Supplementary Information Tables: 2015–16 Report on Plans and Priorities

Details on Transfer Payment Programs of $5 Million or More

Aboriginal Head Start in Urban and Northern Communities (AHSUNC)

Name of transfer payment program: Aboriginal Head Start in Urban and Northern Communities (Voted)

Start date: 1995–96

End date: Ongoing

Fiscal year for terms and conditions: 2009–10

Strategic Outcome: Protecting Canadians and empowering them to improve their health

Link to department's Program Alignment Architecture: Program 1.2 Health Promotion and Disease Prevention; Sub-Program 1.2.2 Conditions for Healthy Living; and Sub-Sub-Program 1.2.2.1 Healthy Child Development

Description:

Objective(s): Provide Aboriginal preschool children in urban and northern settings with a positive sense of themselves, a desire for learning, and opportunities to develop fully and successfully as young people.

Why this TPP is Necessary: Aboriginal children are at higher risk for poor developmental and health outcomes than non-Aboriginal children. Considerable evidence supports the mitigating role of community-based early childhood development programs in the lives of children facing similar risks.

Intervention Method(s): Funded projects must incorporate the six core program components (health promotion, nutrition, education, Aboriginal culture, parental involvement and social support) into their program design. Within the context of this pan-Canadian consistency, sites are locally tailored to the needs and assets within their communities.

Repayable Contributions: No.

Expected Results:

• Aboriginal children and their families participate in AHSUNC programs;
• Organizations from various sectors collaborate with AHSUNC sites to support the needs of AHSUNC participants; and
• Parents/caregivers are engaged and supported as children's primary teachers and caregivers.

Performance indicators:

• Number of children enrolled in the AHSUNC program;
• Percentage of AHSUNC sites that leverage multi-sectoral collaborations; and
• Percentage of parents/caregivers who report positive changes in their family practices (e.g., doing more things at home with their children to support their development, preparing nutritious meals and snack more often, etc.) as a result of participation in the AHSUNC program.

Fiscal year of last completed evaluation: 2011–12

Decision following the results of last evaluation: Continuation

Fiscal year of planned completion of next evaluation: 2016–17

General targeted recipient groups:
Aboriginal community-based organizations serving First Nations, Métis and Inuit children and their families living in urban and northern communities across Canada.

Initiatives to engage applicants and recipients:
Recipients are engaged through targeted solicitations. Funded recipients are expected to deliver comprehensive, culturally appropriate, locally controlled and designed early childhood development programs for Aboriginal pre-school children and their families living in urban and northern communities across Canada. They also support knowledge development and exchange at the community, provincial/territorial (P/T) and national levels through training, meeting, and exchange opportunities.

Assessed Contribution to the Pan American Health Organization (PAHO)

Name of transfer payment program: Assessed Contribution to the Pan American Health Organization (Voted)

Start date: July 2008

End date: Ongoing

Fiscal year for terms and conditions: 2013–14

Strategic Outcome: Protecting Canadians and empowering them to improve their health

Link to department's Program Alignment Architecture: Program 1.1 Public Health Infrastructure; and Sub-Program 1.1.2 Public Health Information and Networks

Description:

Objective(s): Comply with Canada's obligation, as a Member State of PAHO, to provide funding for the Organization to advance its public health work in the Americas. The program also allows Canada to advance global health and foreign policy priorities and contribute to the security of the Americas region to protect the health of Canadians.

Why this TPP is Necessary: To protect the health of Canadians while advancing Canada's global health priorities.

Intervention Method(s): As a member of PAHO, Canada is able to protect the health of Canadians and advance Canada's health priorities through effective and timely management of health emergencies and outbreaks in the Americas region; collaboration on the production and sharing of health information and public health intelligence; building capacity in the Americas region to uphold international norms and standards through comparative policy analysis and sharing of best practices. Payment of Canada's annual membership fees to PAHO.

Repayable Contributions: No.

