ARCHIVED - Public Health Agency of Canada - Supplementary Tables

Name of Transfer Payment Program: Aboriginal Head Start in Urban and Northern Communities (AHSUNC)

Start date: 1995-96

End date: Ongoing

Description: Contributions to incorporated, local or regional non-profit Aboriginal organizations and institutions for the purpose of developing early intervention programs for Aboriginal pre-school children and their families.

Strategic Outcome: Healthier Canadians, reduced health disparities, and a stronger public health capacity.

Results Achieved: AHSUNC projects delivered programs focusing on education and school readiness; aboriginal culture and language development; parental involvement; health promotion; nutrition; and social support to 4,500 children in 126 sites across Canada. The 2006 National Impact Evaluation showed that, as a result of the children’s participation in Aboriginal Head Start (AHS), parents reported stronger relationships with their children through better interaction and more engagement in their children’s education, as well as stronger nutritional practices.

The Public Health Agency of Canada (PHAC) provided funding for an Inuit Early Childhood Education Conference as well as for the development of cultural and nutrition products such as: Our Food, Our Stories - Celebrating our Gifts from the Creator, which included nutritious recipes and pictures reflecting each culture and identity of nations, a culturally and holistic-based curriculum for a Traditional Aboriginal Parenting Program and training on a National School Readiness Assessment Tool. This tool was used to measure school readiness in AHSUNC participants in the NorthwestTerritories and indicated better measures of grade level achievement and social skills in participants. The tool has also shown that graduates maintain their progress and gains made during the AHS program. It will be extended nationwide in fall 2010.

With the use of the AHS National Strategic Funds, the Aboriginal Head Start Association of British Columbia (AHSABC) worked with the VancouverCommunity College to coordinate, deliver and evaluate a Leadership, Administration and Management (LAM) training session for BC AHS Project Managers. This workshop attracted AHS staff from BC both on and off reserve as well as AHS staff from the Yukon, Nunavut, Ontario and Prince Edward Island. The group that participated in the training also helped shape and create an AHS specific-LAM training guide. This workshop was delivered by the executive director of AHSABC in Niagara Falls in May, 2010.

Program Activity: Health Promotion
($M)

	Actual Spending 2007-08	Actual Spending 2008-09	Planned Spending 2009-10	Total Authorities 2009-10	Actual Spending 2009-10	Variance(s)
Total Grants
Total Contributions	30.6	31.3	32.1	31.9	31.8	0.3
Total Other types of transfer payments
Total Program Activity	30.6	31.3	32.1	31.9	31.8	0.3

Comment(s) on Variance(s): PHAC spent $0.3M less than what was planned mainly due to the transfers from AHS to the International Consortium on Anti-Virals contribution within PHAC and to the Fetal Alcohol Spectrum Disorder Initiative.

Audit completed or planned: The program was part of the September 2009  Audit of Health Promotion Programs. A follow-up audit on PHAC Health Promotion programs is planned for March 2012.

Evaluation completed or planned: A national impact evaluation was completed in 2006. The next national impact evaluation is due for completion in 2011.

Name of Transfer Payment Program: Community Action Program for Children (CAPC)

Start date: 1993-94

End date: Ongoing

Description: The CAPC provided funding to community-based groups and coalitions to develop and deliver comprehensive, culturally appropriate prevention and early intervention programs to promote the health and social development of pregnant women, infants, children (zero to six years) and their families facing conditions of risk.

Strategic Outcome: Healthier Canadians, reduced health disparities, and a stronger public health capacity.

Results Achieved: PHAC provided funding and support to 441 community-based projects in 2009-10. An evaluation of CAPC completed in January 2010 provided evidence that the program continues to be relevant to the Canadian context; reaches children and families living in conditions of risk (one in seven participants (13 percent) identified themselves as an Aboriginal person); and contributes to their health and social development. A qualitative analysis of CAPC provided evidence of improved child development outcomes, community capacity and personal parental improvement.

