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ARCHIVED - RPP 2006-2007
Public Health Agency of Canada


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Supplementary Information

Details on Transfer Payment Programs (TPPs)



1. Name of Transfer Payment Program  
Aboriginal Head Start (AHS) Initiative and Early Childhood Development (ECD) Program
2. Start Date:
1995 - 1996
3. End Date:
Ongoing
4. 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.
5. Strategic Outcomes  
Healthier population by promoting health and preventing disease and injury.
6. Expected Results  
To increase overall enrolment in the program and to increase the number of parental involvement workers, the number of special workers, and training offered to project staff in areas such as services to special-needs children and parental involvement. To facilitate collaboration on the relevant health issues among stakeholders (communities, government levels). To complete Aboriginal off-reserve environmental scan (i.e. Atlantic) and AHS Network/training.

(in millions of dollars)

11. Population and Public Health
12. Total Contributions

7. Porecast
Spending
2005-2006
8. Planned
Spending
2006-2007
9. Planned
Spending
2007-2008
10. Planned
Spending
2008-2009
29.0
28.9
29.0
29.0

13. Planned Audits and Evaluations

To conduct annual process evaluations and to re-assess the impact and the effectiveness of the projects/services delivered to intended population.



1. Name of Transfer Payment Program  
The Community Action Program for Children (CAPC)
2. Start Date:
1998- 1999
3. End Date:
Ongoing
4. Description:  
Contributions to non-profit community organization to support, on a long term basis, the development and provision of preventive and early intervention services aimed at addressing the health and development problems experienced by young children at risk in Canada.
5. Strategic Outcomes  
Healthier population by promoting health and preventing disease and injury.
6. Expected Results  
To enhance community capacity and to respond to the health and development needs of young children and their families who are facing conditions of risk, through a population health approach.
To contribute and to improve health and social outcomes for young children and parents/caregivers facing conditions of risk, and to continue partnership with multi-sectors in the community.

(in millions of dollars)

11. Population and Public Health
12. Total Contributions

7. Forecast
Spending
2005-2006
8. Planned
Spending
2006-2007
9. Planned
Spending
2007-2008
10. Planned
Spending
2008-2009
56.4
56.4
56.4
56.4

13. Planned Audits and Evaluations

Continue to monitor, assess and evaluate on the outcomes of CAPC, projects based on a Results-Based Management and Accountability Framework (RBMAF). The lessons learned will be used to guide future evaluation and planning of CAPC.



1. Name of Transfer Payment Program  
The Canada Prenatal Nutrition Program (CPNP)
2. Start Date:
1998- 1999
3. End Date:
Ongoing
4. Description:  
Contributions to non profit community organization to support on a long term basis, the development and provision of preventive and early intervention services at addressing the health and development
problems experienced by young children at risk in Canada.
5. Strategic Outcomes  
Healthier population by promoting health and preventing disease and injury.
6. Expected Results  
To reach the intended audience; e.g. women living in challenging circumstance such as poverty, poor nutrition, teenage pregnancy, social and geographical isolation, recent arrival in Canada, alcohol or substance use and/or family violence. To raise awareness and knowledge among allied professionals to help them to cope with those affected by FASD in their sectors. To develop an integrated federal strategy on FASD and to build evidence base for policies, programs and practices.

(in millions of dollars)

11. Population and Public Health
12. Total Contributions

7. Forecast
Spending
2005-2006
8. Planned
Spending
2006-2007
9. Planned
Spending
2007-2008
10. Planned
Spending
2008-2009
27.8
27.9
27.9
27.9

13. Planned Audits and Evaluations

Evaluation will be made to measure the reach and retention, relevance and impact of the programs to the targeted group.