Expected Results:
The Government of Canada's (GoC) primary objective for engaging with PAHO is to protect the health of Canadians and contribute to the security of the Americas region.

Canada's influence and interests in the Americas region, with respect to good governance, transparency and accountability, are also advanced through the Agency's membership in PAHO which provides a forum for the wider dissemination of Canadian-based values related to health and the provision of health-care, among others. Canada's membership in this multilateral organization also aligns with the GoC's foreign policy objectives for the Americas which seek to strengthen Canada's bilateral and multilateral relations in this region.

Fiscal year of last completed evaluation: 2013–14

Decision following the results of last evaluation: Continuation

Fiscal year of planned completion of next evaluation: 2018–19

General targeted recipient groups:
PAHO is the sole recipient of membership fees under these terms and conditions.

Initiatives to engage applicants and recipients: Engagement takes place through a variety of ways, including meetings; participation in PAHO governing bodies (planning and budgeting processes); technical and program cooperation in priority areas; knowledge transfer activities through Canada's participation in PAHO's technical advisory groups; and the review of annual reporting and monitoring of performance.

Canada Prenatal Nutrition Program (CPNP)

Name of transfer payment program: Canada Prenatal Nutrition Program (Voted)

Start date: 1994–95

End date: Ongoing

Fiscal year for terms and conditions: 2009–10

Strategic Outcome: Protecting Canadians and empowering them to improve their health

Link to department's Program Alignment Architecture: Program 1.2 Health Promotion and Disease Prevention; Sub-Program 1.2.2 Conditions for Healthy Living; and Sub-Sub-Program 1.2.2.1 Healthy Child Development

Description:

Objective(s): Mitigate health inequalities for pregnant women and infants, improve maternal-infant health, increase the rates of healthy birth weights, as well as promote and support breastfeeding. The TPP also seeks to promote the creation of partnerships within communities and strengthen community capacity to increase support for vulnerable pregnant women and new mothers.

Why this TPP is Necessary: Evidence shows that maternal nutrition, as well as the level of social and emotional support provided to a mother and her child, can affect both prenatal and infant health, as well as longer-term physical, cognitive and emotional functioning in adulthood^{Footnote 4}. This program raises stakeholder awareness and supports a coherent, evidence-based response to the needs of vulnerable children and families on a local and national scale. It also supports knowledge development and exchange on promising public health practices related to maternal-infant health for vulnerable families, community-based organizations and practitioners.

Intervention Method(s): Programming delivered across the country includes: nutrition counselling; provision of prenatal vitamins, food and food coupons; parenting classes; social supports; and education on prenatal health, infant care, child development, and healthy living.

Repayable Contributions: No.

Expected Results:

• Parents/caregivers and their children facing conditions of risk participate in CPNP programs;
• Organizations from various sectors collaborate with CPNP projects to support the needs of participants; and
• Parents/ caregivers and their children gain knowledge and build skills to support maternal, child and family health.

Performance indicators:

• Number of CPNP program participants (pregnant women, postnatal women, and other parents/caregivers);
• Number and percentage of CPNP projects that leverage multi-sectoral collaborations;
• Number of CPNP projects that have leveraged funds from other sources;
• Ratio of leveraged funds to Agency funding; and
• Parents/caregivers participants report gaining knowledge and skill development to support maternal, child and family health (as a result of program participation).

Fiscal year of last completed evaluation: 2009–10

Decision following the results of last evaluation: Continuation

Fiscal Year of Planned Completion of Next Evaluation: 2015–16

General targeted recipient groups:
Community-based organizations serving at-risk pregnant women and infants.

Initiatives to engage applicants and recipients:
Recipients are engaged through targeted solicitations. Funded recipients are expected to deliver comprehensive, culturally appropriate, locally controlled and designed programs for women, pregnant women, new mothers, children 0-six years and their parents/caregivers facing conditions of risk across Canada. They also support knowledge development and exchange at the community, P/T, and national levels through training, meeting and exchange opportunities.

