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Multi-sectoral Partnerships to Promote Healthy Living and Prevent Chronic Disease

Table of Contents


Section 1: Overview

1.1 Introduction

The Public Health Agency of Canada (Agency) is pleased to invite eligible organizations to submit a Letter of Intent (LOI) to advance innovative, multi-sectoral approaches to promote healthy living and prevent chronic disease. Multi-sectoral approaches involving all segments of society are required to address complex social issues such as childhood obesity and the prevention of chronic diseases. The Agency’s Multi-Sectoral Partnerships to Promote Healthy Living and Prevent Chronic Disease approach advances innovative solutions to public health challenges by providing the co-investment needed to test and/or scale-up the most promising primary prevention interventions. This allows the Agency to capitalize on Canadians’ best ideas and leverage resources to deliver the strongest results.

The Agency is currently advancing a variety of partnership arrangements and funding models to promote a more effective use of its grants and contributions investments, focused on achieving measurable results (see Section 3). It is recognized that through active engagement and partnerships with the private sector, charitable sector, organizations outside the health sector, and other levels of government, progress can be made to support and sustain behaviour change that will positively impact health. Early successes show that innovation and greater impact can be achieved by acting on shared priorities with all sectors of society. This heightened form of collaboration leads to benefits that are of shared value to society as a whole.

Using a population health approach, including multi-sectoral action and social innovation, can have a positive impact on health equity by improving health for all. This also addresses important contextual factors like the social determinants of health and other determinants of behaviour that, if ignored, can increase health inequalities. Overall, the program aims to improve the health of the entire population while reducing health inequalities among population groups, where necessary.

1.2 Context

The world has changed profoundly over the past few decades, and as a result Canada faces a range of increasingly complex health challenges. In Canada, chronic diseases, such as cancer, diabetes and cardiovascular disease, are some of the leading causes of death and reduced quality of life. Several risk factors that lead to these chronic diseases are becoming more common. These risk factors (i.e. unhealthy diet, physical inactivity, tobacco use, and harmful use of alcohol) can be mitigated and chronic disease prevented, or its onset delayed.

In 2010, the Federal Government along with Provincial and Territorial Ministers of Health and/or Health Promotion/Healthy Living (except Quebec) endorsed the Declaration on Prevention and Promotion (Declaration), presenting their vision for working together, and with others, to make the promotion of health and the prevention of disease, disability and injury a priority for action. That same year, Ministers (except Quebec) endorsed Curbing Childhood Obesity: A Federal, Provincial and Territorial Framework for Action to Promote Healthy Weights (Framework) as the first tangible action arising from the Declaration, making childhood obesity (and healthy weights) a priority. In 2011, F/P/T Ministers responsible for Sport, Physical Activity and Recreation (except Quebec) also endorsed the Declaration and Framework.

In the fall of 2011, Canada signed the Political Declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Non-Communicable Diseases. At the United Nations High-level MeetingExternal site it was emphasized that the prevention and mitigation of the four common risk factors is fundamental in combatting chronic disease. Projects funded under this invitation will support the Agency’s contribution to the Framework and Declarations by focusing on innovative, integrated approaches to promote healthy living, prevent chronic disease and address the common risk factors.

The Government of Canada is committed to supporting Canadian’s health and wellbeing and as such physical activity and nutrition are a shared responsibility at the federal level.

Health CanadaExternal site develops and implements evidence-based policy that defines healthy eating and promotes environments that support Canadians in making healthy food choices by working collaboratively with federal partners, provinces and territories and a range of other stakeholders. Healthy eating is fundamental to good health and is a key element in healthy human development, from the prenatal and early childhood years to later life stages. It is also equally important in reducing the risk of many chronic diseases.

Through Sport CanadaExternal site, the Government of Canada encourages sport participation and physical activity through strategic investments in Canada’s sport system. As the single largest investor in Canada’s amateur sport system, Sport Canada develops programs and policies to help the sport system meet the needs of Canadians.

The Agency also works with all sectors of society to identify multi-sectoral approaches in physical activity that help all Canadians, particularly children and youth, to maintain safe and healthy playing habits. Participants who are trained, well-equipped, and are knowledgeable about safe playing practices participate with confidence, are less prone to injury and enjoy the life-long benefits of safe and healthy participation in physical activity.

Section 2: Funding Programs and Priorities

This invitation to submit an LOI falls under the policy and funding authorities of the Integrated Strategy on Healthy Living and Chronic Disease (ISHLCD), and the Federal Tobacco Control Strategy (FTCS)External site and must include a focus on at least one of the priority areas outlined in Sections 2.1 and 2.2 below.

All projects must include multi-sectoral partnerships be able to demonstrate measureable results (see Section 3.3), be founded in evidence and have the potential to be expanded and/or scaled-up into other areas of the country, other target populations, different settings, or to address other chronic diseases or risk factors. Effective prevention interventions are enhanced through multi-sectoral responses, involving shared leadership between players such as non-governmental organizations, academia, workplaces, industry, and communities, among others. Each project must engage and have partners from both the private and not-for-profit sectors. All projects must also meet the funding requirements outlined in Section 3 below. Projects targeting First Nations populations can only be funded if they are delivered in off-reserve settings. This includes First Nations people living off-reserve, and Métis people and Inuit people living outside of their traditional communities. Health Canada's First Nations and Inuit Health Branch (FNIHB)External site is responsible for programming on-reserve.

2.1 Integrated Strategy on Healthy Living and Chronic Disease

The Integrated Strategy on Healthy Living and Chronic Disease (ISHLCD) provides a framework for the federal government to promote the health of Canadians and reduce the impact of chronic disease in Canada. The Multi-Sectoral Partnerships to Promote Healthy Living and Prevent Chronic Disease approach includes the following funding programs under the ISHLCD: the Healthy Living Fund, the Canadian Diabetes Strategy, the Cancer Community-Based Funding Program, and the Cardiovascular Disease program.

Projects to be funded must include a focus on the following:

  • addresses healthy living and healthy weights through a primary prevention intervention that includes a set of coordinated activities to affect behaviour change in a way that is measurable; and
  • addresses at least one of the common risk factors (i.e., unhealthy diet, physical inactivity and/or sedentary behaviour, tobacco use) applicable to a number of the aforementioned chronic diseases

A primary prevention intervention is one which involves activities aimed at reducing factors leading to health problems. Secondary prevention interventions, which focus on early detection and management of a disease, will not be considered.

2.2 Federal Tobacco Control Strategy (FTCS)

As part of the Government of Canada's five-year renewal of the Federal Tobacco Control Strategy (FTCS)External site through Budget 2012, interventions under this program stream will target tobacco as a common risk factor for chronic diseases as reinforced in the 2011 United Nations Declaration on Non-Communicable DiseasesExternal site.

Section 3: Funding Details and Requirements

3.1  Funding Amount and Duration

  • The request for federal funding for each project must be a minimum of $200,000 and must not exceed $5 million. Requests that reflect less than $100,000/year, or are under two years in duration, will not be considered.
  • The funding duration must be between 24 months (2 years) and 60 months (5 years).

3.2 Matched Funding

  • Consistent with the multi-sectoral partnership approach of this invitation, projects must include matched funding in terms of financial (cash) and/or in-kind contributions from non-taxpayer funded sources and/or the private sector.
  • Organizations submitting under this invitation must be prepared to seek financial support from eligible sources if and when they are invited to submit a proposal for funding. Following successful proposal review, project approval will not proceed until matched funding is secured and a letter of support from the funder is provided.
  • A matched funding ratio of 1:1 is required for funding under the ISHLCD and the FTCS. Final determination of the matched funding ratio for any particular project rests with the Public Health Agency of Canada.

Ratio Funding Examples:

  1. At a matched funding ratio of 1:1, if the recipient organization has secured $500,000 from other sources, the Agency would contribute the same amount of $500,000, for a total project value of $1M.

3.3  Focus on Results

  • To achieve greater accountability for results, proposals will only be considered where funding can be tied to the completion of outputs/outcomes as measurable results.
  • Successful projects will have “pay-for-performance” agreements, where payments are tied to the achievement of pre-determined performance expectations or milestones as opposed to the reimbursement of eligible expenditures.

Section 4:  Submitting a Letter of Intent

To obtain a copy of the Letter of Intent template, please contact us at:
PSD-DPS@phac-aspc.gc.ca
.

4.1  Application Process

The application process consists of two stages, as outlined below. The first stage is the submission of an LOI, which will outline the project concept. We will acknowledge receipt of your submission and respond within 45 days. The second stage is the submission of a proposal. Based on the outcomes of a comprehensive review process, applicants whose LOIs are successful will be invited to submit a proposal for funding consideration. Applicants with ineligible, incomplete and unsuccessful submissions will also be notified.

  1. Letter of Intent

    The purpose of the LOI is to identify projects that have the potential for submission of a proposal. The LOI is a competitive process and all submissions are subject to screening and review. LOIs will be screened to ensure eligibility and completeness. Not all organizations that submit an LOI will be invited to submit a proposal for funding. Organizations with LOIs deemed to best fit with the overall goals of the solicitation priorities will be invited to submit proposals.

