Appendix 1 : Evaluation of the Federal Initiative to Address HIV/AIDS in Canada 2008–09 to 2012–13 – Canadian Public Health Service Program logic model
Text Equivalent - Appendix A.
Appendix 1 is the logic model for the Federal Initiative to Address HIV/AIDS in Canada, which depicts the Areas of Action, Activities, Outputs, First, Second, Third and Ultimate Strategic Outcomes. The logic model highlights the Areas of Action (Research, Surveillance and Knowledge Development, Program Interventions, Communications and Social Marketing, Global Collaboration and Coordination and Policy Development). It also highlights key activities by Responsibility Centre which include: Undertake and Fund Research and Surveillance (CIHR, CAID, Labs, SRAD), Transfer Knowledge (CAID, CIHR, CSC, FNIHB, HAPCPD, Labs, SRAD), Deliver Community-based Programs: Aboriginal Health Programs and Targeted Interventions (CSC, FNIHB, HAPCPD, Regions, Labs), Deliver Public Awareness and Social Marketing (HAPCPD), Undertake Global Collaboration (HAPCPD, CIHR, IAD, Labs, SRAD), and Coordinate Efforts and Develop Policy (all Responsibility Centres). The activities of the Federal Initiative are carried out either by the Responsibility Centre staff and O&M funds or through grants and contributions which are managed and administered by Responsibility Centre staff. The logic model identifies a variety of outputs (e.g. research, surveys, studies, reports, publications, and guidance and policy documents), which lead to first, second and third level outcomes as follows: increased knowledge and awareness of the nature of HIV/AIDS and ways to address the disease; increased individual and organizational capacity; increased Canadian engagement and leadership in the global context; enhanced engagement and collaboration on approaches to address HIV/AIDS; reduced stigma, discrimination and other barriers; improved access to more effective prevention, care, treatment and support; internationally informed federal response; increased coherence of the federal response; prevent the acquisition and transmission of new infections; improved quality of life for those at risk and living with HIV/AIDS. The first, second and third level outcomes lead to the following ultimate/strategic outcomes: contribute to the global effort to reduce the spread of HIV/AIDS and mitigate its impact; and contribute to strategic outcomes of partner departments. The strategic outcomes of partner departments include: PHAC – Healthier Canadians, Reduced Health Disparities and a Stronger Public Health Capacity; CIHR – A world-class health research enterprise that creates new knowledge and translates it into improved health for Canadians, more effective health services and products and a strengthened Canadian health-care system; Health Canada – Better Health Outcomes and Reduction of Health Inequalities Between First Nations and Inuit and Other Canadians; and Accessible and sustainable health system responsive to the health needs of Canadians; and CSC – Custody.
Logic Model Narrative
As shown in the logic model, there are five primary areas of action supported by the Federal Initiative. For each of these five Areas of Action, some activities are performed directly by the federal government while others are performed by organizations who receive grants and contributions. The Research, Surveillance and Knowledge Development area of action includes research, surveillance and the translation of research results into formats that are useful to various audiences and are critical to understand the HIV epidemic and to develop new policies, programs and interventions, such as new prevention models and treatments. A stronger evidence-base will provide the information necessary to improve program design and planning at all strategic levels. The Program Interventions and Policy Development area of action focuses on the delivery of community-based programs, Aboriginal health programs, and targeted interventions such as health promotion/education programs in federal penitentiaries. It also recognizes that policy interventions are needed on a range of emerging HIV/AIDS issues. The Communications and Social Marketing area of action includes increasing public awareness through social marketing campaigns. Public awareness and social marketing are critical to improve Canadian HIV knowledge to address the community and societal attitudes which contribute to individual risk behaviours and to reduce the stigma and discrimination and that promote the epidemic. National HIV/AIDS public awareness campaigns, targeted social marketing and communications activities will be delivered to build healthy community norms and encourage people to access HIV testing. The Global Collaboration area of activity contributes directly to increased Canadian engagement and leadership in the global context. The Coordination, Planning and Reporting area of action involves key activities in the area of governance and coordination of the Federal Initiative. Federal leadership in national planning, coordination and reporting is critical to sustain effective responses to the epidemic, leverage and maximize the use of scarce resources and increase the pan-Canadian nature of the response to HIV/AIDS.
The Federal Initiative developed discrete approaches to addressing HIV/AIDS among eight key populations: people living with HIV/AIDS, gay men and other men who have sex with men, people who inject drugs, Aboriginal peoples, people in prison, youth at-risk, women and people from countries where HIV is endemic. Non-government and civil society organizations benefits from funding to increase their capacity; understanding methods of promoting prevention, care, treatment and support; and awareness of ways to reduce stigma and discrimination. The health research community benefits from targeted funding opportunities, which allows them to build on available evidence in order to increase knowledge and awareness of the nature of HIV/AIDS and to facilitate the translation of knowledge into effective programs, policies and services. Other government organizations will benefit from opportunities for partnership; a forum for collaborative and coherent policy and standards development; and transfer of promising practices in prevention, care, treatment and support to these beneficiaries. As understanding of the causes and impact of the epidemic improves, Canadians in general will benefit through increased awareness of stigma, discrimination, social factors and barriers experienced by those affected by HIV/AIDS, as well as through an increased understanding of prevention behaviours. The Government of Canada, civil society organizations in Canada and abroad, academia, multilateral institutions, and organizations of other countries will benefit from shared advice and promising practices developed through global collaboration activities.
The long term expected outcomes for the program are to prevent the acquisition and transmission of new infections and to improve quality of life for those at risk and living with HIV/AIDS. Improved quality of life means that persons living with HIV/AIDS will have adequate care, treatment and support, and reduced stigma and discrimination leading to prolonged life; reduced mortality rates; and improved wellbeing, social roles and physical functions. Finally, through the concerted efforts to participate in international organizations, to implement multilateral agreements and to fund global health research, a contribution will be made to the global effort to reduce the spread of HIV/AIDS both through the domestic contribution and the contribution to the efforts of the other countries.
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