Canadian Diabetes Strategy (CDS)

Name of transfer payment program: Canadian Diabetes Strategy (Voted)

Start date: 2005–06

End date: Ongoing

Fiscal year for terms and conditions: 2009–10

Strategic Outcome: Protecting Canadians and empowering them to improve their health

Link to department's Program Alignment Architecture: Program 1.2 Health Promotion and Disease Prevention; and Sub-Program 1.2.3 Chronic (non-communicable) Disease and Injury Prevention

Description:

Objective(s): Promote multi-sectoral partnerships and innovative approaches focused on promoting healthy active living, thereby reducing the risk of developing a chronic disease as the incidence of diabetes rises due to an increasingly inactive and overweight Canadian population.

Why this TPP is Necessary: Type 2 diabetes is one of the fastest growing diseases in Canada with more than 60,000 new cases yearly. It is estimated that approximately two million Canadians have diabetes and one-third of them are unware that they have the disease. The risk factors for diabetes are becoming more common.

Intervention Method(s): This TPP supports federal leadership by facilitating multi-sectoral partnerships between governments, non-governmental organizations, and the private sector to ensure that resources are deployed to maximum effect.

Repayable Contributions: No.

Expected results:

• Target populations have access to health promotion, chronic disease prevention, early detection, and/or support resources;
• Target populations have knowledge about healthy living and chronic disease prevention practices; and
• Social and physical environments support healthy living and chronic disease prevention.

Performance indicators:

• Number of participants demonstrating knowledge of chronic disease risk factors (e.g., unhealthy eating, physical inactivity, and smoking);
• Number of participants demonstrating knowledge of chronic disease protective factors (e.g., healthy eating, physical activity, and smoking cessation); and
• Number of participants who perceive that facilities, programs, parks, playgrounds etc. are available in the community (for physical activity and/or healthy living).

Fiscal year of last completed evaluation: 2014–15

Decision following the results of last evaluation: Continuation

Fiscal year of planned completion of next evaluation: 2019–20

General targeted recipient groups: Canadian not-for-profit voluntary organizations and corporations; for-profit organizations; unincorporated groups; societies and coalitions, P/T, regional and municipal governments and agencies; organizations and institutions supported by P/T governments (regional health authorities, schools, post-secondary institutions, etc.); and individuals deemed capable of conducting population health activities.

Initiatives to engage applicants and recipients:
Open solicitations posted on the Agency's Web site and targeted solicitations are used to reach applicants. In-person or teleconference meetings with recipients are used to promote collaboration, evaluation, and knowledge synthesis, and the development of case studies to share learnings from funded projects.

Community Action Program for Children (CAPC)

Name of transfer payment program: Community Action Program for Children (Voted)

Start date: 1993–94

End date: Ongoing

Fiscal year for terms and conditions: 2009–10

Strategic Outcome: Protecting Canadians and empowering them to improve their health

Link to department's Program Alignment Architecture: Program 1.2 Health Promotion and Disease Prevention; Sub-Program 1.2.2 Conditions for Healthy Living; and Sub-Sub-Program 1.2.2.1 Healthy Child Development

Description:

Objective(s): Fund community-based groups and coalitions to develop and deliver comprehensive, culturally appropriate early intervention and prevention programs to mitigate health inequalities and promote the health and development of children aged 0-six years and their families facing conditions of risk. The TPP also seeks to promote the creation of partnerships within communities and to strengthen community capacity to increase support for vulnerable children and their families.

Why this TPP is Necessary: Compelling evidence shows that risk factors affecting the health and development of children can be mitigated over the life course by investing in early intervention services that address the needs of the whole family^{Footnote 5}.

Intervention Method(s): Programming across the country may include education on health, nutrition, early childhood development, parenting, healthy living and social supports.

Repayable Contributions: No.

Expected results:

• Parents/caregivers and their children facing conditions of risk participate in CAPC programs;
• Organizations from various sectors collaborate with CAPC projects to support the needs of participants; and
• Parents/caregivers and their children gain knowledge and build skills to support maternal, child and family health.

Performance indicators include:

• Number of CAPC program participants (parents/caregivers, children 0-six years);
• Number of and percentage of CAPC projects that leverage multi-sectoral collaborations to support the health needs of women, children 0-6 years and families facing conditions of risk;
• Percentage of CAPC projects that have leveraged funds from other sources;
• Ratio of leveraged funds to PHAC funding; and
• Parents/caregivers participants report gaining knowledge and skill development to support maternal, child and family health (as a result of program participation).

Fiscal year of last completed evaluation: 2009–10

Decision following the results of last evaluation: Continuation

Fiscal year of planned completion of next evaluation: 2015–16

General targeted recipient groups:
Community-based organizations serving at-risk children 0-six years and their families.

Initiatives to engage applicants and recipients:
Recipients are engaged through targeted solicitations. Funded recipients are expected to deliver comprehensive, culturally appropriate, locally controlled and designed programs for at-risk children 0-six years and families facing conditions of risk across Canada^{Footnote 6}. They also support knowledge development and exchange at the community, P/T, and national levels through training, meeting and exchange opportunities.

Federal Initiative to Address HIV/AIDS in Canada (FI)

Name of transfer payment program: Federal Initiative to Address HIV/AIDS in Canada (Voted)

Start date: January 2005

End date: Ongoing

Fiscal year for terms and conditions: 2009–10

Strategic Outcome: Protecting Canadians and empowering them to improve their health

Link to department's Program Alignment Architecture: Program 1.2 Health Promotion and Disease Prevention; Sub-Program 1.2.1 Infectious Disease Prevention and Control; Sub-Program 1.2.2 Conditions for Healthy Living; Sub-Sub-Program 1.2.1.2 Infectious and Communicable Diseases; and Sub-Sub-Program 1.2.2.2 Health Communities

Description:

Objective(s): Prevent and control HIV and associated sexually transmitted and blood-borne infections (STBBI); facilitate access to testing, diagnosis, treatment, and information on prevention; and enhance the use of evidence, and knowledge about effective interventions.

Why this TPP is Necessary: The FI Evaluation indicated that HIV/AIDS remains a persistent public health issue for Canada that disproportionately affects vulnerable populations. While the rate of infection of HIV/AIDS has stabilized, new cases continue to be diagnosed. As such, prevention efforts are still needed as well as greater emphasis on increasing access to testing, diagnosis, and treatment.

Intervention Method(s): In addition to facilitating access to testing, diagnosis, treatment, and information on prevention methods, the FI also supports and strengthens multi-sector partnerships to address the determinants of health. It supports collaborative efforts to address factors which can increase the transmission and acquisition of HIV. This includes sexually transmitted infections and co-infection issues with other infectious diseases (e.g., Hepatitis C and tuberculosis). People living with and vulnerable to HIV/AIDS are active partners in FI policies and programs.

Repayable Contributions: No.

Expected results:

Projects funded at the national and regional levels will result in:

• Enhanced knowledge and awareness of the nature of HIV and AIDS and ways to address the disease;
• Increased individual and organizational capacity to address HIV and AIDS;
• Interventions to promote health, prevent and control infections and address barriers to prevention, diagnosis, and treatment for key populations; and
• Evidence and lessons-learned to inform the implementation of new collaborative alliances to deliver community-based interventions across Canada.

Performance indicators include:

• Total number of individuals by target population and audiences reached and by type of activities funded by the Fl;
• Total number of partnerships by type and their status; and
• Total number of individuals by target populations who have access to the services/number of referrals.

Stemming from audit and evaluation recommendations to review and streamline performance measurement strategies, the FI is developing new performance indicators to be reported on in 2016–17.

Fiscal year of last completed evaluation: 2013–14

Decision following the results of last evaluation: Continuation

Fiscal year of planned completion of next evaluation: 2018–19

General Targeted Recipient Groups: Canadian not-for-profit voluntary organizations and corporations; for-profit organizations; unincorporated groups; societies and coalitions; P/T, regional and local governments and agencies; and organizations and institutions supported by P/T governments.