1. Name of Transfer Payment Program  
Promotion of Population Health (PPH)
2. Start Date:
1999- 2000
3. End Date:
Ongoing
4. Description:  
Contributions to persons and agencies to support health promotion projects in the areas of community health, resource development, training/skill development and research.
5. Strategic Outcomes  
Healthier population by promoting health and preventing disease and injury.
6. Expected Results  
The PPH logic model identifies outputs flowing from three activities: delivery management, management of environment, and program leadership. Outputs derived from these activities are: completed projects that build community knowledge, build community models and increase community partnerships; program knowledge products for the promotion of population health. These outputs result in three immediate outcomes: increase in use of community-generated knowledge for program and policy development on the determinants of health; increased application of community-based models to act on the determinants of health; and supportive environments for collaboration on the determinants of health. Immediate outcomes lead to to two intermediate outcomes: improved practices for program development and enhanced policy influence to support the population health approach. The final outcome is positive changes to community capacity to take action on the determinants of health for the population.

(in millions of dollars)

11. Population and Public Health
12. Total Grants

7. Forecast
Spending
2005-2006
8. Planned
Spending
2006-2007
9. Planned
Spending
2007-2008
10. Planned
Spending
2008-2009
9.5
9.5
9.5
9.5

13. Planned Audits and Evaluations

The first PPH evaluation reviewed projects completed both nationally and regionally between 1997/98 and September 2002. A second evaluation project is currently underway for completion in March 2006. It includes PHF projects completed both nationally and regionally between October 2002 and March 31st 2005 and is based on the three spheres of influence outlined in the Population Health Fund Logic Model (community capacity building, intersectoral collaboration, and leadership and policy development). A subsequent national evaluation will be completed on projects sponsored between 2005/06 and 2008/09. Each region also evaluates their respective programs at regular intervals.



1. Name of Transfer Payment Program  
The Federal Initiative to Address HIV/AIDS in Canada (Grants and Contributions)
2. Start Date:
1998 - 1999
3. End Date:
Ongoing
4. Description:  
In January 2005, the launch of the Federal Initiative to Address HIV/AIDS in Canada signaled a renewed and strengthened federal role in the Canadian response to the disease.
5. Strategic Outcomes  
Healthier population by promoting health and preventing disease and injury.
6. Expected Results  
Projects funded at the national and regional levels will result in improved knowledge and awareness of the epidemic among Canadians; strengthened community, public health and individual capacity to respond to the epidemic through efforts directed at prevention, and access to diagnosis, care, treatment and support; enhanced multi-sectoral engagement and alignment; and increased coherence of the federal response. By the end of 2006-07, a population-specific approach will be in place to address the shared and unique needs of gay men, women and people from countries where HIV/AIDS is epidemic.

(in millions of dollars)

11. Population and Public Health
12. Total Grants
13. Total Contributions

7. Forecast
Spending
2005-2006
8. Planned
Spending
2006-2007
9. Planned
Spending
2007-2008
10. Planned
Spending
2008-2009
8.0
11.8
8.0
13.4
8.0
15.0
8.0
18.6
Total - G&C
19.8
21.4
23.0
26.6

14. Planned Audits and Evaluations
Process evaluation is planned for 2007-08. Audit plan is under development.



1. Name of Transfer Payment Program  
Development & Implementation of an Integrated Health Infostructure in Canada
2. Start Date:
2002 - 2003
3. End Date:
Ongoing
4. Description:  
As a key health information service, the Canadian Health Network (CHN) and its network of networks supports the Agency's work in helping to build healthy communities. It is a health promotion program with the mission to promote healthy choices and it does so by communicating trustworthy information on health promotion and disease and injury prevention through a network of expert organization.
5. Strategic Outcomes  
Healthier population by promoting health and preventing disease and injury.
6. Expected Results  
The CHN is a key health information and promotion tool for PHAC. By providing valuable information to Canadians, the CHN helps to promote healthy choices; address risk factors (i.e. physical inactivity and nutrition) and to cover the four chronic diseases (Cancer, Diabetes, Respiratory Disease, Cardiovascular Disease) that cause premature death and poor quality of life. Through the CHN, Canadians are able to (1) access and learn from critical information about chronic disease prevention and intervention (2) improve quality of life and (3) reduce incidence of chronic
disease and injury by making a healthy choice.

