancement
In the first half of 2021, the COVID-19 pandemic led to the suspension of individual counseling and volunteer care visits to detainees in correctional facilities. Instead, we provided counseling services through written correspondence, offering consultations, emotional support, and counseling to maintain continuous support. Furthermore, various in-person gatherings and group activities, such as DA groups, shifted to online formats. This facilitated virtual gatherings, creating a safe and comfortable space for communication and enhancing opportunities for interpersonal support. Taking the Hualien and Taitung regions as examples, where resources are limited and the terrain is challenging, conducting online meetings factored in the reduced travel distance, thereby increasing member participation. As the pandemic situation gradually improves in the latter half of the year, we've resumed both physical and online activities, considering the differences in the nature of in-person and online gatherings. This approach ensures that service recipients can participate in activities, fostering positive connections without being hindered by geographical location or time constraints. 

(4) Advocacy
With the international medical research confirming the concept of U=U (Undetectable=Untransmittable), the 21st article of HIV Infection Control and Patient Rights Protection Act. in Taiwan underwent an amendment. The original regulation stated, ‘The definition of unsafe sex involve direct contact without the use of protective barriers for organ mucous membranes or body fluids, with a medical assessment indicating a potential risk of HIV infection.' The amendment now reads, ' The definition of unsafe sex shall be formulated by the central competent authority following the relevant regulations outlined by the World Health Organization.' This amendment was announced and implemented on July 21, 2021. Our organization has used various means such as press conferences and videos to help the public understand the U=U concept. This effort contributes to a reconsideration of the existing systems related to PLWHA and strives to create a more understanding and compassionate society.
 

Since 1997, Taiwan Lourdes Association (Hereinafter abbreviated as TLA) has entered to its 24th year. Based on the service provided this year, we have summarized our achievements into four main categories :

(1)Stability
"In recent years, we have observed a trend in the average age of our overall service recipients gradually increasing. While TLA has consistently maintained approximately a quarter of new service recipients each year (23% in 2020), the age distribution of service recipients still predominantly falls within the 41-50 age group, constituting 39% of the total service population. Furthermore, examining the situation of external referrals, we have noticed a gradual reduction in the resources offered by external entities. The economic needs of our service recipients persist, and assisting them in reintegration and healthy aging has become a major challenge.

This year, the number of multiple-needs new cases has decreased by approximately 10%, primarily. Notably, individuals struggling with non-opioid substance addiction continue to increase, constituting around 75% of the total service volume. In recent years, the issue of substance addiction among cases has grown, often accompanied by comorbid mental health challenges, leading to increased complexity in case demands. Additionally, these cases frequently involve urgent situations such as self-harm and acute psychiatric symptoms, contributing to an increased mental burden on our staff.

(2)Adjustment
In 2020, due to the impact of the COVID-19 pandemic, TLA had to cancel or postpone numerous activities and outreach efforts. The planned international conferences and exchanges were also unable to proceed as a result. In response to the pandemic, we adjusted our previous work patterns and implemented measures in line with epidemic prevention.
Since the establishment of the Hualien and Taitung support group in 2016 to meet the needs of people living with HIV/AIDS (Hereinafter abbreviated as PLWHA) in remote areas, we expanded our services by setting up a base in Taitung in 2018. Over the past five years, we have continuously developed and deepened our services in the Taitung region. Responding to changing demands, we identified a need for increased service investment and staff adjustments in the Hualien area. Therefore, we will be relocating our base to be perpetually situated in Hualien, with Taitung receiving periodic services.
      Since taking over the Youth Substance Abuse Program for Levels 3 and 4 in March 2016, we've gained four years of service experience. Initially focused on serving youths and families dealing with the levels 3 and 4 substances use , we gradually expanded our outreach to Juvenile Detention Houses to include neglected and street-involved youths who were entangled in substance use and legal issues. Simultaneously, we provided support to many parents grappling with issues related to upbringing, finances, and parent-child relationships. Over the years, we observed that the challenges faced by youths using substances not only highlight the presence of illegal substances but also repeatedly underscore the need for societal and institutional reforms and adjustments. Considering our organizational capacity and resource allocation, we concluded this program at the end of 2020. However, we remain a friendly backup for collaboration with other organizations.