Initiatives to engage applicants and recipients:
Applicants and recipients are engaged through performance measurement and evaluation processes, and periodic meetings with stakeholders involved in the prevention and control of communicable diseases.

Healthy Living Fund (HLF)

Name of transfer payment program: Healthy Living Fund (Voted)

Start date: 2005–06

End date: Ongoing

Fiscal year for terms and conditions: 2013–14

Strategic Outcome: Protecting Canadians and empowering them to improve their health

Link to department's Program Alignment Architecture: Program 1.2 Health Promotion and Disease Prevention; and Sub-Program 1.2.3 Chronic (non-communicable) Disease and Injury Prevention

Description:

Objective(s): Support multi-sectoral partnerships and innovative approaches focused on promoting healthy active lifestyles, thereby reducing the risk of developing a chronic disease.

Why this TPP is Necessary: Complex public health challenges defy single solution approaches that are developed in isolation. By engaging multiple sectors of society, partners can leverage knowledge, expertise, reach and resources, allowing each to do what it does best, in working towards the common shared goal of producing better health outcomes for Canadians.

Intervention Method(s): The TPP engages and provides funding to multiple sectors and builds partnerships between governments, non-governmental organizations and other sectors, including the private sector. It also focuses on informing policy and program decision-making.

Repayable Contributions: No.

Expected results:

• Target populations have access to health promotion, chronic disease prevention, early detection, and/or support resources;
• Target populations have knowledge about healthy living and chronic disease prevention practices; and
• Social and physical environments support healthy living and chronic disease prevention.

Performance indicators include:

• Number of participants demonstrating knowledge of chronic disease risk factors (e.g., unhealthy eating, physical inactivity, and smoking);
• Number of participants demonstrating knowledge of chronic disease protective factors (e.g., healthy eating, physical activity, and smoking cessation); and
• Number of participants who perceive that facilities, programs, parks, playgrounds etc. are available in the community (for physical activity and/or healthy living).

Fiscal year of last completed evaluation: 2014–15

Decision following the results of last evaluation: Continuation

Fiscal year of planned completion of next evaluation: 2019–20

General targeted recipient groups: Canadian not-for-profit voluntary organizations and corporations; for-profit organizations; unincorporated groups; societies and coalitions; P/T, regional and municipal governments and agencies; organizations and institutions supported by P/T governments (regional health authorities, schools, post-secondary institutions, etc.); and individuals deemed capable of conducting population health activities.

Initiatives to engage applicants and recipients:
Open solicitations posted on the Agency's Web site and targeted solicitations are used to reach applicants. In-person or teleconference meetings with recipients are used to promote collaboration, evaluation, and knowledge synthesis, and the development of case studies to share learnings from funded projects.

Innovation Strategy (IS)

Name of transfer payment program: Innovation Strategy (Voted)

Start date: 2009–10

End date: Ongoing

Fiscal year for terms and conditions: 2009–10

Strategic Outcome: Protecting Canadians and empowering them to improve their health

Link to department's Program Alignment Architecture: Program 1.2 Health Promotion and Disease Prevention; Sub-Program 1.2.2 Conditions for Healthy Living; and Sub-Sub-Program 1.2.2.2 Healthy Communities

Description:

Objective(s): Support the development, adaptation, implementation, and evaluation of promising, innovative population health interventions and initiatives across various settings and populations in Canada using an intervention research approach. In addition, support knowledge translation and dissemination based on the systematic collection of results and outcomes of these interventions and promote their use across Canada.

Why this TPP is Necessary: The majority of public health research focuses on describing public health problems instead of identifying potential solutions. As such, there is little evidence available to inform decision-makers regarding effective interventions. Also, there is little data available to show how a successful, pilot intervention moves past the experimental stage and into the expanded, replicated, adapted, and sustained stages in an effort to influence long-term application or policy change. The program funds research to generate knowledge about policy and program interventions that impact health at the population level.

