Lower-level Programs
Table of contents
- Strategic Outcome: The Government
- Strategic Outcome: The People
- Strategic Outcome: The Land and Economy
- Strategic Outcome: First Nations and Inuit Health
- Program: First Nations and Inuit Primary Health Care
- Sub-Program: First Nations and Inuit Health Promotion and Disease Prevention
- Sub-Sub Program: Healthy Child Development
- Sub-Sub Program: Mental Wellness
- Sub-Sub Program: Healthy Living
- Sub-Program: First Nations and Inuit Public Health Protection
- Sub-Sub Program: Communicable Disease Control and Management
- Sub-Sub Program: Environmental Public Health
- Sub-Program: First Nations and Inuit Primary Care
- Sub-Sub Program: Clinical and Client Care
- Sub-Sub Program: Home and Community Care
- Sub-Sub Program: Jordan's Principle – A Child First Initiative
- Program: Health Infrastructure Support for First Nations and Inuit
- Sub-Program: First Nations and Inuit Health System Capacity
- Sub-Sub Program: Health Planning and Quality Management
- Sub-Sub Program: Health Human Resources
- Sub-Sub Program: Health Facilities
- Sub-Program: First Nations and Inuit Health Systems Transformation
- Sub-Sub Program: Health Systems Integration
- Sub-Sub Program: e-Health Infostructure
- Sub-Program: Tripartite Health Governance
- Program: First Nations and Inuit Primary Health Care
Indigenous Services Canada (ISC) was established as per the Orders in Council, effective November 30, 2017. The 2017−18 ISC Departmental Results Report includes the full results and narrative for the programs that belong to ISC.
Note that the financial and human resources presented in the ISC DRR only covers the period of November 30, 2017 to March 31, 2018. ISC had no planned resources for fiscal year 2017−18 or actual resources for previous fiscal years.
* Programs for which elements have been split between CIRNAC and ISC.
** Programs formerly with Health Canada, for which all elements are now fully delivered by ISC.
Strategic Outcome: The Government
Support good governance, rights and interests of Indigenous peoples
Program: Governance and Institutions of Government*
Sub-Program: First Nation Governments
Description
This sub-program supports the core operations and capacity development of First Nations governments, including the professional development of their personnel. Support for community development and capacity building is through collaborative, coordinated and targeted community-driven investments, leveraging partnership wherever possible. Funding is provided to support the costs of core government functions such as the holding of elections, law-making and enforcement, financial management, general administration, and executive leadership. In addition, the sub-program provides advice and support to First Nations on governance matters, and develops and implements legislation and policies that support the modernization of governance frameworks and transparent and accountable governance, while simultaneously overseeing the discharge of the Department's statutory and regulatory obligations in respect of governance processes under the Indian Act. Activities include — but are not limited to — assistance in establishing governance and associated capacities, processes and mechanisms, such as the development and implementation of community election systems, adoption of open and transparent governance practices, law-making and development of enforcement authorities.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Enhanced governance capacity of First Nation Governments | Percentage of First Nations who have submitted a plan and have received funding for the development or implementation of a Governance Capacity Plana | 80% by March 31, 2018 |
|
Percentage of First Nations scoring low risk on the Governance section of the General Assessment | 70% by March 31, 2018 |
|
|
a The department uses the United Nations Development Programme's definition of capacity development as the process through which individuals, organizations and societies obtain, strengthen and maintain the capabilities to set and achieve their own development objectives over time. b In 2017–18, the demand for funding was greater than the resources available with only 137 First Nations receiving funding and only 138 communities having completed Governance Capacity Plans. Additional resources will be provided to First Nations interested in participating in the planning process in 2018-19. |
2017–18 Actual spending (authorities used) |
---|
174,908,161 |
2017–18 Actual |
---|
123 |
Sub-Program: Indigenous Governance Institutions and Organizations
Description
This sub-program provides funding and supports aggregate program delivery and capacity through Indigenous governance institutions and organizations at the local, regional and national levels, including tribal councils and AFOA Canada (formerly Aboriginal Financial Officers Association of Canada). To provide support to First Nation governments wishing to develop capacity and systems in the areas of taxation and financial management, the First Nations Fiscal Management Act institutions receive administrative, policy and financial support to deliver on their legislative mandates under the Act. Funding, as well as tools, training and advice, are also provided to organizations and institutions to support First Nation government efforts to implement the Family Homes on Reserves and Matrimonial Interests or Rights Act.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Governance institutions and organizations have the capacity to support First Nations | Percentage of tribal councils scoring low risk on the General Assessmentab | 90% by March 31, 2018 |
|
|
2017-18 Actual spending (authorities used) |
---|
10,097,368 |
2017-18 Actual |
---|
0 |
Strategic Outcome: The People
Individual, family and community well-being for First Nations and Inuit
Program: Education
Sub-Program: Elementary and Secondary Education
Description
This sub-program supports First Nation decision making by providing funding to eligible on-reserve students with elementary and secondary education services that are comparable to those required in provincial schools. The sub-program provides funding to First Nations, or organizations designated by First Nations, to pay salaries for on-reserve school teachers and other instructional services, reimburse tuition for on-reserve students who attend provincial schools, provide student support services (e.g. transportation), and enhance education services (e.g. curriculum and language development, teacher recruitment and retention, community and parent engagement in education, and Information Communication Technology capacity). Funding also targets a series of specific initiatives that: support students with identified, high-cost special education needs; improve student achievement levels in reading, writing and mathematics; develop school success plans; implement school performance measurement systems to assess, report on, and accelerate student progress; and encourage students to remain in school and graduate. Additionally, this sub-program invests in tripartite partnerships — amongst First Nations, provincial governments and the Government of Canada — to help First Nation students who move between on-reserve and provincial schools to succeed. This sub-program also includes a number of initiatives that support culturally appropriate education activities, including cultural education centres. It also provides support to First Nation and Inuit youth in their efforts to transition from secondary school to either post-secondary education or the labour market.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nation students progress in their elementary and secondary education | The percentage of tested students on reserve who meet or exceed standard assessmenta for literacy and numeracy in the province of reference (at the testing interval adopted by that province, referenced by gender and province) | Incremental increase year after year | See table below. |
