Can we eliminate hepatitis C?: A summary of the Pan-Canadian framework on sexually-transmitted and blood-borne infections

Sexually-transmitted and blood-borne infections (STBBI) remain a significant health concern in Canada and around the world. To guide Canada’s efforts to reduce the health impact of STBBI and to contribute to global efforts, a Pan-Canadian framework was developed and has been endorsed by federal, provincial and territorial ministers of health. The framework sets out an overarching and comprehensive approach to address STBBI. It has an integrated approach given the shared common risk factors, transmission routes, and affected populations. The framework establishes a vision for Canada where STBBI are rare and people living with STBBI receive the care and support they need. The success of the framework will be measured against the global STBBI targets and progress towards these strategic goals: reduce the incidence of STBBI in Canada; improve access to testing, treatment, and ongoing care and support; and reduce stigma and discrimination that create vulnerabilities to STBBI. The framework is composed of four interconnected pillars that span the continuum of STBBI care: prevention, testing, initiating care and treatment, and ongoing care and support. The framework recognizes that the creation of an enabling environment that includes interrelated legal, social, cultural, physical, and structural conditions supports successful STBBI programs, policies and actions. Through this framework, Canada is unifying and communicating a common approach to addressing STBBI while respecting the flexibility required by jurisdictions and sectors to address different needs and priorities. As outlined in the Pan-Canadian framework, federal, provincial, and territorial governments will develop indicators and targets for Canada that will permit them to measure Canada’s progress and guide their respective priorities for all pillars of the framework