Government of Canada's International Role in HIV/AIDS In the fight against HIV/AIDS, Canada works with partners at all levels from international agencies and governments of developing countries to community-based groups and the private sector to people living with, or affected by, the disease. Canada's approach to the pandemic is based on respecting human rights, promoting gender equality, fighting stigma and discrimination, developing sound public health evidence to identify the most appropriate actions, and strengthening health systems so they can provide better access to medicines. In the fight against HIV/AIDS, Canada works with partners at all levels from international agencies and developing-country governments...to community-based groups and the private sector...to people living with, or affected, by the disease. In keeping with the Millennium Development Goals, Canada supports universal access to prevention, treatment, care and support so that the spread of HIV/AIDS can be halted, and ultimately, reversed by 2015. Political leadership At the June 2006 High Level Meeting on HIV/AIDS in New York, Canada, along with other member states of the United Nations General Assembly adopted a political declaration which both reaffirmed the 2001 Declaration of Commitment on HIV/AIDS and committed to renewed efforts in the global fight against HIV/AIDS, including moving towards the goal of universal access to comprehensive prevention, treatment, care and support by 2010. Canada became the first country to implement the 2003 World Trade Organization Agreement on Trade-Related Aspects of Intellectual Property Rights and Public Health. This legislation allows for developing countries with insufficient or no manufacturing capacity to import cheaper generic versions of patent-protected medicines from Canada through compulsory licensing. Canada helped draft the Convention on the Rights of the Child (CRC). It encourages countries to ratify this agreement, as well as the Convention on the Elimination of all Forms of Discrimination Against Women. These Conventions recognize that children and women may need special attention to overcome discrimination that undermines their human rights. Canada co-hosted both the World Summit for Children in 1990 and the first major international conference on war-affected children in 2000. It also promoted the optional protocol to the CRC on the involvement of children in armed conflicts. At the UN Special Session on Children, Canada successfully negotiated text on issues such as war-affected children, Aboriginal children, and child participation. Canada encourages partner countries to fully implement the CRC, especially in relation to HIV/AIDS. Canada provides support in developing countries for policy dialogue; training and quality assurance programs for HIV clinical laboratory testing; epidemiology, surveillance and modeling; and sharing lessons learned. Financial Commitment Since 2000, Canada has committed more than $800 million to fight HIV/AIDS, including the following initiatives: The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) Canada is the seventh largest donor, having recently approved $250 million for the GFATM. This brings Canada's total contribution to $550 million, of which 60 per cent goes to combating HIV/AIDS. World Health Organization's 3 by 5 Initiative $100 million to help 3 million people in developing countries access HIV treatment by December 2005; Canada was one of the first and largest donors. While the target was not fully met, the progress gave much-needed momentum as the global community now works towards universal access. Gender Equality and HIV/AIDS $67.4 million to the United Nations Population Fund, including $58.4 million for the area of sexual and reproductive health, and HIV/AIDS among women and girls. The remaining $9 million will help improve the distribution of supplies for reproductive health. Vaccines and Microbicides $62 million to the International AIDS Vaccine Initiative since 2000. $5 million to the African AIDS Vaccine Programme (2003-2007) to strengthen institutional performance and accountability for trials of potential vaccines specific to Africa. $15 million to the International Partnership for Microbicides (20042007) to research and develop innovative approaches that protect women and girls from HIV with measures they themselves can control. $3 million through the Global Health Research Initiative to support Canadian and African research capacity partnerships in HIV prevention. In addition, Canada is also supporting the following initiatives: Health systems $450 million over the next decade to support country-led efforts to strengthen health systems, improve health outcomes and make progress towards the Millennium Development Goals in Africa. This new 10-year funding will also help to reinforce other Canadian commitments to address disease-specific health challenges in Africa such as HIV/AIDS. Through the Global Engagement Component of the Federal Initiative to Address HIV/AIDS in Canada, policy and technical expertise is provided to build capacity in developing country health sector responses including through the hosting of policy dialogues, the provision of training and quality assurance programs for HIV clinical laboratory testing, assistance with epidemiology, surveillance and modeling, and the sharing of lessons learned in the management of national AIDS strategies. Funding is available for activities that will increase Canada's contribution of programmatic and policy expertise to the global response to HIV/AIDS and promote learning between the domestic and global responses to HIV/AIDS.