Program Activity: Health Promotion
($M)

	Actual Spending 2007-08	Actual Spending 2008-09	Planned Spending 2009-10	Total Authorities 2009-10	Actual Spending 2009-10	Variance(s)
Total Grants
Total Contributions	57.0	56.0	53.4	54.4	54.4	(1.0)
Total Other types of transfer payments
Total Program Activity	57.0	56.0	53.4	54.4	54.4	(1.0)

Comment(s) on Variance(s): Actual Spending exceeded Planned Spending by $1.0M mainly due to regional transfers from the Canada Prenatal Nutrition Program to the CAPC.

Audit completed or planned: The program was included in the September 2009  Audit of Health Promotion Programs.

Evaluation completed or planned: Summative evaluations of CAPC for the period 2004-09 were completed in January 2010. Evaluation results can be found at:   http://www.phac-aspc.gc.ca/about_apropos/reports/2008-09/pphgcp-pscpsp/index-eng.php.

Name of Transfer Payment Program: Canada Prenatal Nutrition Program (CPNP)

Start date: 1994-95

End date: Ongoing

Description: CPNP provides funding to community-based groups and coalitions to develop and deliver comprehensive, culturally appropriate prevention and early intervention programs to promote the health and social development of pregnant women, infants and their families facing conditions of risk.

Strategic Outcome: Healthier Canadians, reduced health disparities, and a stronger public health capacity.

Results Achieved: PHAC provided funding and support to 325 community-based projects in 2009-10.  An evaluation of CPNP, completed in January 2010, provided evidence that the program continues to be relevant to the Canadian context; reaches vulnerable pregnant women and new mothers; is cost effective; and is effecting positive changes in the health practices of pregnant women/new mothers and promoting positive birth outcomes. Of the CPNP participants, 23 percent self-identified as Aboriginal, as compared to 4 percent of respondents to the Canadian Community Health Survey. CPNP participants were shown to have improved use of vitamin-mineral supplements during pregnancy; to cease or reduce alcohol consumption and/or smoking; and to have increased initiation and duration of breastfeeding. Moreover, there was a decreased likelihood of low birth weight infants and preterm births among CPNP participants.

Program Activity: Health Promotion
($M)

	Actual Spending 2007-08	Actual Spending 2008-09	Planned Spending 2009-10	Total Authorities 2009-10	Actual Spending 2009-10	Variance(s)
Total Grants
Total Contributions	27.4	27.2	27.2	26.5	26.4	0.8
Total Other types of transfer payments
Total Program Activity	27.4	27.2	27.2	26.5	26.4	0.8

Comment(s) on Variance(s):  Planned Spending exceeded Actual Spending by $0.8M mainly due to regional transfers from the CPNP to the CAPC.

Audit completed or planned: The program was included in the September 2009  Audit of Health Promotion Programs.

Evaluation completed or planned: Summative evaluations for the period 2004-09 were completed in January 2010. Evaluation results can be found at:  http://www.phac-aspc.gc.ca/about_apropos/reports/2008-09/pphgcp-pscpsp/index-eng.php.

Name of Transfer Payment Program: Innovation Strategy (IS) previously known as the Population Health Fund (PHF)

Start date: 1999-2000

End date: Ongoing

Description: The IS is a federal grants and contributions initiative designed to foster action on the key determinants that affect the health of Canadians. The IS was established based on the parameters of the PHF to strengthen the development, implementation and rigorous evaluation of innovative interventions and initiatives to reduce health inequalities. It focuses on priority areas where there are unmet needs in how to effectively protect and improve the health of Canadians. An important component is the exchange and application of practical information on what works to address the underlying causes of health inequalities and on effective ways to deal with public health issues of a complex nature. Recipients include non-governmental organizations and networks; public health stakeholders at the national, provincial, territorial and community levels; and other organizations that have the capacity to develop, implement and evaluate innovative policies and activities.

Strategic Outcome: Healthier Canadians, reduced health disparities, and a stronger public health capacity.

