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Table 3: Details on Transfer Payments Programs for the Public Health Agency of Canada

The following is a summary of the transfer payment programs for the Public Health Agency of Canada in excess of $5 million per fiscal year.  All the transfer payments shown below are voted programs.

2008-2009

1. Aboriginal Head Start Initiative
2. Community Action Plan for Children
3. Canada Prenatal Nutrition Program
4. Population Health Fund
5. Federal Initiative to Address HIV/AIDS in Canada
6. National Collaborating Centres for Public Health
7. Healthy Living Fund
8. Canadian Diabetes Strategy (non-Aboriginal elements)
9. Cancer
10. Canadian HIV Vaccine Initiative

2009-2010

1. Aboriginal Head Start Initiative
2. Community Action Plan for Children
3. Canada Prenatal Nutrition Program
4. Population Health Fund
5. Federal Initiative to Address HIV/AIDS in Canada
6. National Collaborating Centres for Public Health
7. Healthy Living Fund
8. Canadian Diabetes Strategy (non-Aboriginal elements)
9. Cancer
10. Canadian HIV Vaccine Initiative
11. Hepatitis C – Health Care Services Program (undertaking)

2010-2011

1. Aboriginal Head Start Initiative
2. Community Action Plan for Children
3. Canada Prenatal Nutrition Program
4. Population Health Fund
5. Federal Initiative to Address HIV/AIDS in Canada
6. National Collaborating Centres for Public Health
7. Healthy Living Fund
8. Canadian Diabetes Strategy (non-Aboriginal elements)
9. Cancer
10. Canadian HIV Vaccine Initiative

Details on Transfer Payments Programs for the Public Health Agency of Canada

1. Name of transfer payment program:  Aboriginal Head Start Initiative
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 outcome:  Healthier Canadians, reduced health disparities and a stronger public health capacity.
6. Expected results:  To provide Aboriginal pre-school children in urban and northern settings with a positive sense of themselves, a desire for learning, and opportunities to develop successfully as young people.  This program helps to reduce the risk of health disparities experienced by vulnerable children and families living in conditions of risk through increased community capacity, by helping participants make healthy choices and by promoting multi-sectoral partnerships.
(in $ millions)	7. Forecast Spending 2007-08	8. Planned Spending 2008-09	9. Planned Spending 2009-10	10. Planned Spending 2010-11
11. Program activity (PA):  Health Promotion
12. Total contributions	26.7	26.7	26.7	26.7
13. Total (PA) – Health Promotion	26.7	26.7	26.7	26.7
14. Planned evaluations:  A summative evaluation was completed in 2006-2007 and was approved by the Agency’s Evaluation Advisory Committee and the Chief Public Health Officer.  Annual process evaluations will continue to be conducted and efforts to design a study looking at longer-term impacts of AHS are in progress.  Regions will continue to undertake regionally-specific evaluation activities, as required.
15. Planned audits: A performance audit of this Program is scheduled in 2008-2009.  Any audit of Recipients is done at the Program level.

 

1. Name of transfer payment program:  Community Action Program for Children
2. Start date:  1993-1994		3. End date:  Ongoing
4. Description:  Contributions to non-profit community organizations to support, on a long term basis, the development and provision of preventive and early intervention services addressing the health and development challenges experienced by young children at risk in Canada.
5. Strategic outcome:  Healthier Canadians, reduced health disparities and a stronger public health capacity.
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 risks through a population health approach.  To contribute to and 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)	7. Forecast Spending 2007-08	8. Planned Spending 2008-09	9. Planned Spending 2009-10	10. Planned Spending 2010-11
11. Program activity (PA):  Health Promotion
12. Total contributions	48.8	48.8	48.8	48.8
13. Total (PA) – Health Promotion	48.8	48.8	48.8	48.8
14. Planned evaluations:  A formative evaluation is scheduled for 2007-2008 and a summative evaluation is scheduled for 2008-09.  Lessons learned will be used to guide future evaluation and planning of CAPC.  Regions will continue to conduct regionally-specific evaluation activities, as required.
15. Planned audits:  A performance audit of this Program is scheduled in 2008-2009.  Any audit of Recipients is done at the Program level.

