ARCHIVED - Public Health Agency of Canada

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

Program activity:  Health Promotion

Name of transfer payment program:  Aboriginal Head Start Initiative

Start date:  1995-1996

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.

Expected results:  To provide Aboriginal pre-school children in urban and northern settings with positive self-esteem, a desire for learning, and the opportunities to develop successfully as young people. The program helps to reduce health disparities experienced by vulnerable children and their families living in conditions of risk through increased community capacity, and by helping participants make healthy choices as well as by promoting multi-sectoral partnerships.

(in $ millions)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total contributions	32.1	32.1*	29.1	29.1
Total transfer payments	32.1	32.1	29.1	29.1

* The reduction of $3M between the planned spending for 2009-10 and 2010-11 is due to the sunset of funding for the Aboriginal Health transition Fund.

Planned evaluations:  A national impact evaluation was completed in 2006. The next national impact evaluation is due for completion in 2011.

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

Program activity:  Health Promotion

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

Start date:  1993-1994

End date:  Ongoing

Description:  CAPC 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 children (0-6 years) and their families facing conditions of risk.

Expected results:  To enhance community capacity through a population health approach and to respond to the health and development needs of young children and their families who are facing conditions of risk. To contribute to and improve health and social outcomes for young children and parents/caregivers facing conditions of risk, and to continue partnering with multiple sectors in the community.

(in $ millions)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total contributions	53.4	53.4	53.4	53.4
Total transfer payments	53.4	53.4	53.4	53.4

Planned evaluations:  A formative evaluation of CAPC was completed in April 2008. A summative evaluation is expected to be completed by March 31, 2010.

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

Program activity:  Health Promotion

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

Start date:  1994-1995

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.

Expected results: To enhance community capacity through a population health approach and to respond to the health and development needs for prenatal women and their infants who are facing conditions of risk. To contribute to and improve health outcomes for pregnant women, infants and their families and to continue partnering with multiple sectors in the community.

(in $ millions)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total contributions	27.2	27.2	27.2	27.2
Total transfer payments	27.2	27.2	27.2	27.2

Planned evaluations:  A CPNP Summative evaluation is underway and will be completed by March 31, 2010.

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

Program activity:  Health Promotion

Name of transfer payment program:  Population Health Fund

Start date:  1999-2000

End date:  Ongoing

Description:  The Population Health Fund is a federal grants and contribution initiative designed to coordinate action on the key factors that affect the health of Canadians. Within the context of the PHF, the objective is to provide support for the development, implementation, and evaluation of innovative interventions and initiatives to reduce health disparities. It will focus on priority areas where there are unmet needs and gaps on how to act effectively to benefit the health of Canadians. An important component will be the exchange and application of practical information on what works to address the underlying causes of health disparities and effective ways to deal with public health issues of a complex nature. Potential recipients include non-governmental organizations and networks, public health stakeholders at the national, provincial and community levels, and other organizations that have the capacity to develop, implement and evaluate innovative policies and activities.

Expected results:  The Population Health Fund’s expected result is to increase effective action to reduce health disparities and their underlying causes. The goal is realized by the following objectives: 1) designing and implementing new promising approaches/interventions that improve benefits to Canadians; 2) assessing existing promising/best practices; 3) gathering and exchange of new knowledge of effective interventions to take action/ on priority heath issues; and 4) increase partnerships and develop intersectoral collaboration to address specific determinants of health or combinations of determinants in a cost-efficient manner.

(in $ millions)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total grants	8.6	7.8	7.6	7.4
Total contributions	4.3	3.7	3.7	3.5
Total transfer payments	12.9	11.5	11.3	10.9

Planned evaluations:  A summative evaluation for the PHF covering 2004 to 2009 is underway and will be completed by March 31, 2009.

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

Program activity:  Infectious Disease Prevention and Control 

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

Start date:  January 2005

End date:  Ongoing 

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

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.

(in $ millions)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total grants	6.0	6.0	6.0	6.0
Total contributions	16.7	16.7	16.7	16.7
Total transfer payments	22.7	22.7	22.7	22.7

Planned evaluations:  A formative evaluation will be conducted in 2008-09; and a summative evaluation by 2011.

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

Program activity:  Strengthen Public Health Capacity

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

Start date:  2004-2005

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.

Expected results:  The expected results include:  (1) increased opportunities for collaboration with health portfolio and NCCs; (2) knowledge translation:  exchange synthesis and application of scan and research findings disseminated among researchers and knowledge users; (3) knowledge gap identification:  gaps are identified and act as catalysts for applied or new research; (4) networking:  increased collaboration with NCCs occurs among and across public health at all levels;  (5) increased availability of knowledge for evidence-based decision making in public health; (6) increased use of evidence to inform public health programs, policies and practices; (7) partnerships developed with external organizations; (8) mechanisms and processes in place to access knowledge; and (9) improved public health programs and policies.

(in $ millions)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total contributions	8.3	8.3	8.3	8.3
Total transfer payments	8.3	8.3	8.3	8.3

Planned evaluations:  Formative evaluation underway in 2008-09. A summative evaluation will be completed by 2010-11.

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

Program activity:  Health Promotion

Name of transfer payment program:  Healthy Living Fund (national and regional streams)

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. The Fund supports healthy living actions with community, regional, national and international impact.

Expected results:  Funding through the Healthy Living Fund will build public health capacity and develop supportive environments for physical activity and healthy eating. 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 $ millions)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total contributions	5.2	5.2	5.2	5.2
Total transfer payments	5.2	5.2	5.2	5.2

Planned evaluations:  Formative evaluation underway in 2008-09. A summative evaluation will be completed by 2010-11.

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

Program activity:  Chronic Disease Prevention and Control

Name of transfer payment program:  Canadian Diabetes Strategy (non-Aboriginal elements)

Start date:  2005-2006

End date:  Ongoing

Description:  The Canadian Diabetes Strategy is the Agency’s diabetes program. Since its renewal within the Agency’s Healthy Living and Chronic Disease initiative in 2005, the CDS targets information to 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 the prevention of complications among those with diabetes.

Expected results: 

• Improved capacity to apply best practices and clinical practices guidelines to better, screen, educate and counsel
• Healthier public policies in organizations across sectors and jurisdictions addressing high risk populations, early detection and management of diabetes
• Increased organizational capacity for policy, program, services and research development
• Increased awareness of diabetes risks, complications and prevention strategies for high risk populations
• Increased knowledge among high-risk populations of skills and behaviours necessary to prevent diabetes and its complications

(in $ millions)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total grants	1.2	1.2	1.2	1.2
Total contributions	5.7	5.1	5.1	5.1
Total transfer payments	6.9	6.3	6.3	6.3

Planned evaluations:  The last evaluation was completed in 2006. An evaluation is underway as part of the Integrated Strategy on Healthy Living and Chronic Disease and will be completed by March 2009.

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

Program activity:  Infectious Disease Prevention and Control

Name of transfer payment program:  Canadian HIV Vaccine Initiative

Start date:  2007-2008

End date:  2012-2013

Description:  The Canadian HIV Vaccine Initiative (CHVI) is a collaborative undertaking between the Government of Canada and the Bill & 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, the Public Health Agency of Canada, Industry Canada, the Canadian Institutes of Health Research, 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.

Expected results: 

• Increased readiness and capacity in Canada and LMICs
• Increased and improved collaboration and networking
• Pilot Scale vaccines clinical trial lot manufacturing facility is fully operational and globally accessible
• Strengthened contribution to global efforts to accelerate the development of safe effective, affordable and globally accessible HIV vaccines

(in $ millions)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total contributions	0.0	9.3	9.3	1.0
Total transfer payments	0.0	9.3	9.3	1.0

Planned evaluations:  Mid-term evaluation is planned for 2009-2010 and Summative evaluation for 2012.

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

Program activity: Infectious Disease Prevention and Control

Name of transfer payment program:  Hepatitis C Undertaking

Start date:  April 2000

End date:  March 31, 2019

Description:  Payments to Provinces and Territories to improve access to health care and treatment services to persons infected with Hepatitis C through the blood system.

Expected results:  Improved access to current emerging antiviral drug therapies, other relevant drug therapies, immunization and health care services for the treatment of Hepatitis C infection and related medical conditions.

(in $ millions)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total other types of transfer payments	0.0	49.7	0.0	0.0
Total transfer payments	0.0	49.7	0.0	0.0

Planned evaluations:  An evaluation was completed in 2006-2007. The next evaluation is scheduled for 2010-2011.