Results Achieved: PHAC implemented the first cycle of the IS by funding 15 innovative multi-sectoral interventions to address inequalities in mental health and related determinants. Interventions of the 15 projects span over 25 sites across Canada.  To support the 15 recipients the IS hosted an in-person recipients meeting to facilitate collaboration and knowledge sharing among projects; developed an online network for recipients to share research and methodological tools; and developed several research papers on topics such as innovation in population health interventions, implementation processes and mental health indicators to inform intervention development, implementation, and evaluation.

Program Activity: Health Promotion
($M)

	Actual Spending 2007-08	Actual Spending 2008-09	Planned Spending 2009-10	Total Authorities 2009-10	Actual Spending 2009-10	Variance(s)
Total Grants	0.8	0.9	7.8	2.4	1.5	6.3
Total Contributions	5.2	6.4	3.7	5.6	5.5	(1.8)
Total Other types of transfer payments
Total Program Activity	6.0	7.3	11.5	8.0	7.0	4.5
Program Activity: Chronic Disease Prevention and Control
Total Grants	0.9	0.5	0.0	0.0	0.7	(0.7)
Total Contributions	1.1	0.1	0.0	0.0	0.0	0.0
Total Other types of transfer payments
Total Program Activity	2.0	0.6	0.0	0.0	0.7	(0.7)
Total Program Activities	8.0	7.9	11.5	8.0	7.7	3.8

Comment(s) on Variance(s): In order to account for Agency pressures, the IS transferred Grants to the Healthy Living Program ($1.9M); the Network of Centres for Excellence for Children’s Health program ($0.1M); the PHAC Centre of Immunization Respiratory and Infectious Disease ($0.2M); the Canadian Institute of Health Research ($0.2M); the International Development Research Centre ($0.1M); the Canadian Public Health Association ($0.3M). Amendments to regionally based programs funded through PHF were provided through a transfer to Agency Regional Offices ($1.3M). The IS first cycle of solicitation with a focus on mental health promotion was launched on June 2, 2009 and as a result, 15 projects were approved for funding. Grants were converted into Contributions, accounting for the $1.8M variance, as Contributions are the most appropriate funding mechanism to ensure that reporting and accountability requirements are met.

Audit completed or planned: The IS was included in the September 2009  Audit of Health Promotion Programs.

Evaluation completed or planned: A summative evaluation for the PHF covering 2004-09 was completed in 2008-09. The results can be found at:  http://www.phac-aspc.gc.ca/about_apropos/reports/2008-09/pphgcp-pscpsp/index-eng.php.

Name of Transfer Payment Program: Federal Initiative to Address HIV/AIDS in Canada (FI)

Start date: January 2005

End date: Ongoing 

Description: Contributions towards the Federal Initiative to Address HIV/AIDS in Canada.

Strategic Outcome: Healthier Canadians, reduced health disparities, and a stronger public health capacity.

Results Achieved: Shared Outcomes have been refined in response to a 2009  Federal Initiative (FI) to Address HIV/AIDS in Canada Implementation Evaluation Report, which recommended strengthening of the FIs performance measurement framework.

In 2009-10, PHAC’s National Transfer Payment Funds supported 29 projects, for a total of $9.6M in grants and contributions. PHAC’s Regional Transfer Payment Funds, through the AIDS Community Action Program (ACAP), supported 47 time-limited and 84 operational projects across Canada, for a total of $12.1M.

Awareness

Through funding provided to community-based organizations, PHAC’s FI transfer payments increased knowledge of specific strategies to reach priority populations. Priority populations most affected by HIV and AIDS in Canada include: gay men, people who use injection drugs, Aboriginal peoples, people in prison, youth at risk, women, people from countries where HIV is endemic, and people living with HIV and AIDS. Specific tools such as best and wise practice guidance documents, workshops and training events were used to increase knowledge and skills to reach specific populations.