(3)Enhancement
In 2019, our organization received subsidies from the Ministry of Health and Welfare, allowing us to leverage our accumulated years of experience from the Chaolu  Therapeutic Community. We expanded it into a therapeutic community for addiction treatment. After months of preparation, we officially commenced operations in 2020. Guided by a harm reduction approach that respects human dignity, our intervention covers the holistic aspects of individuals, including physical, psychological, interpersonal, social, occupational, and spiritual dimensions. Our goal is to empower individuals on their journey toward recovery. Through reflective learning during the service process, we continuously make rolling adjustments, accumulating localized experience in harm reduction therapeutic community services.

(4) Advocacy
This year, in response to government policy recommendations, we observed challenges faced by clients who, due to sexual violence, needed PEP (post-exposure prophylaxis) but couldn't find support from social welfare agencies. Therefore, we proposed clarifying responsibilities in the Rights Protection Committee to ensure that Centers for Prevention of Domestic Violence and Sexual Assault are aware of their obligation to provide necessary assistance to victims. Additionally, we advocated for the modification of the definition of risky behaviors in the committee, alleviating concerns for PLWHA who are already untransmittable by potential legal consequences.

In the process of shifting the focus of addiction prevention and treatment from the legal system to rehabilitation, we actively participated in providing policy advice and practical experience on the establishment of the Addiction Integrated Medical Demonstration Center, the renovation of Addiction Prevention Centers, the deployment of resources for addiction social reintegration, and the diverse development of therapeutic communities.

On the societal front, we noticed the dental care challenges faced by PLWHA. We organized a focused forum, received coverage from SET News, and advocated for the medical rights of PLWHA, urging the implementation of universal protective guidelines. Recognizing the prolonged societal challenges faced by female PLWHA, we collaborated with several female celebrities to produce advocacy videos, emphasizing the importance of paying attention to women's sexual health.

To address the deficiencies in Article 21 of the HIV Infection Control and Patient Rights Protection Act., we created an infographic summarizing five key points: 
1. Difficulty in providing evidence, violating the law of evidence
2. Punishment even when untransmittable 
3. Potentially misused for revenge or intimidation, 
4. Adversely affecting epidemic prevention, 
5. Penalties higher than those for Category 1 communicable diseases, violating The Principle of Proportionality.
 

Since 1997, Taiwan Lourdes Association(hereinafter be cited as “TLA”) has been dedicated to serving people living with HIV/AIDS (hereinafter be cited as “PLWHA”) with a commitment to justice and compassion. Over the past 23 years, we have endeavored to enhance their quality of life, uphold fundamental dignity, and foster comprehensive personal development. In 2019, our efforts continued to evolve within the framework of stability, growth, deepening, and advancing the positive impact of PLWHA.

Responding to the changing cultural landscape of PLWHA and those impacted by substance addiction, we consistently expanded our efforts in developing services related to addiction. This includes addressing the increasing needs of individuals struggling with addiction and their families while further enriching and broadening the scope of our services. In 2019, we further diversified the Chaolu  Therapeutic Community, propelling its multifaceted development.

To refine our services, we actively organized international visits, providing our staff with a broader perspective to better understand the needs and services we provide. Presented below are key accomplishments in our services from the year 2019:
 

Established in 1997, Taiwan Lourdes Association has now served people living with HIV/AIDS (hereinafter “PLWHA”) for nearly 22 years. According to statistics from the Taiwan Center for Disease Control and Prevention (CDC), 37,919 people were living with HIV in Taiwan in 2018 of which approximately 1,993 people became newly infected with HIV in 2018. New HIV infections have slightly declined since 2017. To sum up the services performed, there are 4 areas on which we focus:

1.Stabilization
For clients with multiple needs, the number of new cases slightly declined. Surprisingly, the number showed a notable increase in non-opiate addicts and a decline in general cases that reflected a similar trend to that in 2017.
Case management intervention in hospitals and the prevalence of virtual communities have gained momentum by helping client’s simple needs, such as accompanying and emotional support. To further address clients, we extended the duration of services to enable us to provide long-term support and ongoing discussion with clients about how to overcome challenges and obstacles in their life, while helping them successfully re-enter society.

