Blank OCHART 2019/20

1 - Agency profile
Note: This section only needs completed in H2 reporting period.

Organization Profile

Name of organization

No Response

Street address

No Response

Mailing address (if different than street address above)

No Response

If your organization has a general e-mail, please state it here (ex: info@agency.ca)

No Response

Please provide the e-mail of the person you like to receive all OCHART notices regarding training, changes and reminders.

No Response

Sites where services were delivered

	Site Address	Site Name
Main Site
Satellite 1
Satellite 2
Satellite 3
Satellite 4

Organizational Structure

Type of organization

No Response

Local Health Integration Network (LHIN)

☐ Erie St. Clair
☐ South West
☐ Waterloo Wellington
☐ Hamilton Niagara Haldimand Brant
☐ Central West
☐ Mississauga Halton
☐ Toronto Central
☐ Central
☐ Central East
☐ South East
☐ Champlain
☐ North Simcoe Muskoka
☐ North East
☐ North West

Secondary Local Health Integration Network (LHIN)

☐ Erie St. Clair
☐ South West
☐ Waterloo Wellington
☐ Hamilton Niagara Haldimand Brant
☐ Central West
☐ Mississauga Halton
☐ Toronto Central
☐ Central
☐ Central East
☐ South East
☐ Champlain
☐ North Simcoe Muskoka
☐ North East
☐ North West

Year of incorporation

No Response

Organizational Governance

2. If your program is an HIV project/program that is required (as a condition of funding) to have its own governance, how is the project/program directed?

☐ Board of directors
☐ Advisory committee (e.g., City council, Board of Health, Chief and Council)
☐ Other

3. Does your organization have these policies?

	Yes/No	Updated this fiscal year
Governance/board of directors roles and responsibilities
HR/operating policies
Target population/PHA involvement
Equity/discrimination

4. Date of last Annual General Meeting (AGM)

No Response

5. Collective agreement

Does your agency have a collective bargaining agreement?

No Response

6a. AIDS Bureau funding

	Last fiscal year	Current fiscal year
Total AIDS Bureau funding	0	0

6b. Other funding sources

	Last fiscal year	Current fiscal year
Provincial funding
Other MOHMOHLTC	0	0
Other provincial ministries	0	0
Federal funding
ACAP/PHAC	0	0
Other federal government	0	0
Municipal funding
Municipal/regional health authority	0	0
Other funding
United Way	0	0
Trillium	0	0
Other charitable foundations, private sector	0	0
Fundraising	0	0
Other	0	0

6c. If your organization receives in-kind contributions, please check all that apply.

	Yes
Administrative (includes printing, website hosting, internet)	No
Fundraising activities (includes merchandise)	No
Medical, food and personal care items (e.g., clothing, toiletries, vitamins, meal replacement drinks)	No
Program materials (includes risk/harm reduction supplies)	No
Rent/space	No
Staff services (in-kind staff)	No
Transportation (includes tickets, tokens, driving expenses)	No
Other	No

7. Confirmation

No

2 - Program and project information

Staff Information

1. Indicate the total number of staff positions who do HIV/AIDS-related and HCV-related work in your organization.

	AIDS Bureau funded staff	Hepatitis C funded staff	Other funded staff	Total
Number of full-time staff	0	0	0	0
Number of part-time staff	0	0	0	0
Total number of staff	0	0	0	0

1b. Primary contact information

	Position	Salutation	Name	Phone	Ext	Fax	Email
Executive director (or equivalent)
Chair(s) of Board of directors (or equivalent)
Finance contact
Program manager/director

Staff Funding & Staff List

2. Provide the funding source, position category and contact information for all AIDS Bureau and HCV funded staff positions.

Funding source	Position category	End reason
AIDS Bureau funding (overarching)	ED/manager	Contract
IDU outreach program	Administration/finance/IT	Resignation
Gay men's strategy worker	Support/client care	Termination
African & Caribbean strategy worker	IDU/harm reduction
Women and HIV/AIDS Initiative (WHAI) worker	Volunteers/fundraising
Anonymous testing sites	Prevention/education/community development
HIV clinical services	Other
Hepatitis C Secretariat

2b. For all staff who are currently on-leave or were on-leave at some point during the past six months, please indicate start date of leave, end date of leave or leave on-ongoing (where end date is unknown).

Name	Start date of leave	End date of leave	Leave on-going (no end date is known)

Human Resource Issues

3. Indicate staff issues identified in the past 6 months.

	Scope	Comment Optional
Recruitment	Agency-wide issue
Collective bargaining	Program/project issue
Compensation	Both
Staff turn-over	n/a

4. In the past six months, have there been any changes/shifts in HR issues?

No Response

5. Do you anticipate any staff changes in the next six months?

No Response

Peer and volunteer information

6a. Report the total number of volunteers who were active in the past 6 months.

No Response

6b. Report the total number of new volunteers recruited in the past 6 months.

No Response

6c. Report the total number of peers that were actively involved in your agency in the past 6 months as:

	PHA peers
Designated peer positions (these are paid positions, being a peer is a job requirement for this position)	0
Peer volunteers	0

6d. Report the total number of students (i.e., student placements) who were actively involved with your agency in the past 6 months.

No Response

6e. Volunteer activities

	Number of volunteers	Number of hours
Administration	0	0
Counselling	0	0
Education and community development (includes newsletter, condom stuffing)	0	0
Fundraising	0	0
Involved in hiring process	0	0
IT support	0	0
Outreach activities	0	0
Policies and procedures	0	0
Practical support (includes visits)	0	0
Serve on board/advisory committee	0	0
Special events (e.g., mall display, Pride)	0	0

6e. Volunteer training

	Training provided
Administration	My Agency
Counselling	Other agency
Education and community development (includes newsletter, condom stuffing)	Both
Fundraising	n/a
Involved in hiring process
IT support
Outreach activities
Policies and procedures
Practical support (includes visits)
Serve on board/advisory committee
Special events (e.g., mall display, Pride)

6f. Have you identified any shifts or changes in demand for volunteer activities/services in the past 6 months? (e.g., client age or gender, type of service requested/provided)

No Response

Organizational funding

7d. Comments (optional)

No Response

3 - Prevention activities for service users

Prevention Activities and Priorities

1. List your agency’s prevention priorities for the past 6 months, in particular those targeting priority populations.

No Response

2. Describe any new prevention activities your agency offered in the past 6 months that were targeted to specific groups within a priority population.

No Response

Prevention Activities Targeted to People Living with HIV

4a. Report prevention activities you delivered to people living with HIV in the past 6 months.

	Number of events	Number of contacts
Education presentations/workshops	0	0
Structured interventions/workshop series	0	0
One-on-one education activities	0	0
Significant outreach contacts	0	0
Brief outreach contacts	0	0

Report the total number of education presentations and workshops/interventions delivered to people living with HIV in the past 6 months:

	ACCHO	GMSH	WHAI
Activities linked to a PPN campaign	0	0	0
PPN materials used	0	0	0

Prevention Activities Targeted to Gay, Bisexual, and other Men who have Sex with Men

4b. Report prevention activities you delivered to gay/bisexual/MSM in the past 6 months.

	Number of events	Number of contacts
Education presentations/workshops	0	0
Structured interventions/workshop series	0	0
One-on-one education activities	0	0
Significant outreach contacts	0	0
Brief outreach contacts	0	0

Out of all prevention activities you delivered to gay/bisexual/MSM in the past 6 months, report activities delivered specifically to trans men.

	Number of events	Number of contacts
Education presentations/workshops	0	0
Structured interventions/workshop series	0	0
One-on-one education activities	0	0
Significant outreach contacts	0	0
Brief outreach contacts	0	0

Report the total number of education presentations and workshops/interventions delivered to gay/bisexual/MSM in the past 6 months:

	ACCHO	GMSH	WHAI
Activities linked to a PPN campaign	0	0	0
PPN materials used	0	0	0

Prevention Activities Targeted to Indigenous Peoples

4c. Report prevention activities you delivered to Indigenous Peoples in the past 6 months.

	Number of events	Number of contacts
Education presentations/workshops	0	0
Structured interventions/workshop series	0	0
One-on-one education activities	0	0
Significant outreach contacts	0	0
Brief outreach contacts	0	0

Report the total number of education presentations and workshops/interventions delivered to Indigenous Peoples in the past 6 months:

	ACCHO	GMSH	WHAI
Activities linked to a PPN campaign	0	0	0
PPN materials used	0	0	0

Prevention Activities Targeted to People who use drugs

4d. Report prevention activities you delivered to people who use drugs in the past 6 months.

	Number of events	Number of contacts
Education presentations/workshops	0	0
Structured interventions/workshop series	0	0
One-on-one education activities	0	0
Significant outreach contacts	0	0
Brief outreach contacts	0	0

Report the total number of education presentations and workshops/interventions delivered to people who use drugs in the past 6 months:

	ACCHO	GMSH	WHAI
Activities linked to a PPN campaign	0	0	0
PPN materials used	0	0	0

Prevention Activities Targeted to At-risk Women

4e. Report prevention activities you delivered to at-risk women in the past 6 months.

	Number of events	Number of contacts
Education presentations/workshops	0	0
Structured interventions/workshop series	0	0
One-on-one education activities	0	0
Significant outreach contacts	0	0
Brief outreach contacts	0	0

Out of all prevention activities you delivered to at-risk women in the past 6 months, report activities delivered specifically to trans women.

	Number of events	Number of contacts
Education presentations/workshops	0	0
Structured interventions/workshop series	0	0
One-on-one education activities	0	0
Significant outreach contacts	0	0
Brief outreach contacts	0	0

Report the total number of education presentations and workshops/interventions delivered to at-risk women in the past 6 months:

	ACCHO	GMSH	WHAI
Activities linked to a PPN campaign	0	0	0
PPN materials used	0	0	0

Prevention Activities Targeted to African, Caribbean and Black Communities

4f. Report prevention activities you delivered to African, Caribbean and Black (ACB) communities in the past 6 months.

	Number of events	Number of contacts
Education presentations/workshops	0	0
Structured interventions/workshop series	0	0
One-on-one education activities	0	0
Significant outreach contacts	0	0
Brief outreach contacts	0	0

Report the total number of education presentations and workshops/interventions delivered to African, Caribbean and Black (ACB) communities in the past 6 months:

	ACCHO	GMSH	WHAI
Activities linked to a PPN campaign	0	0	0
PPN materials used	0	0	0

Prevention Actitivites Targeted to Other at-risk Populations

4g. Report prevention activities you delivered to other at-risk populations in the past 6 months.

	Incarcerated people - Number of events	Incarcerated people - Number of contacts	Sex workers - Number of events	Sex workers - Number of contacts	Other - Number of events	Other - Number of contacts
Education presentations/workshops	0	0	0	0	0	0
Structured interventions/workshop series	0	0	0	0	0	0
One-on-one education activities	0	0	0	0	0	0
Significant outreach contacts	0	0	0	0	0	0
Brief outreach contacts	0	0	0	0	0	0

Media and Online Outreach

5. Report your traditional media and online outreach with all service users in the past 6 months.

Media engagement	#
Agency website (views)	0
Facebook Posts (likes)	0
Facebook Page (likes)	0
Twitter (followers)	0
Traditional media (interactions)	0

Structured Interventions

6a. Report all structured interventions that your agency delivered in the past six months.

Population targeted	Intervention title	Intervention goal	Number of people who completed intervention
PHA		Goal 1
ACB communities		Goal 2
Gay/bisexual/MSM		Goal 3
Indigenous Peoples		Goal 4
People who use drugs
At-risk women
Other: Incarcerated people
Other: Sex workers
Other at risk

Awareness Campaigns

6b. Report the awareness campaigns your agency delivered in the past six months.

If this activity is linked to a specific Priority Population Network campaign, which network developed it?	Main priority populations targeted	Main goal(s) of the campaign	Campaign components
WHAI	PHA	Goal 1	Online media
ACCHO	ACB communities	Goal 2	Traditional media
GMSH	Gay/bisexual/MSM	Goal 3	Visual/promotional materials

	Indigenous Peoples	Goal 4	Face-to-face interactions
	People who use drugs	Goal 5	Other
	At-risk women
	Other: Incarcerated people
	Other: Sex workers
	Other at risk

Materials Developed

7. Report the number of new information/education materials developed by your agency for service users in the past 6 months.

Population targeted	Purpose of material	Type of material
PHA	Health promotion	Online material
ACB communities	HIV prevention and sexual health	Printed material
Gay/bisexual/MSM	HIV testing
Indigenous Peoples	HIV treatment
People who use drugs	HIV support
At-risk women	Social determinants of health
Other: Incarcerated people
Other: Sex workers
Other at risk

Safer Sex Materials

8. Report the number of safer sex materials distributed in the past 6 months.

Type of material	Number distributed	Other distributed
Dental dams	0	0
Traditional condoms (male)	0	0
Insertive condoms (female)	0	0
Lubricant	0	0

Prevention Activities by Staff Role

9. Report the number of prevention work with service users delivered by each of the following types of staff members in the past 6 months.

Staff type	Number
ACB PPN funded worker	0
GMSH PPN funded worker	0
WHAI PPN funded worker	0
Education/Outreach/Community development/Prevention worker	0
Harm reduction outreach worker	0
Support worker	0
Manager/Director	0
Executive director	0
Other worker	0

Peer Involvement

9a. Report the number of prevention work activities where peers representing priority populations were involved.

Priority population peers represented	Education presentations/workshops	Structured interventions	One-on-One education	Outreach
PHA	0	0	0	0
ACB communities	0	0	0	0
Gay/bisexual/MSM	0	0	0	0
People who use drugs	0	0	0	0
Indigenous Peoples	0	0	0	0
At-risk women	0	0	0	0
Incarcerated people	0	0	0	0
Sex workers	0	0	0	0

Supporting Goals

10a. Provide an example(s) of how a prevention activity(s) that has been completed in the past 6 months has supported the goal of improving the health and well-being of populations most affected by HIV?

No Response

How may prevention activities were delivered that supported the goal of improving the health and well-being of populations most affected by HIV?

Education presentations/workshops	0
Structured interventions	0
One-on-one education	0
Significant outreach contacts	0
Brief outreach contacts	0

Goal: Promoting Sexual Health and Preventing New HIV, STI and Hepatitis C Infections

10b. Provide an example(s) of how a prevention activity(s) that has been completed in the past 6 months has supported the goal of promoting sexual health and preventing new HIV, STI and Hepatitis C infections?

No Response

How many prevention activities were delivered that supported the goal of promoting sexual health and preventing new HIV, STI and Hepatitis C infections?

Education presentations/workshops	0
Structured interventions	0
One-on-one education	0
Significant outreach contacts	0
Brief outreach contacts	0

Goal: Diagnosing HIV infections Early and Engaging People in Timely Care

10c. Provide an example(s) of how a prevention activity(s) that has been completed in the past 6 months has supported the goal of diagnosing HIV infections early and engaging people in timely care?

No Response

How many prevention activities were delivered that supported the goal of diagnosing HIV infections early and engaging people in timely care?

Education presentations/workshops	0
Structured interventions	0
One-on-one education	0
Significant outreach contacts	0
Brief outreach contacts	0

Goal: Improving the Health, Longevity and Quality of life for People living with HIV

10d. Provide an example(s) of how a prevention activity(s) that has been completed in the past 6 months has supported the goal of improving the health, longevity and quality of life for people living with HIV?

No Response

How many prevention activities were delivered that supported the goal of improving the health, longevity and quality of life for people living with HIV?

Education presentations/workshops	0
Structured interventions	0
One-on-one education	0
Significant outreach contacts	0
Brief outreach contacts	0

11. Report any trends/shifts in education and outreach services you delivered to service users in the past 6 months.

No Response

4 - Education for service providers and community development

Education for Service Providers & New Partnerships

1. List the priorities of your agency’s plan, in the past 6 months, to educate service providers that work with Ontario's HIV priority populations.

No Response

2. List key new partnerships developed in the past 6 months and describe how they have strengthened your community development work.

No Response

Education Activities Delivered to Service Providers

3a. Report the education activities targeted to service providers delivered in the past 6 months.

Population discussed	Information sessions Number of events	Information sessions Number of contacts	Capacity building workshops Number of events	Capacity building workshops Number of contacts	Consultations Number of events	Consultations Number of contacts
PHA	0	0	0	0	0	0
ACB communities	0	0	0	0	0	0
Gay/bisexual/MSM	0	0	0	0	0	0
Indigenous Peoples	0	0	0	0	0	0
People who use drugs	0	0	0	0	0	0
At-risk women	0	0	0	0	0	0
Incarcerated people	0	0	0	0	0	0
Sex workers	0	0	0	0	0	0
Other	0	0	0	0	0	0

Activities Linked to PPN Campaigns

3b. Report the total number of education presentations and workshops delivered for service providers in the past 6 months:

	ACCHO	GMSH	WHAI
Activity linked to a PPN campaign	0	0	0
PPN materials used	0	0	0

Community Development Meetings

4a. Report the number of community development meetings by purpose that your agency participated in during the past 6 months.

Meeting purpose
Advisory/board meeting	0
Coalition/network meeting	0
Community event planning	0
Development of education prevention materials	0
General information sharing	0
Improved service delivery	0
New partnership/relationship building	0
Policy development	0
Strategic planning	0

Total

0

Partners at Community Development Meetings

4b. Report the number of times each partner type was represented at community development meetings that your agency participated in during the past 6 months, and the total number of participants from each partner type.

Type of partner	Number of agencies	Number of participants
Clinical services: HIV specific care	0	0
Mental health services provider	0	0
Clinical services: non-HIV specific care	0	0
HIV testing site	0	0
Community based HIV service providers	0	0
Other community based service providers	0	0
Addiction service provider	0	0
Harm reduction service provider	0	0

Community Development Meetings where Priority Populations were Discussed

4c. Report the number of community development meetings that you entered in question 4a where you discussed each of Ontario's HIV priority populations.

Meeting purpose	PHA	ACB communities	Gay/bisexual/MSM	Indigenous Peoples	People who use drugs	At-risk women	Incarcerated people	Sex workers
Advisory/board meeting	0	0	0	0	0	0	0	0
Coalition/network meeting	0	0	0	0	0	0	0	0
Community event planning	0	0	0	0	0	0	0	0
Development of education prevention materials	0	0	0	0	0	0	0	0
General information sharing	0	0	0	0	0	0	0	0
Improved service delivery	0	0	0	0	0	0	0	0
New partnership/relationship building	0	0	0	0	0	0	0	0
Policy development	0	0	0	0	0	0	0	0
Strategic planning	0	0	0	0	0	0	0	0
Totals	0	0	0	0	0	0	0	0

Issues Discussed at Community Development Meetings

4d. Report the number of community development meetings that you entered in question 4a where you discussed the issues listed below, as they relate to the needs of service users.

Meeting purpose	Safety concerns	Living with HIV	Housing	Food security	Well-being	Income and benefits	Education/ employment	Social support	Legal/ immigration	Risk of HIV
Advisory/board meeting	0	0	0	0	0	0	0	0	0	0
Coalition/network meeting	0	0	0	0	0	0	0	0	0	0
Community event planning	0	0	0	0	0	0	0	0	0	0
Development of education prevention materials	0	0	0	0	0	0	0	0	0	0
General information sharing	0	0	0	0	0	0	0	0	0	0
Improved service delivery	0	0	0	0	0	0	0	0	0	0
New partnership/relationship building	0	0	0	0	0	0	0	0	0	0
Policy development	0	0	0	0	0	0	0	0	0	0
Strategic planning	0	0	0	0	0	0	0	0	0	0
Totals	0	0	0	0	0	0	0	0	0	0

Partner Type

4e. Report the number of community development meetings that you entered in question 4a by the type of partner agencies you met with.

Meeting purpose	Clinical services: HIV specific care	Mental health services provider	Clinical services: non-HIV specific care	HIV testing site	Community based HIV service providers	Other community based service providers	Addiction service provider	Harm reduction service provider
Advisory/board meeting	0	0	0	0	0	0	0	0
Coalition/network meeting	0	0	0	0	0	0	0	0
Community event planning	0	0	0	0	0	0	0	0
Development of education prevention materials	0	0	0	0	0	0	0	0
General information sharing	0	0	0	0	0	0	0	0
Improved service delivery	0	0	0	0	0	0	0	0
New partnership/relationship building	0	0	0	0	0	0	0	0
Policy development	0	0	0	0	0	0	0	0
Strategic planning	0	0	0	0	0	0	0	0
Totals	0	0	0	0	0	0	0	0

Events Organized

5. Report conferences and events that you organized.

Organized/co-organized	Main priority populations discussed	Main goal of the campaign	Activity type
Organized	PHA	Goal 1	Conference
Co-organized	ACB communities	Goal 2	Community/townhall meeting
	Gay/bisexual/MSM	Goal 3

	Indigenous Peoples	Goal 4
	People who use drugs	Goal 5
	At-risk women
	Other: Incarcerated people
	Other: Sex workers
	Other at risk

Materials Developed

6. Report the number of new informational materials for service providers that you developed in the past 6 months.

Main population discussed	Purpose of material	Type of material
PHA	Health promotion	Online material
ACB communities	HIV prevention and sexual health	Printed material
Gay/bisexual/MSM	HIV testing
Indigenous Peoples	HIV treatment
People who use drugs	HIV support
At-risk women	Social determinants of health
Other: Incarcerated people
Other: Sex workers
Other at risk

Prevention Work Delivered by Staff

7. Report the prevention work with service providers and community development work delivered by each of the following types of staff members in the past six months.

Staff Category	Education for service providers	Community development
ACB PPN funded worker	0	0
GMSH PPN funded worker	0	0
WHAI PPN funded worker	0	0
Education/outreach/community development/prevention worker	0	0
Harm reduction outreach worker	0	0
Support worker	0	0
Manager/director	0	0
Executive director	0	0

Supporting Goals

8. What percentage of your education for service providers and community development work supports each of the following goals?

Goal	Education for service providers	Community development
Improve the health and well-being of populations most affected by HIV	0	0
Promote sexual health and prevent new HIV, STI and Hepatitis C infections	0	0
Diagnose HIV infections early and engage people in timely care	0	0
Improve the health, longevity and quality of life for people living with HIV	0	0
Ensure the quality, consistency and effectiveness of all provincially funded HIV programs and services	0	0

Examples of Activities that Support Goals

9a. Improve the health and well-being of populations most affected by HIV

No Response

9b. Promote sexual health and prevent new HIV, STI and hepatitis C infections

No Response

9c. Diagnose HIV infections early and engage people in timely care

No Response

9d. Improve the health, longevity and quality of life for people living with HIV

No Response

9e. Ensure the quality, consistency and effectiveness of all provincially funded HIV programs and services

No Response

10. Highlight some meaningful community development work you did in the past 6 months that you believe should be shared and replicated.

No Response

11. Report any trends/shifts in the community development work that you do.

No Response

5 - Support services

Total Support Service Clients by Client Group

1. Report the total number of clients served in the last 6 months (including all PHAs, affected, and at-risk clients).
Note: In H2 this question asks for the previous 12 months.

0

2. Report all clients served in the last 6 months by client group and sex/gender.
Note: In H2 this question asks for the previous 12 months.

	Male	Female	Trans man	Trans woman	Not listed
PHA	0	0	0	0	0
Affected
At-risk	0	0	0	0	0
Total	0	0	0	0	0

People Living with HIV Clients by Age and Sex/Gender

3a. Report the number of PHA clients served by age and sex/gender in last 6 months.
Note: In H2 this question asks for the previous 12 months.

Age Group	Male	Female	Trans man	Trans woman	Not listed
Under 18	0	0	0	0	0
18 - 25	0	0	0	0	0
26 - 35	0	0	0	0	0
36 - 45	0	0	0	0	0
46 - 55	0	0	0	0	0
56 - 65	0	0	0	0	0
66 - 75	0	0	0	0	0
Over 75	0	0	0	0	0
Unknown	0	0	0	0	0

Affected Clients by Age and Sex/Gender

3b. Report the number of AFFECTED clients served by age and sex/gender for the last 6 months.
Note: In H2 this question asks for the previous 12 months.

Age Group	Male	Female	Trans man	Trans woman	Not listed
Under 18	0	0	0	0	0
18 - 25	0	0	0	0	0
26 - 35	0	0	0	0	0
36 - 45	0	0	0	0	0
46 - 55	0	0	0	0	0
56 - 65	0	0	0	0	0
66 - 75	0	0	0	0	0
Over 75	0	0	0	0	0
Unknown	0	0	0	0	0

At-risk Clients by Age and Sex/Gender

3c. Report the number of AT-RISK clients served by age and sex/gender for the last 6 months.
Note: In H2 this question asks for the previous 12 months.

Age Group	Male	Female	Trans man	Trans woman	Not listed
Under 18	0	0	0	0	0
18 - 25	0	0	0	0	0
26 - 35	0	0	0	0	0
36 - 45	0	0	0	0	0
46 - 55	0	0	0	0	0
56 - 65	0	0	0	0	0
66 - 75	0	0	0	0	0
Over 75	0	0	0	0	0
Unknown	0	0	0	0	0

People Living with HIV Clients by Ethnicity and Sex/Gender

4a. Report the ethnicity of PHA clients by sex/gender for the last 6 months.
Note: In H2 this question asks for the previous 12 months.

Ethnicity	Male	Female	Trans man	Trans woman	Not listed
White	0	0	0	0	0
Black	0	0	0	0	0
Latin American	0	0	0	0	0
Southeast Asian	0	0	0	0	0
Arab/West Asian	0	0	0	0	0
South Asian	0	0	0	0	0
First Nations	0	0	0	0	0
Metis	0	0	0	0	0
Inuit	0	0	0	0	0
Not Listed	0	0	0	0	0
Unknown	0	0	0	0	0

Affected Clients by Ethnicity and Sex/Gender

4b. Report the ethnicity of AFFECTED clients by sex/gender for the last 6 months.
Note: In H2 this question asks for the previous 12 months.

Ethnicity	Male	Female	Trans man	Trans woman	Not listed
White	0	0	0	0	0
Black	0	0	0	0	0
Latin American	0	0	0	0	0
Southeast Asian	0	0	0	0	0
Arab/West Asian	0	0	0	0	0
South Asian	0	0	0	0	0
First Nations	0	0	0	0	0
Metis	0	0	0	0	0
Inuit	0	0	0	0	0
Not Listed	0	0	0	0	0
Unknown	0	0	0	0	0

At-risk Clients by Ethnicity and Sex/Gender

4c. Report the ethnicity of AT-RISK clients by sex/gender for the last 6 months.
Note: In H2 this question asks for the previous 12 months.

Ethnicity	Male	Female	Trans man	Trans woman	Not listed
White	0	0	0	0	0
Black	0	0	0	0	0
Latin American	0	0	0	0	0
Southeast Asian	0	0	0	0	0
Arab/West Asian	0	0	0	0	0
South Asian	0	0	0	0	0
First Nations	0	0	0	0	0
Metis	0	0	0	0	0
Inuit	0	0	0	0	0
Not Listed	0	0	0	0	0
Unknown	0	0	0	0	0

People Living with HIV by Priority Population and Sex/Gender

5a. Report the number of PHA clients served by sex/gender that belong to each priority population for the last 6 months.
Note: In H2 this question asks for the previous 12 months.

Priority polulation	Male	Female	Trans man	Trans woman	Not listed
Gay/bisexual/MSM	0	0	0	0	0
ACB communities	0	0	0	0	0
People who use drugs	0	0	0	0	0
Indigenous Peoples	0	0	0	0	0
At-risk women	0	0	0	0	0
Other populations	0	0	0	0	0

Affected Clients by Priority Population and Sex/Gender

5b. Report the number of AFFECTED clients served by sex/gender that belong to each priority population for the last 6 months.
Note: In H2 this question asks for the previous 12 months.

Priority polulation	Male	Female	Trans man	Trans woman	Not listed
Gay/bisexual/MSM	0	0	0	0	0
ACB communities	0	0	0	0	0
People who use drugs	0	0	0	0	0
Indigenous Peoples	0	0	0	0	0
At-risk women	0	0	0	0	0
Other populations	0	0	0	0	0

At-risk Clients by Priority Population and Sex/Gender

5c. Report the number of AT-RISK clients served by sex/gender that belong to each priority population for the last 6 months.
Note: In H2 this question asks for the previous 12 months.

Priority polulation	Male	Female	Trans man	Trans woman	Not listed
Gay/bisexual/MSM	0	0	0	0	0
ACB communities	0	0	0	0	0
People who use drugs	0	0	0	0	0
Indigenous Peoples	0	0	0	0	0
At-risk women	0	0	0	0	0
Other populations	0	0	0	0	0

Clients Accessing Services by Client Group

6. Report the number of unique clients that accessed each type of service by client group and sex/gender in the past 6 months.
Note: In H2 this question asks for the previous 12 months.

Client group	Services provided	Male	Female	Trans man	Trans woman	Not listed
PHA	Bereavement services	0	0	0	0	0
Affected	Case management	0	0	0	0	0
At-risk	Clinical counselling	0	0	0	0	0
	Complementary therapies	0	0	0	0	0
	Employment services	0	0	0	0	0
	Financial counselling services	0	0	0	0	0
	Food programs	0	0	0	0	0
	General support	0	0	0	0	0
	Intake	0	0	0	0	0
	Managing HIV	0	0	0	0	0
	HIV Pre/Post-test counselling	0	0	0	0	0
	PA - Financial	0	0	0	0	0
	PA - Transportation	0	0	0	0	0
	PA - Other	0	0	0	0	0
	Service Coordination	0	0	0	0	0
	Settlement services	0	0	0	0	0
	Support groups	0	0	0	0	0
	Support within housing	0	0	0	0	0
	Traditional services	0	0	0	0	0

Support Service Sessions by Client Group

7. Report the number of sessions provided to clients in the past 6 months by client group and sex/gender.

Client group	Services provided	Male	Female	Trans man	Trans woman	Not listed
PHA	Bereavement services	0	0	0	0	0
Affected	Case management	0	0	0	0	0
At-risk	Clinical counselling	0	0	0	0	0
	Complementary therapies	0	0	0	0	0
	Employment services	0	0	0	0	0
	Financial counselling services	0	0	0	0	0
	Food programs	0	0	0	0	0
	General support	0	0	0	0	0
	Intake	0	0	0	0	0
	Managing HIV	0	0	0	0	0
	HIV Pre/Post-test counselling	0	0	0	0	0
	PA - Financial	0	0	0	0	0
	PA - Transportation	0	0	0	0	0
	PA - Other	0	0	0	0	0
	Service Coordination	0	0	0	0	0
	Settlement services	0	0	0	0	0
	Support groups	0	0	0	0	0
	Support within housing	0	0	0	0	0
	Traditional services	0	0	0	0	0

Support Service Referrals by Client Group

8. Report the number of referrals made to clients in the past 6 months by client group and sex/gender.

Client group	Referrals	Male	Female	Trans man	Trans woman	Not listed
PHA	Clinical service providers: HIV care	0	0	0	0	0
Affected	Clinical service providers: non-HIV specific	0	0	0	0	0
At-risk	Mental healh service providers	0	0	0	0	0
	HIV/STI testing	0	0	0	0	0
	Community based service providers: HIV care and support	0	0	0	0	0
	Other community based service providers	0	0	0	0	0
	Addiction services	0	0	0	0	0
	Harm reduction services	0	0	0	0	0

Warm Referrals

8a. Highlight some meaningful warm referrals you made in the past 6 months that you believe support best practices.

No Response

8b. Tell us about any challenges or barriers you faced with referrals in the past 6 months.

No Response

Connection to Care

9. Record the number of PHA clients that report having a primary care physician.

No Response

10. Record the number of PHA clients that report having an HIV specialist.

No Response

11. How many clients have been reported as deceased this last reporting period?

No Response

New clients

12. Report the total number of new clients that you served in the last 6 months.

	Male	Female	Trans man	Trans woman	Not listed
PHA	0	0	0	0	0
Affected	0	0	0	0	0
At-risk	0	0	0	0	0
Total	0	0	0	0	0

Presenting Issues

13. Report the number of new clients by client group and sex/gender that presented with these issues in the last 6 months.

Client group	Presenting issues	Male	Female	Trans man	Trans woman	Not listed
PHA	Current safety concerns	0	0	0	0	0
Affected	Living with HIV	0	0	0	0	0
At-risk	Housing	0	0	0	0	0
	Food security	0	0	0	0	0
	Well-being	0	0	0	0	0
	Income and benefits	0	0	0	0	0
	Education/employment	0	0	0	0	0
	Social support	0	0	0	0	0
	Legal/immigration	0	0	0	0	0
	Risk of HIV/STIs	0	0	0	0	0

Length of HIV Diagnosis

14. Report the length of HIV diagnosis for your new PHA clients by sex/gender.

	Male	Female	Trans man	Trans woman	Not listed
Less than 1 year	0	0	0	0	0
1-5 years	0	0	0	0	0
6-10 years	0	0	0	0	0
11-15 years	0	0	0	0	0
Over 15 years	0	0	0	0	0
Unknown	0	0	0	0	0

New People Living with HIV Clients by Ethnicity

15a. Report the number of your NEW PHA clients by ethnicity and sex/gender.

Ethnicity	Male	Female	Trans man	Trans woman	Not listed
White	0	0	0	0	0
Black	0	0	0	0	0
Latin American	0	0	0	0	0
Southeast Asian	0	0	0	0	0
Arab/West Asian	0	0	0	0	0
South Asian	0	0	0	0	0
First Nations	0	0	0	0	0
Metis	0	0	0	0	0
Inuit	0	0	0	0	0
Not Listed	0	0	0	0	0
Unknown	0	0	0	0	0

New Affected Clients by Ethnicity

15b. Report the number of your NEW AFFECTED clients by ethnicity and sex/gender.

Ethnicity	Male	Female	Trans man	Trans woman	Not listed
White	0	0	0	0	0
Black	0	0	0	0	0
Latin American	0	0	0	0	0
Southeast Asian	0	0	0	0	0
Arab/West Asian	0	0	0	0	0
South Asian	0	0	0	0	0
First Nations	0	0	0	0	0
Metis	0	0	0	0	0
Inuit	0	0	0	0	0
Not Listed	0	0	0	0	0
Unknown	0	0	0	0	0

New At-risk Clients by Ethnicity

15c. Report the number of your NEW AT-RISK clients by ethnicity and sex/gender.

Ethnicity	Male	Female	Trans man	Trans woman	Not listed
White	0	0	0	0	0
Black	0	0	0	0	0
Latin American	0	0	0	0	0
Southeast Asian	0	0	0	0	0
Arab/West Asian	0	0	0	0	0
South Asian	0	0	0	0	0
First Nations	0	0	0	0	0
Metis	0	0	0	0	0
Inuit	0	0	0	0	0
Not Listed	0	0	0	0	0
Unknown	0	0	0	0	0

New People Living with HIV Clients by Priority Population

16a. Report the number of NEW PHA clients served by sex/gender that belong to each priority population.

Priority polulation	Male	Female	Trans man	Trans woman	Not listed
Gay/bisexual/MSM	0	0	0	0	0
ACB communities	0	0	0	0	0
People who use drugs	0	0	0	0	0
Indigenous Peoples	0	0	0	0	0
At-risk women	0	0	0	0	0
Other populations	0	0	0	0	0

New Affected Clients by Priority Population

16b. Report the number of NEW AFFECTED clients served by sex/gender that belong to each priority population.

Priority polulation	Male	Female	Trans man	Trans woman	Not listed
Gay/bisexual/MSM	0	0	0	0	0
ACB communities	0	0	0	0	0
People who use drugs	0	0	0	0	0
Indigenous Peoples	0	0	0	0	0
At-risk women	0	0	0	0	0
Other populations	0	0	0	0	0

New At-risk Clients by Priority Population

16c. Report the number of NEW AT-RISK clients served by sex/gender that belong to each priority population.