  2. Proposal

    Based on the outcomes of the review process, applicants whose LOIs are successful will be invited to submit a proposal for funding consideration. Applicants will be required to complete and submit a proposal that elaborates on the project described in their LOI. Additional information, guidelines and templates will be provided for completion of the proposal submission. Proposals will undergo another comprehensive review process and, pending review outcomes, Ministerial approval and available budgets, successful applicants will be awarded funding.

4.2  Content of the Letter of Intent

The LOI submission includes a cover letter and the completion of the LOI template, as outlined below. The maximum length for an LOI is 12 pages, single-spaced, in size 12 font. The required format is Microsoft Word.

Part 1 - Organizational Information

Applicants are to provide a 1-page cover letter describing their organization. The letter must be signed by the President/Chair of the Board of Directors or equivalent of the applicant/sponsoring organization. This letter must include the following information:

  • Mandate of the organization;
  • Organizational incorporation/registration number;
  • Briefly outline why your organization has the capacity to undertake the proposed project (e.g., credibility, relevant skills, experience with the target population, ability to achieve and demonstrate project results); and
  • Briefly describe your organization's management structure, governance, and financial capacity to carry-out projects (e.g. financial administration/management, quality control mechanisms).

Part 2 – Project Information

The following areas are included in the LOI template:

  • Project at a Glance (name of applicant; project title; primary contact information; project duration (in months); funding amount requested from the Agency; status of matched funding from non-taxpayer funded sources; identification of common risk factors the primary prevention intervention will address; and identification of the stage of development of the intervention);
  • A description of the intervention, including the what, why, who, where and how;
  • Evidence to support the intervention;
  • Performance Measurement and Evaluation of the intervention; and
  • Multi-sectoral partnerships and collaborations.

* The assessment criteria and eligibility requirements for the LOI are outlined under Section 5 and Section 6 respectively. The LOI must provide sufficient information regarding each assessment criterion so that a clear overview of all aspects of the proposed project is provided.

4.3 Deadline for Submission

There is no deadline for this LOI process. Under this invitation, LOIs will be accepted on a continual basis; however, funding will be subject to budgetary and project considerations.

4.4 Where to Submit your Letter of Intent

All LOIs must be submitted via email to PSD-DPS@phac-aspc.gc.ca in Microsoft Word. Applications will be acknowledged by email. Please ensure your email address is included in your LOI application so that we may contact you.

Section 5:  Project Assessment Process

Submitted LOIs will be screened for document completeness and eligibility (Section 6) by the Agency, and will undergo a comprehensive review based on the assessment criteria outlined below. The overall review and assessment process will also include the selection of projects that are both individually strong and collectively meet the overall desired goal of the funding programs.

5.1  Assessment Criteria

The following assessment criteria will be used to review the LOIs received:

Eligible Applicant

  • Applicant has the capacity to undertake the proposed project, including the required infrastructure, organizational and financial capacity.

Description of the intervention

  • The WHAT
    • The description of the intervention and its intended impact is clear, realistic and aligns with the solicitation priorities (i.e., addressing the common risk factors of physical inactivity and/or sedentary behaviour, unhealthy diet and smoking).
  • The WHY
    • The reasons that led to the proposed intervention are described.
  • The WHO
    • The target populations are described.
  • The WHERE
    • The geographic location(s) and the setting(s) (e.g., workplace, community) are identified and appropriate to support the intervention.
  • The HOW
    • The proposed plan and key activities are described and appropriate to: positively affect behaviour change to impact health; and/or support the creation of supportive social and physical environments.

Evidence to support the intervention

  • The need for the intervention is supported by well-documented evidence (e.g., a survey, literature reviews, needs assessments, past project evaluations, etc.);
  • The proposed intervention is supported by an explicit or plausible theory base; and
  • The proposed intervention complements or differs from other approaches.

Performance Measurement and Evaluation (PME) of the intervention

  • The expected behaviour change outcomes are described, realistic and align with the Logic Model for Grants and Contributions Funded Projects (included within the LOI template);
  • The PME activities will measure the extent to which the intervention will reach the intended target population(s);
  • The PME activities will measure the extent to which the intervention will: positively affect behaviour change to impact health; and/or support the creation of supportive social and physical environments; and
  • The PME activities will measure the extent to which the intervention will support sustainable behaviours beyond the funding cycle.