2.Broadening
We established the Support Group in Hualien and Taitung in 2016. In 2017, we launched the VIVA GO BUS campaign to understand the needs relating to AIDS on rural townships by cooperating with the pharmaceutical industry, local public health centers, and case managers. In 2018, we established our first service center in Taitung and employed 2 social service specialists to offer a wide range of services to PLWHA.
In response to the changing landscape of PLWHA, we are making a sustained effort to enhance drug related services by incorporating the needs of drug users and families to develop an ever-wider range of services. Moreover, we actively involve ourselves in foreign visits, which enable our staff to have broader horizons and a long-term vision for developing comprehensive services to PLWHA.

3.Advancement
With the hope of accumulating knowledge and enhancing quality of services, we’ve published 4 papers in academic journals, domestic and international conferences respectively. These papers articulated our achievement and reflection in the long term service experiences with PLWHA.

4. Giving voice
This year the legalization of same-sex marriage engendered heated debate throughout the country and stimulated fear for PLWHA and drug addiction due to stigma or discrimination. On the other hand, it opened up new vistas for social dialogue to get a better understanding of TLA’s mission and works.
To build inclusive and peaceful societies in the aftermath of conflict, we continue our unremitting effort to advance equality and non-discrimination. We launched the AIDS Ride for Love & Hope event -- cycling around Taiwan to engage the general public and connect people to friendly HIV/AIDS resources. Above all, we wish to make a public appeal that with the right treatment and care, PLWHA can expect to live as long as someone who doesn’t have HIV. Having HIV doesn’t have to stop you from living a healthy life in the way that you choose to do. Ultimately, we are hoping for PLWHA to remain positive and keep on pursuing what they love.

Established in 1997, Taiwan Lourdes Association has now served people living with HIV/AIDS (hereinafter “PLWHA”) for nearly 21 years. According to statistics from the Taiwan Center for Disease Control and Prevention (CDC), 35,935 people were living with HIV in Taiwan in 2017 of which approximately 2,519 people became newly infected with HIV in 2017. Men accounted for 92% of all new diagnoses and 70% between 25~49, 80% of new infections were attributed to risky sexual practices. To sum up the service performance, there are 4 areas on which we focus:

1、Stabilization
For clients with multiple needs, the number of new cases increased continuously. In response to the increasing number of cases with infection attributed to injection drug use, we constantly strive to improve and adapt our service to meet the client’s needs and the changing drug culture. We have also observed that the increase in renewal cases, suggesting that clients need long-term support and ongoing discussion with a social worker in overcoming the difficulties that they faced and reintegrating to society successfully.

2、Support
In 2017, we cooperated with 518 Human Bank to conduct an opinion survey. The results of the survey showed that more than half of small and mid-size enterprise employers surveyed have a stigma toward PLWHA. In light of the above finding, we went to campuses, enterprises, prisons and social welfare institutions to introduce the basic concepts of AIDS and drug addiction prevention. Owing to the positive feedback we enjoyed, we later received an invitation from many other organizations to talk about AIDS-related topics. This is a fundamentally important initiative for creating a friendly social, service connection and resource development.
In response to recreational drug issues, we have been running harm reduction groups since 2015. The ongoing operation and maintenance activities of the support groups have effectively promoted mutual understanding and mutual support between members. We also undertook Class 3 & 4 youth drug program and TAAF aiming at providing a wide range of specialist and generic services to meet clients’ needs.

3、 Exploration
In World AIDS Day 2017, we held the AIDS Anti-Discrimination Forum, the largest AIDS anti-discrimination conference in recent years that attracted practical work experts and scholars working in the field of AIDS for a long time and coming from across the Taiwan Straits and Asian countries. To explore the phenomenon of HIV-related stigma and discrimination, it not only paved a way for a deeper discussion from various perspectives, but also has a very profound bearing on tackling stigma and discrimination.

4、Broadening
Due to a lack of adequate resources in the rural townships, we established the Support Group in Hualien and Taitung in 2016 and 2017, respectively, and we launched VIVA GO BUS campaign to understand the needs of rurual township coporating with pharmaceuticals, local public health centers, and case managers. We plan to establish a service center in Taitung and provide a broad range of services in 2018.
 