Priority polulation	Male	Female	Trans man	Trans woman	Not listed
Gay/bisexual/MSM	0	0	0	0	0
ACB communities	0	0	0	0	0
People who use drugs	0	0	0	0	0
Indigenous Peoples	0	0	0	0	0
At-risk women	0	0	0	0	0
Other populations	0	0	0	0	0

New People Living with HIV Clients by Age

17a. Report the number of NEW PHA clients by age and sex/gender.

Age Group	Male	Female	Trans man	Trans woman	Not listed
Under 18	0	0	0	0	0
18 - 25	0	0	0	0	0
26 - 35	0	0	0	0	0
36 - 45	0	0	0	0	0
46 - 55	0	0	0	0	0
56 - 65	0	0	0	0	0
66 - 75	0	0	0	0	0
Over 75	0	0	0	0	0
Unknown	0	0	0	0	0

New Affected Clients by Age

17b. Report the number of NEW AFFECTED clients by age and sex/gender.

Age Group	Male	Female	Trans man	Trans woman	Not listed
Under 18	0	0	0	0	0
18 - 25	0	0	0	0	0
26 - 35	0	0	0	0	0
36 - 45	0	0	0	0	0
46 - 55	0	0	0	0	0
56 - 65	0	0	0	0	0
66 - 75	0	0	0	0	0
Over 75	0	0	0	0	0
Unknown	0	0	0	0	0

New At-risk Clients by Age

17c. Report the number of NEW AT-RISK clients by age and sex/gender.

Age Group	Male	Female	Trans man	Trans woman	Not listed
Under 18	0	0	0	0	0
18 - 25	0	0	0	0	0
26 - 35	0	0	0	0	0
36 - 45	0	0	0	0	0
46 - 55	0	0	0	0	0
56 - 65	0	0	0	0	0
66 - 75	0	0	0	0	0
Over 75	0	0	0	0	0
Unknown	0	0	0	0	0

Top 5 Services for New Clients

18. Report the top 5 services that new clients accessed this past reporting period and the number of sessions provided.

	Services provided	Number of sessions
1st most frequently used service	See Section 5, Question 6 for a list of services	0
2nd most frequently used service		0
3rd most frequently used service		0
4th most frequently used service		0
5th most frequently used service		0

Narrative questions

19. Describe / share/ provide examples of new ways in which your support work has engaged or connected clients to HIV care and/or other care.?

No Response

20. Tell us about the activities you've undertaken in the past 6 months with your:

No Response

21. Describe / share/ provide examples of new ways in which your support work helped clients adhere to treatment in past 6 months.

No Response

22. Describe / share/ provide examples of ways the work of your agency improved the quality of life and health outcomes of clients.

No Response

23. Describe / share/ provide examples of the support work at your agency promotes sexual health and prevented new STI and HIV infections.

No Response

24. Please report any trends/shifts in clients accessing support services.

No Response

6 - Harm reduction outreach services

Total Number of Harm Reduction Clients

Our organization will not be reporting data in this Section.

No

I am not able to report unique clients, I am reporting client interactions.

No

1a. Report the total number of unique and new clients by sex/gender you had in the past 6 months.

	Male	Female	Trans man	Trans woman	Not listed
Unique clients	0	0	0	0	0
New clients	0	0	0	0	0

1b. Report the total number of peers by sex/gender that were active in your program in the past 6 months.

	Male	Female	Trans man	Trans woman	Not listed
Active peers	0	0	0	0	0

Services Delivered

2. Report the total number of times each service was delivered to clients by sex/gender in the past 6 months.

	Male	Female	Trans man	Trans woman	Not listed
1. Indigenous Peoples traditional services (e.g., traditional teachers, healers, Elders, etc)	0	0	0	0	0
2. Brief counselling (e.g., brief, focused, crisis intervention, ‘just listening’, or can include more formal counselling, can be done by phone/text/in-person, etc.)	0	0	0	0	0
3. Harm reduction teaching (e.g., informal verbal and/or written harm reduction information, how to use the equipment, health teaching, etc.)	0	0	0	0	0
4. Practical support (e.g., food, clothing, transit tickets, transportation to appointments/services, accompaniment to appointments, toiletries, help with identification documents, completing forms, etc.)	0	0	0	0	0

Client Interactions by Location

3. Report the total number of client interactions by sex/gender made at each location in the past 6 months.

	Male	Female	Trans man	Trans woman	Not listed
On-site location
Needle exchange/syringe program (e.g., at your agency or satellite location of the needle exchange/syringe program)	0	0	0	0	0
Outreach locations
Addiction programs (residential and day programs)	0	0	0	0	0
Bars/night clubs	0	0	0	0	0
Residences (e.g., client home, apartment/house, hotel/motel, friend’s place, place where client resides, etc.)	0	0	0	0	0
Community agencies/services (e.g., that are not fixed site needle exchange programs such as out of the cold programs, shelters, etc.)	0	0	0	0	0
Community public spaces (e.g., barbershop, hair dresser, bathhouse, massage parlours, etc.)	0	0	0	0	0
Jails/detention centres/prisons	0	0	0	0	0
Methadone maintenance/opioid agonist therapy clinics	0	0	0	0	0
Parties/raves	0	0	0	0	0
Pharmacies	0	0	0	0	0
Streets/parks	0	0	0	0	0
Mobile distribution from a van	0	0	0	0	0

Client Referrals

4. Report the number of referrals made to clients by sex/gender in the past 6 months.

	Male	Female	Trans man	Trans woman	Not listed
Addiction services (e.g., detox, drug treatment)	0	0	0	0	0
Harm reduction services	0	0	0	0	0
Clinical service providers (HIV care)	0	0	0	0	0
Clinical service providers (urgent care)	0	0	0	0	0
Clinical service providers (primary care)	0	0	0	0	0
Clinical service providers (other) (e.g., immunizations)	0	0	0	0	0
Mental health service providers (e.g., other counseling)	0	0	0	0	0
HIV/STI testing	0	0	0	0	0
Hep C teams	0	0	0	0	0
Hep C testing other (non-Hep C team)	0	0	0	0	0
Hep C treatment other (non-Hep C team)	0	0	0	0	0
Community-based HIV service providers	0	0	0	0	0
Other community-based service providers (e.g., faith-based services/spiritual support, social services, women-specific services, housing, etc.)	0	0	0	0	0

Community Clean-Ups and Activities Delivered to Support Peers

5. Report the number of community clean-ups you conducted in the past six months.

0

6. Indicate the activities that peers were involved in with your program during the past six months.

☐ Community clean-ups
☐ Kit making (safer injection or safer inhalation kits)
☐ Harm reduction equipment distribution
☐ Harm reduction teaching (e.g., informal verbal and/or written harm reduction information, health teaching, etc.)
☐ Brief counselling (e.g., brief and focused, crisis intervention, 'just listening', or can include more formal counselling done by phone, text, in-person, etc.)
☐ Practical support (e.g., food, water, transit tickets, rides to appointments/services, accompany to appointments, help with getting ID and completing other forms, etc.)

7. Report the number of activities delivered held to support peers in the past 6 months

	Number of meetings	Number of peers that attended
Meetings for peers (includes debrief meetings after shift ends, monthly meetings, team and supervision meetings, etc.)	0	0
Education sessions for peers (includes trainings for peers)	0	0

Drugs of Choice

8. Drugs of choice

	Rank
Alcohol
Amphetamines
Anti-depressants
Benzodiazepines (e.g., Valium, Xanax, Ativan, etc.)
Cocaine
Crack
Party drugs (Ecstasy, MDMA, K, GHB, etc.)
Heroin (opioids)
Inhalants (solvents such as petrol, glue; aerosols such as spray paint, gases)
Marijuana (recreational use)
Marijuana (prescription/medical use)
Methamphetamine (e.g., crystal meth, ice, etc.)
Opioids: fentanyl (prescribed)
Opioids: fentanyl (bootleg)
Opioids: codeine
Opioids: hydrocodone
Opioids: hydromorphone (e.g., Dilaudid, etc.)
Opioids: methadone (prescribed)
Opioids: methadone (non-prescribed/diverted)
Opioids: suboxone (prescribed)
Opioids: suboxone (non-prescribed/diverted)
Opioids: morphine
Opioids: oxycodone
Steroids
Non-beverage alcohol (e.g., Listerine, other mouthwash, cooking wine, hand sanitizer)

Harm Reduction Supplies Delivered

9. Harm reduction supplies distributed

	Number distributed
Safer injection equipment
Cookers	0
Filters	0
Needles	0
Sharps containers	0
Alcohol swabs	0
Tourniquets/ties	0
Vitamin C/acidifiers	0
Water for injection	0
Safer Inhalation Equipment
Alcohol Swabs	0
Glass pipes/stems	0
Lip balm	0
Mouthpieces	0
Screens (single)	0
Wooden push sticks	0
Other Equipment
Crystal meth pipes	0
Straws	0
Foils (for smoking)	0
Safer Sex Supplies
Condoms	0
Lubricant	0
Dental dams	0

Shifts/Trends

10a. Shifts/trends

No Response

10b. Response to emerging trends

No Response

7 - Anonymous HIV testing (AT) sites

Anonymous HIV Tests, Confirmatory Tests, Declined and Incomplete Tests

1. Report the number of anonymous HIV tests performed during the reporting period.

Rapid tests

	Number of Tests
Total number of negative tests	0
Total number of reactive tests	0
Total anonymous tests	0

Of the reactive tests, how many tests were confirmed by PHOL?

0

Standard blood draw tests: non-confirmatory

	Number of Tests
Total number of negative tests	0
Total number of positive tests	0
Total anonymous tests	0

2. Report declined and incomplete confirmatory tests.

	Tests
Number of clients who AGREED to confirmatory testing after their reactive rapid test	0
Number of clients who DECLINED confirmatory testing after their reactive rapid test	0
Number of clients who AGREED for confirmatory testing, BUT DID NOT RETURN for results	0

Anonymous HIV Tests by Priority Population

3. Total number of anonymous HIV tests by testing location and priority population targeted.

	Gay/bisexual/MSM	ACB communities	Indigenous Peoples	People who use drugs	At-risk Women	Other at-risk populations
Main site (including sub-locations)	No	No	No	No	No	No
ASO	No	No	No	No	No	No
Health/social service agency	No	No	No	No	No	No
Bathhouse	No	No	No	No	No	No
Community health centre (not your agency)	No	No	No	No	No	No
Other local public health unit (not your agency)	No	No	No	No	No	No
Special event (e.g., Pride)	No	No	No	No	No	No
Mobile (i.e., van, bus)	No	No	No	No	No	No
Education institution	No	No	No	No	No	No
Shelter	No	No	No	No	No	No
Community centre	No	No	No	No	No	No
Consumption Treatment Services	No	No	No	No	No	No
Other, please specify	No	No	No	No	No	No

Outreach to Priority Populations

4a. Indicate the proportion of your work targeted to gay/bisexual/MSM.

0

What have you done to reach gay/bisexual/MSM?

No Response

4b. Indicate the proportion of your work targeted to ACB communities.

0

What have you done to reach ACB communities?

No Response

4c. Indicate the proportion of your work targeted to Indigenous Peoples.

0

What have you done to reach Indigenous Peoples?

No Response

4d. Indicate the proportion of your work targeted to people who use drugs.

0

What have you done to reach people who use drugs?

No Response

4e. Indicate the proportion of your work targeted to at-risk women.

0

What have you done to reach at-risk women?

No Response

4f. Indicate the proportion of your work targeted to other at-risk populations.

0

List other at-risk population you targeted.

No Response

What have you done to reach other at-risk populations?

No Response

Referrals for Newly Diagnosed Patients

5. Report the number of referrals for newly diagnosed HIV positive clients to HIV clinical care made by your agency in the past 6 months.

Referrals	Number
Total number of referrals to HIV clinical care	0
Total number of referrals that you followed up to ensure the client was linked to care	0

Connection to Care

5a. If you did not follow-up with your referrals to ensure the clients were linked to HIV clinical care, please provide an explanation.

No Response

Referrals to Other Services

6. Report the total number of referrals for newly diagnosed HIV positive clients to the other services listed below that your agency made in the past 6 months.

