ARCHIVED - Federal Initiative to Address HIV/AIDS in Canada ImplementationEvaluationReport


Annexes I.1 – I.7
Supporting Analytical Tables

Annex I-7 – Design Summary by Areas of Action
Programs Objectives Federal Initiative Design Deliverables Population

1. Provide overall strategic direction and coordination for pan-Canadian HIV/AIDS surveillance and epidemiological studies and risk assessment studies

Monitor the co-infection -- tuberculosis and HIV; HIV and STI (behaviours)

Conduct surveillance for specific populations: First Nations and Inuit; federal offenders, youth, MSM, IDU

Technical and policy advice, surveillance, epidemiology and modelling

Design and implementation of survey



Increase knowledge on HIV/AIDS and its distribution in the general population, and on risk behaviours by the specific Federal Initiative populations

Memorandum of Understanding to conduct Field Surveillance with BC, ALB, SASK, MAN, ON, NS, QC

Strategic alliances with SurvUDI Qc; University of Toronto; P/L governments; Sudbury District Health Unit; International Dialogue on HIV in Prisons, 2005

Collaborative work between CAID and SRAD in developing the sentinel sites to describe risk behaviours in targeted populations: I-Track, E-Track, M-Track, A-Track

Publish semi-annual national surveillance reports on HIV/AIDS; Epi updates on I-Track, M-Track, A-Track and E-Track Develop predictive models for incidence and prevalence rates

An integrated and enhanced database was implemented to complement the epi database to follow up specific populations’ behaviours

Educational material (awareness): Int’l Conference 2006-Toronto; NACHA and CAAN;

Build organizational capacity: 16 training sessions on 2nd generation surveillance (training of 45 survey interviewers and 7 new professionals)

The CSC developed and implemented a survey on inmate risk behaviours with input from PHAC.

The CSC augmented surveillance and data collection activities on the prevalence of HIV/AIDS in federal penitentiaries to better inform infectious disease policy and program initiatives; increased knowledge development through information sharing and collaboration with the F/P/T Heads of Corrections Working Group on Health; and improved gender and culturally appropriate health programs for federal inmates

HIV/AIDS population

2. Increase knowledge of sexually transmitted infections and HIV co-infection behaviours, specifically through surveillance of street youth population

Increase knowledge on infectious diseases of federal inmates


Integration of HIV/AIDS with co-infections
Increase knowledge of the link between sexually transmitted infections and other infectious diseases, such as Hepatitis C, and the acquisition of HIV/AIDS

Increase collaboration between STI experts in contributing to the “Expert Group on Canadian Guidelines on Sexually Transmitted Infections

Contribute to funding the data collection for the seven E-SYS sites (epidemiological surveillance - STI)

Canadian Guidelines on Sexually Transmitted Infections published on the PHAC website

Publish two reports on Canadian street youth and an article on the STI Guidelines

Contribute to educate and create awareness in reprinting STI pamphlet and four Quick Facts related to E-SYS




General Population

3. Provide national leadership in the support and facilitation of HIV/AIDS research, research capacity building, research partnerships and knowledge translation that contributes to ending the spread of HIV and improves the lives of people living with, or vulnerable to, HIV/AIDS


Grants and Awards

Creates evidence to increase knowledge on HIV/AIDS and effective interventions, and builds Canadian HIV/AIDS research capacity through Grants and Awards funding

The CIHR HIV/AIDS Research Initiative implements a wide cross-section of Grants & Awards Programs to increase research capacity.

Established an international reputation for research excellence in the field of HIV/AIDS by applying peer-reviewed international standards to research activities funded by CIHR.

The CIHR HVI/AIDS Research Initiative has the following four funding streams within which HIV/AIDS research is supported utilizing funds from the Federal Initiative: Biomedical/Clinical Research; Health Services/Population Health Research; Community-Based Research; and HIV/AIDS Clinical Trials Network.

The CIHR HIV/AIDS Research Advisory Committee identified strategic priorities in 2005.

Built strategic plans for the next five years. Total CIHR-funded HIV/AIDS-related grants: 2004/05: 135; 2005/06: 154; 2006/07: 163.

Total CIHR-funded HIV/AIDS-related awards: 2004/05: 71; 2005-06: 94; 2006-07: 122.

Total CIHR-funded HIV/AIDS-related capacity-building grants: 2004/05: 11; 2005-06: 11; 2006-07: 8.

Total CIHR-funded HIV/AIDS-related capacity-building grants: 2004/05: 11; 2005-06: 11; 2006-07: 8.

CIHR also funds numerous workshops annually to support the creation of research agendas, the development of scientific approaches and the dissemination of research results.

Educational/Awareness material and activities: CAHR: 2004 and 2005; OHTN: 2005; and International AIDS Conference 2006.

