Aboriginal Diabetes Initiative
Métis, Off-Reserve Aboriginal and
Urban Inuit Prevention and Promotion Program
Program Framework
2000
ISBN: H35-4/5-2000E
0-662-29679-6
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Table of Contents
- Introduction
- Program Purpose
- Target Population
- Program Objectives
- Primary Prevention and Health
Promotion Priorities
- Program Delivery Model
- Program Funding
- Project Criteria
- How to Access Program Resources
- Monitoring and Evaluation
1. Introduction
The Aboriginal Diabetes Initiative (ADI) is one of four main components
of the Canadian Diabetes Strategy announced by the Government of
Canada in 1999. The ADI has been allocated $58 million over five
years to assist in meeting the needs of Aboriginal people dealing
with the epidemic of type 2 diabetes in their communities.
The Métis, Off-reserve Aboriginal
and Urban Inuit Prevention and Promotion (MOAUIPP) component
of the ADI will deliver diabetes primary prevention and health
promotion programs to Métis, off-reserve
Aboriginal people and urban Inuit. This component of the ADI
is described in this framework document.
The ADI - MOAUIPP program is intended to serve Aboriginal people
not served by the ADI First Nations On-reserve and Inuit
in Inuit Communities program. This will include Métis,
First Nations living off-reserve (status and non-status), and urban
Inuit who will access diabetes prevention and health promotion
programming, and want these programs to be culturally appropriate.
The program will be delivered on a national basis, administered
through the First Nations and Inuit Health Branch (FNIHB) headquarters.
A national level sub-committee of the ADI has been created to guide
the development of this program.
The ADI program for First Nations living on-reserve or in Northern
communities, and for Inuit living in Inuit communities, will be
delivered through a parallel ADI process and is described in a
separate framework document.
2. Program Purpose
The purpose of the ADI - MOAUIPP program is to provide culturally
appropriate diabetes primary prevention and health promotion programs
that raise awareness of diabetes and its risks and address the
occurrence of type 2 diabetes among Métis,
off-reserve Aboriginal people and urban Inuit.
3. Target Population
The ADI - MOAUIPP program is intended to benefit the following
peoples:
- 3.1 Métis, living in Métis communities,
rural or urban centres;
- 3.2 First Nations people living off-reserve in either rural
or urban centres;
- 3.3 Inuit living outside Inuit communities or in urban areas.
4. Program Objectives
The objectives of the ADI - MOAUIPP program are to address the
high rates of diabetes and its complications among Métis,
off-reserve Aboriginal people and urban Inuit by promoting a culturally
appropriate approach to diabetes primary prevention and health
promotion programs.
Primary prevention programs are generally defined as programs
that protect the health of people by personal and community efforts
to promote and preserve good nutritional status, physical fitness
and emotional well-being, and make the environment safe. In the
context of the ADI - MOAUIPP program, diabetes primary prevention
programs are those that:
- 4.1 raise awareness of diabetes, its risk factors, and the
value of healthy lifestyle practices;
- 4.2 promote Aboriginal/Inuit ownership of diabetes primary
prevention and health promotion programs;
- 4.3 promote effective management of diabetes;
- 4.4 ensure the fair and equitable allocation of available resources
among Métis, off-reserve Aboriginal
people and urban Inuit;
- 4.5 ensure that programming is delivered as equitably as possible
across the country;
- 4.6 promote innovative approaches to diabetes primary prevention
and health promotion projects.
5. Primary Prevention and Health Promotion Priorities
Project proposals should support the diabetes primary prevention
and health promotion goals of the ADI. The priorities for projects
are as follows:
- 5.1 to increase awareness of diabetes and its risk factors
among Métis, off-reserve Aboriginal
people and urban Inuit;
- 5.2 to promote screening among Métis,
off-reserve Aboriginal people and urban Inuit;
- 5.3 to provide knowledge about the behaviours and skills necessary
to reduce the incidence and prevalence of diabetes and its complications;
- 5.4 to identify effective approaches and activities for the
understanding and primary prevention of type 2 diabetes;
- 5.5 to contribute to the enhancement and promotion of health
and well-being of persons affected by diabetes.
6. Program Delivery Model
The ADI - MOAUIPP program will utilize a project-based
model, comprised of two types of projects:
- 6.1 Directed projects for national level strategic investments;
and
- 6.2 Solicited projects through a request for proposals (RFP).
Funding for the ADI - MOAUIPP program will be notionally divided
on an equal basis (50/50) between these two types of projects.
Directed national level strategic investments will be projects
that are national in scope, and could include such projects as
the production of diabetes awareness programs to be aired through
the Aboriginal media, or the production of brochures, videos, or
radio/TV messages targeting for example, Métis people,
using Métis role models. The specific
priorities for these projects will be developed by the MOAUIPP
committee (a sub-committee of the ADI Steering Committee with membership
from national level organizations - Métis National
Council, Inuit Tapiriit Kanatami, Congress of Aboriginal Peoples,
Assembly of First Nations, Native Women's Association of Canada,
National Aboriginal Diabetes Association, Health Canada)
and approved by the ADI Steering Committee. By implementing national
strategic projects, it is anticipated that economies of scale will
be realized.
