Ministry of Health Promotion and Sport Update

1. Ministry of Health Promotion and Sport Update Presentation to The Ontario Society of Nutrition Professionals in Public Health June 3rd, 2011

2. Presentation Overview • Ministry overview and updates on priority areas • Structure and roles • Healthy Eating updates

3. VISION Healthy communities working together and Ontarians leading healthy and active lives. MISSIONChampion health promotion across Ontario and inspire partners to create a culture of health and wellbeing for all. Ministry of Health Promotion and Sport Ministry of Health Promotion & Sport

4. MHPS Mission Strategic Initiatives Branch Serve as project management office for ministry activities; and design, manage and incubate provincial health promotion and prevention projects, programs and initiatives. Strategic Policy, Partnership and Research Branch Develop provincial health promotion and prevention policies, plans, strategies and partnerships to promote health and wellness. Standards, Programs and CommunityDevelopment Branch Develop and direct accountability relationships and provide advice on public health standards; and work with communities to develop community capacity. VISION Healthy communities working together and Ontarians leading healthy and active lives. MISSION Champion health promotion across Ontario and inspire partners to create a culture of health and wellbeing for all. Sport, Recreation andCommunity Programs Branch Valuing sport and recreation by providing support and oversight to sport and recreation, and implementing programs. Work with communities to implement health promotion programs and strategies. Communications Branch Develop and implement ministry communications strategies and products including public education and social marketing programs.

5. Next steps for a Smoke-Free Ontario • Continue working with key partners to build on the success of current Smoke-Free Ontario Strategy by implementing the advice outlined in the Tobacco Strategy Advisory Group report. • Public health units have been instrumental in the delivery of the Smoke-Free Ontario Strategy and will continue to play a key role. • The new 5-year plan will include initiatives to: • Build a tobacco use cessation system which improves access and availability of medications, counselling and support services • Decrease the number of young people who take up smoking • Maintain efforts to protect Ontarians from second-hand smoke • Reduce access to illegal tobacco products

6. Social Marketing • MHPS is working with partners in Ontario to spread a culture of health and well-being through public education and social marketing. • MHPS’ goal is to become a centre of excellence for social marketing related to health promotion. • Learning from best practices in other jurisdictions, conducting original research to better reach youth audiences, and working with our partners — including public health — MHPS will develop and implement a long-term social marketing plan. Ministry of Health Promotion & Sport

7. MHPS Website • MHPS is renewing and updating its’ website so it better supports the mission to empower and inform Ontarians on how to live healthier, more active lives. • The refreshed website will provide higher quality and better presentation of content for consumers and key MHPS audiences. • The content will be organized into two distinct sections: corporate and consumer. The corporate section will house information on our ministry, our programs and initiatives. The newly expanded consumer side will focus on healthy living information for Ontarians and will have a new user-friendly design and several new features for our visitors. • One objective of the new consumer site is to feature healthy living content from partners.

8. 2015 Pan and Parapan American Games • A globally recognized major international sporting event: • Pan Am Games: July 10 – 26, 2015 • Parapan Am Games: August 7-14, 2015 • An estimated 10,000 athletes, para-athletes and team officials participating in 48 sports from 42 countries from South, Central, North America and the Caribbean. • A regional Games hosted by 17 municipalities in the Greater Golden Horseshoe, with Toronto as the geographic hub. • The Ministry of Health and Long-Term Care (MOHLTC) will work with MHPS, Toronto 2015 and other partners to ensure that the appropriate level of medical services are available for athletes, officials and visitors during the Games. Ministry of Health Promotion & Sport

9. Valuing High Performance Sport -Sport • High-Performance Sport • Staging the Pan and Parapan American Games in 2015 enables us to leverage/maximize opportunities for athletes and sport development. • Bringing a new focus to sports excellence, sport hosting and athlete development so that in five years when we host the Pan Am Games, we will be competing at our best. • To achieve this, we will: • Strengthen support systems and competitive and training opportunities • Build and sustain adequate community and high-performance sport sport facilities • Invest in sports that have a track record of producing podium results • We are working with sport partners to build a foundation of skills and physical literacy in children. Ministry of Health Promotion & Sport