ACAP also addressed the issues of co-infections with hepatitis C, tuberculosis (TB) and sexually transmitted infections (STIs). Issues of co-infection include: increased risk of becoming co-infected with another infectious disease, and the risk of more rapid progression of HIV in the presence of another infection. ACAP’s infection disease prevention projects reached many vulnerable populations that are at risk for HIV and AIDS and also for hepatitis C, TB and STIs. In 2009-10, there were 16 ACAP-funded projects co-funded by the hepatitis C Prevention, Support and Research Program. In addition to co-funding, of the 131 ACAP projects that were funded in 2009-10, it has been estimated that 63 address issues of co-infection. For example, ACAP funded many gay men HIV prevention projects that also include STI prevention; it also funded projects that included outreach and prevention work for sex trade workers and drug users.

As part of the FI to address HIV/AIDS in Canada, 19 projects were funded under the National Non-Reserve First Nations, Inuit and Métis Communities HIV/AIDS Projects Fund, and contributed to increased knowledge and awareness for both Aboriginal populations and their service providers. As a result, service providers were better equipped to deal with HIV and AIDS-related Aboriginal emerging issues, sexual health, prevention and harm reduction initiatives in a culturally appropriate manner.

Additionally, the National HIV/AIDS Knowledge Exchange Fund supported the Canadian AIDS Treatment Information Exchange (CATIE) as the Knowledge Exchange Broker to strengthen responses of front-line organizations involved in the delivery of prevention, diagnosis, care, treatment, and support to people living with and at risk of contracting HIV and AIDS by incorporating an active and continuous exchange of HIV- and AIDS-related knowledge.

The ACAP Evaluation Report 2007-09 was completed in the spring of 2009-10 and will be released in the fall of 2010-11. The report increased knowledge of how the program can better reach vulnerable populations including Aboriginal peoples, people from countries where HIV/AIDS is endemic, immigrants and refugees, and men who have sex with men. The report also provides data to support realigning ACAP within the broader context of sexually transmitted and blood-borne infections, using an integrated approach to funding to address hepatitis C, HIV and linking its work to actions on health determinants that also address other sexually transmitted infections.

Funding provided to community-based organizations increased awareness of social and economic factors that create barriers for people at risk and those living with HIV and AIDS. ACAP projects were involved in a number of initiatives to increase awareness of the social and economic factors that create barriers for people at risk and those living with HIV and AIDS. In 2009-10, approximately 52 percent of ACAP projects had an objective to address the stigma or discrimination that influences risk behaviours. For example, many ACAP projects addressed homophobia and public attitudes towards people living with HIV and AIDS. ACAP projects also hold community events, such as AIDS walks and candle-light vigils, to raise awareness of the disease and its impacts.

Organizational Capacity

Funding to community-based organizations also increased individual and organizational capacity to have the necessary competencies to respond to HIV/AIDS among key populations. It was estimated that 42 percent of ACAP projects had an objective related to increasing organizational capacity to address HIV/AIDS.

Program Activity: Infectious Disease Prevention and Control
($M)

	Actual Spending 2007-08	Actual Spending 2008-09	Planned Spending 2009-10	Total Authorities 2009-10	Actual Spending 2009-10	Variance(s)
Total Grants	0.9	0.4	6.0	0.4	0.3	5.7
Total Contributions	19.5	21.3	16.7	22.1	21.1	(4.4)
Total Other types of transfer payments
Total Program Activity	20.4	21.7	22.7	22.5	21.4	1.3

Comment(s) on Variance(s): Funds were transferred from Grants to Contributions. The variance of $1.3M consists of $1.2M in contribution programming deferred under national funding streams for community-based social marketing and capacity building for front-line organizations because of delays in internal processes; $0.4M transferred out to the Hepatitis C Research Program to enhance HIV-related program activities; and $0.2M transferred in from the Canadian HIV Vaccine Initiative (CHVI) (all figures rounded).

Audit completed or planned: Three audits for national organizations funded under the FI to Address HIV/AIDS in Canada were undertaken in 2009-10 and are scheduled to be completed in 2010-11.