a Standardized assessment attainment and increases in attainment rates over time are proxy indicators for likelihood of overall progression in studies. |
Literacy | Numeracy | ||||||
---|---|---|---|---|---|---|---|
2015−16b | 2016–17b | 2017–18b | 2015–16b | 2016–17b | 2017–18b | ||
Atlantic | Male | 68% | 55% | To come in 2019. | 46% | 52% | To come in 2019. |
Female | 78% | 63% | 43% | 50% | |||
Quebec | Male | 39% | 38% | To come in 2019. | 33% | 35% | To come in 2019. |
Female | 46% | 42% | 39% | 42% | |||
Ontario | Male | 59% | 42% | To come in 2019. | 49% | 30% | To come in 2019. |
Female | 63% | 44% | 49% | 29% | |||
Manitoba | Male | 20% | 20% | To come in 2019. | 33% | 33% | To come in 2019. |
Female | 31% | 31% | 39% | 29% | |||
Alberta | Male | 29% | 25% | To come in 2019. | 39% | 30% | To come in 2019. |
Female | 33% | 33% | 20% | 31% | |||
British Columbia | Male | 47% | 49% | To come in 2019. | 62% | 58% | To come in 2019. |
Female | 89% | 49% | 62% | 57% | |||
Note: Notwithstanding the mixed results noted in the table above, the trend in the overall number of students who met or exceeded the standard assessment increased by 1,735 students for literacy and 861 students for numeracy over the same period.
|
2017–18 Actual spending (authorities used) |
---|
708,245,093 |
2017–18 Actual |
---|
98 |
Sub-Program: Post-Secondary Education
Description
This sub-program helps eligible First Nation and Inuit students access and succeed in post-secondary education. The sub-program provides funding to First Nations, tribal councils or regional First Nation and Inuit organizations to assist eligible students to pay for tuition fees, books, travel, and living expenses (when applicable). Financial support also targets a series of specific initiatives to: enable eligible First Nation and Inuit students to attain the academic level required for entrance to degree and diploma credit programs through entrance preparation programs offered by Canadian post-secondary institutions; and assist post-secondary education institutions to design and deliver university- and college-level courses that are tailored to the needs of First Nation and Inuit students. This sub-program also provides funding to Indspire — a national, registered non-profit organization — to provide post-secondary scholarships, including matching funds raised by Indspire from non-federal sources, and to deliver programs, such as career conferences, for secondary students in order to help First Nation and Inuit students pursue academic or career opportunities.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nation and Inuit post-secondary students who receive funding through the Post-Secondary Student Support Program (PSSSP) progress in their program of study. | Percentage of PSSSP funded students who completed their academic year and were funded the next academic yeara | Incremental increase year after year | See in Chart A below. |
Percentage of First Nation and Inuit students, funded through PSSSP, who continue in the program beyond the first year of their program of studyb | Incremental increase year after year | See Chart B below. | |
|
2015–16 | 2016–17 | 2017–18 | |
---|---|---|---|
Overall retention | 49.7% | To come December 2018 | To come December 2019 |
Return to same institution program and level of study | 44.8% | To come December 2018 | To come December 2019 |
Returned to a different institution program or level of study within the same region | 4.9% | To come December 2018 | To come December 2019 |
Baseline (2012–13) | 2015–16 | 2016–17 | 2017–18 | |
---|---|---|---|---|
Overall retention for year one students | 25.5% | 33.7% | To come December 2018 | To come December 2019 |
Second year at same institution, program and level of study | 10.4% | 30.4% | To come December 2018 | To come December 2019 |
Second year at a different institution, program and level of study, within the same region | 15.1% | 3.3% | To come December 2018 | To come December 2019 |
2017–18 Actual spending (authorities used) |
---|
111,765,318 |
2017–18 Actual |
---|
8 |
Program: Social Development
Sub-Program: Income Assistance
Description
This sub-program provides funding to First Nations, First Nation organizations and the province of Ontario (under the 1965 agreement) to assist eligible individuals and families living on reserve who are in financial need, through the provision of basic and special needs that are in alignment with the rates and eligibility criteria of reference for provinces or Yukon. The sub-program also provides funding for service delivery and pre-employment services designed to help clients transition to, and remain in, the workforce. The department also contributes to the funding of day care services for First Nation families in Ontario and Alberta.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Eligible men and women in need use income assistance supports and services to help them meet their basic needsa and transition to the workforce | Percentage of Income Assistance clients and dependents, aged 16–64, who participate in Active Measuresb | Increasing year over year by March 31, 2018 |
|
Income Assistance Dependency Rate | Aligned to off-reserve dependency rate by March 31, 2018 |
|
|
|
2017–18 Actual spending (authorities used) |
---|
322,459,893 |
2017–18 Actual |
---|
23 |
Sub-Program: Assisted Living
Description
This sub-program provides funding for non-medical, social support services so that seniors, adults with chronic illness, and children and adults with disabilities can maintain functional independence. There are three major components to the sub-program: in-home care; adult foster care; and institutional care (institutional care is provided for eligible individuals in need of personal, non-medical care on a 24-hour basis). These services are available to individuals living on reserve or ordinarily resident on reserve who have been formally assessed by a health care professional (in a manner consistent with provincial or territorial legislation and standards), and identified as requiring services but without the means to obtain such services themselves.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
In-home, group-home and institutional care supports are accessible to low-income individuals in need | Percentage of clients whose assessed social support needs are met | 100% by March 31, 2018 |
|
2017–18 Actual spending (authorities used) |
---|
41,609,715 |
2017–18 Actual |
---|
7 |
Sub-Program: First Nations Child and Family Services
Description