Supported clinical trials have led to the development and use of antiretroviral therapies that have allowed many HIV-infected people to live longer, healthier lives.

The Canadian HIV Trials Network worked with 9000 trial participants, reviewed 232 trials, approved 121 trials, implemented 95 trials and is currently undertaking nearly 20 ongoing trials.


4. Evaluative research on new technologies for HIV and drug and strain resistance testing

Leads in the identification of HIV problem infections – Maintains HIV Reference system for P/Ts

Surveillance and Outbreak researchto identify viral changes impacting the treatment of people infected with HIV, vaccines and new drugs development, and viral transmission.

Ensures quality of Canadian Laboratories Services through the development and implementation of Canadian standards for HIV/AIDS virus identification and training in clinical lab science for public health workers


Research & Development for HIV Laboratories

Create evidence to develop new technologies to improve HIV screening and drug resistance and HIV virus identification.

Develop national reference laboratory techniques to guide/build capacities and provide services to HIV/AIDS P/T laboratories.

1 Contribution Agreement and 29 Strategic Alliances established and maintained

4 reports on HIV/AIDS research, surveillance and quality assurance testing

270 CIQAP panels and 1500 QASI panels

15 HIV cultures amplified for testing

30 diagnoses of difficult samples

10 QC standards developed

9 plans developed

Increase knowledge: 1 website on HIV/AIDS (LymphoSite)

4 conferences attended (CACMID, CAHR)

5 informal training sessions provided

Increase coherence: Evaluation of new HIV viral load testing platforms for the quantification of HIV viral load, working with CAHCLS and Canadian HIV Testing Laboratories

Increase individual/organization capacity on research activities P/T

Street Youth






5. Develop knowledge transfer mechanisms to inform front-line responses

Develop a national research plan (in alignment with Leading Together)


Grants and Contributions
Translates evidence for use by front-line organizations

Guides Canadian research on HIV/AIDS

Increase accessibility and knowledge - Implement the Knowledge Exchange front-line e-broker – Canada's gateway to information about HIV/AIDS – CATIE

Increase knowledge - Guides Canadian research on HIV/AIDS implemented


6. Grants and Contributions programs and projects to support local, regional, and AIDS Service Organizations (ASOs) and Community Based-Organizations (CBOs) to:

  • Promote the health of people living with HIV
  • Prevent new infections
  • Strengthen community-based organizations’ capacity to respond to HIV/AIDS
  • Create supportive environments by addressing social barriers that limit access to HIV/AIDS care and services


Grants and Contributions

Support local interventions

Support and build capacity of local community-based organizations working with HIV/AIDS target populations

Integrate HIV/AIDS interventions with other diseases, where appropriate

Information from 2006

3,721 presentations and 2,211 ongoing programs were offered to 120,799 persons of target populations

582 different products were distributed to 44,577 people

122,431 contacts were reported with the target population

1,365 collaborative partnerships were reported

5,924 volunteers supported the work of local agencies

225 volunteers were trained and 512 staff training sessions were reported

1,365 partnerships in 2006-07 (884 for operational projects and 481 for time-limited projects)

5,924 volunteers were trained in 117,266 hours

Increase knowledge: Quebec: 77% of MSM participating in a workshop were able to improve their knowledge of STBIs and in the measures that can be used to prevent such infection

Youth at risk
Health professionals
HIV+ volunteers

7. Provide health services, including services related to the prevention, care and treatment of HIV/AIDS to federal offenders sentenced to imprisonment of two years or more

Correctional Service of Canada

Health Services for populations under federal responsibility

Provide HIV/AIDS health-related services to Federal Inmates

Improved health promotion and education programs for inmates to encourage healthy behaviours to reduce the transmission of HIV/AIDS

Implement organizational structure to deliver the Federal Initiative program: Public Health Branch

Youth at risk

8. Increase knowledge of the epidemic through improved community-based knowledge development;

Increase availability of evidence-based HIV/AIDS interventions based on accurate performance data

Increase awareness and reduce the stigma within communities to promote testing, access to prevention, education and support, and supportive social environments for those vulnerable to, and living with, HIV

Strengthen partnerships within FNIHB and with provincial and territorial governments to increase access to care and support for First Nations living with HIV/AIDS

Increase effective collaboration of current and new partnerships towards the achievement of a coordinated and integrated response to HIV/AIDS at a regional, national and international level

First Nations and Inuit Health Services

Grants and Contributions

Provide funds to on-reserve community organizations for HIV/AIDS interventions for First Nations and Inuit
Health care and Public Health services

Provide HIV/AIDS health-related services for on-reserve First Nations and Inuit


Data from 2006-07 69 awareness campaigns: 37-ON and 32 QC; 28 strategies developed in Manitoba and 203 First Nations communities and three Non-Governmental Aboriginal organizations provided HIV services in BC

Works with about 40 working groups and committees of stakeholders (FNI)

Strategic alliances with MOHLTC, CAAN, Ontario HIV/AIDS Strategy, Healing Our Spirit, etc.

Develop Provincial/Territorial Organization HIV/AIDS policy
i.e.: “Union of Ontario Indians – Anishnabek Health Commission – Understanding Our Responsibilities: Code of Conduct for First Nations and Aboriginal People Living with HIV/AIDS”

Provide materials and health services (i.e.: condoms, educational materials) and expert support with HC medical health officers and nurses

Provide awareness campaigns and HIV conferences to target populations

Build capacity in HIV/AIDS through workshops and presentations; and training


First Nations and Inuit on reserve


9. Policy development and advice for HIV/AIDS Federal Initiative and targeted populations (e.g. testing framework, prevention framework)

Support national co-ordination, interventions and best practices for target populations

Populations (HIV/AIDS Division)

Policy Develop HIV policy; effectiveness intervention guides and best practices

Strengthen multisectoral alignment

Ensure coherence of federal response

Develop a Federal Initiative Prevention Plan

Develop a Canadian HIV Vaccine Plan

Develop and implement the HIV Testing and Counselling/Point of Care Guidelines

Five articles published in the Journal of HIV/AIDS Policy and Law – an UNAIDS recognized best practice publication – 2006

One sensitive training material developed: NACHA – Métis Situational Analysis
Best Practice Working Group established


10. Provide secretariat services for the HIV/AIDS F/P/T committee and Federal Initiative advisory and co-ordinating bodies
Pilot projects on determinants of health with other federal government departments and agencies: ADM Committee

External & Governmental Relations (HIV/AIDS Division)

Partnerships and Coordination (Policy)
Strengthen collaboration among governmental and non-governmental stakeholders

Increase coherence of the federal government’s response to address HIV/AIDS

Align the federal contribution with the directions arising from Leading Together: Canada Takes Action on HIV/AIDS (2005-2010)

Ensure planning and coordination for about 50 meetings and working groups for F/P/T committee, NACHA, MAC-FI, LTCC, ADMC, and TO

Establish 5 new committees

74 new strategic alliances established and maintained


11. Community-based Grants and Contributions-funded projects to support national awareness campaigns for Federal Initiative target populations

Reach people who are unaware of their HIV infection and encourage them to seek testing and counselling, prevent new infections

Increase community and public health capacity (organizational and individual)

National HIV/AIDS Grants and Contributions programs (HIV/AIDS Division)

Grants and Contributions
Provide funds to support national awareness campaigns

Gs&Cs funds are fully aligned with Federal Initiative

Grant for International AIDS conference Toronto 2006

Canadian population infected with HIV and unaware about their positive status

Canadian population in general

12. National Public Educational Campaigns to raise general population’s awareness of HIV/AIDS

Social Marketing (HIV/AID Division)

Social Marketing
Educate the general population to reduce HIV stigma and discrimination

Conduct social marketing campaigns to educate and change behaviours of HIV-infected and
-uninfected populations

4 Public Opinion Research Reports, and 3 social marketing literature reviews completed

1 media and creative strategy developed

Canadian population living with or not with HIV

13. Provide accountability, planning, reporting, monitoring and evaluation support to the Federal HIV/AIDS Initiative.

Accountability and Evaluation (HIV/AIDS Division)

Ensure best practices on governance for the Federal HIV/AIDS Initiative

Enhance accountability and communication of results on progress and achievements

Provide guidance and evidence-base for the development of Federal HIV/AIDS Initiative programs and policies

RMAF and RBAF delivered in 2004-2005

RMAF reviewed in 2005-06

Mandatory reports: WAD, MAF, DPR, RPP, PAA and financial quarterly reports delivered during phase I period

PW-CAC Report of performance indicator – Project No 570-2617 funded – delivered: Performance management framework – Inventory of Performance Information – June 2006

ACAP evaluation funded – delivered: Final Report on the AIDS Community Action Program (ACAP) Program Review – Sept. 2006

Maintain quarterly financial database

Maintain quarterly risk management database
2004, 2005, 2006 Federal Initiative yearly reports delivered

2004 and 2005 Federal Initiative yearly report published for World AIDS Day: December 1. (2006 on hold)

Undertake and deliver: Federal Initiative Implementation Evaluation

Undertake the performance measurement and management system implementation: Phased in implementation (evaluation of needs – phase 1 completed; reviewing current PERT database: completed; pilot performance management data: completed)

Create and coordinate the Federal Initiative Governance Body: Responsibility Centre Committee: 2005-06

Create and lead the FI Accountability Working Group: 2006-07

Create and lead the Evaluation Steering Committee: 2006-07

FI capacity building: ECIP (4 persons); CES (4p); Int’l HIV/AIDS (1p) PHAC Forum (3p)


14. Provide coordination services from program to senior managersregarding communications and mandatory reporting

Mandatory Reporting
Ensure communications to politicians and the Canadian population concerning the Federal Initiative

Function transferred to HIV/AIDS Division


15. Health Canada provides evaluation advice (role is in transition to the Public Health Agency of Canada

Increase Federal Initiative partners’ focus on results

Support AWG and RCC
Support Implementation Evaluation Study
Member of Evaluation Steering Committee


16. Coordinate global engagement activities focusing on promoting health sector experience and knowledge

  • federal engagement in international AIDS conferences

Promote learning between domestic and international responses


Coordination of Global Activities
Establish a strong, coherent health sector response to fulfill international commitments

Grants and Contributions
Develop Community-based Organizations’ capacity

Convened Interdepartmental Federal AIDS 2006 Secretariat consisting of more than a dozen departments and agencies in planning for a coherent Government of Canada presence at the 2006 International AIDS Conference through the coordination of departments’ participation in the conference - GOC officials involved in over 15 satellite sessions, 30 oral/poster presentations and some 20 other events.

Provided grant in the amount of $1.5 million to the International AIDS Society, the 2006 AIDS Conference organizers, to support core activities, and represented (ex-officio) the Government of Canada on the organizing committee.

Participated in Canadian delegations to UNAIDS Programme Coordination Board meetings (Geneva) and provided Health Canada input into Government of Canada positions to influence UNAIDS planning and execution of its programme of work.

Annual coordination of Health Portfolio input and provision of IAD expertise into Government of Canada’s positions, interventions, official statements and speaking points to influence UN negotiated text, resolutions and related documents on HIV/AIDS, and policy support to Canadian delegations (e.g. UN General Assembly, HIV-TB Global Leaders Forum, UN Human Rights Council, Convention on the Elimination of all Forms of Discrimination Against Women, Commission on the Status of Women, UN Commission on Narcotic Drugs).

Policy support provided to the Canadian International Development Agency in its preparations for meetings of the Global Fund to Fight AIDS, Tuberculosis and Malaria

Provided input into Canadian interventions and supported civil society participation in the Canadian delegation to the United Nations General Assembly High Level Meeting on AIDS

Provided funding support to three Canadian Microbicides Symposia (2003, 2005, 2006), to update stakeholders on progress related to microbicides research and develop the Canadian Microbicides Action Plan.

Supported development of Partnership Arrangement (2006-11) between Health Canada and the Public Health Agency of Canada and the Joint United Nations Programme on HIV/AIDS (UNAIDS) signed in August 2006 to promote joint actions aimed at strengthening global response to the HIV and AIDS epidemic.

Managed HIV/AIDS Global Engagement Grants Program, through which in 2005-2006 IAD awarded ten $19,000 grants, and seven $20,000 grants in 2006-2007 to non-profit organizations and institutions with relevant experience and knowledge, and whose mandates are consistent with Health Canada and Federal Initiative objectives and policy priorities.

Provided funding to support and facilitate the development and publication of the 2007 APEC Guidelines for Creating an Enabling Environment for Employers to Implement Effective Workplace Practices for People Living with HIV/AIDS, which were endorsed by APEC Health Working Group, Health Ministers and Leaders, and two editions of the Annotated Bibliography on HIV/AIDS and HCV in Prisons. 2007

Hosted the 3rd International Policy Dialogue on HIV/AIDS on the development of effective policy to address HIV prevention and treatment in prisons (October 2005. Toronto, Canada) and developed and disseminated meeting report.

Established and maintained strategic alliances with CIDA, DFAIT, NGOs (6) UNAIDS, WHO, Global Fund, Northern Dimension Partnership in Public Health and Social Well-Being and APEC Health Task Force


17.Ensure reporting on federal government commitments with UN (UNGASS) and WHO

Provide policy advice as part of Canada’s contribution to the global response

External and Government Relations (HIV/AIDS Division)

International Policy
Fulfill international Government of Canada HIV/AIDS commitments

UNGASS Reports delivered (2003, 2006)


18.Contribute globally in the application of new technologies for HIV identification and in building lab and surveillance technical capacity in developing countries


Research and Development
Contribute Canadian lab and surveillance expertise to the global approach to HIV/AIDS

Establishment of an effective second general HIV/AIDS surveillance system in Pakistan

Provision of expert technical advice to WHO for HIV and drug resistance surveillance

Strategic alliances with WHO, CDC and UNAIDS

Educational material (awareness): Conferences: Bangkok,

Working with the Clinton Foundation, WHO, CDC/APHL, ICID for database software application

Training international workers with WHO in HIV drug resistance testing and monitoring

Working with WHO and stakeholder countries in training people in HIV drug resistance testing


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