Evaluation completed or planned: In 2009-10 a Federal Initiative to Address HIV/AIDS in Canada Evaluation Report (2004-07) was approved. The report can be found at:  http://www.phac-aspc.gc.ca/about_apropos/reports/2008-09/hiv-vih/index-eng.php. An evaluation report summarizing AIDS Community Action Program 2007-09 was finalized and will be released in fall 2010. The next evaluation of the FI to Address HIV/AIDS in Canada is planned for 2013-14.

Name of Transfer Payment Program: National Collaborating Centres for Public Health (NCCPH)

Start date: 2004-05

End date: Ongoing

Description: Contribution to persons and agencies to support health promotion projects in the area of community health, resource development training and skill development and research. The National Collaborating Centres (NCCs) focus on improving the use of scientific and other knowledge to enhance the effectiveness and strengthen the capacity of Canada’s public health system. The NCCs make useful research available to and foster linkages among public health practitioners, researchers, and others within the public health community. They promote the sharing of knowledge across this network to strengthen public health practice across Canada.

Strategic Outcome: Healthier Canadians, reduced health disparities, and a stronger public health capacity.

Results Achieved: The results are being achieved as expected and progress is being shown through two major projects completed in 2009-10:

1.  The Report of the Formative Evaluation of the NCCPH Program, completed in 2008, was posted on PHAC’s Web site along with the Management Response Action Plan (MRAP) as a measure to address recommendations. Evaluation results demonstrate that the NCCPH is achieving immediate goals as planned and is progressing well towards meeting intermediate and long term goals as set out in the program’s logic model. This progress is demonstrated by:

• The successful establishment of over 270 partnerships, linkages, collaborations and key connections and increase in networking opportunities at various levels, including: F/P/T and international; health portfolio, e.g., Health Canada (HC) and the Canadian Institutes of Health Research (CIHR); non-government organizations; and academic institutions.
• An increase in knowledge dissemination through conferences, presentations, consultations and other activities (with over 180 knowledge products).
• The identification of knowledge gaps and collective work was initiated to start addressing priorities in public health. Important relationship building/ networking activities were undertaken with public health research and academic communities, including: the CIHR – Institute of Population and Public Health, the Population Health Intervention Research Network, the Public Health Network, the Canadian Institute of Public Health Inspectors and others. NCCs conducted environmental scans and consultations throughout Canada to identify knowledge gaps and strategize on how to address priorities.
• The availability and access of knowledge for evidence-based decision making, which is witnessed through NCCs’ data collection to evaluate increasing numbers of: attendance to joint NCC Summer institutes, conferences, workshops and presentations on specific topics or projects (i.e., the joint NCC Small Drinking Water Systems Project); visits to common and individual Web sites; and demands for knowledge information, including tools, from the public health community.

2. The second cycle of renewal funding for 2010-15 was achieved through the signing of contribution agreements with host agencies. This funding for the next five years will allow the NCCPH to pursue their three strategic directions.

Program Activity: Strengthen Public Health Capacity
($M)

	Actual Spending 2007-08	Actual Spending 2008-09	Planned Spending 2009-10	Total Authorities 2009-10	Actual Spending 2009-10	Variance(s)
Total Grants
Total Contributions	8.4	8.8	8.3	8.8	8.8	(0.5)
Total Other types of transfer payments
Total Program Activity	8.4	8.8	8.3	8.8	8.8	(0.5)

Comment(s) on Variance(s): Planned spending was reduced to $8.3M in early 2009-10. Authorized funds were increased at the end of the fiscal year due to internal budget transfers.

Audit completed or planned: A recipient audit is being conducted in 2010-11.

Evaluation completed or planned: A program formative evaluation on immediate outcomes was completed in 2008-09. The results can be found in the final report at:  http://www.phac-aspc.gc.ca/about_apropos/reports/2008-09/ncc-ccn/index-eng.php.

Name of Transfer Payment Program: Healthy Living Fund (the Fund)

Start date: June 2005

End date: Ongoing

Description: Contribution funding to support and engage the voluntary sector and to build partnerships and collaborative action between governments, non-governmental organizations and other agencies to promote healthy living initiatives at the community, regional and national level.