This sub-program provides funding for child and family services supporting the safety and well-being of First Nation children and families who are ordinarily resident on reserve. Culturally appropriate prevention and protection services are delivered by service providers in accordance with provincial or territorial legislation and standards. This sub-program supports: developmental funding for new organizations; maintenance funding for costs associated with maintaining a child in care; operations funding for staffing and administrative costs of an agency; and prevention funding. In 2007, following provincial lead, the First Nations Child and Family Services sub-program started introducing changes focussing on prevention. The goal of the prevention approach is to improve services, family cohesion and life outcomes for First Nation children and families on reserve.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nation children in need or at risk have access to and use protection and prevention supports and services | Percentage of children not re-entering the child welfare system following a prior placement within the fiscal year (recurrence)a | Increasing year over year by March 31, 2018 |
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Percentage of children in care who are placed with a family member (kinship care)c | Increasing year over year by March 31, 2018 |
|
|
|
2017–18 Actual spending (authorities used) |
---|
387,247,558 |
2017–18 Actual |
---|
17 |
Sub-Program: Family Violence Prevention
Description
This sub-program provides funding for family violence protection and prevention services that are responsive to community needs for which there are two components. The first component supports women, children and families living on reserve with family violence shelter services by providing funding to core shelter operations. The second component is to support family violence prevention activities by providing funding to Indigenous communities and organizations. The Family Violence Prevention sub-program also works to address issues related to Indigenous women and girls.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Men, women or children in need or at risk have access to and use prevention and protection services | Number of women and children accessing the department's funded shelters | Not applicablea |
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Percentage of projects directed to community priorities/needsc | 95% by March 31, 2018 |
|
|
|
2017–18 Actual spending (authorities used) |
---|
18,732,397 |
2017–18 Actual |
---|
5 |
Strategic Outcome: The Land and Economy
Full participation of First Nations, Métis, Non-Status Indians and Inuit individuals and communities in the economy
Program: Infrastructure and Capacity*
Sub-Program: Water and Wastewater
Description
This sub-program provides funding to plan, design, construct, acquire, operate and maintain water and wastewater systems, including water supply, treatment and distribution, and wastewater collection, treatment and disposal. It also provides funding to: coordinate training and capacity building for activities related to water and wastewater facilities; identify on-reserve water and wastewater infrastructure needs; develop water and wastewater infrastructure capital plans; and design and implement management practices for water and wastewater facilities maintenance. The goal is to support First Nations in meeting health and safety standards and provide on-reserve residents with service levels comparable to those off reserve. First Nations identify priorities and needs and present project proposals to the Department. Funding is provided for projects based on a priority assessment.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations drinking water and wastewater systems meet established standards | Percentage of on-reserve department-funded First Nation drinking water systems that have low risk ratings | 65% by March 31, 2019 |
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Percentage of on-reserve department-funded First Nation wastewater systems that have low risk ratings | 65% by March 31, 2019 |
|
|
Number of long-term drinking water advisories affecting First Nation drinking water systems financially supported by the departmenta | 31 by March 31, 2019 | 2017–18: 69b | |
|
2017–18 Actual spending (authorities used) |
---|
411,950,016 |
2017–18 Actual |
---|
44 |
Sub-Program: Education Facilities
Description
This sub-program provides funding to: plan, design, construct/acquire, renovate, repair, replace, and operate and maintain band-operated elementary and secondary education facilities (including school buildings, teacherages and student residences) and any related facility services. Provincial school boards are also eligible for funding to plan, design, construct/acquire elementary and secondary education facilities for First Nation students. This sub-program also provides funding to: acquire, replace, and repair furniture, equipment and furnishing for schools, teacherages and student residences; identify education facility needs, and develop education facility plans; and design and implement maintenance management practices.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nation education facilities meet established standards | Percentage of First Nation schools with a greater than "fair" condition rating | 70% by March 31, 2019 |
|
2017–18 Actual spending (authorities used) |
---|
208,075,346 |
2017–18 Actual |
---|
14 |
Sub-Program: Housing
Description
This sub-program provides funding for First Nations to: plan and manage housing needs; design, construct and acquire new housing units; as well as renovate existing housing units. Working with First Nations, this sub-program seeks to increase the supply of safe and affordable housing to achieve better housing outcomes for on-reserve residents.Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations housing infrastructure needsa are supported | Percentage of First Nation housing that is adequateb as assessed and reported annually by First Nations | 75% by March 31, 2019 |
|
|
2017–18 Actual spending (authorities used) |
---|
155,168,354 |
2017–18 Actual |
---|
23 |
Sub-Program: Other Community Infrastructure and Activities
Description
This sub-program provides funding to plan, design, construct, acquire, operate and maintain community infrastructure assets and facilities, as well as coordinate training and undertake capacity-building activities in this area. The goal is to support First Nations in better meeting health and safety standards and provide on-reserve residents with similar levels of service to those off reserve. First Nations identify priorities and needs in their First Nation Infrastructure Investment Plans. Funding is provided for projects based on a priority assessment.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations other infrastructure meet established standards | Percentage of bridges with greater than "fair" condition rating | 60% by March 31, 2019 |
|
Percentage of roads with greater than "fair" condition rating | 47% by March 31, 2019 |
|
2017–18 Actual spending (authorities used) |
---|
340,470,224 |
2017–18 Actual |
---|
57 |
Sub-Program: Emergency Management Assistance
Description
This sub-program provides funding to protect the health and safety of on-reserve First Nations residents as well as their lands and critical infrastructure. The sub-program promotes the four pillars of emergency management — mitigation, preparedness, response, and recovery — by providing funding and overseeing the reimbursement of eligible emergency management costs; providing timely and efficient situational awareness; and developing policy to support emergency management. It further promotes efficiency by accessing existing resources and services of provincial/territorial and First Nation emergency management partners to address on-reserve emergencies as required (with the mandate to reimburse partners for eligible expenses).
