Government of Canada Report to the Secretary General of the United Nations on the United Nations General Assembly Special Session on HIV/AIDS Declaration of Commitment on HIV/AIDS January 2003 - December 2005

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VI. Monitoring and evaluation environment

Strengthened monitoring and evaluation, particularly at the national level, has been called for by Canadian civil society and by provincial and territorial governments as made evident by the growing emphasis on accountability and transparency. Canada's federal system presents a challenge as a result of independent evaluation procedures implemented at the provincial and territorial level, often including different targets and associated indicators to be used for performance measurement. Leading Together seeks to address this challenge through the introduction of nation-wide targets, indicators and recommended areas for action related to key priorities, including: awareness; social factors driving the epidemic; prevention, diagnosis, care, treatment and support; leadership in global efforts; and the enhancement of frontline capacity. This multi-sectoral initiative is supported by activity already being undertaken by the Government of Canada and several provincial governments to set clear targets for their own responses to the HIV/AIDS epidemic. Building on this, the Government of Canada's Federal Initiative to Address HIV/AIDS in Canada is supported by a performance management strategy that includes a data collection and evaluation plan, and a commitment to regular reporting. These tools, when they are fully developed, will provide a record of progress towards reaching the federal targets.

VII. Expenditures

Amount of National funds disbursed by governments in low and middle income countries

2004-05 figures (in millions of dollars)

Canadian International Development Agency  ($45.6 million through bilateral channels, $25 million through partnership channels, $163.5 million through multilateral channels, including the Global Fund to Fight AIDS, Tuberculosis and Malaria), WHO 3x5, and UNAIDS.

$234.10

Amount of national funds spent by governments on HIV/AIDS on domestic initiatives 

In May 2004, the Government of Canada announced that federal funding for the domestic response to HIV/AIDS would increase from $42.2 million per annum to $84.4 million by 2008-09.

Between April 2004 and March 2005, the first year of the Federal Initiative, the following national funds were spent on HIV/AIDS in Canada through the Public Health Agency of Canada, Health Canada, Canadian Institutes of Health Research, and Correctional Service Canada.

2004-05 Federal Initiative on HIV/AIDS funding (in millions of dollars)

Programme and Policy Intervention	$23.0
Knowledge Development	$16.7
Communications and Social Marketing	$1.3
Coordination, Planning, Reporting and Evaluation	$5.6
Global Engagement	$0.6
Total	$47.2

Other Federal Funds

• First Nations Inuit Health Branch, Health Canada $2.59 million

•  The Canadian Institutes of Health Research (CIHR) contributed an additional $ 8.45 million to HIV/AIDS research in 2004-05⁴.

• Correctional Service Canada invests $13 million annually from its own budget in infectious disease management - including HIV/AIDS care, treatment and support - in the correctional environment. In addition, Correctional Service Canada allocates $7.8 million to its National Methadone Maintenance Programme.

Provincial and Territorial Funding

Provinces and territories in Canada are responsible for the delivery of health care and pay the costs of medical services and medications, including antiretroviral drugs, for those living with HIV/AIDS⁵. In addition several provinces - British Columbia, Alberta, Saskatchewan, Ontario and Quebec - have separate funding for community groups engaged in HIV/AIDS initiatives.

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4. In addition to this contribution, CIHR also contributed $6.76 million to indirect HIV/AIDS research funding for projects where there is an HIV/AIDS component of less than 50%.
5. In some provinces, the payment of antiretrovirals is only for those on income support, other provinces pay the cost of antiretrovirals for anyone who is HIV positive, regardless of income.

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