Strategic Outcome: Healthier Canadians, reduced health disparities, and a stronger public health capacity.

Results Achieved: The Health Living Fund (the Fund) is a program that makes strategic investments to address the conditions that lead to unhealthy eating, physical inactivity and unhealthy weights. A 2009-10 evaluation of the Healthy Living Program (HLP), a key component of which is the Fund, concluded that the HLP is relevant, necessary and generally well designed. The evaluation indicated that the HLP is implementing its stated activities and outputs, and making early progress toward many of the identified outcomes. Additional process improvements were identified to increase the efficiency and effectiveness of activities.

Ongoing contribution funding was provided through the Fund as well as the Knowledge Development and Exchange component of the Healthy Living Program. Several projects funded by the Fund took innovative approaches to reducing barriers to physical activity for children and youth. For example, Canada Gets Active, a national community mobilization project, brought together community partners to provide free access to recreation facilities for Grade 5 students. The Fund also supported the development of environments that help make healthy choices easier choices, for example through the innovative School Travel Planning project of Green Communities Canada, which is designed to increase active travel to and from school.

PHAC officials met with national physical activity stakeholders and provincial and territorial (P/T) government officials responsible for Sport, Physical Activity and Recreation (SPAR) and healthy living to discuss use of the Fund over the next three to five years to deliver on federal policy objectives, including physical activity and healthy eating. As a result, plans are being developed by PHAC to align the Fund’s priorities with physical activity targets set by SPAR ministers with regards to children and youth.

Program Activity: Health Promotion
($M)

	Actual Spending 2007-08	Actual Spending 2008-09	Planned Spending 2009-10	Total Authorities 2009-10	Actual Spending 2009-10	Variance(s)
Total Grants
Total Contributions	4.8	7.8	5.2	7.4	7.4	(2.2)
Total Other types of transfer payments
Total Program Activity	4.8	7.8	5.2	7.4	7.4	(2.2)

Comment(s) on Variance(s): The $2.2M negative variance is mainly due to internal reallocations from the Innovation Strategy for regional projects.

Audit completed or planned: The program was part of the September 2009  Audit of Health Promotion Programs. There are no audits planned for fiscal year 2010-11.

Evaluation completed or planned: The results of the 2009-10 Formative Evaluation of the Healthy Living Program can be found at:  http://www.phac-aspc.gc.ca/about_apropos/evaluation/evaluation-eng.php.

Currently, as identified in the Management Response Action Plan, the development of a performance measurement framework for the Healthy Living Program is nearing completion expected in fall 2010. Performance measurement data for the Fund has been collected through the Program Evaluation and Reporting Tool (PERT) and a comprehensive PERT analysis report, comparing the Fund’s regional and national projects is underway. The final report will be available by spring 2011.

Name of Transfer Payment Program: Canadian Diabetes Strategy (non-Aboriginal elements) (CDS)

Start date: 2005-06

End date: Ongoing

Description:  The objectives of the CDS are to prevent diabetes and its complications; promote early detection and management of diabetes; and provide relevant information to Canadians. Funded within the Integrated Strategy on Healthy Living and Chronic Disease, the CDS provides  information to health professionals as well as Canadians who are at higher risk (e.g., family history, high blood pressure, high cholesterol in blood, certain ethnic groups), especially those who are overweight, obese or pre-diabetic; and supports the prevention of complications among those with diabetes.

Strategic Outcome: Healthier Canadians, reduced health disparities, and a stronger public health capacity.

Results Achieved: Consistent with the objective of the CDS, the following results were achieved:

1. The National Diabetes Surveillance System annual report, containing up-to-date information on the incidence and prevalence of diabetes across Canada, was released in February 2010 and disseminated to health professionals, provinces and territories (P/Ts) to contribute to informed decision-making on diabetes programs and services.