 

1. Name of transfer payment program:  Canada Prenatal Nutrition Program
2. Start date:  1994-1995		3. End date:  Ongoing
4. Description:  Contributions to non profit community organizations to support on a long term basis, the development and provision of preventive and early intervention services addressing the health and development challenges experienced by young children at risk in Canada.
5. Strategic outcome:  Healthier Canadians, reduced health disparities and a stronger public health capacity.
6. Expected results:  To reach the intended audiences:  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 build an evidence base for policies, programs and practices.
(in $ millions)	7. Forecast Spending 2007-08	8. Planned Spending 2008-09	9. Planned Spending 2009-10	10. Planned Spending 2010-11
11. Program activity (PA):  Health Promotion
12. Total contributions	24.9	24.9	24.9	24.9
13. Total (PA) – Health Promotion	24.9	24.9	24.9	24.9
14. Planned evaluations:  A summative evaluation is scheduled for 2008-2009 and will measure the reach and retention, relevance and impact of the program to the target group.  Regions will continue to conduct regionally-specific evaluation activities, as required.
15. Planned audits:  A performance audit of this Program is scheduled in 2008-2009.  Any audit of Recipients is done at the Program level.

 

1. Name of transfer payment program:  Population Health Fund
2. Start date:  1999-2000		3. End date:  Ongoing
4. Description:  Provides grants and contributions to Canadian voluntary not-for- profit organizations and educational institutions to increase the ability of communities and individuals to improve their health by developing models, increasing knowledge for programs and policy, and by building collaborate approaches which address the determinants of health.
5. Strategic outcome:  Healthier Canadians, reduced health disparities and a stronger public health capacity.
6. Expected results:  The Population Health Fund’s expected result is to increase community capacity for action on or across the determinants of health.  The goal is realized by the following objectives:  1) develop, implement, evaluate and disseminate community-based models of applying the population health approach, 2) increase the knowledge base for program and policy development on population health, and 3) increase partnerships and develop intersectoral collaboration to address specific determinants of health or combinations of determinants.
(in $ millions)	7. Forecast Spending 2007-08	8. Planned Spending 2008-09	9. Planned Spending 2009-10	10. Planned Spending 2010-11
11. Program activity (PA):  Health Promotion
12. Total grants	11.4	11.4	11.4	11.4
12. Total contributions	3.3	3.3	3.3	3.3
13. Total (PA) – Health Promotion	14.7	14.7	14.7	14.7
14. Planned evaluations:  An evaluation was completed in 2006-2007 which examined the delivery management stream of the Population Health Fund, and an outcome evaluation is scheduled for 2007-2008.  Regions evaluate their respective programs at regular intervals. All regions will be using the Program Evaluation Reporting Tool (PERT), an evaluation tool that measures common indicators and provides a consistent approach to program measurement and data collection, as well as other formats as appropriate.
15. Planned audits:  A performance audit of this Program is scheduled in 2007-2008.  Any audit of Recipients is done at the Program level.

 

1. Name of transfer payment program:  The Federal Initiative to Address HIV/AIDS in Canada
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 signalled a renewed and strengthened federal role in the Canadian response to the disease.  The G and C funds support front-line organizations to contribute to the prevention of HIV/AIDS, and to promote increased access to diagnosis, care, treatment and support for people affected by the disease.
5. Strategic outcome:  Healthier Canadians, reduced health disparities and a stronger public health capacity.
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.
(in $ millions)	7. Forecast Spending 2007-08	8. Planned Spending 2008-09	9. Planned Spending 2009-10	10. Planned Spending 2010-11
11. Program activity (PA):  Infectious Disease Prevention and Control
12. Total grants	6.7	6.6	6.6	6.6
12. Total contributions	12.8	16.4	16.4	16.4
13. Total (PA) – Infectious Disease Prevention and Control	19.5	23.0	23.0	23.0
14. Planned evaluations:  Impact evaluation is planned for 2008-2009
15. Planned audits: Audit plan is under development.

 

1. Name of transfer payment program:  National Collaborating Centres for Public Health (NCCPH)
2. Start date:  2004-2005		3. End date:  Ongoing
4. 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 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 outcome:  Healthier Canadians, reduced health disparities and a stronger public health capacity.
6. Expected results:  The expected result of the National Collaborating Centres (NCCs) program 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)	7. Forecast Spending 2007-08	8. Planned Spending 2008-09	9. Planned Spending 2009-10	10. Planned Spending 2010-11
11. Program activity (PA):  Strengthen Public Health Capacity
12. Total contributions	8.8	8.4	8.4	8.4
13. Total (PA) – Strengthen Public Health Capacity	8.8	8.4	8.4	8.4
14. Planned evaluations:  Under the Results-based Management and Accountability Framework (RMAF) with Risk Assessment (RA), a program evaluation on immediate outcomes are planned for 2008-2009 and will inform renewal of the terms and conditions.  A summative evaluation is planned for 2011-2012.
15. Planned audits:  No planned audits.