(in millions of dollars)

11. Population and Public Health
12. Total Grants

7. Forecast
Spending
2005-2006
8. Planned
Spending
2006-2007
9. Planned
Spending
2007-2008
10. Planned
Spending
2008-2009
5.6
5.6
7.2
7.2

13. Planned Audits and Evaluations

The CHN is currently undergoing an evaluation as required by Treasury Board. This will be submitted in early 2006. Initial findings from public opinion research (which feeds into the evaluation) indicate that the CHN has been steadily growing in usage since its 1999 launch, with an average monthly unique visitors for 2005 at 185,439 (an increase from 123,593 visitors or 50% from 2004).



1. Name of Transfer Payment Program  
National Collaborating Centres Contribution Program
2. Start Date:
2004 - 2005
3. End Date:
Ongoing
4. Description:  
Contributions 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 to develop, strengthen public health capacity and to transfer health knowledge to effectively prevent, manage and control infectious disease in Canada through joint collaboration at federal, provincial/territorial level but also with local governments, academia, public health practitioners and non-governmental organizations.
5. Strategic Outcomes  
Healthier population by promoting health and preventing disease and injury.
6. Expected Results  
The expected results of the National Collaborating Centres program include: (1) an increase in the availability of knowledge for evidence-based decision making by public health practitioners; (2) an increase use of evidence to translate knowledge and develop public health programs, policies and practices; (3) partnerships that are developed with external organizations and (4) mechanisms and processes are in place to access public health knowledge from regional, national and international expertises.

(in millions of dollars)

11. Population and Public Health
12. Total Contributions

7. Forecast
Spending
2005-2006
8. Planned
Spending
2006-2007
9. Planned
Spending
2007-2008
10. Planned
Spending
2008-2009
9.2
9.2
9.2
9.2

13. Planned Audits and Evaluations

Under the Results-Based Management and Accountability Framework (RBMAF) with Risk Assessment (RA), a program evaluation on immediate outcomes is planned for 2008-09 and will inform renewal of the terms and conditions. A summative evaluation is planned five years after program start up. The National Collaborating Centres (NCC) program will use the terms and conditions for Promotion of Population Health Contributions.



1. Name of Transfer Payment Program  
Healthy Living Fund (Healthy Living and Chronic Disease Strategy)
2. Start Date:
2005/06
3. End Date:
Ongoing
4. 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. It supports healthy living actions with community, regional, national and international impact.
5. Strategic Outcomes  
Healthier population by promoting health and preventing disease and injury.
6. Expected Results  
Funding through the Healthy Living Fund will build public health capacity. By developing evidence on Canadian initiatives, projects will help to strengthen the evidence-base and contribute to the knowledge development and exchange component of the Strategy and will inform health promotion activities. In 2006-07, funding will be provided through contribution agreements to support and engage the voluntary sector, and to build partnerships and collaborative action among governments, non-governmental organizations and other agencies.

(in millions of dollars)

11. Population and Public Health
12. Total Contributions

7. Forecast
Spending
2005-2006
8. Planned
Spending
2006-2007
9. Planned
Spending
2007-2008
10. Planned
Spending
2008-2009
0.0
0.0
5.6
5.6

13. Planned Audits and Evaluations

Evaluation plan is currently in its planning phase. The monitoring and evaluation plan for each component of the strategy is based on the RMAF and Risk Assessment. Ongoing monitoring will be focused on key performance information (i.e. reach to targeted population). Implementation review examines the implementation progress during the first few years of the strategy. The functional component evaluation will focus on progress towards individual and societal level outcomes (i.e. relevance, cost effectiveness, alternatives) and outcome evaluation will provide a summary of evaluative information for the programs.