The second stream of solicited projects will be a RFP and is intended
to address diabetes primary prevention and health promotion by
providing culturally specific information and activities for Métis,
off-reserve Aboriginal peoples and/or urban Inuit.
The criteria for project proposals will be developed by the MOAUIPP
sub-committee. Guidelines for applicants will outline these priorities.
The program will provide diabetes primary prevention and health
promotion programs that are:
- culturally appropriate;
- holistic in nature;
- accessible; and
- equitably distributed to Métis,
off-reserve Aboriginal peoples and urban Inuit.
The proposals should respond to the unique health and social needs
of Métis, off-reserve Aboriginal
peoples and urban Inuit and may encourage the use of traditional
knowledge and wisdom.
Evaluation plans will be required for all projects to ensure accountability
of the program.
7. Program Funding
7.1 Funding formula
A notional allocation of available MOAUIPP program funding has
been made to ensure that there is equity in programming for Métis,
off-reserve Aboriginal people and urban Inuit. The following percentages
of funding, based on 1996 census data, were agreed upon:
- 7.1.1 Métis (40%)
- 7.1.2 Off-reserve Aboriginal peoples (status and non-status
living off-reserve) (59%)
- 7.1.3 Urban Inuit (living outside their communities) (1%)
In order to ensure that each of the targeted population groups
has sufficient money to run at least one viable project, a base
amount of $70,000 per year has been notionally allocated to each
of the three targeted populations (see section 3).
Project funding for the Aboriginal Diabetes Initiative will flow
through the First Nations and Inuit Health Branch agreements as
authorized through the Contribution for National Indian and Inuit
Time Limited Special Initiatives.
7.2 What will not be funded under the
MOAUIPP program
The purpose of the ADI - MOAUIPP program is to provide culturally
appropriate diabetes primary prevention and health promotion projects
that raise awareness of diabetes and its risks, help prevent the
occurrence of type 2 diabetes among the Métis,
off-reserve Aboriginal peoples and urban Inuit, and attempt to
decrease the complications of diabetes. As a result, the MOAUIPP
program will not:
- 7.2.1 Provide any major capital or construction funding;
- 7.2.2 Fund pure research projects;
- 7.2.3 Fund direct care and treatment services;
- 7.2.4 Provide services that fall under provincial or territorial
jurisdiction, such as secondary prevention screening programs;
- 7.2.5 Fund operational activities not directly related to the
project.
8. Project Criteria
There are limited resources for the ADI - MOAUIPP program, therefore
partnerships may be necessary to maximize program effectiveness.
Before implementing an ADI project, applicants will be required
to submit a proposal for approval that will:
- 8.1 Identify what diabetes activities will be provided as a
result of the project, the target population, and how the activities
tie in to the stated goals and objectives of the ADI;
- 8.2 Identify existing diabetes projects operating in the community/area/province
to which the proposed project will be linked;
- 8.3 Identify how the project will be established, including
all support services that will be required;
- 8.4 Identify all the activities and related costs associated
with the project;
- 8.5 Demonstrate the ability of the organization submitting
the proposal to effectively manage the project;
- 8.6 Include an evaluation and reporting plan;
- 8.7 Include a letter of incorporation.
9. How to Access Program Resources
9.1 Who can apply for funding
The following describes the types of organizations that are eligible
to apply for funding under the ADI - MOAUIPP program:
- Métis groups, associations or
organizations;
- First Nations, Indian (status or non-status) groups, associations
or organizations;
- Inuit groups, associations or organizations;
- Urban Aboriginal groups, associations or organizations, such
as Friendship centres;
- Urban centres, groups or organizations who can demonstrate
through statistics and letters of support that their programs
are used by Métis, off-reserve
Aboriginal people and/or urban Inuit.
9.2 Review and approval
process
The ADI - MOAUIPP program will be composed of proposals submitted
by Métis, Inuit, or off-reserve Aboriginal
groups, associations or organizations (see section 9.1). There
will be two calls for proposals:
- A directed call for national level strategic investments;
- Solicited projects through a RFP.
Guidelines to applicants will be issued, including an application
form and checklist.
Proposals will be submitted to Heath Canada's FNIHB headquarters
office. Review of the proposals will be by an expert peer review
panel to ensure that they are complete, meet the eligibility criteria,
and adhere to the project criteria as outlined in section 8. This
peer review will consist of diabetes subject experts.
Final review and approval of projects will be by the Director,
Health Programs Support (HPS) Division, Health Canada.
10. Monitoring and Evaluation
The accountability framework for the Canadian Diabetes Strategy
will form the basis of the evaluation framework of the ADI programs.
Interim reports will be prepared and presented by the Minister
of Health to Cabinet in 2003. Formal evaluation will take place
during the fifth year of the ADI, which will permit the department
to return to Cabinet with a report on the successes, gaps and future
needs with respect to diabetes.
As a requirement for funding under the ADI, every project must
contain an evaluation component, which will detail what the expected
outcomes are and how they are to be measured. Specifics pertinent
to the projects such as participation rates, client satisfaction
surveys, results of site visits, or any product or materials produced
will be included.
A final detailed report will be submitted to Treasury Board at
the conclusion of the ADI (2004), reporting on whether and how
the overall program met its identified objectives, and accounting
for all ADI funding.
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