1. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Healthy Child Manitoba Strategy Putting Children and Families First

2. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Healthy Child Vision The best possible outcomes for Manitoba’s children

3. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Healthy Child Manitoba works across departments and sectors to facilitate community development for the well-being of Manitoba’s children, families, and communities. Healthy Child Mission With a priority focus on the prenatal, infant, toddler and preschool years.

4. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Horizontal and Vertical Policy Structures: Finding an Optimal Balance Child-centred public policy needs flexible and dynamic collaborative networks (horizontal) that are empowered by the hierarchical authority and mandate from the highest levels of government (vertical)

5. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Leadership: Manitoba’s Premier and Healthy Child Committee of Cabinet Established in March 2000 by Premier Gary Doer Only Cabinet committee in Canada dedicated to the well-being of children and youth Current HCCC members: Kerri Irvin-Ross, Chair of the Healthy Child Committee of Cabinet and Minister of Healthy Living Oscar Lathlin, Minister of Aboriginal and Northern Affairs Eric Robinson, Minister of Culture, Heritage and Tourism Peter Bjornson, Minister of Education, Citizenship and Youth Gord Mackintosh, Minister of Family Services and Housing Theresa Oswald, Minister of Health Dave Chomiak, Minister of Justice and Attorney General Nancy Allan, Minister of Labour and Immigration, Minister Responsible for the Status of Women Gary Doer, Premier of Manitoba “This century can be Manitoba’s century – with new hope for our young people... We know that children who grow up in safe, nurturing environments have better success throughout their lives... [this] is part of our ongoing commitment to building healthy, safer communities for Manitobans and their families.” (March 2000)

6. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Bridging Government Departments: Intersectoral Structures in Manitoba Deputy Minister of Labour and Immigration Jeff Parr Minister of Health Honourable Theresa Oswald Chair and Minister of Healthy Living Honourable Kerri Irvin-Ross Both horizontal and vertical structures are essential HCMO: 5-part mandate (community development, research, policy, practice, evaluation), dedicated staff and budget, direct access to Ministers and Deputy Ministers, and direct collaboration with all partner ministries and cross-sectoral community partners

7. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Bridging Government and Community: Intersectoral Structures in Manitoba Healthy Child Committee of Cabinet Healthy Child Deputy Ministers’ Committee Healthy Child Manitoba Office Healthy Child Interdepartmental Committees Citizens and communities Parents and families Children and youth Community agencies Provincial HCM Advisory Committee Parent-Child Centred Coalitions and Council of Coalitions KNOWLEDGE ACTION

8. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Healthy Child Committee of Cabinet Healthy Child Deputy Ministers Committee HCM Advisory Committee 26 Parent Child Coalitions Universities Manitoba Children’s Agenda Centre of Excellence for ECD HCMO & Partners Knowledge Experience Recommendations Challenges Which Way is Up?

9. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Parent-Child Coalitions What do they do? Bring together community strengths and resources within a geographic boundary Promote and support community-based programs and activities for children and families Support and enhance existing activities and initiate new activities that reflect community diversity and need

10. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 What are the core activities? Positive Parenting –Parenting workshops, support groups, resources Nutrition and Physical Health –Community kitchens, creative movement programs, “Alphabet Soup” Learning and Literacy –Parent-child drop in, family literacy, book bags, resource libraries Community Capacity Building –Networking training opportunities, professional development, employment

11. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 COMMUNITY PRESCHOOL & SCHOOL FAMILY CHILD CHILD-CENTRED PUBLIC POLICY Parent-Child Coalitions Healthy Adolescent Development Strategy School-age Programs (e.g., Healthy Schools) Triple P – Positive Parenting Program FASD Prevention Strategy Families First Healthy Baby OUTCOMES Socially Engaged & Responsible Physically & Emotionally Healthy Safe and Secure Successful Learners HEALTHY CHILD MANITOBA Putting Children and Families First

12. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Economic Justice Social Justice ( financial supports) (community-based family supports) Child-centred public policy Adapted from: Battle, K., & Torjman, S. (2000). Ottawa should help build a national early childhood development system. Ottawa, ON: Caledon Institute of Social Policy. Two Foundations of Child-Centred Public Policy

13. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Adapted from: “How Nurture Becomes Nature: The Influence of Social Structures on Brain Development” Bruce Perry, Baylor College of Medicine, Houston, Texas. Opportunity Lost... Addressing the Mismatch Between Opportunity & Investment

14. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008... and Regained Addressing the Mismatch Between Opportunity & Investment Since April 2000, Manitoba has increased investments in ECD by over $64 million. Adapted from: “How Nurture Becomes Nature: The Influence of Social Structures on Brain Development” Bruce Perry, Baylor College of Medicine, Houston, Texas.

15. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 POLICY EVALUATION PRACTICE Healthy Child Manitoba (HCM) Strategy RESEARCH KNOWLEDGE ACTION HCM Knowledge-Action Cycle February

16. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 The Early Development Instrument (EDI) A population-based measurement that determines how a group of children is developing compared to children in other communities Kindergarten teachers from Manitoba’s School Divisions complete the EDI questionnaire on all Kindergarten-aged children What does the EDI measure? Children’s “readiness for school” across 5 different areas of child development: –Physical Health and Well-Being –Social Competence –Emotional Maturity –Language and Cognitive Development –Communication Skills and General Knowledge

17. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 How is the EDI data shared? Annual EDI results are reported to: –General public –School divisions & schools –Parent child coalitions & the child care community –Policy makers and research community

18. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Thank You February 2007

19. Intersectoral Action and Health: Global Learnings CPHA Conference, June 2, 2008 Contact Information: Jan Sanderson Executive Director, Healthy Child Manitoba Office and Secretary to the Healthy Child Committee of Cabinet Government of Manitoba Suite 219 – 114 Garry Street Winnipeg, MB R3C 4V6 Tel: (204) 945-6707 Fax: (204) 948-2585 E-mail: Jan.Sanderson@gov.mb.ca