 

1. Name of transfer payment program:  Healthy Living Fund (national and regional streams)
2. Start date:  October 2005		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 outcome:  Healthier Canadians, reduced health disparities and a stronger public health capacity.
6. 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)	7. Forecast Spending 2007-08	8. Planned Spending 2008-09	9. Planned Spending 2009-10	10. Planned Spending 2010-11
11. Program activity (PA):  Health Promotion
12. Total contributions	5.1	5.2	5.2	5.2
13. Total (PA) – Health Promotion	5.1	5.2	5.2	5.2
14. Planned evaluations:  The Healthy Living Fund (national and regional streams) will be using the Project Evaluation and Reporting Tool (PERT) to monitor and document the effective­ness of all contribution stakeholder projects, and to assess the impact these community-based programs are making on the health of Canadians and Canadian communities.  PERT is an evaluation tool that measures common indicators and provides a consistent approach to program measurement and data collection, as well as other formats as appropriate. In order to provide realistic and accurate portraits of the outcomes of and value created by participating programs, PERT is a common analysis framework from which questions relevant to all community-based programs have been developed.  In addition, individual program questions will be developed specific to Healthy Living Fund outcomes. The information gathered will be used to measure and assess the implementation, impact, and effectiveness of the Healthy Living Fund.  Program level results and lessons learned will be shared with the projects, their partners, with researchers, and within the Agency. The Healthy Living Fund falls within the federal Healthy Living and Chronic Disease Initiative.  The Results-based Management and Accountability Framework (RMAF) for the ISHLCD commits to reviewing the implementation of the Integrated Strategy on Healthy Living and Chronic Disease. The First Implementation Review (inclusive of the Healthy Living Component), completed in December 2006, focused on the progress of implementing the coordination structures of the Integrated Strategy from October 2005 through November 2006. The Second Implementation Review, to be completed by March 2008, will examine the period from December 2006 through December 2007. Further evaluation of the Healthy Living Program Component, through to March 2009, will focus on progress towards achieving the immediate outcomes, and early progress towards intermediate outcomes.
15. Planned audits:  A performance audit of this Program is scheduled in 2008-2009.  Any audit of Recipients is done at the Program level.

 

1. Name of transfer payment program:  Canadian Diabetes Strategy (non-Aboriginal elements)
2. Start date:  2005-2006		3. End date:  Ongoing
4. Description:  The Agency provides the 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 Initiative, the renewed Canadian Diabetes Strategy will undergo a change of direction, targeting Canadians who are at higher risk, especially those who are overweight, obese or pre-diabetic (i.e. family history, high blood pressure, high cholesterol) and supporting approaches for the early detection and management of complications for type 1 and type 2 diabetes.
5. Strategic outcome:  Healthier Canadians, reduced health disparities and a stronger public health capacity.
6. 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 and improved attitudes of high risk populations Increased knowledge among high-risk populations of skills and behaviours necessary to prevent diabetes and its complications
(in $ millions)	7. Forecast Spending 2007-08	8. Planned Spending 2008-09	9. Planned Spending 2009-10	10. Planned Spending 2010-11
11. Program activity (PA):  Chronic Disease Prevention and Control
12. Total grants	3.5	3.5	3.5	3.5
12. Total contributions	3.2	3.5	3.5	3.5
13. Total (PA) – Chronic Disease Prevention and Control	6.7	7.0	7.0	7.0
14. Planned evaluations:  Evaluation of the CDS will take place within the broader evaluation of the Healthy Living and Chronic Disease initiative, specifically: Surveillance Functional Component Evaluation. Knowledge Development, Exchange and Dissemination Functional Component Evaluation. Community-based Programming Functional Component Evaluation. Within the Community-based Programming Functional Component, Agency National and Regional Offices are using the Program Evaluation Reporting Tool (PERT), a tool currently being pilot-tested within the Agency for measuring common indicators from funded projects across various Agency programs. Each of these Functional Component evaluations, scheduled to be completed by March 2009, will focus on progress towards early outcomes.  An overall synthesis of evaluative information from each of the Functional Component evaluations is scheduled for completion by March 2011.
15. Planned audits:  A performance audit of this Program is scheduled in 2009-2010.  Any audit of Recipients is done at the Program level.