Intervention Method(s): The TPP carries out activities in two key areas:

• Implementation and testing of innovative population health interventions. The TPP funds, supports, and monitors organizations to design, develop, implement, adapt and evaluate population health interventions that target children youth, and families in over 300 communities.
• Knowledge development and exchange. The TPP focuses on the development, exchange, and use of practical knowledge based on results of interventions to reduce health inequalities and address complex public health issues.

Repayable Contributions: No.

Expected results:

• Population health interventions contribute to improved protective factors, reduced risk behaviours and improved health outcomes for individuals, families and communities;
• Population health interventions demonstrate readiness for scale-up; and
• Stakeholders access and use knowledge products, intervention research evidence and synthesized learnings to advance population health policy and practice.

Performance indicators include:

• Number of projects demonstrating a change in health outcomes, protective factors and/or risk behaviours;
• Percentage of stakeholders using knowledge generated through the IS in their work;
• Percentage of projects that have leveraged additional funding;
• Percentage of projects receiving in-kind support for the project; and
• Percentage of partnerships sustained three years or more.

Fiscal year of last completed evaluation: 2014–15

Decision following the results of last evaluation: Pending

Fiscal year of planned completion of next evaluation: 2019–20

General targeted recipient groups: Canadian not-for-profit voluntary organizations and corporations; unincorporated groups; societies and coalitions; P/T, regional and municipal governments and agencies; organizations and institutions supported by P/T governments; and individuals deemed capable of conducting population health activities.

Initiatives to engage applicants and recipients:
Open and targeted calls for proposals are utilized to solicit proposals from potential applicants. Various approaches are used to engage applicants and optimize the quality of submitted proposals, including information events and tools and resources. The IS places a high priority on and supports the systematic collection of learnings and the sharing of this information between funded recipients, the Agency, and other partners to influence future program and policy design.

National Collaborating Centres for Public Health (NCCPH)

Name of transfer payment program: National Collaborating Centres for Public Health (Voted)

Start date: 2005–06

End date: Ongoing

Fiscal year for terms and conditions: 2012–13

Strategic Outcome: Protecting Canadians and empowering them to improve their health

Link to department's Program Alignment Architecture: Program 1.1 Public Health Infrastructure; and Sub-Program 1.1.2 Public Health Information and Networks

Description:

Objective(s): Promote the use of knowledge for evidence-informed decision making by public health practitioners and policy-makers across Canada. The National Collaborating Centres (NCCs) synthesize, translate, and share knowledge to make it useful and accessible to policymakers, program managers, and practitioners.

Why this TPP is Necessary: The NCCs are designed to identify knowledge gaps, stimulate research in priority areas, and link public health researchers with practitioners to build strong practice-based networks across Canada in order to strengthen Canada's public health and emergency response capacity.

Intervention Method(s): Provision of contribution funds for creative solutions to be developed by the recipient that are responsive to the public health system and its organisations' needs.

Repayable Contributions: No.

Expected results:

• Mechanisms are in place to enable public health partners to work collaboratively to address existing and emerging public health infrastructure issues;
• Public health organizations are engaged and participate in collaborative networks and processes; and
• Public health professionals and partners have access to reliable, actionable public health data and information.

Performance indicators include:

• The number and types of activities undertaken that identify research knowledge gaps;
• The number and types of knowledge translation products and activities created and disseminated; and
• The number of collaborations to address emerging public health issues.

Fiscal year of last completed evaluation: 2014–15

Decision following the results of last evaluation: Continuation

Fiscal year of planned completion of next evaluation: 2018–19

General targeted recipient groups:
Six centres focusing on thematic areas and priorities of public health priorities of host organizations in not-profit, academic and provincial government settings.

Initiatives to engage applicants and recipients:
Program does not anticipate issuing further solicitations as contribution agreements with recipients are eligible for renewal every five years, and work plans are reviewed and approved annually.