Component: IHWS – Promotion and Prevention

Legislation: Ministry of Community and Social Services Act

Service objectives

  • Support families in celebrating and honoring new and young life in Indigenous communities
  • Foster healing and support healthy child development, maternal health and improved access to services to reduce health inequities for Indigenous families
  • Assist Indigenous families to provide the best opportunities for healthy development using a wholistic, culturally responsive and strengths-based approach
  • Connect Indigenous families with resources, referrals and/or services to address their needs, such as family violence services

Service description

  • The IHBHC Program provides culturally responsive prevention and early intervention supports and services to Indigenous families with children from prenatal to 6 years of age
  • The heart of IHBHC programming is preparation for parenting (preconception component), getting ready for the birth of the baby, (prenatal care), and taking care of the baby and family unit (postnatal care)
  • The IHBHC community workers are a valuable asset to families and communities as they have knowledge of child growth and development, are aware of the resources available in the community and are able to connect families with services and supports to address their needs
  • IHBHC programming is delivered using a culturally responsive approach through the following primary components
    • Home and family/1-on-1 visits
    • Early identification
    • Screening
    • Family support plan
    • Service coordination and referrals
    • Advocacy

People served

  • Indigenous families with children from prenatal to 6 years of age
  • The program is voluntary and open to any Indigenous family that requests the service

Program / Service Features

The program/services contracted by the Ministry will reflect the following features

  • All activities and services are culturally responsive, unique to each community/ organization
  • Programming and services are strengths-based and reflect the individual and/or family’s needs

Specific services provided may include

Client-specific services

  • client-specific services are provided to those identified within the family unit, including the caregiver(s) and their child(ren)
  • A client is each individual person (e.g., mother, father, or child) who receives services from IHWS-funded programs and for whom case-records or service notes are kept. Each client must have a unique client identifier (e.g., client ID number)
  • Home visiting is the only mandatory requirement for funding. The services provided during a home visit may be accessed outside of the home depending on the need of the individual and/or community. These services could be accessed in office, in another community location, and/or virtually/remotely

    Home and family visiting activities and services may include
    • Perform intake and gather information
    • Identify family strengths and needs
    • Develop a family support plan (if needed), which may include the use of cultural and wholistic approaches like the Medicine Wheel and ceremonies and incorporate the mental, emotional, physical and spiritual needs of the individual(s) and/or family
    • Provide family with support, as per the family support plan
    • Provide information and education
    • Provide post-natal contact (as appropriate)
    • Developmental screening, such as recording the baby’s weight (as able and appropriate)
    • Support with form completion
    • Referrals to other services and supports

Service coordination may include

  • Providing advocacy and support with appointments or consultations with other service providers, as requested by the individual and/or family
  • Performing case management/case conferencing
  • Connecting with other relevant programs/services
  • Some programs may also provide transportation and supplies to families as able and available, such as diapers, formula, food boxes, clothing, toys/games, traditional medicines, etc.

Group activities

  • Activities are provided in a group-based setting with the goal of improving the health of Indigenous peoples by
    • Providing focused education and information
    • Promoting positive change in values, attitudes, and behaviors
    • Fostering healing and enabling individuals, families and communities to achieve and enjoy a healthy and balanced life
  • Group activities may include, but are not limited to
    • Cultural activities (e.g., ceremonies like Naming, Walking Out and Welcoming Ceremonies, teachings, medicine walks, medicine picking, access to Elders and Knowledge Holders, spirit painting, storytelling, traditional crafts)
    • Workshops (e.g., prenatal/postnatal care, parenting, nutrition, child development, family planning, healthy sexuality and relationships, self- care, post-partum depression, lactation, intergenerational trauma, baby food making, FASD, anger management, stress management, family violence)
    • Healing/cultural teaching circles and/or support groups
    • Fitness and/or recreational activities (e.g., dancing, jigging, gardening, children’s playgroups)
    • Land-based activities (e.g., canoeing, berry picking, hunting, trapping)

Community outreach, engagement & relationship building

  • Community outreach, engagement and relationship building activities are offered to the community-at-large and/or other organizations and oriented towards building awareness and improving Indigenous health and wellness
  • Activities may include
    • Public presentations, including in schools (e.g., teen parenting, healthy sexuality and relationships, FASD)
    • Public awareness and education campaigns
    • Promotion of the IHBHC program and services provided
    • Organizing or participating in community, health and wellness fairs or events (e.g., pow-wows, feasts, back-to-school events)
    • Participating in local committees, as appropriate
    • Outreach, networking and relationship-building with health and social service organizations and other community partners

Reporting requirements

The following service data will be reported on at an Interim and Final stage. Please refer to your final agreement for report back due dates and targets.