Established in 1997, Taiwan Lourdes Association is a nonprofit organization, which until this day continues to advocate for the dignity and value of people living with HIV/AIDS (hereinafter “PLWHA”) and offers unconditional love and acceptance according to the principle of justice and charity. We have now served the community for nearly 20 years. To sum up the service performance, there are 4 sections that we aim to follow:

1. Steady
For clients with multiple needs, the number of new cases remained steady at 25% of all cases, while the remaining 75% cases involve continuously served clients. The above proportion demonstrates the importance and necessity of continuous and stable service. Compared to Taiwan Center for Disease Control's (CDC’s) database, our clients tend to be older. It is thus necessary to work out a more efficient service model to link diverse resources in response to the aging issue.

2. Development
In response to recreational drug issues, we have been running harm reduction groups since 2015. In the middle of 2016, we launched D-TALK service (encompassing educational talks and harm reduction groups dealing with recreational drugs issues) and a youth program. The development of a management system has been started with a view to ameliorate our service efficiency.

3. Growth
The Morning Dew Transition Farm program, HIV testing and online consultation service has been developing continuously. The Morning Dew Farm has hosted a stable number of residents. Several residents were employed under a governmental multiple employment program. We have seen an increase of productivity and developed new products, which have also obtained food safety certification.
The amount of HIV testing has increased. We have also seen more female and heterosexual members of the population spontaneously coming for testing.
A Hualian-Taitung online group has been added to our online service. The number of consultation through the internet and social media has also increased.

4. Deepening the issues
As the aging issues of PLWHA are becoming an emerging concern, we have organized symposiums and focus groups for three consecutive years. We launched a shared-life initiative this year to establish a network of mutual aid for middle-aged PLWHA. We also pursued dialogue with long-term care and resident care attendant systems in order to include more friendly resources.
 

Mission
Taiwan Lourdes Association (hereinafter "TLA") is a nonprofit organization, which, by responding to the call of the Gospel, advocates for the dignity and value of people living with HIV/AIDS (hereinafter "PLWHA") and offers unconditional love and acceptance according to the principle of justice and charity.

Objectives
Provide community-based services that improve the quality of life of PLWHA.
Advocate for the human rights of PLWHA.
Through HIV/AIDS education, increase public awareness of the impact of HIV and break off the stigma and discrimination against the disease and PLWHA.

Highlights of Activities
Established in 1997, TLA marks its 19th anniversary this year. The outcome of this year could be described in the following dimensions:

Slight fluctuation of service demand
The number of newly opened cases with multiple needs has slightly decreased, due to the reduction of social workers and a shortage of instructors. However, the number of cases with multiple needs and with extended service duration (including cross-year cases) has been on the rise. In the future, more efficient and more effective measures should be taken to combine with all kinds of resources. Meanwhile, the demand of Internet service has had a slight upward trend, showing that TLA has adapted new service delivery methods in response to the generalization of smart phones and to the change of interactive modes. The overall reach of our services to PLWHA has continued to grow.

The diversification of the target public for HIV/AIDS education and the increase of coverage
Our service of HIV/AIDS education has seen significant growth with further expansion in campus, enterprises, social welfare organizations, and MSM communities. This has allowed the knowledge on HIV/AIDS prevention and on reducing the hard from drugs to reach a greater public audience. It has also been an important opportunity to build the connection with HIV/AIDS-friendly organizations and new resources. The sustainably increasing number of invitations and diversification of hosting organizations also shows that the quality of TLA’s education program has been wildly recognized.

Elaboration of issues and services

Transition farm service
The "Morning Dew" transition farm service remains stable and has increased its clients. Courses and activities have both improved in quantity and quality.
Policies and rights
Despite of the amendment of the HIV Infection Control and Patient Rights Protection Act, future policies remain unclear. We work closely with other members of the HIV/AIDS Law Amendment League Taiwan to pursue the negotiation with the relevant authorities in order to propel the rights of PLWHA.
Drugs harm reduction & Aging
On the issue of aging and drugs harm reduction, we continue to run harm reduction support groups and host workshops, case studies, and supervision sessions for experience sharing.

Dialogues and collaboration 
We pursue efforts to dialogue with PLWHA, people, heath care providers and social workers, integrating the resources of enterprises, schools and civil organizations. Collaborations with enterprises have been initiated to organize the VIVA GO BUS education series at remote areas such as Hualien, Taitung and Pingtung. The feedback from the PLWHA participants shows that the series did help them to improve self-care awareness and to establish a local support network.
We have maintained good relations with all communities and animated exchanges of information, which allowed us to be updated of the latest policies and to react efficiently.
In addition to traditional ways, new mechanisms of fundraising have also been integrated, such as iGoods and Pi Wallet App. New approaches and platforms are also under evaluation to innovate future fundraising.
 

