ARCHIVED - Funded Health Programs and Services
Health Canada's First Nations and Inuit Health Branch uses contribution agreements to flow funding for health programs and services for First Nations people on reserve, and Inuit in the North.
The contribution agreements fall within the following authorities:
The following programs and activities are currently being funded through various types of contribution agreements.
For more detailed information, see the First Nations and Inuit Health Program Compendium publication. For current expenditures and program information, view Health Canada's 2006-2007 Departmental Performance Report.
Children and Youth
- Aboriginal Head Start On-Reserve Program
The Aboriginal Head Start On Reserve (AHSOR) Program provides early childhood/preschool intervention that supports the development of the physical, intellectual, social, spiritual and emotional well-being of First Nations children. Program clients: children from birth to 6 years of age, and their families living on-reserve.
- Canada Prenatal Nutrition Program - First Nations and Inuit Component
The goal of the Canada Prenatal Nutrition Program-First Nations and Inuit Component (CPNP-FNIC) is to improve maternal and infant nutritional health. Program clients: pregnant First Nations and Inuit women, mothers of infants, and infants up to twelve months of age who live on reserve or in Inuit communities, particularly those identified as high risk. Also includes First Nations and Inuit women of childbearing age on-reserve and in Inuit communities.
- Fetal Alcohol Spectrum Disorder (FASD) Program
The Fetal Alcohol Spectrum Disorder (FASD) Program addresses a number of health problems that are associated with alcohol use by mothers during pregnancy. The main purpose of the program is twofold: 1) reduce the number of babies born with FASD; and 2) support children who are diagnosed with FASD and their families to improve their quality of life. Program clients : First Nations on-reserve and Inuit individuals, children from age 0 - 6, and women of child bearing age.
- Maternal and Child Health
The goal of the Maternal and Child Health (MCH) program is to support pregnant First Nations women and families with infants and young children, who live on reserve, to reach their fullest developmental and lifetime potential. Program clients: all pregnant women and new parents, with long term support for those families who require additional services.
Chronic Disease and Injury Prevention
- Aboriginal Diabetes Initiative
The First Nations On-reserve and Inuit in Inuit Communities (FNOIIC) Program is administered through contribution agreements established by FNIHB regional offices. These contribution agreements are initiated in response to work plans submitted to cover community based, tribal council or regional level activities. Each region has a partnership process established to ensure that First Nations and Inuit are part of the management and implementation of the Aboriginal Diabetes Initiative (ADI) programs in their region. For more information on ADI, contact your regional representative.The Métis, Off-reserve Aboriginal and Urban Inuit Prevention and Promotion (MOAUIPP) Program provides funding for diabetes primary prevention and health promotion programs. The MOAUIPP program is intended to serve Métis, off-reserve Aboriginal and urban Inuit who will access diabetes primary prevention and health promotion programming, and want these programs to be culturally appropriate.
Communicable Disease Control
- Air Borne Diseases - Tuberculosis (TB)
The goal of the tuberculosis (TB) program is to reduce the incidence of the disease in First Nations and Inuit communities. Community-based research projects on control and prevention of TB infections in First Nations and Inuit communities are also funded. Program clients: First Nations people living on-reserve and Inuit in Labrador (Nunatsiavut).
- Blood Borne Diseases and Sexually Transmitted Infections - HIV/AIDS
The HIV/AIDS program provides HIV/AIDS education, prevention and related health services to First Nations on-reserve and some Inuit communities. The overall goal of this program is to work in partnership with First Nations and Inuit communities to prevent HIV/ AIDS transmission and support the care of those impacted by HIV and AIDS. Program clients: First Nations Bands; First Nations and Inuit Associations and Tribal Councils.