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations are supported in their efforts to mitigate and prepare for emergencies | Percentage of non-structural mitigation (i.e., flood mapping and risk assessment) and preparedness funding allocated towards on-reserve emergency resiliency and capacity buildinga | 100% of the $19.1 million allocated towards on-reserve emergency resiliency and capacity building by March 31, 2018 |
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First Nations are supported in their response to and recovery from emergencies | Transfer of funds equivalent to eligible costs identified (eligible costs can include but not limited to the evacuation of on-reserve First Nation communities, direct emergency response activities, and other cleaning and rebuilding expenses) | 100% by March 31, 2018 |
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|
2017–18 Actual spending (authorities used) |
---|
89,871,599 |
2017–18 Actual |
---|
9 |
Strategic Outcome: First Nations and Inuit Health
First Nations and Inuit communities and individuals receive health services and benefits that are responsive to their needs so as to improve their health status
Program: First Nations and Inuit Primary Health Care
Sub-Program: First Nations and Inuit Health Promotion and Disease Prevention
Description
The First Nations and Inuit Health Promotion and Disease Prevention program delivers health promotion and disease prevention services to First Nations and Inuit in Canada. The program administers contribution agreements and direct departmental spending for culturally appropriate community based programs, services, initiatives, and strategies. In the delivery of this program, the following three key areas are targeted: healthy child development; mental wellness; and healthy living. The program objective is to address the healthy development of children and families, to improve mental wellness, and to reduce the impacts of chronic disease on First Nations and Inuit individuals, families, and communities.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations and Inuit communities have capacity to deliver community-based health promotion and disease prevention programs and services. | Number of community diabetes prevention workers in First Nations communities who completed training.a | 490 by March 31, 2018 |
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Number of program workers in First Nations communities who completed certified/accredited healthy child development training during the reporting year. | 395 by March 31, 2018 |
|
|
Percentage of addictions counsellors in treatment centres serving First Nations and Inuit clients who are certified workers.a | 80% by March 31, 2018 |
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|
2017–18 Actual spending (authorities used) |
---|
164,583,867 |
2017–18 Actual |
---|
156 |
Sub-Sub Program: Healthy Child Development
Description
The Healthy Child Development program administers contribution agreements and direct departmental spending to support culturally appropriate community based programs, services, initiatives, and strategies related to maternal, infant, child, and family health. The range of services includes prevention and health promotion, outreach and home visiting, and early childhood development programming. Targeted areas in the delivery of this program include: prenatal health, nutrition, early literacy and learning, and physical and children's oral health. The program objective is to address the greater risks and lower health outcomes associated with First Nations and Inuit infants, children, and families. This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Women in First Nations communities have access to breastfeeding and pre/postnatal nutrition services and supports. | Number of women in First Nations communities accessing Prenatal and Postnatal Health services and supports including Nutrition. | 9,500 by March 31, 2018 |
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Percentage of First Nations communities with maternal and child health programming that provide group breastfeeding support activities. | 50% by March 31, 2018 |
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Percentage of women in First Nations communities accessing maternal and child health program activities who breastfed for 6 months or more. | 30% by March 31, 2018 |
|
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Difference in percentage of children aged 0 to 11 who were breastfed longer than six months in First Nations communities with Maternal Child Health (MCH) programs versus those without MCH programs. | 8.5% difference by March 31, 2019 |
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First Nations have access to healthy child development programs and services. | Number of children in First Nations communities accessing early literacy and learning services and supports. | 14,000 by March 31, 2018 |
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Average number of decayed teeth in the 0–7 year population in First Nations communities with access to the Children's Oral Health Initiative (COHI). | Primary Teeth 1.55 and Permanent Teeth: 0.12 by March 31, 2018 | 2017–18:
|
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Percentage of First Nations communities that screen for risk factors for developmental milestones through participation in healthy child development programs and services. | 70% by March 31, 2018 |
|
|
a Indicator created in 2016–17. |
2017–18 Actual spending (authorities used) |
---|
29,380,055 |
2017–18 Actual |
---|
40 |
Sub-Sub Program: Mental Wellness
Description
The Mental Wellness program administers contribution agreements and direct departmental spending that supports culturally appropriate community based programs, services, initiatives and strategies related to the mental wellness of First Nations and Inuit. The range of services includes prevention, early intervention, treatment, and aftercare. Key services supporting program delivery include: problematic substance use prevention and treatment (part of Indigenous Services Canada support initiatives), mental health promotion, suicide prevention, and health supports for participants of the Indian Residential Schools Settlement Agreement. The program objective is to address the greater risks and lower health outcomes associated with the mental wellness of First Nations and Inuit individuals, families, and communities. This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations and Inuit have access to mental wellness programs and services. | Percentage of First Nations communities offering training on signs and symptoms and responding to suicidal behaviours.a | 75%a by March 31, 2018 |
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Percentage of First Nations communities that report service linkages with external service providers in delivering Mental Wellness promotion | 93% by March 31, 2018 |
|
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First Nations and Inuit clients who have received addictions treatment abstain from or decrease drug and alcohol use up to six months after completing treatment. | Percentage of First Nations clients admitted to a treatment centre who stop using at least one substance up to six months after completing treatment. | 40% by March 31, 2018 |
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Percentage of First Nations clients admitted to a treatment centre who reduce using at least one substance up to six months after completing treatment. | 60% by March 31, 2018 |
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|
2017–18 Actual spending (authorities used) |
---|
108,944,279 |
2017–18 Actual |
---|
63 |
Sub-Sub Program: Healthy Living
Description