10. Public Health in MHPS • Ministry of Health Promotion and Sport Standards, Programs and Community Development Branch Public Health Units and Standards Unit

11. MHPS Funding • MHPS Funds 4 Ontario Public Health Standards • Chronic Disease Prevention • Prevention of Injury and Substance Misuse • Reproductive Health • Child Health • MHPS funds $250.7M for PHUs to implement the four Standards • Makes up approximately 47% of total transfer of OPHS • Does not include: • HBHC 100% funding (managed by MCYS) • CINOT expansion funding

12. Other MHPS Funded Public Health Unit Programs • Public Health Units and Standards manages: • Healthy Communities Fund – Partnership Stream • CINOT Expansion • Tobacco and Chronic Disease Prevention Unit manages: • Smoke-Free Ontario • Diabetes Prevention Program

13. Who is in the Unit? • Manager • Laura Belfie • Clerical Support • Christine Chmielewski • Regional Public Health Consultants • Rae Whitton • Nomi Caplan • Andrea Smith • Program and Standards Advisors • Sandy Bennett • Colleen Kiel • Anne-Joyelle Occhicone • Janette Bowie

14. What is Our Work? • Accountability Agreements and Performance Measurement: • Develop and implement Accountability Agreements • Identify performance measures for public health units • Promote partnerships and collaboration • Program policy direction and expert advice • Promote consistent and innovative public health practice • Build inter-ministerial and relationships • Engage public health units

15. What is our role? • All unit members: • Present public health positions but do not advocate • Share responsibility for Accountability (Program Oversight), Program Policy and Stakeholder Engagement • Provide strategic advice, policy options and respond to information needs within MHPS • Individualized portfolios based on expertise, workload demands, interests and opportunities

16. Regional Public Health Consultants • First point of contact for Public Health Units when seeking information, clarification, etc • Manage Healthy Communities – Partnership Stream • Support development and delivery of major initiatives, for example: • Public Health Engagement, • Accountability Agreements • CINOT Program

17. Who do we work with? • Public Health Units • Chief Medical Officer of Health • Other ministries: MCYS, MOHLTC, EDU • Public Health Agency of Canada • OPHA • alPHa • Ontario Agency for Health Protection and Promotion • Resource Centres • Public Health Networks • Non Governmental Organizations

18. What has changed? • Still in a period of transition: • Need to be flexible to respond to shifting priorities • Focus on Accountability and Program Policy and less on direct support for knowledge exchange • OAHPP has a mandate for knowledge exchange, technical advice and surveillance • Working with OAHPP to clarify roles and communicate them

19. Moving Forward • Complete initial development of Accountability Agreements • Confirm and continue to develop Performance Indicators • Establish direction for OPHS Protocols and Guidance Document revision with MOHLTC and MCYS • Continue to work on: • Implementation of Healthy Communities Fund • Public health engagement • CINOT Expansion

20. Moving Forward • We must continue to strengthen relationships with current health promotion partners. • Importance of continued alignment with Public Health Units: • Will continue to work with Public Health Units to ensure the delivery of Ontario’s Public Health Standards. • Government is moving forward on implementing a performance management framework for public health in Ontario, along with accountability agreements for 2011. • Continue to work on joint priorities – e.g. Partnership Stream of Healthy Communities Fund – aligned with Ontario Public Health Standards. • Continue to build on engagement and communication mechanisms with PHUs. Ministry of Health Promotion & Sport

21. MHPS & Healthy Eating • Ontario supports the recommendations of the National Sodium Working Group who released their report in July, 2010 calling for the implementation of voluntary sodium reduction targets immediately. • We are working with federal provincial, public health, food service and other partners on this important initiative. • Through the Declaration on Prevention and Promotion that was signed by Ministers of Health/Health Promotion in September 2010 governments agreed to work together and with private, non-profit, municipal, academic and community sectors, and with First Nations, Inuit and Métis peoples, to improve health and reduce health disparities and to build and influence the physical, social and economic conditions that will promote health and wellness. Ministry of Health Promotion & Sport

22. MHPS & Healthy EatingNutritious Food Basket • 2011 data due on July 1st. • Guidance Document working group to meet for discussion of issues, etc. • Health Unit contacts to be asked for input. • Gathering issues and recommendations for Guidance Document review process.