- Vaccine Preventable Diseases (VPD) - Immunization
The First Nations and Inuit Health Branch (FNIHB) has developed and implemented a Targeted Immunization Strategy (TIS). The overall expected outcomes of the TIS are to improve coverage rates for routine immunizations, reduced VPD incidence, outbreaks and deaths, and the development of an integrated immunization surveillance system. Program clients: First Nations children under the age of six living on-reserve or in Inuit communities where FNIHB has the responsibility of ensuring the delivery of immunization services.
Environmental Public Health and Research
- Environmental Public Health Program
The Environmental Public Health Program (EPHP) is a community-based program that aims to protect and improve First Nations living on-reserves south of 60° health through the reduction of health risks, injuries or deaths. The EPHP also raises awareness of environmental public health hazards such as water, food and vector borne illnesses including health problems associated with indoor air quality, mould in housing and pest control (investigation of infestations and eradication of pests). Program clients: First Nations communities and individuals.
- Environmental Health Research
The Environmental Health Research (EHR) program carries out laboratory and field studies, research, monitoring and surveillance; and predictive modelling efforts, in the context of risks posed by environmental contaminants (chemical, biological and radiological) to the First Nations people and Inuit. Program clients: First Nations and Inuit communities.
Health Governance and Infrastructure Support
- Aboriginal Health Human Resources Initiative
In 2005, the Aboriginal Health Human Resources Initiative (AHHRI) was allocated $100 million over five years from the Federal Budget. The goal of the initiative is to lay the foundation for systemic change in health human resources, ensuring that First Nations, Inuit and Métis people have access to the health care providers that they need both now and in the future.
To reach this goal, strategic investments are made with national and regional organizations, rather than allocations made to communities and regions based on community-based or population-based formulae. To implement the initiative's priorities and distribute funds in an equitable and transparent manner, a national projects and regional work plans approach is used. This approach has been developed in collaboration with the initiative's partners and stakeholders.
The majority of funding for the AHHRI flows through national and regional contribution agreements and contracts with a variety of organizations, institutions, associations, agencies, universities and colleges as outlined in the First Nations and Inuit Health Branch's Health Governance and Infrastructure Support Authority. Program clients include: all First Nations, Inuit and Métis regardless of their status and where they reside; health care providers providing services to First Nations, Inuit and Métis; universities and colleges delivering health care programs; and Aboriginal and non-Aboriginal health professional and para-professional organizations and associations, and associations representing colleges and universities.
- Aboriginal Health Services Accreditation
The Aboriginal Health Services Accreditation (AHSA) supports Aboriginal health services as they apply national standards to improve the quality of health care. Funding supports First Nations and Inuit organizations to engage in the accreditation process and use standards of excellence in the areas of Leadership and Partnership, Information Management, Human Resources, Environment and direct health service delivery. Program clients: all Aboriginal health organizations and/or organizations providing services to Aboriginal people.
- Aboriginal Health Transition Fund
The Aboriginal Health Transition Fund (AHTF) supports First Nations and Inuit communities and organizations to improve the integration of existing federally funded health systems within First Nations and Inuit communities with provincial and territorial (P/T) health systems; and P/Ts to adapt their existing health services to better meet the needs of all Aboriginal peoples, including First Nations, Inuit, Métis, and those living off reserve and in urban areas.
- e-health Solutions
Health Canada provides funding to e-Health Solutions to support the programs within the First Nations and Inuit Health Branch in the selection, deployment and support of e-Health infrastructure to ensure that First Nations and Inuit communities are connected and informed. Program clients: health professionals in health facilities, program managers and administrators.
- Health Careers Program
The First Nations and Inuit Health Careers Program (FNIHCP) is intended to increase awareness of health career opportunities and foster an interest in health science studies in Aboriginal students. The FNIHCP provides contributions to support Aboriginal participation in education leading to careers in the health field. Program clients: all Aboriginal peoples (status, non-status, Métis and Inuit).