The Healthy Living program administers contribution agreements and direct departmental spending that supports culturally appropriate community based programs, services, initiatives, and strategies related to chronic disease and injuries among First Nations and Inuit. This program aims to promote healthy behaviours and supportive environments in the areas of healthy eating, physical activity, food security, chronic disease prevention, management and screening, and injury prevention policy. Key activities supporting program delivery include: chronic disease prevention and management, injury prevention, the Nutrition North Canada – Nutrition Education Initiative, and the First Nations and Inuit component of the Federal Tobacco Control Strategy. The program objective is to address the greater risks and lower health outcomes associated with chronic diseases and injuries among First Nations and Inuit individuals, families, and communities. This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations and Inuit have access to healthy living programs and service. | Percentage increase in the value of the Aboriginal Financial Institutions network's gross loan portfolio | 90% by March 31, 2018 |
|
Percentage of First Nations communities that deliver physical activities. | 87% by March 31, 2018 |
|
|
Percentage of First Nations and Inuit communities that deliver healthy eating activities under the Aboriginal Diabetes Initiative. | 88% by March 31, 2018 |
|
|
First Nations are engaged in healthy behaviours. | Percentage of First Nations adults who reported that they eat fruit or vegetables at least once a day.a | 57% for fruits and 64% for vegetables by March 31, 2018 |
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Percentage of First Nations adults who reported being "moderately active" or "active".a | 55% by March 31, 2018 |
|
|
|
2017–18 Actual spending (authorities used) |
---|
26,259,533 |
2017–18 Actual |
---|
53 |
Sub-Program: First Nations and Inuit Public Health Protection
Description
The First Nations and Inuit Public Health Protection program delivers public health protection services to First Nations and Inuit in Canada. In the delivery of this program, the key areas of focus are communicable disease control and management, and environmental public health. The First Nations and Inuit Public Health Protection program administers contribution agreements and direct departmental spending to support initiatives related to communicable disease control and environmental public health service delivery including public health surveillance, research, and risk analysis. Communicable disease control and environmental public health services are targeted to on reserve First Nations, with some support provided in specific instances, (e.g., to address tuberculosis), in Inuit communities south of the 60th parallel. Environmental public health research, surveillance, and risk analysis are directed to on reserve First Nations, and in some cases, (e.g., climate change and health adaptation, and biomonitoring), also to Inuit and First Nations living north of the 60th parallel. Surveillance data underpins these public health activities and all are conducted with the understanding that social determinants play a crucial role. To mitigate impacts from factors beyond the public health system, the program works with First Nations, Inuit, and other organizations. The program objective is to address human health risks for First Nations and Inuit communities associated with communicable diseases and exposure to hazards within the natural and built environments by increasing community capacity to respond to these risks.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations have community capacity to respond to health emergencies. | Percentage of First Nations communities with Pandemic Plans integrated into all-hazards emergency management plans. | 70% by March 31, 2018 |
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Percentage of First Nations communities that have tested their Pandemic plans within the last five years.b | 20% by March 31, 2018 |
|
|
|
2017–18 Actual spending (authorities used) |
---|
39,389,159 |
2017–18 Actual |
---|
151 |
Sub-Sub Program: Communicable Disease Control and Management
Description
The Communicable Disease Control and Management program administers contribution agreements and direct departmental spending to support initiatives related to vaccine preventable diseases, blood borne diseases and sexually transmitted infections, respiratory infections, and communicable disease emergencies. In collaboration with other jurisdictions communicable disease control and management activities are targeted to on reserve First Nations, with support provided to specific instances, (such as to address tuberculosis), in Inuit communities south of the 60th parallel. Communicable Disease Control and Management activities are founded on public health surveillance and evidence based approaches and reflective of the fact that all provincial and territorial governments have public health legislation. Key activities supporting program delivery include: prevention, treatment and control of cases and outbreaks of communicable diseases; and, public education and awareness to encourage healthy practices. A number of these activities are closely linked with those undertaken in the Environmental Health program (3.1.2.2), as they relate to waterborne, foodborne and zoonotic infectious diseases. The program objective is to reduce the incidence, spread, and human health effects of communicable diseases for First Nations and Inuit communities. This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Communicable diseases among First Nations on-reserve are prevented, mitigated and/or treated. | Number of First Nations children on-reserve diagnosed with measles or rubella acquired in Canada.a | 0 by March 31, 2018 |
|
Percentage of cases of treatment success (cure or completion) in active tuberculosis (TB) cases among First Nations on-reserve.a | 90% by March 31, 2018 |
|
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First Nations children on-reserve are vaccinated against mumps, measles and rubella (MMR). | Percentage of First Nations children on-reserve who have received the MMR vaccine. | 85% by March 31, 2018 |
|
Percentage of First Nations communities conducting immunization education and awareness activities. | 65% by March 31, 2018 |
|
|
|
2017–18 Actual spending (authorities used) |
---|
23,925,969 |
2017–18 Actual |
---|
78 |
Sub-Sub Program: Environmental Public Health
Description
The Environmental Public Health program administers contribution agreements and direct departmental spending for environmental public health service delivery. Environmental public health services are directed to First Nations communities south of the 60th parallel and address areas such as: drinking water; wastewater; solid waste disposal; food safety; health and housing; facilities inspections; environmental public health aspects of emergency preparedness response; and, communicable disease control. Environmental public health surveillance and risk analysis programming is directed to First Nations communities south of the 60th parallel, and in some cases, also to Inuit and First Nations north of the 60th parallel. It includes community based and participatory research on trends and impacts of environmental factors such as chemical contaminants and climate change on the determinants of health (e.g., biophysical, social, cultural, and spiritual). Key activities supporting program delivery include: public health; surveillance, monitoring and assessments; public education; training; and, community capacity building. The program objective is to identify, address, and/or prevent human health risks to First Nations and Inuit communities associated with exposure to hazards within the natural and built environments. This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Information about environmental health Information about environmental health hazards in First Nations communities is available to decision-makers (at Indigenous Services Canada and local First Nations and Inuit communities). | Total number of public health inspections conducted in food facilities on reserve by Environmental Health Officers (EHO).a | 1,482 by March 31, 2018 |
|
Number of homes in First Nations communities inspected by EHOs.a | 1,359 by March 31, 2018 |
|
|
Percentage of inspected homes in First Nations communities that were found to have mould.a | 45% by March 31, 2018 |
|
|
Environmental health risks relating to water quality are decreased in First Nations and Inuit communities. | Average percentage rate of public water systems monitoring in First Nations communities as compared to the frequency recommended by the national guidelines for bacteriological parameters. | 80% by March 31, 2018 |
|
a Indicator created in 2016–17. |
2017–18 Actual spending (authorities used) |
---|
15,463,190 |
2017–18 Actual |
---|
73 |
Sub-Program: First Nations and Inuit Primary Care
Description
The First Nations and Inuit Primary Care program administers contribution agreements and direct departmental spending. These funds are used to support the staffing and operation of nursing stations on reserve, dental therapy services and home and community care programs in First Nation and Inuit communities, and on reserve hospitals in Manitoba, where services are not provided by provincial/territorial health systems. Care is delivered by a collaborative health care team, predominantly nurse led, providing integrated and accessible health care services that include: assessment; diagnostic; curative; case management; rehabilitative; supportive; respite; and, palliative/end of life care. Key activities supporting program delivery include Clinical and Client Care in addition to Home and Community Care. The program objective is to provide primary care services to First Nations and Inuit communities.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations communities have access to collaborative service delivery arrangements with external primary care service providers. | Percentage of First Nations communities with collaborative service delivery arrangements with external primary care service providers. | 80% by March 31, 2018 |
|
a The result may have been impacted by the data collection tool response rate. |
2017–18 Actual spending (authorities used) |
---|
180,052,161 |
2017–18 Actual |
---|
302 |
Sub-Sub Program: Clinical and Client Care
Description
The Clinical and Client Care program is delivered by a collaborative health care team, predominantly nurse led, providing integrated and accessible health and oral health care services that include assessment, diagnostic, curative, and rehabilitative services for urgent and non-urgent care. Key services supporting program delivery include: triage, emergency resuscitation and stabilization, emergency ambulatory care, and outpatient non urgent services; coordinated and integrated care and referral to appropriate provincial secondary and tertiary levels of care outside the community; and, in some communities, physician visits and hospital in patient, ambulatory, and emergency services. The program objective is to provide clinical and client care services to First Nations individuals, families, and communities. This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations populations have access to Clinical and Client Care services. | Percentage of the eligible on-reserve population accessing Clinical and Client Care services in remote and isolated First Nations facilities (Nursing Stations and Health Centers with Treatment). | 50% by March 31, 2018 |
|
Percentage of urgent Clinical and Client Care visits provided in remote and isolated facilities.a | 10% by March 31, 2018 |
|
|
Indigenous Services Canada nurses providing Clinical and Client Care services have completed mandatory training. | Percentage of Indigenous Services Canada nurses who have completed FNIHB's 5 mandatory training courses.a | 100% by March 31, 2018 |
|
|
2017–18 Actual spending (authorities used) |
---|
85,283,296 |
2017–18 Actual |
---|
253 |
Sub-Sub Program: Home and Community Care
Description
The Home and Community Care program administers contribution agreements with First Nation and Inuit communities and territorial governments to enable First Nations and Inuit individuals with disabilities, chronic or acute illnesses, and the elderly to receive the care they need in their homes and communities. Care is delivered primarily by home care registered nurses and trained certified personal care workers. In the delivery of this program First Nations and Inuit Health Branch provides funding through contribution agreements and direct departmental spending for a continuum of basic essential services such as: client assessment and case management; home care nursing, personal care and home support as well as in home respite; and, linkages and referral, as needed, to other health and social services. Based on community needs and priorities, existing infrastructure, and availability of resources, the Home and Community Care program may be expanded to include supportive services. These services may include: rehabilitation and other therapies; adult day programs; meal programs; in home mental health; in home palliative care; and, specialized health promotion, wellness, and fitness services. The program objective is to provide home and community care services to First Nations and Inuit individuals, families, and communities. This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations and Inuit populations have access to Home and Community Care services. | Home and community care utilisation rate per 1,000 on reserve population.a | 72 by March 31, 2018 |
|
Percentage First Nations clients receiving home care where diabetes is the primary reason for care.b | 21% by March 31, 2018 |
|
|
Percentage First Nations clients receiving long-term supportive care.b | 36.95% by March 31, 2018 |
|
|
|
2017–18 Actual spending (authorities used) |
---|
35,950,387 |
2017–18 Actual |
---|
37 |
Sub-Sub Program: Jordan's Principle – A Child First Initiative
Description
Jordan's Principle applies to all First Nations children and all jurisdictional disputes, including those between federal government departments. The Child First Initiative is one of a series of proactive measures under Jordan's Principle to address the needs of the most vulnerable children. The Jordan's Principle—A Child First Initiative (JP – CFI) administers contribution agreements and direct departmental spending to help ensure that First Nations children have access to the health and social services available to children elsewhere in their province/territory. For some of these children, service delivery problems may arise because of the involvement of both federal and provincial/territorial service providers, resource limitations and geographic location or limitation of existing programs. The objective is to improve service coordination and ensure service access resolution so that children's needs are assessed and responded to quickly. This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations children, receive health or social supports | The number of First Nations children requesting services through the JP - CFI who receive services consistent with the provincial/territorial normative standard of carea |
|
2017–18: Not availableb |
The number and percentage of First Nations parents and guardians requesting services for their children through the JP - CFI reporting on follow-up that they have access to a coordinated system of supports and servicesa |
|
2017–18: Not availableb | |
The number of First Nations children requesting services through the JP - CFI who have accessed specific services by type of service (such as respite care, home and community care, speech therapy, occupational therapy, physical therapy).a |
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2017–18: Not availableb | |
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Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations and Inuit populations have access to Home and Community Care services. | Home and community care utilisation rate per 1,000 on reserve population.a | 72 by March 31, 2018 |