2. A joint national and regional solicitation resulted in 8 national and 35 regional diabetes projects being implemented across Canada. Funding priorities for these projects were based in part on recommendations from the Diabetes Policy Review Expert Panel and were linked to other chronic disease program priorities, e.g., cardiovascular disease and mental health. For Canadians with diabetes or at high risk of developing diabetes, many of these projects supported the development of tools and resources to help them manage their condition. Funding will continue into the next fiscal year to broaden project implementation and allow for evaluation.

3. A partnership of key diabetes stakeholders including Health Portfolio partners, Health Canada’s First Nations and Inuit Health Branch and the Canadian Institutes of Health Research was created. Two national stakeholder meetings were held, including the Diabetes Partnership Forum in March 2010, which provided non-government and government organizations with an opportunity to strategize on collaborative initiatives around diabetes self-management. These meetings culminated in a report that identified key initiatives to be undertaken. Work has begun to develop a national environmental scan on diabetes self-management activities and to leverage existing activities related to diabetes self-management.

The 2009 CDS evaluation highlighted the need to capture lessons learned from community-based projects and use these findings for future projects. Work has begun to evaluate the projects and the results will be applied to diabetes programming as well as that of other chronic diseases.

Program Activity: Chronic Disease Prevention and Control
($M)

	Actual Spending 2007-08	Actual Spending 2008-09	Planned Spending 2009-10	Total Authorities 2009-10	Actual Spending 2009-10	Variance(s)
Total Grants	3.1	0.3	1.2	0.8	0.7	0.5
Total Contributions	1.3	2.7	5.1	2.9	2.4	2.7
Total Other types of transfer payments
Total Program Activity	4.4	3.0	6.3	3.7	3.1	3.2

Comment(s) on Variance(s): The start dates of the projects were delayed resulting in reduced expenditures. Projects will be completed with funding in subsequent years.

Audit completed or planned: An audit for of the CDS is planned for 2010-11.

Evaluation completed or planned: Summative evaluations on the CDS for the period 2004-09 were completed in February 2010 as part of the Promotion of Population Health Grant and Contribution Programs: Summary of Program Evaluations, 2004-09. The results can be found in the final report at:  http://www.phac-aspc.gc.ca/about_apropos/reports/2008-09/pphgcp-pscpsp/index-eng.php.

Name of Transfer Payment Program: Canadian HIV Vaccine Initiative (CHVI)

Start date: 2007-08

End date: 2012-13

Description: The CHVI is a collaborative undertaking between the Government of Canada and the Bill and Melinda Gates Foundation to contribute to the global effort to develop a safe, effective, affordable and globally accessible HIV vaccine. This collaboration builds on the Government of Canada’s commitment to a comprehensive, long-term approach to address prevention technologies. Participating federal departments and agencies are the Canadian International Development Agency (CIDA), PHAC, Industry Canada, the Canadian Institutes of Health Research (CIHR), and  Health Canada. The CHVI’s overall objectives are to: strengthen HIV vaccine discovery and social research capacity; strengthen clinical trial capacity and networks, particularly in Low and Middle-Income Countries (LMICs); increase pilot scale manufacturing capacity for HIV vaccine clinical trial lots; strengthen policy and regulatory approaches for HIV vaccines and promote the community and social aspects of HIV vaccine research and delivery; and ensure horizontal collaboration within the CHVI and with domestic and international stakeholders.

Strategic Outcome: Healthier Canadians, reduced health disparities, and a stronger public health capacity.