1. Name of Transfer Payment Program  
Canadian Diabetes Strategy (non-Aboriginal) - Healthy Living and Chronic Disease Strategy
2. Start Date:
2005 - 2006
3. End Date:
Ongoing
4. Description:  
The Agency provides leadership on the non-Aboriginal elements of the Canadian Diabetes Strategy, which has been in effect since 1999. Under the Agency's Healthy Living and Chronic Disease Strategy, the Diabetes Strategy will undergo a change of directions, targeting information to Canadians who are at higher risk, especially those who are overweight, obese or pre-diabetic (i.e. family history, high blood pressure, high cholesterol in blood).
5. Strategic Outcomes  
Healthier population by promoting health and preventing disease and injury.
6. Expected Results  
National Diabetes Surveillance (NDSS) is expected to lead the maintenance and enhancement of the NDSS development and projects in collaboration with federal provincial and territorial partners. To provide funding to provinces and terrotories to build their capacity to provide information and analysis for incorporation to NDSS. The Diabetes Knowledge Development and Exchange (DKDE) element for diabetes will help practioners, policy makers and researchers to understand the causes of diabetes, its prevention and cost-effective management and to inform policy and program decision making. To fund community-based health promotion and prevention programs that enable and reinforce individual change by providing awareness, access, availability, knowledge and skills in the lifestyle choices. To lead the in the development and implementation of Public Information activities in collaboration with program experts at the national and regional levels. To support and promote national coordination and to facilitate a concerted, collaborative effort among all stakeholders in order to maximize effectivenss of diabetes prevention and intervention strategies.

(in millions of dollars)

11. Population and Public Health
12. Total Contributions

7. Forecast
Spending
2005-2006
8. Planned
Spending
2006-2007
9. Planned
Spending
2007-2008
10. Planned
Spending
2008-2009
0.0
0.0
5.8
6.2

13. Planned Audits and Evaluations
Evaluation plan is currently in its planning phase. The monitoring and evaluation plan for each component of the integrated strategy is based on the RMAF and Risk Assessment. Ongoing monitoring will be focused on key performance information (i.e. reach to targeted population). Implementation review examines the implementation progress during the first few years of the strategy. The functional component evaluation will focus on progress towards individual and societal level outcomes (i.e. relevance, cost effectiveness, alternatives) and outcome evaluation will provide a summary of evaluative information for the programs.

Program Activity: Population and Public Health

Total Grants (G)
17.5
17.5
17.5
17.5
Total Contributions (C)
139.8
141.4
156.1
160.0
Total G&Cs - Population and Public Health
157.3
158.9
173.6
177.5

Horizontal Initiatives


Table 8: Horizontal Initiative

Horizontal Initiative:

The Federal Initiative to Address HIV/AIDS in Canada

http://www.phac-aspc.gc.ca/aids-sida/hiv_aids/ index.html

Lead Department:

Public Health Agency of Canada

Start Date:
January 13, 2005
End Date:
Ongoing

Total Funding Allocated: (in millions)

  • 2005/06 - $55.2
  • 2006/07 - $63.2
  • 2007/08 - $71.2
  • 2008/09 - $84.4 (ongoing)

Description:

The Federal Initiative to Address HIV/AIDS in Canada is the Government of Canada's response to HIV/AIDS in Canada. The initiative will strengthen domestic action on HIV/AIDS, build a co-ordinated Government of Canada approach, and support global health responses to HIV/AIDS. It will focus on prevention and access to diagnosis, care, treatment and support for those populations most affected by the HIV/AIDS epidemic in Canada - people living with HIV/AIDS, gay men, Aboriginal people, people who use injection drugs, inmates, youth, women, and people from countries where HIV is endemic. The Federal Initiative will also support new and strengthened multisectoral partnerships to address the determinants of health and co-infections which increase the susceptibility to acquiring HIV (for example, other sexually transmitted infections), and infectious diseases (for example, hepatitis C and tuberculosis) which increase disease progression and morbidity in people living with HIV/AIDS. Gender-based analysis and human rights are fundamental to the approach. People living with and vulnerable to HIV/AIDS will be active partners in shaping policies and practices affecting their lives.

Shared Outcomes:

Immediate Outcomes:

  • Increased knowledge and awareness;
  • Enhanced evidence-based program planning and policy-making;
  • Enhanced multi-sectoral engagement and alignment;
  • Increased individual and organizational capacity; and
  • Increased coherence of federal response.

Intermediate Outcomes:

  • Reduced HIV/AIDS stigma, discrimination and other barriers;
  • Improved access to more effective prevention, care treatment and support; and
  • Strengthened Canadian response to HIV/AIDS.