Multi-sectoral Partnerships and Collaborations

  • The project demonstrates multi-sectoral engagement or involvement with organizations from various sectors (e.g. private sector, charitable sector, organizations outside the health sector, and other levels of governments);
  • The contribution of each partner is indicated (e.g., content expertise, funder, advisory, and research); and
  • The project includes potential for a matched funding ratio of 1:1.

Section 6: Eligibility

6.1  Eligible Applicants

Eligible applicants include:

  • Canadian not-for-profit voluntary organizations and corporations;
  • For-profit organizations;
  • Unincorporated groups, societies and coalitions;
  • Provincial, territorial, regional, and municipal governments and agencies;
  • Organizations and institutions supported by provincial and territorial governments (regional health authorities, schools, post-secondary institutions, etc.);
  • Aboriginal organizations;
  • Individuals deemed capable of conducting population health activities; and
  • Non-Canadian recipients may be considered on an exceptional basis.

6.2  Eligible Expenses

Eligible costs include such expenses as personnel, travel and accommodations, materials, equipment, rent and utilities, evaluation/dissemination, or "other" costs related to the approved project. A detailed budget will be required as part of the proposal (stage two) in the application process. Any expenses for travel or accommodation must be supported by a strong rationale.

No project expenses to be supported by the Agency may be incurred prior to the acceptance of the Contribution Agreement by all parties.

6.3 Ineligible Activities and Expenses

The following activities and expenses are not eligible for funding:

  • pure research in any discipline;
  • provision of services that are the responsibility of other levels of government;
  • costs of ongoing activities for the organization;
  • stand-alone activities such as awareness raising events, audiovisual production or website/smartphone application development and maintenance (a "stand-alone activity" would be considered as such when there is no program intervention with a target population(s)/audience, etc.);
  • conferences, symposia, and workshops as stand-alone projects;
  • capital costs such as the purchase of land, buildings, or vehicles;
  • ongoing operational support or overhead/administrative fees expressed as a percentage of ongoing activities of an organization;
  • unidentified miscellaneous costs;
  • travel and hospitality expenses that exceed the Treasury Board ratesExternal site;
  • rent charges for space and computer use when already owned by the recipient organization; and
  • membership fees.

Section 7: Official Language Requirements

The federal government is committed to enhance the vitality of the English and French linguistic minority communities in Canada (Francophones living outside the province of Quebec and Anglophones living in the province of Quebec), support and assist their development, and foster the full recognition and use of both official languages in Canadian society. As such, all project materials (e.g., resources, reports, announcements, etc.) for public distribution must be produced in both official languages and project activities must be carried out in the target population’s official language of choice.

For additional information, visit the Official Languages ActExternal site website.

Section 8: Sex and Gender-Based Analysis

Sex and gender-based analysis is a systematic approach to research, legislation, policies, programs and services that explores biological (sex-based), socio, cultural (gender-based) similarities and differences between women and men, boys and girls. It involves asking additional questions in research and/or policy and program development about men and women, boys and girls and identifying existing evidence and gaps in evidence. It challenges us to identify how differences will be considered.

The Government of Canada is committed to conducting Gender-based Analysis (now called Gender-based Analysis Plus “GBA+”) on all legislation, policies and programs. GBA+ incorporates consideration of gender as well as other identity factors such as age, education, language, geography, culture and income. Applicants are expected to incorporate these considerations into a proposal, if successful.

For additional information regarding GBA+, please visit their website

Section 9: Lobbyist Registration Act

Recent amendments to the Lobbying Act have broadened the definition of lobbying. We encourage applicants to review the revised Act and Regulations to ensure compliance. For more information, visit the Office of the Commissioner of Lobbying of Canada Web site at http://www.ocl-cal.gc.ca/eic/site/lobbyist-lobbyiste1.nsf/Intro or contact the Office of the Commissioner of Lobbying of CanadaExternal site directly.

Section 10: Contact Us

More questions? Visit our FAQ section.

To obtain additional information about this invitation to submit an LOI, or to receive a copy of the LOI template please contact:

PSD-DPS@phac-aspc.gc.ca.

The Public Health Agency of Canada is under no obligation to enter into a funding agreement as a result of this invitation to submit an LOI.

THE AGENCY ALSO RESERVES THE RIGHT TO:

  • reject any submission received in response to this invitation;
  • accept any submission in whole or in part; and
  • cancel and/or re-issue this invitation to submit a LOI at any time.

Please note that the Agency will not reimburse an applicant for costs incurred in the preparation and/or submission of an LOI or a proposal in response to this invitation.

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