- Health Consultation and Liaison
Two types of funding are available for health consultation and liaison: base funding and project specific funding for health consultation to address health priorities. The base funding aims at supporting and maintaining core capacity of Canadian national and regional Aboriginal organizations to participate and lead consultation and liaison processes. Project specific funding for health consultation to address health priorities is available for Canadian Aboriginal organizations as well as non-governmental organizations and associations. Program clients: First Nations, Inuit, and Métis populations.
- Health Facilities and Capital Program
The Health Facilities and Capital Program (HFCP) supports the construction, acquisition, leasing, operation and maintenance of nursing stations, health centres, health stations, health offices, treatment centres, staff residences, and operational support buildings. These facilities allow Health Canada to efficiently and effectively offer health programs and services to clients, even in remote and isolated regions. The HFCP also supports the acquisition and repair of moveable assets, including equipment, vehicles, and furniture. Program clients: First Nations and Inuit community members, and health facility staff and other health facility workers, such as visiting specialists.
- Health Integration Initiative
Under the Primary Health Care Transition Fund, the First Nations and Inuit Health Branch of Health Canada received $10.8 million over a three-year period for the Health Integration Initiative. The Initiative is funding the following eight integration projects that will explore integration to improve the delivery of health services to First Nations people and Inuit:
- A Model for the Delivery of Primary and Public Health Care Services to the Communities of Sioux Lookout Zone
- Integrating Health Promotion and Illness Prevention Programs in Nunavut
- Integrated Primary Health Care for Elsipogtog First Nation
- Many Jurisdictions, One System: A Diabetes Integration Partnership Project
- Norway House Cree Nation Health Care Integration Planning Project
- Nova Scotia and New Brunswick Nursing Collaborative Policy Development
- Vancouver Island Chronic Illness Care Project
- Weeneebayko Area Health Integration Initiative
- Health Planning and Management
The Health Planning and Management supports First Nations and Inuit planning and management of health programs and services. This funding supports community health planning and the development of both health services and programs delivery model and its requisite infrastructure at the community, regional or national levels. Program clients: First Nations and Inuit communities, District and Tribal Councils, First Nations Health Boards, health organizations and corporations.
- Health Research and Co-ordination Projects
Health Canada provides funding to support Aboriginal health research and co-ordination projects including community, regional, national and international initiatives, that will contribute to enhancing knowledge related to Aboriginal health (including health human resources). Program clients: all First Nations and Inuit.
- Security Services for First Nations and Inuit Health Branch (FNIHB) Health Facilities
Security services for FNIHB health facilities supports the establishment of a safe and secure workplace environment for nursing staff providing services in nursing stations and other health facilities on reserve land across the country. This funding is provided for the recruitment, training and retention of security guards by First Nations communities. In addition, the funding is complementary to the physical security funding provided through the Health Facilities and Capital Authority. Program clients: Nursing and other health staff providing services in First Nations communities across the country.
Mental Health and Addictions
- Brighter Futures program
The overall purpose of the Brighter Futures program is to improve the quality of, and access to, culturally appropriate, holistic and community-directed mental health, child development, and injury prevention services at the community level to help create healthy family and community environments. Program clients: all members of First Nations and Inuit communities.
- Building Healthy Communities program
The Building Healthy Communities program is designed to assist First Nations and Inuit communities (which includes individuals and families) and territorial governments in developing community-based approaches to mental health crisis management. Activities include assessments, counselling services, referrals for treatment and follow-up treatment, aftercare and rehabilitation to individuals and communities in crisis. Program clients: First Nations communities, individuals and families.
- Indian Residential Schools Resolution Health Support Program
The Indian Residential Schools (IRS) Resolution Health Support Program provides access to mental health, transportation services and emotional support services for eligible former Indian residential school students through the Health Canada regional offices. Program clients: Eligible clients include former IRS students resolving claims through the Independent Assessment Process and their families, former IRS students receiving Common Experience Payments and their families, and those participating in Truth and Reconciliation and Commemoration events.
- Labrador Innu Comprehensive Healing Strategy
The Labrador Innu Comprehensive Healing Strategy (LICHS) is a long-term strategy designed to improve health and social outcomes in the two Labrador Innu communities of Natuashish (formerly Davis Inlet) and Sheshatshiu. The strategy was developed in the aftermath of a gas-sniffing crisis in the Labrador Innu communities in the Fall of 2000. Program clients: members of the Mushuau Innu and Sheshatshiu Innu First Nations residing in the communities of Natuashish and Sheshatshiu, Labrador.
- National Aboriginal Youth Suicide Prevention Strategy
As a program, the National Aboriginal Youth Suicide Prevention Strategy (NAYSPS) supports a range of community-based solutions and activities that contribute to improved mental health and wellness among Aboriginal youth, families, and communities. Program clients: First Nations youth living on reserve, Inuit youth, off reserve Aboriginal youth.
- National Native Alcohol and Drug Abuse Program - Community-based Program
The National Native Alcohol and Drug Abuse Program (NNADAP) community-based program provides prevention, intervention and aftercare and follow-up services in 500 First Nations and Inuit communities. Program clients: First Nations on-reserve and Inuit in Inuit settlements.
- National Native Alcohol and Drug Abuse Program - Residential Treatment
The Residential Treatment component of NNADAP is a national network of 50 treatment centres operated by First Nations organizations and/or communities that provide culturally appropriate in-patient and out-patient treatment services for alcohol and other forms of substance abuse. Program clients: First Nations and Inuit who have been assessed as requiring residential treatment.
- Youth Solvent Abuse Program
The Youth Solvent Abuse Program (YSAP) is a community-based prevention, intervention, after-care and in-patient treatment program that targets First Nations and Inuit youth who are addicted to, or at the risk of inhaling solvents. Program clients: First Nations and Inuit youth who are addicted to or at risk of inhaling solvents.
- Community Primary Care
Community Primary Care (CPC) services influence health, including illness and injury prevention, health promotion, cure and rehabilitation. Community primary care services are provided to remote and/or isolated First Nations and Inuit communities where such services are not provided by provincial or regional health authorities. Program clients: First Nations on-reserve and Inuit in Inuit communities of any age. Services may be provided to non-First Nations clients where these services are not otherwise readily available.
- First Nations and Inuit Home and Community Care
The First Nations and Inuit Home and Community Care (FNIHCC) provides home and community care services that are comprehensive, culturally sensitive, accessible, effective and equitable to that of other Canadians. It is a coordinated system of home and community-based health care services that enable First Nations and Inuit people of all ages with disabilities, chronic or acute illnesses and the elderly to receive the care they need in their homes and communities. Program clients: First Nations people and Inuit with disabilities, chronic or acute illnesses and the elderly.
- Oral Health Care
The Oral Health Care (OHC) is comprised of three elements: support to the National School of Dental Therapy; provision of oral health/dental therapy services to First Nations and Inuit, and the Children's Oral Health Initiative (COHI). In collaboration with the First Nations University of Canada, OHC delivers a two year diploma program to train dental providers to deliver basic clinical, preventive dental care services and health promotion programs and strategies in First Nations and Inuit communities. The oral health/dental therapy service providers including salaried dental professionals and contract service providers, deliver and manage a broad range of oral health activities including prevention, oral health promotion and basic restorative services. The majority of restorative dental services are provided through Non-Insured Health Benefits rather than through the Oral Health Care. Program clients: First Nations communities and individual First Nations, Inuit or Innu people of all ages.
Supplementary Health Benefits
- Non-Insured Health Benefits Program
The Non-Insured Health Benefits (NIHB) Program provides approximately 780,000 eligible First Nations and Inuit with a limited range of medically necessary health-related goods and services not provided through private insurance plans, provincial/territorial health or social programs or other publicly funded programs. Program clients: Registered Indians and recognized Inuit in Canada.
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