Service Data NameDefinition

# of Individuals: Received Client-Specific Services: IHBHC

Unique, or unduplicated, count of individuals (e.g., mother, father, child, etc.) who received client-specific services during the reporting period.

Each unique individual is counted only once per reporting period even if they received multiple services during the reporting period. If the individual carries into the next fiscal year, the individual is counted again in the new reporting period.

See Service description for further details and examples of client-specific services.

# of Families: Received Client-Specific Services: IHBHC

Unique, or unduplicated, count of families who received client-specific services during the reporting period. Families are self- defined by the individuals’ accessing services and does not need to be limited to individuals living in the same dwelling. Each family is counted only once per reporting period even if they received multiple services. If the family carries into the next fiscal year, the family is counted again in the new reporting period.

See Service description for further details and examples of client-specific services.

# of Births: IHBHC

The total number of births among IHBHC families during the reporting period, including new and existing clients.

# of  Client-Specific Services: Face- to-Face: IHBHC

The total number of face-to-face client-specific services (home & family visits and service coordination) delivered during the reporting period, including client-specific services delivered virtually (e.g., phone, online video platform).

Each face-to-face client-specific service is counted as 1. For example, if an individual accesses counselling five times in the reporting period, it is counted as five.

# of Client-Specific Services: Supplies: IHBHC

The total number of times an individual/family accesses supplies provided through the IHBHC program during the reporting period (e.g., diapers, formula, food boxes, clothing, toys/games, traditional medicines, etc.). Each time an individual/family accesses supplies should be counted as 1.

Only supplies funded through the IHBHC should be counted. If supplies are not provided through your IHWS-funded program, put “0”.

# of Client-Specific Services: Transportation: IHBHC

The total number of transportation services provided by an IHBHC worker to individuals accessing the IHBHC program during the reporting period. Each single/one-way trip provided by an IHBHC worker should be counted as 1. For example, if an individual is provided transportation to an appointment and back to their home, this is counted as 2 trips.

Only transportation funded through the IHBHC should be counted. If transportation is not provided through your IHWS- funded program, put “0”.

# of Group Activities: IHBHC

The total number of group activities delivered during the reporting period. Each activity held in the reporting period should be counted as 1. If a group activity is jointly organized/funded with another IHWS program, only one program should report the group activity (to be decided by the service provider). The program that reports the group activity should also report the total number of individuals who attended that group activity under the “Number of Individuals: Accessed Group Activities: IHBHC”. If group activities are not provided through your IHWS- funded program, put “0”. See Service description for further details and examples of group activities.

# of Individuals: Accessed Group Activities: IHBHC

The total number of individuals who took part in group activities delivered during the reporting period. The same individual can be counted more than once if they participate in more than one group activity in the same reporting period. The total number of unique participants for each group activity is added to calculate the total number of individuals who took part in group activities in the reporting period. For example, if an individual attends four group activities in a reporting period, count four (4). If a group activity is jointly organized/funded with another IHWS program, only one program should report the group activity (to be decided by the service provider). The program that reported the group activity (to be decided by the service provider) is responsible for reporting the total number of individuals who accessed the group activity under this data element. Do not include participants of the group activities that were not reported in “Number of Group Activities: IHBHC”. If group activities are not provided through your IHWS-funded program, put “0”. See Service description for further details and examples of group activities.

# of Community Outreach, Engagement & Relationship Building Activities: IHBHC

The total number of community outreach, engagement & relationship building activities delivered through the IHBHC program during the reporting period. Each activity should be counted as 1. See Service description for further details and examples of community outreach, engagement & relationship building activities.

If community outreach, engagement & relationship building activities are not provided through your IHWS-funded program, put “0”.

Ministry-funded Agency Expenditures: IHBHC

Total ministry-funded expenses for the Transfer Payment Recipient to administer and/or deliver the Indigenous Healthy Babies Healthy Children program in the reporting year (cumulative).