23. MHPS & Healthy EatingNorthern Fruit & Vegetable Program • The Northern Fruit and Vegetable pilot was launched in the 2006-07 school year in the Porcupine region. The program was expanded to the Algoma region in 2007-08 • Since 2007-08 fruit and vegetable snacks were made available to nearly 12,000 northern Ontario children in approximately 60 schools annually. • In 2010-11 NFVP was expanded to additional schools in the Algoma (35 new schools) and Porcupine (17 new schools) districts for the January to June time period, bringing the reach of the program to more than 18,000 northern Ontario children in 110 schools. • Currently, MHPS is continuing to work with NFVP partners to determine ways to better promote fruit and vegetable consumption amongst Ontario children and youth.

24. MHPS & Healthy Eating EatRight Ontario • The EatRight Ontario service is currently hosted by Dietitans of Canada (DC) and can be accessed through 3 channels: • the Call Centre staffed by registered dietitians • the email-a-dietitian feature • the ERO website • ERO is available and accessible to all residents of Ontario, Monday to Friday from 9am – 5pm with extended hours Tuesdays and Thursdays from 9am – 9pm. • ERO provides supports to the Ontario diabetes Strategy and the School Food and Beverage policy through staff expertise and related resources. • Over the past year, there has been active outreach to the community, community organizations and health professionals to gain a better understanding of client needs, identify opportunities, build/strengthen relationships and promote ERO service offerings.

25. MHPs & Healthy EatingNutrition Resource Centre • Since 1999, the NRC has been funded to support nutrition professionals in public health, community health centres, family health teams and NGOs primarily through implementation of provincial healthy eating programs and development/dissemination of provincial nutrition resources. • In addition, NRC provides consultative services and input on provincial programming and strategies that include a food and nutrition component such as EatRight Ontario. NRC has also provided support for the following Ministry of Health Promotion and Sport and other provincial strategies: • Healthy Communities Fund • Ontario’s After-School Initiative • Ontario Public Health Standards • Childhood Obesity Prevention • Ministry of Education’s School Food and Beverage Policy • MHPS is working with NRC to shift to a greater focus on content and policy support for the Healthy Communities Fund (HCF) and Public Health units in implementing the Ontario Public Health Standards.

26. MHPS & Healthy EatingHealth Check • In 2005 the National Health Check™ Program expanded into restaurants and in 2006 the first provincial program was developed in British Columbia (BC) with government support. • In 2009 Ontario launched the provincially funded Health Check™ Ontario Restaurant Program and currently has 5 participating licensees including: • Pizza Hut; Casey’s; Pizzaville; Swiss Chalet; Druxy’s • Evaluation results indicate that consumers were choosing Health Check™ items where they are being offered, felt it would be helpful to have nutritional information beside menu items at a restaurant, were aware of the Health Check™ program and were confident that a menu item with a Health Check™ logo beside it is a healthy option. • Survey results indicate registered dietitians believe that consumers need assistance making healthy choices when dining out and that the Health Check™ program can be helpful to consumers in this setting.

27. MHPS & Healthy EatingDiabetes Prevention Strategy • MHPS manages a $5 Million commitment from Ministry of Health and Long-Term Care as part of the government’s Diabetes Strategy. • MHPS is working with a range of partners to provide diabetes prevention activities and raise awareness of the risk factors, specifically in higher risk communities including low-income, people of Aboriginal, Asian, South Asian, Hispanic, and African-Caribbean descent. • One of the key programs supporting the Diabetes Strategy is the EatRight Ontario service which has developed a number of resources, including culturally adapted fact sheets on healthy eating topics, to help ethnic groups prevent and manage diabetes. • Public health partners in Peel and Toronto are working with South Asian and African-Caribbean communities to not only raise awareness of diabetes, but also provide workshops on healthy cooking and physical activity. Porcupine, North Bay, Timiskaming, Sudbury, and Algoma health units have also recently started work in support of the MHPS's diabetes prevention strategy. • An evaluation is also underway.