Referral service	Number
Addiction service providers	0
Clinical services: non HIV specific care	0
Community based HIV service providers	0
Mental health service providers	0
Harm reduction service providers	0
Other community based service providers	0

Emerging Trends

8. Tell us about any shifts or changes in demand for HIV testing that you have noticed during the reporting period.

No Response

9. How are you responding to these shifts or changes in demand for HIV testing?

No Response

8 - HIV clinical services

Total Number of Clients

1a. Report the total number of unique new and existing clients served in the last 6 months by client group and sex/gender.

	Male new	Male existing	Female new	Female existing	Trans man new	Trans man existing	Trans women new	Trans women existing	Not listed new	Not listed existing
Living with HIV	0	0	0	0	0	0	0	0	0	0
Affected**	0	0	0	0	0	0	0	0	0	0
At risk	0	0	0	0	0	0	0	0	0	0
Total	0	0	0	0	0	0	0	0	0	0

Unique People Living with HIV Clients by Age

1b. Report the number of unique PHA clients served by age and sex/gender in the past 6 months.

	Male new	Male existing	Female new	Female existing	Trans man new	Trans man existing	Trans women new	Trans women existing	Not listed new	Not listed existing
Under 18	0	0	0	0	0	0	0	0	0	0
18 - 25	0	0	0	0	0	0	0	0	0	0
26 - 35	0	0	0	0	0	0	0	0	0	0
36 - 45	0	0	0	0	0	0	0	0	0	0
46 - 55	0	0	0	0	0	0	0	0	0	0
56 - 65	0	0	0	0	0	0	0	0	0	0
66 - 75	0	0	0	0	0	0	0	0	0	0
Over 75	0	0	0	0	0	0	0	0	0	0
Unknown	0	0	0	0	0	0	0	0	0	0

Unique People Living with HIV Clients by Ethnicity

1c. Report the number of unique PHA clients served by sex/gender and ethnicity in the past 6 months.

	Male new	Male existing	Female new	Female existing	Trans man new	Trans man existing	Trans women new	Trans women existing	Not listed new	Not listed existing
White	0	0	0	0	0	0	0	0	0	0
Black	0	0	0	0	0	0	0	0	0	0
Latin American	0	0	0	0	0	0	0	0	0	0
Southeast Asian	0	0	0	0	0	0	0	0	0	0
Arab/West Asian	0	0	0	0	0	0	0	0	0	0
South Asian	0	0	0	0	0	0	0	0	0	0
First Nations	0	0	0	0	0	0	0	0	0	0
Metis	0	0	0	0	0	0	0	0	0	0
Inuit	0	0	0	0	0	0	0	0	0	0
Not Listed	0	0	0	0	0	0	0	0	0	0
Unknown	0	0	0	0	0	0	0	0	0	0

Priority Populations

1d. Estimate what proportion of unique PHA clients who accessed your services in the past 6 months represent each priority population by sex/gender.

Priority Population	Male	Female	Trans man	Trans women	Not listed
Gay/bisexual/MSM	0	0	0	0	0
People who use drugs	0	0	0	0	0
African, Caribbean, Black communities	0	0	0	0	0
Indigenous Peoples	0	0	0	0	0
At-risk women	0	0	0	0	0

Challenges Experienced by Clients

1e. Indicate approximately what proportion of the people with HIV (PHAs) who used your services in the past 6 months experienced challenges with the following issues:

Challenges	%
Starting treatment	0
Maintaining treatment access (e.g., pediatric to adult transition, drug benefits, etc.)	0
Treatment issues (e.g., spikes in viral load, mental, emotional or physical health, etc.)	0
Medication adherence (e.g., side effects, etc.)	0
Staying engaged in HIV care	0
Connection to care for co-morbid conditions	0
Social determinants of health (SDOH) (e.g., housing, food security, poverty, etc.)	0

Services Accessed

2. Report the number of PHA clients that accessed each service in the past six months by sex/gender.

Service	Male	Female	Trans man	Trans woman	Not listed
Addiction services	0	0	0	0	0
Adherence support	0	0	0	0	0
Application support	0	0	0	0	0
Blood work/lab test	0	0	0	0	0
Health promotion	0	0	0	0	0
Intake and assessment	0	0	0	0	0
Mental health services	0	0	0	0	0
Nutrition services	0	0	0	0	0
Pharmacy services	0	0	0	0	0
Pre/post test counselling (STIs)	0	0	0	0	0
Primary care	0	0	0	0	0
Reproductive health services	0	0	0	0	0
Sexual health services/counselling	0	0	0	0	0
Social work/counselling support	0	0	0	0	0
Specialty care	0	0	0	0	0
Treatment information	0	0	0	0	0

Referrals Made for People Living with HIV Clients

3a. Report the total number of referrals for PHA clients that were made to the following services in the past 6 months by sex/gender.

Referral	Male	Female	Trans man	Trans woman	Not listed
Clinical service providers: HIV care	0	0	0	0	0
Clinical service providers: non-HIV specific	0	0	0	0	0
Community based service providers: HIV care and support	0	0	0	0	0
HIV/STI testing	0	0	0	0	0
Addiction services	0	0	0	0	0
Harm reduction services	0	0	0	0	0
Mental healh service providers	0	0	0	0	0
Other community based service providers	0	0	0	0	0

Connection to Care

3b. What did you do to ensure your referrals led to clients being successfully linked to other services/care?

No Response

Missed Appointments

4a. Approximately what percentage of your clients missed HIV clinical service appointments during the past 6 months?

0

4b. During this reporting period, what engagement and re-engagement strategies were implemented to reduce missed appointments?

No Response

Education Activities

5a. Education activities

Type of education activity	Number of events	Number of participants
HIV Rounds	0	0
Community presentations	0	0
Conference presentations	0	0

5b. Community development activities

Type of meeting	Number of meetings
HIV Clinic Coordinator Network	0
Local hospital/service network	0
Local HIV planning network	0
Opening Doors conference/event	0

5c. Professional development activities

Type of professional development activity	Number attended
CME/CPD or post-secondary course (or other professional development course)	0
Nursing update/RPNAO/RNAO course	0
Conference	0
Other official college requirement	0

Emerging Trends

6a. Describe any shifts or changes (emerging trends) in demand for HIV clinical services that you identified during this reporting period.

No Response

6b. How are you responding to these emerging trends?

No Response

9 - Hepatitis C services

Service Users by Client Group

1a. Report the number of unique service users served during the reporting period by sex/gender and client group.

	Male		Female		Trans man		Trans woman		Not Listed		Total # of clients by client group
Client group	New	Existing	New	Existing	New	Existing	New	Existing	New	Existing
Clients living with HCV	0	0	0	0	0	0	0	0	0	0	0
Clients receiving Post-Cure Care	0	0	0	0	0	0	0	0	0	0	0
People at-risk of acquiring HCV	0	0	0	0	0	0	0	0	0	0	0

Service Users by Age

1b. Report the number of new and existing service users served during the reporting period by sex/gender and age.

	Male		Female		Trans man		Trans woman		Not Listed
Age group	New	Existing	New	Existing	New	Existing	New	Existing	New	Existing
Less than 18	0	0	0	0	0	0	0	0	0	0
18 - 25	0	0	0	0	0	0	0	0	0	0
26 - 35	0	0	0	0	0	0	0	0	0	0
36 - 45	0	0	0	0	0	0	0	0	0	0
46 - 55	0	0	0	0	0	0	0	0	0	0
56 - 65	0	0	0	0	0	0	0	0	0	0
66 - 75	0	0	0	0	0	0	0	0	0	0
Over 75	0	0	0	0	0	0	0	0	0	0

Service Users by Ethnicity

1c. Report the number of new and existing service users served during the reporting period by sex/gender and ethnicity.

	Male		Female		Trans man		Trans woman		Not Listed
Ethnicity	New	Existing	New	Existing	New	Existing	New	Existing	New	Existing
White	0	0	0	0	0	0	0	0	0	0
Black	0	0	0	0	0	0	0	0	0	0
Latin American	0	0	0	0	0	0	0	0	0	0
Southeast Asian	0	0	0	0	0	0	0	0	0	0
Arab/West Asian	0	0	0	0	0	0	0	0	0	0
South Asian	0	0	0	0	0	0	0	0	0	0
First Nations	0	0	0	0	0	0	0	0	0	0
Metis	0	0	0	0	0	0	0	0	0	0
Inuit	0	0	0	0	0	0	0	0	0	0
Not listed	0	0	0	0	0	0	0	0	0	0

Service Sessions for Clients Living with HCV

1d (1). Report the number of service sessions provided to clients living with HCV for this reporting period by sex/gender.

Services	Male	Female	Trans man	Trans woman	Not listed
Intake and assessment	0	0	0	0	0
Application completion	0	0	0	0	0
Appointment Accompaniment	0	0	0	0	0
Practical assistance	0	0	0	0	0
Vaccinations	0	0	0	0	0
Clinical counselling	0	0	0	0	0
General support	0	0	0	0	0
Adherence counselling	0	0	0	0	0
Wellness check	0	0	0	0	0
Ongoing clinical monitoring	0	0	0	0	0

Service Sessions for Post-cure Care Clients

1d (2). Report the number of service sessions provided to clients receiving post-cure care during this reporting period by sex/gender.

Services	Male	Female	Trans man	Trans woman	Not listed
Intake and assessment	0	0	0	0	0
Application completion	0	0	0	0	0
Appointment Accompaniment	0	0	0	0	0
Practical assistance	0	0	0	0	0
Vaccinations	0	0	0	0	0
Clinical counselling	0	0	0	0	0
General support	0	0	0	0	0
Ongoing clinical monitoring	0	0	0	0	0
Wellness check	0	0	0	0	0

Sessions for At-Risk Clients

1d (3). Report the number of service sessions provided to people at-risk of acquiring HCV during this reporting period by sex/gender.

Services	Male	Female	Trans man	Trans woman	Not listed
Intake and assessment	0	0	0	0	0
Application completion	0	0	0	0	0
Appointment Accompaniment	0	0	0	0	0
Practical assistance	0	0	0	0	0
Vaccinations	0	0	0	0	0
Clinical counselling	0	0	0	0	0
General support	0	0	0	0	0
Wellness check	0	0	0	0	0

Service Users by Priority Populations

1e. Report the number of new and existing service users served during the reporting period by sex/gender that are from the following priority populations.

	Male		Female		Trans man		Trans woman		Not Listed
Priority Population	New	Existing	New	Existing	New	Existing	New	Existing	New	Existing
People who use drugs	0	0	0	0	0	0	0	0	0	0
People involved with the correctional system	0	0	0	0	0	0	0	0	0	0
People who are homeless or under-housed	0	0	0	0	0	0	0	0	0	0
Indigenous Peoples	0	0	0	0	0	0	0	0	0	0
Street-involved Youth	0	0	0	0	0	0	0	0	0	0

On-site Tests

2a. Report the number and type of ON-SITE tests administered during the reporting period by sex/gender.

Type of test	Male	Female	Trans man	Trans woman	Not listed
Total number of HCV antibody tests	0	0	0	0	0
Total number of HCV RNA tests	0	0	0	0	0
Total number of HIV antibody tests	0	0	0	0	0
Total number of HBV (antibody/antigen) tests	0	0	0	0	0

Tests by Outreach Location

2b. Report the number of times each test type was offered and administered by outreach location.

	# of HCV antibody tests administered	# of HIV antibody tests administered	# of HBV (antibody/ antigen) tests administered
Addiction program (residential and day programs)	0	0	0
ASO	0	0	0
Clinic/health centre	0	0	0
Consumption Treatment Services	0	0	0
Correctional facility	0	0	0
Drop-in centre	0	0	0
Food bank/soup kitchen	0	0	0
Hotel/motel	0	0	0
Mobile service	0	0	0
Methadone maintenance clinic	0	0	0
Mental health service	0	0	0
Pharmacy	0	0	0
Shelter	0	0	0
Street outreach, incl. park, alley, etc	0	0	0
Social gathering	0	0	0

Fibroscan/Fibrotest

3a. Report the number of people who received a fibroscan/fibrotest this reporting period.

Severity of Liver Damage	# of people
Fibrosis score - #F0	0
Fibrosis score - #F1	0
Fibrosis score - #F2	0
Fibrosis score - #F3	0
Fibrosis score - #F4	0

Spontaneously Cleared

3b. Report the number of people who were identified as "spontaneously cleared" and the number of people who received ongoing clinical monitoring during this reporting period.