|
Percentage First Nations clients receiving home care where diabetes is the primary reason for care.b | 21% by March 31, 2018 |
|
|
Percentage First Nations clients receiving long-term supportive care.b | 36.95% by March 31, 2018 |
|
|
|
2017–18 Actual spending (authorities used) |
---|
58,818,478 |
2017–18 Actual |
---|
12 |
Program: Health Infrastructure Support for First Nations and Inuit
Sub-Program: First Nations and Inuit Health System Capacity
Description
The First Nations and Inuit Health System Capacity program administers contribution agreements and direct departmental spending focusing on the overall management and implementation of health programs and services. This program supports the promotion of First Nations and Inuit participation in: health careers including education bursaries and scholarships; the development of, and access to health research; information and knowledge to inform all aspects of health programs and services; and, the construction and maintenance of health facilities. This program also supports efforts to develop new health governance structures with increased First Nations participation. Program engagement includes a diverse group of partners, stakeholders, and clients including: First Nations and Inuit communities, district and tribal councils; national Indigenous organizations and non-governmental organizations; health organizations; provincial and regional health departments and authorities; post-secondary educational institutions and associations; and, health professionals and program administrators. The program objective is to improve the delivery of health programs and services to First Nations and Inuit by enhancing First Nations and Inuit capacity to plan and manage their programs and infrastructure.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations and Inuit have the capacity to enter into and manage funding arrangement. | Percentage of First Nations and Inuit funding recipients scoring "Low Risk" on the General Assessment Tool.a | 75% by March 31, 2018 |
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Percentage of First Nations and Inuit funding recipients without financial intervention as defined by the Department's Default Prevention and Management Policy.a | 90% by March 31, 2018 |
|
|
First Nations have the capacity to manage their infrastructure | Number of recipients who have signed contribution agreements that have developed plans for managing the operations and maintenance of their health infrastructure. | 146 by March 31, 2018 |
|
|
2017–18 Actual spending (authorities used) |
---|
117,995,362 |
2017–18 Actual |
---|
43 |
Sub-Sub Program: Health Planning and Quality Management
Description
The Health Planning and Quality Management program administers contribution agreements and direct departmental spending to support capacity development for First Nations and Inuit communities. Key services supporting program delivery include: the development and delivery of health programs and services through program planning and management; ongoing health system improvement via accreditation; the evaluation of health programs; and, support for community development activities. The program objective is to increase the capacity of First Nations and Inuit to design, manage, evaluate, and deliver health programs and services. This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations have the capacity to plan, manage and deliver quality health services. | Percentage of Nursing Stations and Health Centres that are accredited.a | 24% by March 31, 2018 |
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First Nations and Inuit funding recipients have a "Low Risk" score on the Department's Program Management component of the General Assessment Tool. | Percentage of First Nations and Inuit funding recipients scoring "Low Risk" on the Department's Program Management component of the General Assessment Tool.a | 77% by March 31, 2018 |
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|
2017–18 Actual spending (authorities used) |
---|
36,488,546 |
2017–18 Actual |
---|
23 |
Sub-Sub Program: Health Human Resources
Description
The Health Human Resources program administers contribution agreements and direct departmental spending to promote and support competent health services at the community level by increasing the number of First Nations and Inuit individuals entering into and working in health careers and ensuring that community based workers have skills and certification comparable to workers in the provincial/territorial health care system. This program engages many stakeholders, including: federal, provincial and territorial governments and health professional organizations; national Indigenous organizations; non-governmental organizations and associations; and, educational institutions. Key activities supporting program delivery include: health education bursaries and scholarships; health career promotion activities; internship and summer student work opportunities; knowledge translation activities; training for community based health care workers and health managers; and, development and implementation of health human resources planning for Indigenous, federal, provincial, territorial, health professional associations, educational institutions, and other stakeholders. The program objective is to increase the number of qualified First Nations and Inuit individuals working in health care delivery. This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Indigenous people participate in post-secondary education leading to health careers. | Number of bursaries and scholarships provided to Indigenous people per year in a field of study leading to a career in a health-related discipline. | 425 by March 31, 2018 |
|
Number of Indigenous people supported by bursaries and scholarships in health careers who have graduated.a |
|
|
|
a Indicator created in 2016–17. |
2017–18 Actual spending (authorities used) |
---|
963,232 |
2017–18 Actual |
---|
4 |
Sub-Sub Program: Health Facilities
Description
The Health Facilities program administers contribution agreements and direct departmental spending that provide communities and/or health care providers with the facilities required to safely and efficiently deliver health programs and services. Direct departmental spending addresses the working conditions of Indigenous Services Canada staff engaged in the direct delivery of health programs and services to First Nations. Key activities supporting program delivery include: investment in infrastructure that can include the construction, acquisition, leasing, operation, maintenance, expansion and/or renovation of health facilities and security services; preventative and corrective measures relating to infrastructure; and, improving the working conditions for Indigenous Services Canada staff so as to maintain or restore compliance with building codes, environmental legislation, and occupational health and safety standards. The program objective is to enhance the capacity of First Nations recipients in capital planning and management, in order to support safe health facilities. This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Health care services delivered in First Nations communities are provided in a safe environment. | Percentage of "high priority" recommendations stemming from Integrated Facility Audits are addressed on schedule. | 79% by March 31, 2018 |
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Percentage of health facilities subject to an Integrated Facility Audit that do not have critical property issues. | 60% by March 31, 2018 |
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Percentage of nursing stations on reserve inspected within three years.b | 100% by March 31, 2019 |
|
|
|
2017–18 Actual spending (authorities used) |
---|
80,543,584 |
2017–18 Actual |
---|
16 |
Sub-Sub Program: First Nations and Inuit Health Systems Transformation
Description
The First Nations and Inuit Health System Transformation program integrates, coordinates, and develops innovative publicly funded health systems serving First Nations and Inuit individuals, families, and communities through the administration of contribution agreements and direct departmental spending. This program includes the development of innovative approaches to primary health care, sustainable investment in appropriate technologies that enhance health service delivery, and support for the development of new governance structures and initiatives to increase First Nations and Inuit participation in, and control over, the design and delivery of health programs and services in their communities. Through this program, Indigenous Services Canada engages and works with a diverse group of partners, stakeholders, and clients including: First Nations and Inuit communities, tribal councils, Indigenous organizations, provincial and regional health departments and authorities, post-secondary educational institutions and associations, health professionals and program administrators. The program objective is to support integration and/or innovation of First Nations and Inuit health systems, which will result in increased access to care for First Nations and Inuit individuals, families and communities.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Key stakeholders are engaged in the integration of health services for First Nations and Inuit. | Percentage of partnerships within Health Services Integration Fund projects with an assessment of better than expected.a |
|
|
a Indicator created in 2016-17 |
2017–18 Actual spending (authorities used) |
---|
17,419,786 |
2017–18 Actual |
---|
31 |
Sub-Sub Program: Health Systems Integration
Description
The Health Systems Integration program administers contribution agreements and direct departmental spending to better integrate health programs and services funded by the federal government with those funded by provincial/territorial governments. This program supports the efforts of partners in health services, including: First Nations and Inuit, tribal councils, regional/district health authorities, regions, national Indigenous organizations, and provincial/territorial organizations to integrate health systems, services, and programs so they are more coordinated and better suited to the needs of First Nations and Inuit. This program also promotes and encourages emerging tripartite agreements. Two key activities supporting program delivery include: development of multi-party structures to jointly identify integration priorities; and, implementation of multi-year, large scale health service integration projects consistent with agreed upon priorities (i.e., a province wide public health framework or integrated mental health services planning and delivery on a regional scale). The program objective is a more integrated health system for First Nations and Inuit individuals, families and communities that results in increased access to care and improved health outcomes. This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Partners within multi-jurisdictional health services integration projects are collaborating. | Percentage of partnerships within Health Services Integration Fund projects with an assessment of proceeding as planned.a | 70% by March 31, 2018 |
|
a Indicator created in 2016-17. |
2017–18 Actual spending (authorities used) |
---|
9,308,921 |
2017–18 Actual |
---|
9 |
Sub-Sub Program: e-Health Infostructure
Description
The eHealth Infostructure program administers contribution agreements and direct departmental spending to support and sustain the use and adoption of appropriate health technologies that enable front line care providers to better deliver health services in First Nations and Inuit communities through eHealth partnerships, technologies, tools, and services. Direct departmental spending also supports national projects that examine innovative information systems and communications technologies and that have potential national implications. Key activities supporting program delivery include: public health surveillance; health services delivery (primary and community care included); health reporting, planning and decision making; and, integration/compatibility with other health service delivery partners. The program objective is to improve the efficiency of health care delivery to First Nations and Inuit individuals, families, and communities through the use of eHealth technologies for the purpose of defining, collecting, communicating, managing, disseminating, and using data. This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
First Nations communities have access to e-Health Infostructure. | Number of telehealth sites implemented in First Nations communities. | 247 by March 31, 2018 |
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Number of clinical telehealth sessions in First Nations communities.a | 8,160 by March 31, 2018 |
|
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Number of First Nations communities where an electronic medical record has been deployed for nurses providing primary care services.a | 4 by March 31, 2018 |
|
|
First Nations and Inuit have access to provincial/ territorial health information systems. | Number of First Nations communities using Panorama or an equivalent provincial integrated public health information system. | 43 by March 31, 2018 |
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Number of collaborative Panorama plans, agreements and/or activities.a | 20 by March 31, 2018 |
|
|
|
2017–18 Actual spending (authorities used) |
---|
8,110,865 |
2017–18 Actual |
---|
22 |
Sub-Program: Tripartite Health Governance
Description
FNIHB's longer term policy approach aims to achieve closer integration of federal and provincial health programming provided to First Nations, as well as to improve access to health programming, reduce instances of service overlap and duplication, and increase efficiency where possible. The British Columbia (BC) Tripartite Initiative consists of an arrangement among the Government of Canada, the Government of BC, and BC First Nations. Since 2006, the parties have negotiated and implemented a series of tripartite agreements to facilitate the implementation of health projects, as well as the development of a new First Nations health governance structure. In 2011, the federal and provincial Ministers of Health and BC First Nations signed the legally binding BC Tripartite Framework Agreement on First Nation Health Governance. This BC Tripartite Framework Agreement commits to the creation of a new province wide First Nations Health Authority (FNHA) to assume the responsibility for design, management, and delivery/funding of First Nations health programming in BC. The FNHA will be controlled by First Nations and will work with the province to coordinate health programming. It may design or redesign health programs according to its health plans. Indigenous Services Canada will remain a funder and governance partner but will no longer have any role in program design/delivery. Funding under this program is limited to the FNHA for the implementation of the BC Tripartite Framework Agreement. The program objective is to enable the FNHA to develop and deliver quality health services that feature closer collaboration and integration with provincial health services. This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.
Expected results | Performance indicators | Targets | Actual results |
---|---|---|---|
Tripartite governance partners have reciprocal accountability as stated in section 2.2 of the BC Tripartite Framework Agreement on FN Health Governance | Percentage of planned partnership and engagement activities that require FNIHB/ Indigenous Services Canada participation that have been implemented. | 100% by March 31, 2018 |
|
2017–18 Actual spending (authorities used) |
---|
116,729,933 |
2017–18 Actual |
---|
0 |