28. Healthy Communities Fund Components Partnership Stream Promote coordinated planning and action among community partners to create policies that make it easier for Ontarians to be healthy. Resource Stream Provides training and support to build capacity for those working to advance health promotion in Ontario, including local Partnerships and organizations that apply for funding through the HCF Grants Project Stream. Grants Project Stream A cost-sharing grant program that supports eligible organizations to develop and deliver non-capital health promotion initiatives in partnership with other organizations. Ontario Ministry of Health Promotion and SportHealthy Communities Framework 2011/12 Vision Healthy Communities working together and Ontarians leading healthy and active lives. • Create a culture of health and well-being • Build healthy communities through coordinated action • Create policies and programs that make it easier for Ontarians to be healthy • Enhance the capacity of community leaders to work together on healthy living Goals • Empower communities using a shared decision-making model • Strengthen partnerships within and between communities and between local and provincial partners • Mobilize a variety of community partners and sectors for change • Focus on those at-risk for poor health to reduce disparities • Build on research, evidence and experience • Accountable to communities and the ministry through measurable outcomes • Work toward sustainable programs and strategies Guiding Principles Priorities and Outcomes • Mental HealthPromotion • Reduce stigma and discrimination • Improve knowledge and awareness of mental health issues • Foster environments that support resiliency • Injury Prevention • Promote safe environments that prevent injury • Increase public awareness of the predictable and preventable nature of most injuries • Substance & • Alcohol Misuse • Support the reduction of binge drinking • Build resiliency and engage youth in substance misuse prevention strategies • Physical Activity, Sport • and Recreation • Increase access to physical activity, sport and recreation • Support active transportation & improve the built environment • Healthy Eating • Increase access to healthier food • Develop food skills and healthy eating practices • Tobacco Use/ Exposure • Increase access to tobacco-freeenvironments

29. Other issues:Public Health Nutritionist Capacity • Context: • Difficulties in recruiting and retaining qualified Public Health Nutritionists in • Ontario. • The criteria and process for assessing Public Health Nutritionist Qualifications • requires updating and clarification • Advisory Committee established; work to date has focused on: • Clarification and interpretation of the Health Protection and Promotion Act, Regulation 566, (Section 7) • Advising on the on the job requirements of Public Health Nutritionists within the context of the 2008 Ontario Public Health Standards • Developing a tool to support PHUs in assessing educational and experiential qualifications

30. HPPA – Reg. 566, Sec (7) • 7. (1)  The requirements for employment as a public health nutritionist by a board of health are that the person be registered with the College of Dietitians of Ontarioand that the person, • (a) be the holder of a master's degree from a Canadian university or a university post graduate diploma from the University of Toronto issued prior to the 31st day of December, 1979, with a major in community nutrition or public health nutrition; • (b) be the holder of a master's degree from a Canadian university in human nutrition together with community nutrition courses or field or work experience in community nutrition or public health nutrition; • (c) be the holder of a qualification issued by a university outside Canada and accepted as equivalent to the qualifications set out in either clause (a) or (b) by a Canadian university; or • (d) has knowledge and experience that the Minister considers equivalent to the requirements set out in clause (a) or (b). R.R.O. 1990, Reg. 566, s. 7 (1); O. Reg. 630/00, s. 2. • (2)  Subsection (1) does not apply to a person who was employed as a public health nutritionist by a board of health on the 1st day of July, 1984. R.R.O. 1990, Reg. 566, s. 7 (2).

31. Questions? • My contact information: • Colleen.kiel@ontario.ca • 416-327-7787