 

1. Name of transfer payment program:  Cancer
2. Start date:  2005-2006		3. End date:  Ongoing
4. Description:  In 2005, the federal budget committed $300 million over five years and $74.5 million annually for the Integrated Strategy on Healthy Living and Chronic Disease (HLCD). This significant initiative is the first long-term, ongoing federal commitment to chronic disease. In addition to common platforms, cancer is one of three disease-specific components of the HLCD. As a result, the Agency receives targeted funding from the Strategy for cancer work, such as community-based programming and capacity building. Furthermore, the Agency provides support as appropriate to the Canadian Partnership Against Cancer (CPAC), announced by the federal government in November 2006 to implement the Canadian Strategy on Cancer Control (CSCC). Specifically, the Agency supports links between CPAC’s knowledge translation activities and other cancer portfolio members, and promotes international activities and federal leadership on cancer. The CSCC’s strategic priorities (primary prevention; screening/early detection, standards, clinical practice guidelines; rebalancing the focus; health human resources; research; and surveillance and analysis) provide the overarching framework for cancer control in Canada.
5. Strategic outcome:  Healthier Canadians, reduced health disparities and a stronger public health capacity.
6. Expected results:  Under the HLCD, the Agency has six major components projected for 2007-2008/2008-2009. These include cancer community-based programming and capacity building through a grants and contributions program targeted at Aboriginals organizations, NGOs, seniors, immigrants and children; cancer surveillance activities largely focused on children; cancer screening and early detection programs for colorectal cancer (working in partnership with CPAC); cancer risk factor analysis and assessment; monitoring and evaluation as required; and public information activities such as consultations and public opinion research. In addition, the Agency will work with CPAC, other stakeholders, and provincial/territorial representatives to develop a national cancer surveillance system. However, the Treasury Board Authorities for the funding and implementation of the CSCC through CPAC provide that the Agency’s cancer activities under the HLCD will not overlap with or duplicate the efforts of CPAC. As such, the Agency will focus its cancer community-based programming on the federal government’s health priorities of seniors, children, Aboriginals and the environment. Through ongoing consultations with various stakeholders, this will build capacity and facilitate the participation of these groups in the CSCC.
(in $ millions)	7. Forecast Spending 2007-08	8. Planned Spending 2008-09	9. Planned Spending 2009-10	10. Planned Spending 2010-11
11. Program activity (PA):  Chronic Disease Prevention and Control
12. Total grants	2.9	3.2	3.2	3.2
12. Total contributions	1.1	2.5	2.5	2.5
13. Total (PA) – Chronic Disease Prevention and Control	4.0	5.7	5.7	5.7
14. Planned evaluations:  An evaluation plan is currently being developed. The monitoring and evaluation plan for each component of the transfer program is based on the RMAF and Risk Assessment. Ongoing monitoring will be focused on key performance information (i.e. reach to targeted population), and an implementation review will examine progress during the first few years of the program. The functional component evaluation (2008-2009) will focus on progress towards individual and societal level outcomes (i.e. relevance, cost effectiveness, results) and an outcome evaluation (2011-2012) will provide a summary of evaluative information for the programs. According to Treasury Board guidelines, 5% of all HLCD program resources must be for monitoring and evaluation.
15. Planned audits:   A performance audit of this Program is scheduled in 2009-2010.  Any audit of Recipients is done at the Program level.

 

1. Name of transfer payment program:  Canadian HIV Vaccine Initiative
2. Start date:  2007-2008		3. End date:  2012-2013
4. 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 Public Health Agency of Canada, Industry Canada, Health Canada, the Canadian Institutes of Health Research, and the Canadian International Development Agency. 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.
5. Strategic outcome:  Healthier Canadians, reduced health disparities and a stronger public health capacity.
6. 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)	7. Forecast Spending 2007-08	8. Planned Spending 2008-09	9. Planned Spending 2009-10	10. Planned Spending 2010-11
11. Program activity (PA):  Infectious Disease Prevention and Control
12. Total contributions	0.0	0.8	9.3	9.5
13. Total (PA) – Infectious Disease Prevention and Control	0.0	0.8	9.3	9.5
14. Planned evaluations:  Mid-term evaluation is planned for 2009-2010 and Summative evaluation for 2012.
15. Planned audits:  No planned audits.

 

1. Name of transfer payment program:  Hepatitis C Undertaking
2. Start date:  April 2000		3. End date:  March 31, 2019
4. 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.
5. Strategic outcome:  Healthier Canadians, reduced health disparities and a stronger public health capacity.
6. 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)	7. Forecast Spending 2007-08	8. Planned Spending 2008-09	9. Planned Spending 2009-10	10. Planned Spending 2010-11
11. Program activity (PA): Infectious Disease Prevention and Control
12. Total other types of transfer payments	0.0	0.0	49.7	0.0
13. Total (PA) – Infectious Disease Prevention and Control	0.0	0.0	49.7	0.0
14. Planned evaluations:  An evaluation was completed in 2006-2007. The next evaluation is scheduled for 2010-2011.
15. Planned audits:  No planned audits.

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