misconceptions that could affect ongoingsupport for HIV programs. For example, about81% of Canadians surveyed think the treatmentsavailable now are effective, and 17% believethat if people with HIV are treated early thedisease can be cured – which is, of course, nottrue. 44 Youth tend to have these same misconceptions,45 which are often reinforced by thelack of media coverage of HIV issues and byinaccurate media reports.To achieve our goals, we must correct thesemisconceptions and maintain or increasecurrent high levels of awareness of HIV/AIDSamong the general public – including youngpeople – and among community and politicalleaders. We need the support of the generalpublic to ensure ongoing government supportas well as private donations for HIV programsand services.The level of government support can bemeasured in terms of leadership (e.g., speakingout on HIV issues, convening national fora onHIV/AIDS and funding HIV/AIDS programsand services at home and abroad). Over thepast 10 years, Canadian governments havespent less per capita on HIV than otherdeveloped countries that have achievedlower rates of HIV infection (e.g., the UnitedKingdom and Australia). Canadians generallysupport appropriate government spending onHIV, 46 and there is some political will to providefunding. For example, in June 2003, theStanding Committee on Health recommendedan increase to $100 million in funding for theCanadian Strategy on HIV/AIDS, 47 and thefederal government has acted in part on thatrecommendation.Despite increases in government funding,HIV programs and services will always haveto compete with other health concerns forlimited resources. A paper commissioned bythe federal Ministerial Council on HIV/AIDSmakes a persuasive case for sustained governmentfunding for HIV, and this informationshould be used to continue to advocate foradequate funding. 48It is also important for players at all levels toengage the private sector and increase privatedonations for HIV/AIDS initiatives. For example,contributions to the British Columbia Personswith AIDS Society dropped 25% in each ofthe last two years. 49 In their efforts to solicitcharitable donations from the private sector,HIV/AIDS organizations are competing witha wide range of health and social causes. Tocompete effectively, they need clear, sustainedand consistent messages about the impact ofHIV on society and the benefits of investing inHIV programs and services.DESIRED OUTCOMESThe Canadian public will:• be aware of the impact of HIV in Canadaand the rest of the world• understand the factors that contribute tothe epidemic• support the need for programs and servicesto prevent HIV infection and to providecare, treatment and support to those affectedby the epidemic• receive consistent, comprehensive sexualhealth education, including educationabout HIV/AIDS, in school• be knowledgeable about STIs, includingHIV, how STIs are spread and how toprotect themselves• stop discrimination against/stigmatizationof people with HIV/AIDSPolitical leaders in Canada will:• be aware of the impact of HIV in Canadaand the rest of the world• understand the factors that contribute tothe epidemic• support a comprehensive approach tostopping the epidemic, including providingadequate sustained funding, recognizingand addressing the impact of social determinantsof health and developing supportivelaws and policies across departments andbranches of government.44EKOS Research Associates. HIV/AIDS – An Attitudinal Survey. March 2003.45Council of Ministers of Education, Canada. Canadian Youth, Sexual Health and HIV/AIDS Study: Factors influencing knowledge,attitudes and behaviours. 2003.46EKOS Research Associates. HIV/AIDS – An Attitudinal Survey. March 2003.47Standing Committee on Health. Strengthening the Canadian Strategy on HIV/AIDS. June 2003.24.48Martin Spigelman Research Associates and The Project Group. Taking Stock: Assessing the Adequacy of the Government of Canada Investmentin the Canadian Strategy on HIV/AIDS. January 2001.49Vancouver Sun. September 2004.
• speak out in public about HIV/AIDS andCanada’s commitment to a stepped-upresponseIn addition,• per capita spending on HIV in Canada willbe comparable to that of other developedcountries that have achieved lower rates ofHIV infection (e.g., United Kingdom,Australia)• the business sector will provide more leadershipand support in the fight against HIV• PHAs will be more visible leading the callfor action in Canada and around the worldTARGETSAwareness• Between 2004 and 2010, public awarenessof the impact of HIV in Canada and globallyremains at 90% or higher.• By 2010, the proportion of the Canadianpublic who have misconceptions aboutHIV/AIDS drops by 50%.• Between 2004 and 2010, media coverage ofHIV/AIDS issues increases and is accurateand positive.• By 2010, the proportion of Canadian youthwho can accurately answer questions abouthow HIV is spread and how to preventtransmission will increase by 10% to 15%.• By 2010, sexual health education – includinginformation about HIV/AIDS – is part of allschool health curricula in Canada and isdelivered consistently.• By 2010, the number of times political leadersspeak out on HIV/AIDS issues increasessignificantly.• The prime minister of Canada opens the2006 International AIDS Conference inToronto.COMMITMENT TO SUSTAINED FUNDING• By 2007, all jurisdictions should haveadopted a strategic approach or analyzedtheir position in moving forward with thisseries of actions.• Between 2005 and 2010, public support forgovernment funding of HIV programsremains at 90% or higher.• Federal government funding reaches thelevel proposed by the House of CommonsStanding Committee on Health ($100 million)as soon as possible.• By 2008, provincial/territorial governmentshave increased their budgets and/or haveallocated dedicated funds for HIV/AIDSbeyond the cost of providing care and treatment(e.g., physician and hospital services).• By 2010, private donations to HIV/AIDSrelatedcauses have increased significantly.• By 2010, the business sector provides morefinancial support and is actively engaged insponsorships and other HIV/AIDS activitiesat home and globally.ACTIONSAwareness1.1 Identify high-profile leaders at all levels –among people living with HIV, communitiesat risk, local communities and municipal,provincial, territorial and federal governments– who will speak out and raise publicawareness of HIV/AIDS and its impact.1.2 Develop ongoing communication strategiesand key messages for the public, politicalleaders and the media about the impact ofHIV, the continuing epidemic in Canadaand globally and the need for ongoingsupport and funding.1.3 Ensure that sexual health education,including education on HIV/AIDS, is amandatory part of all school curricula andis delivered in all schools.1.4 Make more effective, strategic use of themedia – nationally, provincially, territoriallyand locally – to raise awareness and correctmisconceptions about HIV/AIDS.1.5 Capitalize on the 2006 InternationalAIDS Conference, being held in Toronto,to increase media coverage and public andpolitical awareness of, and commitment to,stopping the spread of HIV.1.6 Develop the capacity – nationally, provincially,territorially and locally – to respondimmediately to any negative or inaccurateinformation about HIV/AIDS, people livingwith or vulnerable to HIV and/or factorsthat affect their health.<strong>leadingtogether</strong>25.