Type of clinical monitoring	Total
Clients were identified as "spontaneously cleared"	0
Clients who received ongoing clinical monitoring	0

Treament Initiations

3c. Report the number of clients initiated treatment during this reporting period.

0

3d. Report the number of clients who initiated treatment during the reporting period who identify with one or more of the priority populations.

0

Financial Coverage for Treatment

3e. Report the primary type of financial coverage for clients who initiated treatment during the reporting period.

Type of coverage	Total
Exceptional access program	0
Compassionate coverage through a pharmaceutical company	0
Private insurance coverage	0
Clinical trial participant	0
Client paid for own treatment	0
Trillium Drug Program funding	0
Non-insured Health Benefit	0
Limited Use Code	0

How many of the above clients are accessing multiple financial coverage options?

0

Genotype Breakdown

3f. Report the genotype breakdown of people who initiated treatment during the reporting period.

Genotype	Total # of clients
Genotype 1	0
Genotype 2	0
Genotype 3	0
Genotype 4	0
Genotype 5	0
Genotype 6	0
Mixed Genotypes	0

Treatment Completions

3g. Report the following information for clients who completed treatment during the reporting period.

Outcome	Total # of clients
Clients who achieved SVR	0
Clients who did not achieve SVR	0
Clients who have not completed SVR blood work/ results pending	0
Clients who completed prescribed course of treatment	0

Have there been any exclusions/withdrawals in the reporting period?

Yes

Treatment Excluded/Withdrawn

3h. For clients who were excluded from treatment during the reporting period, report the primary reason for the exclusion.

Primary Reason	Total # of clients
Informed deferral	0
Did not qualify for drug coverage	0
Pregnancy	0
Social instability	0
Medical instability	0
Lost to follow-up	0
Lack of OHIP coverage	0
Death	0

3i. For clients who were withdrawn from treatment during the reporting period, report the primary reason for the withdrawal.

Primary Reason	Total # of clients
Side effects	0
Lost to follow-up	0
Medical instability	0
Death	0
Psychiatric manifestation	0
Psycho-social instability	0
Did not achieve treatment milestones	0

Outreach Contacts by Location

4. Report the total number of brief and significant outreach contacts made during the reporting period by location.

Outreach location	Brief contacts	Significant contacts
Addiction program (residential and day programs)	0	0
ASO	0	0
Clinic/health centre	0	0
Consumption Treatment Services	0	0
Correctional facility	0	0
Drop in centre	0	0
Food bank/soup kitchen	0	0
Motel/Hotel	0	0
Mobile service	0	0
Methadone maintenance clinic	0	0
Mental health service	0	0
Pharmacy	0	0
Shelter	0	0
Street outreach, incl. park, alley, etc.	0	0
Social gathering	0	0

Education Presentations

4b (1). Report the following information for all education presentations that occurred during the reporting period.

	Priority Population		Health care providers		Service Providers
Primary Presentation Focus	# of participants	# of presentations	# of participants	# of presentations	# of participants	# of presentations
Hepatitis C treatment	0	0	0	0	0	0
Testing	0	0	0	0	0	0
Co-infection	0	0	0	0	0	0
Harm reduction/safer drug use	0	0	0	0	0	0
Stigma and discrimination	0	0	0	0	0	0
Living with HCV	0	0	0	0	0	0
STIs/Safer Sex	0	0	0	0	0	0
Naloxone and overdose prevention	0	0	0	0	0	0

Presentations by Lead/Focus

4b (2). Report the number of education presentations that occurred during the reporting period by presentation lead and presentation focus.

Presentation Focus	# of presentations delivered by a peer	# of presentations delivered by a nurse	# of presentations delivered by an outreach worker	# of presentations delivered by a mental health counsellor	# of presentations delivered by a coordinator
Hepatitis C treatment	0	0	0	0	0
Testing	0	0	0	0	0
Co-infection	0	0	0	0	0
Harm reduction/safer drug use	0	0	0	0	0
Stigma and discrimination	0	0	0	0	0
Living with HCV	0	0	0	0	0
STIs/safer sex	0	0	0	0	0
Naloxone and overdose prevention	0	0	0	0	0

Community Development Sessions

4c (1). Report the number of community development sessions led by worker type and number of partners in attendance that occurred during the reporting period.

Worker Type	# of sessions
Peer	0
Nurse	0
Outreach worker	0
Mental health counsellor	0
Coordinator	0

Consultations

4c (2). Report the number of consultations led by worker type and number of partners in attendance that occurred during the reporting period.

Worker Type	# of sessions	# of partners
Peer	0	0
Nurse	0	0
Outreach worker	0	0
Mental health counsellor	0	0
Coordinator	0	0

One-on-one Education Sessions

4c (3). Report the number of one-on-one education sessions led by worker type that occurred during the reporting period.

Worker Type	# of sessions
Peer	0
Nurse	0
Outreach worker	0
Mental health counsellor	0
Coordinator	0

No Response

9a - Hepatitis C services

Education Presentations

1. Please report all education presentations delivered in the past six months.

Education type	Service recipients 1	Service recipients 2	Presentation focus 1	Presentation focus 2
Capacity building	People living with HCV	Executive director/management	HCV 101	HepCNet
Mentorship/coaching	Public health professionals	HCV team members	HCV treatment	Harm reduction/safer drug use
KTE	Newcomers to Canada	Peer facilitators	HCV 101 (ethnocultural focus)	Skills building harm reduction
	Health care providers	Service providers, professionals	Living with HCV	Preceptorship program (nursing)

Community Development Activities

2. Please report all community development activities that occurred during the past six months.

Meeting type	People living with HCV	Executive director/ management	Public health professionals	HCV team members	Newcomers to Canada	Peer facilitators	Health care providers	Service providers, professionals
Network/partnership	No	No	No	No	No	No	No	No
Advisory committee	No	No	No	No	No	No	No	No
Advocacy	No	No	No	No	No	No	No	No

Resources Developed

3. Please report all resources developed and distributed in the past six months

=20

Resource type	People living with HCV	Executive director/management	Public health professionals	HCV team members	Newcomers to Canada	Peer facilitators	Health care providers	Service providers, professionals
Manuals/training kits	No	No	No	No	No	No	No	No
Brochures, posters, etc. (agency promo material)	No	No	No	No	No	No	No	No
Brochures, posters, etc. (prevention education)	No	No	No	No	No	No	No	No
Workshop presentation materials	No	No	No	No	No	No	No	No
Strategic planning, policy, organization development tools	No	No	No	No	No	No	No	No
HCV health information or support resources	No	No	No	No	No	No	No	No
Film/DVD	No	No	No	No	No	No	No	No
Research summary/evaluation report	No	No	No	No	No	No	No	No
Newsletter	No	No	No	No	No	No	No	No
Other	No	No	No	No	No	No	No	No

10 - Ontario HIV Treatment Network

Ontario HIV Treatment Network

1. Report the number of presentations, skills building trainings, consultations and network meetings delivered in the past 6 months by primary focus.

Activity type	HIV prevention	Engagement in care	HIV clinical care	Social determinants of health	Program science	Evidence based practice	GIPA/MIPA/CBR
Presentations/ information sessions	0	0	0	0	0	0	0
Skills building trainings	0	0	0	0	0	0	0
Consultations	0	0	0	0	0	0	0
Network meetings	0	0	0	0	0	0	0

Targeted Populations

2. Report the number of presentations, skills building trainings, consultations and network meetings delivered in the past 6 months targeted to each of the following priority populations.

Activity type	PHA	Gay/bisexual/MSM (includes trans men)	Indigenous Peoples	People who use drugs	ACB communities	At-risk women (includes trans women)	Other at-risk populations
Presentations/ information sessions	0	0	0	0	0	0	0
Skills building trainings	0	0	0	0	0	0	0
Consultations	0	0	0	0	0	0	0
Network meetings	0	0	0	0	0	0	0

Delivered by Audiance

3. Report the number of presentations, skills building trainings, consultations and network meetings by primary target audience.

Activity type	Researchers/ academia	ASO service providers	Clinical service providers	Other service providers	Policy makers	Community (e.g., service users, PHAs, people at-risk, etc.)	Other
Presentations/ information sessions	0	0	0	0	0	0	0
Skills building trainings	0	0	0	0	0	0	0
Consultations	0	0	0	0	0	0	0
Network meetings	0	0	0	0	0	0	0

Delivered by Unit/Department

4. Report the number of presentations, skills building trainings, consultations and network meetings delivered in the past 6 months by unit/department.

Activity type	EPI unit	EBPU	Education training unit	OCS	KTE	Funding program	Research program	Scientists/ researchers
Presentations/ information sessions	0	0	0	0	0	0	0	0
Skills building trainings	0	0	0	0	0	0	0	0
Consultations	0	0	0	0	0	0	0	0
Network meetings	0	0	0	0	0	0	0	0

Delivered by Goals

5. Report the number of presentations, skills building trainings, consultations and network meetings delivered in the past 6 months related to each goal of the provincial HIV strategy.

Activity type	Goal 1	Goal 2	Goal 3	Goal 4	Goal 5
Presentations/ information sessions	0	0	0	0	0
Skills building trainings	0	0	0	0	0
Consultations	0	0	0	0	0
Network meetings	0	0	0	0	0

Education and Training

6. Report the number of requests for education and training completed in the past 6 months.

0

7. Report the number of individuals who completed education e-modules in the past 6 months by participant type.

Participant type	Number
Researchers/academia	0
ASO service providers	0
Clinical service providers	0
Other service providers	0
Policy makers	0
Community (e.g., service users, PHAs, people at-risk, etc.)	0
Other	0

Data Requests

8. Report the number of data requests/cuts by data system and requester type processed in the past 6 months.

Data system	Researchers/ academia	ASO service providers	Clinical service providers	Other service providers	Policy makers	Community (e.g., service users, PHAs, people at-risk, etc.)	Other
OCHART	0	0	0	0	0	0	0
OCASE	0	0	0	0	0	0	0
OCS	0	0	0	0	0	0	0
EPI	0	0	0	0	0	0	0

Individuals Trained

9. Report the total number of individuals trained in the past 6 months by data system and type of trainee.

Data system	ASO service providers	Other service providers	Other
OCHART	0	0	0
OCASE	0	0	0
OCS	0	0	0

Modules Developed

10. Report all new and updated training modules developed in the past 6 months by data system.

Data system	Title	New or updated
OCHART		New
OCASE		Updated
OCS

OCS by Gender/Diagnosis

11. Report the number of new and existing OCS members by sex/gender and length of HIV diagnosis.

	Male		Female		Trans man		Trans woman		Not listed
Length of diagnosis	New	Existing	New	Existing	New	Existing	New	Existing	New	Existing
Less than 1 year	0	0	0	0	0	0	0	0	0	0
1 to 15 years	0	0	0	0	0	0	0	0	0	0
6 to 10 years	0	0	0	0	0	0	0	0	0	0
11 to 15 years	0	0	0	0	0	0	0	0	0	0
Over 15 years	0	0	0	0	0	0	0	0	0	0
Unknown	0	0	0	0	0	0	0	0	0	0

OCS By Gender/Populations

12. Report the percentage of new and existing OCS members by sex/gender and priority population.

	Male		Female		Trans man		Trans woman		Not listed
Length of diagnosis	New	Existing	New	Existing	New	Existing	New	Existing	New	Existing
Gay/bisexual/MSM (includes trans men)	0	0	0	0	0	0	0	0	0	0
ACB communities	0	0	0	0	0	0	0	0	0	0
Indigenous Peoples	0	0	0	0	0	0	0	0	0	0
People who use drugs	0	0	0	0	0	0	0	0	0	0
Other populations	0	0	0	0	0	0	0	0	0	0

OCS Collection Sites

13. Report the number of new and active OCS members, the number of active data collection sites and the number of interviews by region.