HIV Epidemic Development in Taiwan

By December 31, 2014, the total number of HIV cases was 29,665; 93.66% are male and 6.34% are female. The new cases in 2014 were 2,236, which accounted for the third highest record. One of the major risk factors for transmission in 2014 was MSM (man who have sex with man), 1,637 within were new cases, slightly reduced compared to last year. The government provides Methadone treatment and free syringe as harm reduction strategies, and was successfully lowered the new IDU (Intravenous Drug Users) cases to 52 in 2014. Compared to 2013, other than the IDU cases, all the statistics above decreased, and the new cases hit the 4th record high in the Taiwan epidemic history.

94.68% of the HIV/AIDS population is between 15-49 years of age. The people infected with HIV/AIDS are getting younger and the main risk factor is through unsafe sex. It is important that the HIV/AIDS prevention educations should start early in school. The Ministry of Education must include AIDS education in students' textbook.
 
 
1. Origin and Mission
Taiwan Lourdes Association is established by the Daughters of Charity in 1960s,first known as "Lourdes Home", and is dedicated in caring for the orphans and disadvantaged children. In 1997, we saw a massive influence of HIV/AIDS toward infected people and their families. "Lourdes Home" decided to switch its focus on the HIV/AIDS agenda, and officially registered as a NGO in 2006.

1.1. Mission
Taiwan Lourdes Association is a non-profit organization. Due to the call of the gospel and based on the principles of justice and love, we provide diverse and broad services for people living with HIV/AIDS (PLWHA) in order to improve their quality of life.

1.2. Objectives
Provide Community-Based Services to Improve the Quality of Life of PLWHA.
Campaign for the Human Rights of PLWHA.
Educate the General Public to Understand the Impact of HIV and AIDS on Individuals and Break off the Prejudice, Stigma and Discrimination.

2. Highlights of Activities
Since its establishment in 1997, we celebrate the 18th year of Taiwan Lourdes Association this year. The activities of this year can be divided into four directions:

2.1. Stability
We have a stable number of newly opened multiple-need cases. Although the number of cases of Taichung office slightly decreased, continuous service remained stable. According to the outcome from last three years, multi-year and extended services due to multiple needs continue to increase. A more efficient approach to combines resources of all sectors should work out in the future. The general human resources also remained stable. Only a few of living care peers were transferred between Taichung and Taipei offices, and there wasn't any impact on relative service.

2.2. Development
As for the Health Management APP, we updated the Android-based version and launched iOS-based version, by including user's experience to meet their needs closely. We worked tightly with other AIDS activist organizations and successfully amended the AIDS regulations in Taiwan. The amendment was implemented in February 2015. Lourdes Fans Radio merged the "Pilipala Boom" radio, operated by Positive League, and became Plus Radio in 2014. Apart pursuing the "The Living Situation of PWLHA in Taiwan" survey, we also launched new surveys on public attitude and on HIV physician / patient relationship in order to draw a more thorough face of HIV/AIDS in Taiwan.

2.3. Growth
Lourdes Transition Farm and virtual e-service continue to develop. After diverse social skill training, our participants now become staffs. The production and sales outcome both increased. To catch up the trend of the society, we launched one-to-one and group chat services using popular LINE app. This service is welcomed by the community and is continuing to evolve and innovate. The HIV test service seeks an increase in topics, clients, as well as in female clients. The Night Counseling service has an increase over entire client counseling service by 10%, consequently, we plan to extend peer service to nighttime in order to meet the demand. 

2.4. Cultivation
Given that the aging topic has gained increasing attention; we organized to focus on groups and symposiums for middle-aged and elder PLWHA. We also published handbooks for this population, by combining researched literatures and practice. We will continue to get deeper insight on these topics in 2015 and start a pilot long-term care service in Taichung office. On recreational drug issues, the Harm Reduction Support Groups continue to run on a weekly basis. We successfully depicted the ecology of the community, collected issues, and provided appropriate assistance. Due to its success, we were invited by National Health Research Institutes (NHRI) and public Drug Abuse Prevention centers to share our experiences either on their workshops or as trainers.