Long Term Outcomes:

  • Prevent the acquisition and transmission of new infections;
  • Slow the progression of disease and improve quality of life;
  • Contribute to the global effort to reduce the spread of HIV/AIDS and mitigate its impact; and
  • Reduce the social and economic impact of HIV/AIDS to Canadians.

Governance Structures:

The Public Health Agency of Canada (http://www.phac-aspc.gc.ca/new-eng.html) is the federal lead for issues related to HIV/AIDS in Canada. The Public Health Agency is responsible for overall coordination, communications, national/regional programs, policy development, surveillance and laboratory science.

Health Canada (http://www.hc-sc.gc.ca/english/index.html) supports community-based HIV/AIDS education, capacity-building, and prevention for First Nations on-reserve and Inuit communities; provides leadership on international health policy and program issues; and assistance and guidance on evaluation.

As the Government of Canada's agency for health research, the Canadian Institutes of Health Research (http://www.cihr-irsc.gc.ca/e/193.html) sets priorities for and administers the extramural research program.

Correctional Service Canada, (http://www.csc-scc.gc.ca/text/home_e.shtml) which is an agency of the Ministry of Public Safety and Emergency Preparedness Canada (http://www.psepc.gc.ca/about/related_links-eng.asp), provides health services, including services related to the prevention, care and treatment of HIV/AIDS, to offenders sentenced to imprisonment for two years or more.

An interdepartmental coordinating committee will be established by the Public Health Agency to promote policy and program coherence among the participating departments and agencies, and to maximize the use of available resources.

Health Canada's International Affairs Directorate coordinates global engagement activities and provides the secretariat for the Consultative Group on Global HIV/AIDS and the Interdepartmental Forum on Global HIV/AIDS Issues. The Consultative Group on Global HIV/AIDS Issues acts as a forum for dialogue between government and civil society on Canada's response to the global epidemic, and includes the provision of advice on the global HIV/AIDS epidemic; and of guidance and suggestions regarding collaboration and policy coherence to ensure a more effective response. The Interdepartmental Forum on Global HIV/AIDS Issues meets quarterly to discuss on-going issues and to provide overall coordination and coherence in the federal government's approach. Participating departments and agencies include PHAC, Health Canada, CIDA, Foreign Affairs Canada, and the Canadian Institutes of Health Research. Other government departments are invited to attend on an as-needed basis.

The Ministerial Council on HIV/AIDS (http://www.phac-aspc.gc.ca/aids-sida/hiv_aids/ federal_initiative/ministerial/index.html) provides independent advice to the Minister of Health on pan-Canadian aspects of HIV/AIDS.

The Federal/ Provincial/ Territorial Advisory Committee on AIDS (http://www.phac-aspc.gc.ca/ aids-sida/hiv_aids/fpt_advis_comm_aids.html) serves as a forum to promote a coordinated governmental response to the HIV/AIDS epidemic.

The National Aboriginal Council on HIV/AIDS (http://www.phac-aspc.gc.ca/aids-sida/hiv_aids/federal_initiative/aboriginal/communique.html) provides advice to the Public Health Agency of Canada and Health Canada on issues relating to HIV/AIDS and Aboriginal populations.

The Federal/Provincial/Territorial (FPT) Heads of Corrections Working Group on Health is a sub-committee of the FPT Heads of Corrections. The Working Group on Health promotes policy and program development that is informed and sensitive to the complex issues surrounding the health of inmates, and provides advice to the FPT Heads of Corrections on trends and best practices as they relate to health in a correctional setting.

Other federal departments have mandates to address broader social determinants that affect people living with HIV/AIDS or their vulnerability to acquiring the infection, as well as to address the global epidemic. A new Government of Canada Assistant Deputy Ministers' Committee on HIV/AIDS has been struck to establish appropriate links and assist with the development of a broader Government of Canada approach to HIV/AIDS.
Federal Partners Involved In each program
Names of Programs
Total Allocation
Planned Spending for 2006-2007 (millions of dollars)
Expected Results for 2006-2007
Public Health Agency of Canada Infectious Disease Prevention and Control Ongoing (incremental increases to 2008)
27.1

• Enhanced knowledge of the HIV/AIDS epidemic in Canada and the factors that contribute to its spread through:

- augmented risk behaviour surveillance - targeted epidemiologic studies (e.g., expansion of I-TRACK and M-TRACK) and development of programs in other at-risk populations - maintained and improved quality of HIV testing in Canada - enhanced ability to monitor the performance of testing kits and algorithms used in provincial public laboratories - enhanced HIV reference services - improved knowledge and characterization of the transmission of drugresistant HIV in Canada

• Increased general awareness of HIV/AIDS through the development of an Agency-led social marketing campaign

• Strengthened Canadian response to HIV/AIDS through:

- the development of a population specific framework, with approaches for gay men, women, and people from countries where HIV/AIDS is endemic completed in 2006-07; and significant progress on approaches for Aboriginal people, people who use injection drugs, street youth, prison inmates and people living with HIV/AIDS

- Government of Canada readiness to support the development and distribution of vaccines through the implementation of the vaccine plan

- enhanced coordination through the review and re-design of committees and advisory bodies

- improved reporting on progress through the development and implementation of the Federal Initiative's performance monitoring system

• Improved access to more effective prevention, care, treatment and support through:

- increased availability of evidencebased HIV interventions which address the determinants of health

- increased availability of evidencebased HIV interventions which address co-infections which increase the susceptibility to acquiring HIV (eg. other sexually transmitted infections [STIs]) and infectious diseases which increase disease progression and morbidity in people living with HIV/AIDS (eg. hepatitis C, STIs, tuberculosis)

  Regional HIV/AIDS Program Ongoing
12.3
• Improved access to more effective prevention, care, treatment and support through strengthened population-specific funding programs delivered through regional community based organizations.
Health Canada First Nations On-Reserve Ongoing
2.7

• Improved access to more effective prevention, and awareness through:

- increased support for on-reserve First Nations in their efforts to develop and deliver targeted prevention, education and awareness programs

- provision of HIV/AIDS and hepatitis C guidelines for nurses working on reserve

- training on HIV/AIDS and hepatitis C for nurses working on reserve

  International Health Ongoing
1.6

• Increased coherence of federal response through:

- coordinated federal contribution to 2006 International AIDS Conference in Toronto ensuring strong Government of Canada presence and Canadian impact

- increased policy coherence across the federal government's global HIV/AIDS activities

• Strengthened Canadian response to HIV/AIDS through support for projects that engage Canadian organizations in the global response to HIV/AIDS.

  Program Evaluation Ongoing
0.1
• Enhanced capacity to monitor the HIV/AIDS epidemic in Canada through the provision of strategic performance measurement and evaluation support.
Canadian Institutes of Health Research HIV/AIDS Research Projects and Personnel Support Ongoing
17.0

• Increased understanding of the epidemic, factors contributing to the spread of HIV and effective responses (including treatment and prevention interventions) through:

- funding of socio-behavioural research and an enhanced Community-based research program

- funding of biomedical and clinical research in key areas such as development of prevention interventions and new therapies

- providing new research funding opportunities for scientists in strategic areas of HIV/AIDS research.

• Increased capacity for HIV/AIDS research through funding for research trainees and strategic capacity-building initiatives

• Increased number of trials relevant to vulnerable populations and improved treatments for HIV/AIDS through enhancements to the Canadian HIV Trials Network

Correctional Service Canada Health Services Ongoing
2.4
• Improved access to more effective prevention, care, treatment and support through, for example, safer tattooing and discharge planning programs for prisoners
Total   $84.4 million in 2008- 2009
63.2
 

Results to be achieved by Non-Federal Partners:

Major non-governmental stakeholders are considered full partners in the Federal Initiative to Address HIV/AIDS in Canada. Their role is to engage and collaborate with all levels of government, communities, other non-governmental organizations, professional groups, institutions and the private sector to enhance the Federal Initiative to Address HIV/AIDS in Canada's progress on all outcomes identified above.

Contact:

Marsha Hay Snyder
Tel. 613-946-3565 Marsha_Hay-Snyder@phacaspc

Approved by:

Bersabel Ephrem
Tel. 613-948-3557 Bersabel_Ephrem@phacaspc

Date Approved: