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Building on the previous federal strategies, the CSHA was launched in 1998 with annual, ongoing federal funding of $42.2 million. Its goals are to:
In pursuing these goals, three policy directions guide the implementation of the CSHA:
People living with HIV/AIDS and those at risk of HIV infection are the focus and centre of CSHA efforts. Funding allocations for the CSHA are shown in Table 1.
Table 1:
CSHA Annual Funding Allocations
(millions of dollars)
Prevention |
$ |
3.90 |
Community Development and Support to National NGOs |
$ |
10.00 |
Care, Treatment and Support |
$ |
4.75 |
Legal, Ethical and Human Rights |
$ |
0.70 |
Aboriginal Communities |
$ |
2.60 |
Correctional Service Canada |
$ |
0.60 |
Research |
$ |
13.15 |
Surveillance |
$ |
4.30 |
International Collaboration |
$ |
0.30 |
Consultation, Evaluation, Monitoring and Reporting |
$ |
1.90 |
Total |
$ |
42.20 |
The CSHA is a Canadian approach that enables the engagement of non-governmental and voluntary organizations, people living with HIV/AIDS, communities, the private sector and all levels of government.
The newly established Public Health Agency of Canada, the lead federal agency for issues related to HIV/AIDS, administers the CSHA through CIDPC and its regional offices. Several responsibility centres within Health Canada also contribute to this work, including the Departmental Program Evaluation Division (DPED), the First Nations and Inuit Health Branch (FNIHB) and the International Affairs Directorate (IAD). Correctional Service Canada and the Canadian Institutes of Health Research (CIHR) also receive funding through the CSHA.
Major national non-governmental stakeholders are also partners in the implementation of the CSHA. They include:
Several federal departments and agencies provide additional funding from their departmental budgets to address HIV/AIDS. Correctional Service Canada invests $13 million annually in infectious disease management in the correctional environment, including HIV/AIDS care, treatment and support. Similarly, Health Canada's FNIHB invests $2.5 million annually to provide HIV/AIDS education, prevention and related health care services to Inuit and on-reserve First Nations peoples. CIHR is also committed to contributing at least $3.5 million per annum to HIV/AIDS research, and in 2003-2004 invested a total of $8 million in HIV/AIDS research and an additional $7.3 million in research related to HIV/AIDS.
CIDA's HIV/AIDS Action Plan, which articulates CIDA's approach to helping control and prevent the spread of the disease in developing countries and countries in transition, was launched in June 2000 as part of the global response to the HIV/AIDS epidemic. The plan includes a commitment to a five-year investment totalling $270 million, beginning with $22 million in 2000-2001 and increasing to $80 million in 2004-2005. CIDA is also contributing or has contributed:
Provincial and territorial governments are key partners in the CSHA. Their collaboration and contributions, through their respective action plans and strategies, play an important role in achieving the goals of the CSHA. As well, community-based organizations engaged on the front lines of the response are critical to Canada's efforts to prevent the further spread of HIV while providing care, treatment and support to people living with HIV/AIDS.