Region	Number of individuals followed New	Number of individuals followed Active	Number of active data collection sites	Total number of interviews
Central East	0	0	0	0
Central West	0	0	0	0
Northern	0	0	0	0
Ottawa	0	0	0	0
Eastern	0	0	0	0
South West	0	0	0	0
Toronto	0	0	0	0

Products by Focus

14. Report the number of products/materials produced in the past 6 months by material type and primary focus.

Material type	HIV prevention	Engagement in care	HIV clinical care	Social determinants of health	Evidence based practice	Program science	GIPA/MIPA/CBR
Reports	0	0	0	0	0	0	0
Fact sheets	0	0	0	0	0	0	0
Peer-reviewed publications	0	0	0	0	0	0	0
Rapid responses	0	0	0	0	0	0	0
Tools	0	0	0	0	0	0	0
Training modules	0	0	0	0	0	0	0
Systematic reviews	0	0	0	0	0	0	0

Products by Populations

15. Report the number of products/materials produced in the past 6 months targeted to each of the following priority populations.

Material type	PHA	Gay/bisexual/MSM (includes trans men)	Indigenous Peoples	People who use drugs	ACB communities	At-risk women (includes trans women)	Other at-risk populations
Reports	0	0	0	0	0	0	0
Fact sheets	0	0	0	0	0	0	0
Peer-reviewed publications	0	0	0	0	0	0	0
Rapid responses	0	0	0	0	0	0	0
Tools	0	0	0	0	0	0	0
Training modules	0	0	0	0	0	0	0

Products by Audiance

16. Report the number of products/materials produced in the past 6 months by the primary target audience.

Material type	Researchers/ academia	ASO service providers	Clinical service providers	Other service providers	Policy makers	Community (e.g., service users, PHAs, people at-risk, etc.)	Other at-risk populations
Reports	0	0	0	0	0	0	0
Fact sheets	0	0	0	0	0	0	0
Peer-reviewed publications	0	0	0	0	0	0	0
Rapid responses	0	0	0	0	0	0	0
Tools	0	0	0	0	0	0	0
Training modules	0	0	0	0	0	0	0

Products by Unit

17. Report the number of products/materials developed by unit/department in the past 6 months.

Material type	EPI unit	EBPU	Education training unit	OCS	KTE	Funding program	Research program	Scientists/ researchers
Reports	0	0	0	0	0	0	0	0
Fact sheets	0	0	0	0	0	0	0	0
Peer-reviewed publications	0	0	0	0	0	0	0	0
Rapid responses	0	0	0	0	0	0	0	0
Tools	0	0	0	0	0	0	0	0
Training modules	0	0	0	0	0	0	0	0

Media Contributions

19. Report the number of traditional and online media contributions and engagements by media type in the past 6 months.

Media type	Number of contributions	Number of engagements
OHTN website	0	0
Facebook	0	0
Twitter	0	0
YouTube	0	0
Newsletters	0	0
Traditional media	0	0

Funded Initiatives

21. Report the number of new and ongoing funded initiatives that were active in the past 6 months and funds allocated by primary priority population targeted.

	Number of grants		Funds allocated to grants
Priority population	New	Ongoing	New	Ongoing
ACB communities	0	0	0	0
Gay/bisexual/MSM (includes trans men)	0	0	0	0
Indigenous Peoples	0	0	0	0
People who use drugs	0	0	0	0
PHAs	0	0	0	0
At-risk women (includes trans women)	0	0	0	0
Other populations	0	0	0	0

21a. Report the following outcomes of the research funding program.

	New
Number of Ontario researchers receiving salary support in the past 6 months	0
Number of grants completed in the past 6 months	0

Initiatives Goals

22. Report the number of active research initiatives (new and ongoing) by priority population targeted that support each goal of the provincial HIV strategy.

Priority population targeted	Goal 1	Goal 2	Goal 3	Goal 4	Goal 5
ACB communities	0	0	0	0	0
Gay/bisexual/MSM (includes trans men)	0	0	0	0	0
Indigenous Peoples	0	0	0	0	0
People who use drugs	0	0	0	0	0
PHAs	0	0	0	0	0
At-risk women (includes trans women)	0	0	0	0	0
Other populations	0	0	0	0	0

23. Report the number of active research initiatives (new and ongoing) by the stage of the prevention, engagement and treatment cascade.

	Number
Prevention	0
Engagement	0
Care	0

Organized Conferences and Events

Organized/Co-organized

☐ Organized
☐ Co-organized

1. Conference/event title

No Response

2. Activity type

☐ OHTN research conference
☐ Other OHTN conference

3. Main priority populations discussed

☐ People living with HIV
☐ ACB communities
☐ Gay/bisexual/MSM (includes trans men)
☐ Indigenous Peoples
☐ People who use drugs
☐ At-risk women
☐ Incarcerated people
☐ Sex workers
☐ Other

4. Main goals of your activity

☐ Goal 1: Improve the health and well-being of populations most affected by HIV
☐ Goal 2: Promote sexual health and prevent new HIV, STI and Hep C infections
☐ Goal 3: Diagnose HIV infections early and engage people in timely care
☐ Goal 4: Improve health, longevity and quality of life for PHAs
☐ Goal 5: Ensure quality, consistency and effectiveness of all provincially funded HIV program and services

5a. Improve the health and well-being of populations most affected by HIV

No Response

5b. Promote sexual health and prevent new HIV, STI and hepatitis C infections

No Response

5c. Diagnose HIV infections early and engage people in timely care

No Response

5d. Improve the health, longevity and quality of life for people living with HIV

No Response

5e. Ensure the quality, consistency and effectiveness of all provincially funded HIV programs and services

No Response

6. Number of participants

	Number
Researchers/academia	0
ASO service providers	0
Clinical service providers	0
Other service providers	0
Policy makers	0
Service users/community groups	0
Other	0

7. Anything else you would like to share about successes, challenges or the importance of this event?

No Response

8. Would you like to report another conference/event?

No Response

11 - Provincial capacity building programs

Activities Delivered by Primary Focus

1. Report the number of presentations, trainings and consultations delivered and total participants in the past six months by primary focus.

	GIPA/MIPA		HIV syndemics (social drivers of HIV, SDOH)		Issues affected by HIV (HIV related)		Organizational development		Skills development		HIV research (science programs & interventions)
Activity type	# of sessions	# of participants	# of sessions	# of participants	# of sessions	# of participants	# of sessions	# of participants	# of sessions	# of participants	# of sessions	# of participants
Presentations/ information sessions	0	0	0	0	0	0	0	0	0	0	0	0
Trainings	0	0	0	0	0	0	0	0	0	0	0	0
Consultations	0	0	0	0	0	0	0	0	0	0	0	0

Activities Delivered by Priority Populations

2. Report the number of presentations, trainings, and consultations delivered in the past 6 months addressing the needs of each of the following priority populations.

Activity type	PHA	Gay/bisexual/MSM (includes trans men)	Indigenous Peoples	People who use drugs	ACB communities	At-risk Women (includes trans women)	Other at-risk populations
Presentations/ information sessions	0	0	0	0	0	0	0
Trainings	0	0	0	0	0	0	0
Consultations	0	0	0	0	0	0	0

Activities Delivered by Type of Participants

3. Report the number of presentations, trainings, and consultations delivered in the past 6 months by type of participants.

Activity type	EDs and Board members	WHAI workers	ACB strategy workers	GMSH strategy workers	Other ASO frontline workers (incl. HIV programs)	Clinical service providers	Other service providers	Researchers/ academia	Policy makers (government)	Community (e.g., service users, PHAs, people at-risk, etc.)
Presentations/ information sessions	0	0	0	0	0	0	0	0	0	0
Trainings	0	0	0	0	0	0	0	0	0	0
Consultations	0	0	0	0	0	0	0	0	0	0

Activities Delivered Related to Goals

4. Report the number of presentations, trainings, and consultations delivered in the past 6 months related to each goal of the provincial HIV strategy.

Activity type	Goal 1	Goal 2	Goal 3	Goal 4	Goal 5
Presentations/ information sessions	0	0	0	0	0
Trainings	0	0	0	0	0
Consultations	0	0	0	0	0

Participants from each LHIN

5. Report the total number of participants from each LHIN for each activity type (presentations, trainings and consultations) delivered in the past 6 months.

LHIN	# of participants at presentations or information sessions	# of participants at trainings	# of participants at consultations
Central	0	0	0
Central East	0	0	0
Central West	0	0	0
Champlain	0	0	0
Erie St. Clair	0	0	0
Hamilton Niagara Haldimand Brant	0	0	0
Mississauga Halton	0	0	0
North East	0	0	0
North Simcoe Muskoka	0	0	0
North West	0	0	0
South East	0	0	0
South West	0	0	0
Toronto Central	0	0	0
Waterloo Wellington	0	0	0
Outside Ontario	0	0	0

Capacity Building Work

6. Highlight some meaningful capacity building work (from your presentations/information sessions, trainings and consultations) that you delivered in the past 6 months that you believe should be shared and replicated.

No Response

7. Report any trends/shifts in the capacity building work (e.g., from your presentations/information sessions, trainings and consultations) that you delivered in the past 6 months.

No Response

Structured Interventions

8. Report all structured interventions that your agency delivered or trained other workers to deliver in the past six months.

Population targeted	Intervention goal	Trained others to deliver or delivered intervention
PHA	Goal 1	Trained others to deliver
ACB communities	Goal 2	Delivered intervention
Gay/bisexual/MSM	Goal 3
Indigenous Peoples	Goal 4
People who use drugs
At-risk women
Other: Incarcerated people
Other: Sex workers
Other at risk

KTE Primary Focus

9. Report the number of KTE materials developed in the past 6 months by material type and primary focus.

Material type	GIPA/MIPA	HIV syndemics (social drivers of HV, SDOH)	Issues affected by HIV (HIV related)	Organizational development	Skills development	HIV research (science, programs and interventions)
Reports	0	0	0	0	0	0
Fact sheets (incl. pamphlets, 1-pager, backgrounders, etc.)	0	0	0	0	0	0
Peer-reviewed publications	0	0	0	0	0	0
Tools (incl. manuals, toolkits, training guides, etc.)	0	0	0	0	0	0
Agency promotional materials (incl. newsletters)	0	0	0	0	0	0

Resources Developed Priority Population

10. Report the number of KTE materials produced in the past 6 months focused on each of the following priority populations.

Material type	PHA	Gay/bisexual/MSM (includes trans men)	Indigenous Peoples	People who use drugs	ACB communities	At-risk women (includes trans women)	Other at-risk (vulnerable) populations
Reports	0	0	0	0	0	0	0
Fact sheets (incl. pamphlets, 1-pager, backgrounders etc.)	0	0	0	0	0	0	0
Peer-reviewed publications	0	0	0	0	0	0	0
Tools (incl. manuals, toolkits, training guides etc.)	0	0	0	0	0	0	0
Agency promotional materials (incl. newsletters)	0	0	0	0	0	0	0

Materials Developed by Target Audience

11. Report the number of KTE materials produced in the past 6 months for each target audience.

Material type	Board of Directors	ASO management (EDs and Managers)	Frontline workers	Volunteers
Reports	0	0	0	0
Fact sheets (incl. pamphlets, 1-pager, backgrounders etc.)	0	0	0	0
Peer-reviewed publications	0	0	0	0
Tools (incl. manuals, toolkits, training guides etc.)	0	0	0	0
Agency promotional materials (incl. newsletters)	0	0	0	0

Resources Developed by Goals

12. Report the number of KTE materials produced in the past 6 months related to each goal of the provincial HIV strategy.

Material type	Goal 1	Goal 2	Goal 3	Goal 4	Goal 5
Reports	0	0	0	0	0
Fact sheets (incl. pamphlets, 1-pager, backgrounders etc.)	0	0	0	0	0
Peer-reviewed publications	0	0	0	0	0
Tools (incl. manuals, toolkits, training guides etc.)	0	0	0	0	0
Agency promotional materials (incl. newsletters)	0	0	0	0	0

Social Media

13. Report your agency's website views, Facebook likes, Twitter followers and YouTube views (not related to media campaigns) from the past 6 months.

	Number
Website views	0
Facebook likes	0
Twitter followers	0
Youtube (or similar video streaming service) views	0

Social Media Activities by Purpose

14. Report the percentage of online media activities conducted in the past 6 months by media type and purpose of activity.

	Promote agency services or resources	Promote agency events	Share knowledge (education)	Share other opportunities (non-agency)
Website updates	0	0	0	0
Facebook posts	0	0	0	0
Twitter posts	0	0	0	0
Youtube (or similar video streaming service) uploads	0	0	0	0

Community Development Meetings by Purpose

15a. Report the number of community development meetings by purpose that your agency participated in during the past six months.

Meeting purpose	# of meetings
Advisory/board meeting	0
Coalition/network meeting	0
Community event planning	0
Development of education prevention materials	0
General information sharing	0
Improved service delivery	0
New partnership/relationship building	0
Policy development	0
Strategic planning	0
Public policy	0

Community Development Meetings by Partner Type

15b. Report the number of agencies by partner type and number of participants representing them at the community development meetings that your agency participated in during the past six months.

Partner type	# of agencies	# of participants
Addiction services	0	0
Harm reduction services	0	0
Clinical service providers (HIV care)	0	0
Clinical service providers (non-HIV specific)	0	0
Mental health service providers	0	0
HIV / STI testing	0	0
Community-based HIV service providers	0	0
Other community-based service providers	0	0

Community Development Meetings by Priority Populations

15c. Report the number of community development meetings that you entered in question 15a where you discussed each of Ontario’s HIV priority populations.

Meeting purpose	PHA	ACB communities	Gay/ bisexual/ MSM	Indigenous Peoples	People who use drugs	At-risk women	Other at-risk: Incarcerated people	Other at-risk: Sex workers
Advisory/board meeting	0	0	0	0	0	0	0	0
Coalition/network meeting	0	0	0	0	0	0	0	0
Community event planning	0	0	0	0	0	0	0	0
Development of education prevention materials	0	0	0	0	0	0	0	0
General information sharing	0	0	0	0	0	0	0	0
Improved service delivery	0	0	0	0	0	0	0	0
New partnership/relationship building	0	0	0	0	0	0	0	0
Policy development (agency level)	0	0	0	0	0	0	0	0
Strategic planning	0	0	0	0	0	0	0	0
Public policy	0	0	0	0	0	0	0	0

Community Development Meetings by Issues Discussed

15d. Report the number of community development meetings that you entered in question 15a where you discussed the issues listed below, as they relate to the needs of populations discussed.

Meeting purpose	Safety concerns	Living with HIV	Housing	Food security	Well-being	Income and benefits	Education / Employment	Social support	Legal / Immigration	Risk of HIV
Advisory/board meeting	0	0	0	0	0	0	0	0	0	0
Coalition/network meeting	0	0	0	0	0	0	0	0	0	0
Community event planning	0	0	0	0	0	0	0	0	0	0
Development of education prevention materials	0	0	0	0	0	0	0	0	0	0
General information sharing	0	0	0	0	0	0	0	0	0	0
Improved service delivery	0	0	0	0	0	0	0	0	0	0
New partnership/relationship building	0	0	0	0	0	0	0	0	0	0
Policy development (agency level)	0	0	0	0	0	0	0	0	0	0
Strategic planning	0	0	0	0	0	0	0	0	0	0
Public policy	0	0	0	0	0	0	0	0	0	0

Community Development Meetings by Partner Agencies

15e. Report the number of community development meetings that you entered in question 15a by the type of partner agencies with whom you met.

Meeting purpose	Addiction services	Harm reduction services	Clinical service providers (HIV care)	Clinical service providers (non-HIV specific)	Mental health service providers	HIV / STI testing	Community-based HIV service providers	Other community-based service providers
Advisory/board meeting	0	0	0	0	0	0	0	0
Coalition/network meeting	0	0	0	0	0	0	0	0
Community event planning	0	0	0	0	0	0	0	0
Development of education prevention materials	0	0	0	0	0	0	0	0
General information sharing	0	0	0	0	0	0	0	0
Improved service delivery	0	0	0	0	0	0	0	0
New partnership/ relationship building	0	0	0	0	0	0	0	0
Policy development (agency level)	0	0	0	0	0	0	0	0
Strategic planning	0	0	0	0	0	0	0	0
Public policy	0	0	0	0	0	0	0	0

Shifts and Trends in Community Development Work

16. Highlight some meaningful community development work you did in the past 6 months that you believe should be shared and replicated.

No Response

17. Report any trends/shifts in the community development work that you delivered in the past 6 months.

No Response

Awareness Campaigns

i. Awareness campaign title

No Response

ii. Intended target population

☐ People living with HIV
☐ ACB communities
☐ Gay/bisexual/MSM (includes trans men)
☐ Indigenous Peoples
☐ People who use drugs
☐ At-risk Women
☐ Other at-risk: Incarcerated people (former and/or current prisoners, people involved with justice system)
☐ Other at-risk: Sex workers
☐ Other at-risk populations

iii. Main goals of your campaign

☐ Goal 1: Improve the health and well-being of populations most affected by HIV
☐ Goal 2: Promote sexual health and prevent new HIV, STI and Hep C infections
☐ Goal 3: Diagnose HIV infections early and engage people in timely care
☐ Goal 4: Improve health, longevity and quality of life for PHAs
☐ Goal 5: Ensure quality, consistency and effectiveness of all provincially funded HIV program and services

Improve the health and well-being of populations most affected by HIV

No Response

Promote sexual health and prevent new HIV, STI and hepatitis C infections

No Response

Diagnose HIV infections early and engage people in timely care

No Response

Improve the health, longevity and quality of life for people living with HIV

No Response

v. Number of campaign materials developed

	Number developed
Campaign specific promotional materials - Brochures, posters, flyers, pamphlets, films/DVDs, etc.	0
Campaign specific training/education materials (e.g., handouts, presentations, backgrounders, etc.)	0
Safer sex materials (e.g., condom packets) – campaign specific	0
Press release/PSA	0
Campaign specific website	0
Campaign specific Facebook page	0
Campaign specific YouTube videos	0
Traditional media (includes unpaid interviews, radio shows, TV appearances, etc.)	0
Paid media advertising (online banners, bus ads, bathroom ads, radio ads, etc.)	0

vi. Is there anything else you would like to share about the outcomes, successes, challenges or the importance of this awareness campaign?

No Response

Conferences and Events Organized

19.1 Report conferences and events that your agency organized.

i. Conference/event title

No Response

ii. Activity type

☐ Annual symposium
☐ Conference
☐ Community event/town-hall meeting

iii. Main priority populations discussed

☐ People living with HIV
☐ ACB communities
☐ Gay/bisexual/MSM (includes trans men)
☐ Indigenous Peoples
☐ People who use drugs
☐ At-risk women
☐ Other at-risk: Incarcerated people
☐ Other at-risk: Sex workers
☐ Other at-risk populations

iv. Main goals of your activity

☐ Goal 1: Improve the health and well-being of populations most affected by HIV
☐ Goal 2: Promote sexual health and prevent new HIV, STI and Hep C infections
☐ Goal 3: Diagnose HIV infections early and engage people in timely care
☐ Goal 4: Improve health, longevity and quality of life for PHAs
☐ Goal 5: Ensure quality, consistency and effectiveness of all provincially funded HIV program and services

Improve the health and well-being of populations most affected by HIV

No Response

Promote sexual health and prevent new HIV, STI and hepatitis C infections

No Response

Diagnose HIV infections early and engage people in timely care

No Response

Improve the health, longevity and quality of life for people living with HIV

No Response

Ensure the quality, consistency and effectiveness of all provincially funded HIV programs and services

No Response

vi. Number of participants

	Number of participants
EDs & board members	0
WHAI workers	0
ACB strategy workers	0
GMSH strategy workers	0
Other ASO frontline workers (incl. HIV programs)	0
Clinical service providers	0
Other service providers	0
Researchers/academia	0
Policy makers (government)	0
Community (e.g., service users, PHAs, people at-risk, volunteers)	0

vii. Anything else you would like to share about successes, challenges or the importance of this event?

No Response

viii. Would you like to report another conference/event?

No Response

12 - Narrative for AIDS Bureau Funding Program

Highlights from Program Activities

1. Provide any key highlights or milestones from your program activities that took place in the past reporting period.

No Response

2. Did you achieve all, some or none of the funded activities you expected to achieve during the past reporting period?

No Response

Activities that are Not/or Are Partially Completed

Key Partnerships

4. Describe how those with lived experience were meaningfully involved with your organization in the past 6 months.

No Response

Program Evaluation

5a. Methods of evaluation used

☐ Surveys
☐ Interviews
☐ Focus groups
☐ Advisory committees
☐ Verbal feedback from service users
☐ Statistical data (OCHART, OCASE)
☐ Other

5b. Respondents included

☐ Staff
☐ Volunteers
☐ Peers
☐ People with lived experience
☐ Other

5c. Based on evaluations, outline any successful practices or initiatives that you will build upon and/or continue.

No Response

5d. Based on evaluations, outline any identified areas for change or improvement and how this will be addressed.

No Response

Other Information

7. Describe one key training your staff attended in the past 6 months and highlight its impact.

No Response

8. Identify knowledge and/or skills training needs in relation to your funded activities.

No Response

9. Are there any other things you think are important to report? This can be related to things other than programming funded by the AIDS & Hepatitis C Programs.

No Response

12a - Program Narrative for Hepatitis C Funding Programs

Highlights from Program Activities

1. Provide any key highlights or milestones from your program activities that took place in the past reporting period.

No Response

2. Did you achieve all, some or none of the funded activities you expected to achieve during the past reporting period?

No Response

Activities that Are Not/or Are Partially Completed

Key Partnerships

4. Describe how those with lived experience were meaningfully involved with your organization in the past 6 months.

No Response

Program Evaluation

5a. Methods of evaluation used

☐ Surveys
☐ Interviews
☐ Focus groups
☐ Advisory committees
☐ Verbal feedback from service users
☐ Statistical data (OCHART, OCASE)
☐ Other

5b. Respondents included

☐ Staff
☐ Volunteers
☐ Peers
☐ People with lived experience
☐ Service providers
☐ Other

5c. Based on evaluations, outline any successful practices or initiatives that you will build upon and/or continue.

No Response

5d. Based on evaluations, outline any identified areas for change or improvement and how this will be addressed.

No Response

Other Information

7. Describe one key training your staff attended in the past 6 months and highlight its impact.

No Response

8. Identify knowledge and/or skills training needs in relation to your funded activities.

No Response

9. Are there any other things you think are important to report? This can be related to things other than programming funded by the Hepatitis C Programs.

No Response

13 - Certification

I certify that the OCHART report for this reporting period

Has been completed in full

No Response

Has been reviewed and approved by the Executive Director (or designate) for submission to the ministry

No Response

Has been reviewed and approved by two members of the Board of Directors or other governing body that oversees the OCHART reporting process at my organization/program

No Response

Title of the individual making the certification (e.g., Executive Director, Director, etc.)

No Response

First Name

No Response

Last Name

No Response

Phone Number

No Response

Email

No Response

Date

No Response

Blank OCHART 2019/20

Blank OCHART Report 2019 - 2020

Table of Contents

1 - Agency profile
Note: This section only needs completed in H2 reporting period.

2 - Program and project information

3 - Prevention activities for service users

4 - Education for service providers and community development

5 - Support services

6 - Harm reduction outreach services

7 - Anonymous HIV testing (AT) sites

8 - HIV clinical services

9 - Hepatitis C services

9a - Hepatitis C services

10 - Ontario HIV Treatment Network

11 - Provincial capacity building programs

12 - Narrative for AIDS Bureau Funding Program

12a - Program Narrative for Hepatitis C Funding Programs

13 - Certification

Tags

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Blank OCHART 2019/20

Blank OCHART Report 2019 - 2020

Table of Contents

1 - Agency profile Note: This section only needs completed in H2 reporting period.

2 - Program and project information

3 - Prevention activities for service users

4 - Education for service providers and community development

5 - Support services

6 - Harm reduction outreach services

7 - Anonymous HIV testing (AT) sites

8 - HIV clinical services

9 - Hepatitis C services

9a - Hepatitis C services

10 - Ontario HIV Treatment Network

11 - Provincial capacity building programs

12 - Narrative for AIDS Bureau Funding Program

12a - Program Narrative for Hepatitis C Funding Programs

13 - Certification

Tags

1 - Agency profile
Note: This section only needs completed in H2 reporting period.