Results Achieved:

• The selection process for the CHVI manufacturing facility was completed. None of the applicants were found to be successful in meeting pre-established criteria.
• The Bill & Melinda Gates Foundation and the Government of Canada announced in February 2010 that they would not move forward with the manufacturing facility. Subsequently, in July 2010, the Government of Canada and the Bill & Melinda Gates Foundation announced the renewal of the CHVI, with the establishment of the Research and Development Alliance as its cornerstone.
• The Requests for Proposals for the Community Initiatives Fund were completed. Five community initiative projects were in place to address community and social aspects of HIV vaccine research and delivery.
• The CHVI Formative Evaluation is in the final stages of completion.
• The Large Team Grant funding opportunity was developed and the transfer agreement between CIDA and CIHR was finalized. The Large Team Grant funding opportunity will be launched in 2010-11.
• The letter of intent review for the Clinical Trial Capacity Building and Networks program component was completed. Development of full proposals in process.
• A grant was awarded to the World Health Organization to support regulatory capacity building in LMICs.
• Three catalyst grants were awarded to Canadian researchers to support novel activities, which will ultimately contribute to international efforts in HIV vaccine development. Funding also continued for five previously awarded operating grants across Canada. Five Emerging Team Grant applicants were successful in receiving start up funds that will allow them to design full proposals outlining how their team of Canadian investigators will contribute important knowledge to the global search for HIV vaccines. Full funding for two teams began in summer 2010.

Program Activity: Infectious Disease Prevention and Control
($M)

	Actual Spending 2007-08	Actual Spending 2008-09	Planned Spending 2009-10	Total Authorities 2009-10	Actual Spending 2009-10	Variance(s)
Total Grants
Total Contributions	0.0	0.0	9.3	1.0	0.9	8.4
Total Other types of transfer payments
Total Program Activity	0.0	0.0	9.3	1.0	0.9	8.4

Comment(s) on Variance(s): Transfer payments were not spent on the manufacturing facility, as initially planned. The funds were re-profiled to 2011-12.

Audit completed or planned: None.

Evaluation completed or planned: The CHVI Formative Evaluation is in the final stages of completion.

Name of Transfer Payment Program: Hepatitis C Initiative (HCI)

Start date: April 2000

End date: March 31, 2019

Description: The HCI is a federal transfer payment program that provides $300M over a 20-year period to assist the provinces and territories (P/Ts) in the provision of hepatitis C health care services. The HCI is intended to ensure that all Canadians infected with hepatitis C virus (HCV) through the blood system before January 1, 1986, and after July 1, 1990, have reasonable access to health care services indicated for the treatment and cure of hepatitis C.

Strategic Outcome: Healthier Canadians, reduced health disparities, and a stronger public health capacity.

Results Achieved: The number of persons infected with hepatitis C in Canada demonstrates the continued need for an initiative of this nature. The Initiative provides $300M in transfer payments over a 20 year period to assist P/Ts in the provision of hepatitis C health care services for persons infected with hepatitis C through the blood system prior to January 1, 1986 and post July 1, 1990. Although the proportion of those infected with hepatitis C through the blood system represents just over one tenth of estimated cases, the use of the funds to enhance the provision of health services across Canada have made all persons with hepatitis C potential beneficiaries of the HCI. One of the key activities of the Agency is to continue to lead federal programs to address HIV, sexually transmitted and blood borne infections (including viral hepatitis) and tuberculosis; the focus of this work is on effective prevention initiatives, education and awareness activities, diagnosis, care, equitable access to treatments, and support of those persons in Canada infected with, affected by or vulnerable to infectious diseases.

The federal government distributed the required funds according to the agreements. From 2000-01 to 2004-05, $200.6M were transferred to the P/Ts. Another $49.7M payment was made to the provinces in 2009-10 and the final $49.7M payment will be made in 2014-15.

Program Activity: Infectious Disease Prevention and Control
($M)

	Actual Spending 2007-08	Actual Spending 2008-09	Planned Spending 2009-10	Total Authorities 2009-10	Actual Spending 2009-10	Variance(s)
Total Grants	0.0	0.0	49.7	49.7	49.7	0.0
Total Contributions
Total Other types of transfer payments
Total Program Activity	0.0	0.0	49.7	49.7	49.7	0.0

Comment(s) on Variance(s): None.

Audit completed or planned: None.

Evaluation completed or planned: Evaluation of the first five years of the program (2000-05) is completed. Further evaluation of the program will be rolled into larger evaluations of community-acquired infections.