Healthy Baby Community Program Guide CONTENTS I. INTRODUCTION II. ABOUT HEALTHY CHILD MANITOBA Introduction HCMO Core Programs Healthy Child Manitoba Policy Development, Research and Evaluation III. THE HEALTHY BABY PROGRAM MODEL Program Goals and Objectives The Manitoba Prenatal Benefit (MPB) Healthy Baby Community Support Programs HCMO’s Healthy Baby Team Partnerships IV. PROGRAM ADMINISTRATION - FUNDING AND PROGRAM REPORTING Program Obligations Program Activities Program and Financial Reporting Data Collection Confidentiality Ownership of Materials Manitoba Prenatal Benefit – Confidentiality of Information and Protection of Information Program Funding Schedule of Payments Presenting and Promoting Healthy Baby V. PRINCIPLES TO GUIDE YOUR WORK Assumptions to Guide Your Work Principles to Guide Your Work Population Health Including Determinants of Health Health Equity Strength-Based and Client-Centred Adult Education/Learning Community-Based Focus Flexible and Accessible Collaborative and Coordinated Culturally Sensitive and Inclusive Trauma Informed May 2017 Harm Reduction Focus Focused Toward Community Development VI. KEY FACTORS TO GUIDE YOUR WORK Nutrition and Healthy Eating Individual (participant) Breastfeeding Baby Friendly Initiative Infant Feeding Feeding Relationship Social Support Mental Health Infant Development Prenatal Care Physical Activity VII. HEALTHY BABY TEAM APPROACH Team Components Team Building and Problem Solving Shared Roles and Responsibilities Debrief Program Planning/Meetings Staff Development Roles and Responsibilities Director/Manager Program Coordinator/Facilitator Outreach/Family Support Worker Public Health Nurse Registered Dietitian/Community Nutritionist Childminder(s) Volunteer(s) VIII. HEALTHY BABY PROGRAM DELIVERY Delivering a Healthy Baby Group Session Set-Up Participant Arrival Announcements/Check-In Parent/Baby Time Session Topic Interaction Time/Provision of Snack Wrap Up Clean Up Debrief Outreach Activities IX. COMPONENTS OF A HEATHY BABY SESSION Session Topic(s) Mandatory Topic Areas Addictions/Substance Use/Smoking Attachment Breastfeeding Family Health Family Nutrition Infant Development (0-12 months) Infant Nutrition Mental Health Newborn Care Parenting Support Pregnancy Relationships Reproductive Health Safety Stress Management Other Nutrition and Food Objectives Food: Intention, Criteria, Restrictions Parameters for Food Demonstration/Cooking Sessions Food Handling/Food Safety Parent-Infant Activities Benefits of Rhymes Interaction Time – Opportunities with Healthy Baby Team Members Winnipeg and Other Urban Centres Rural/Northern Unstructured Time for Parents to Connect Practical Supports Healthy Low-cost Snacks Milk Coupons Childminding Bus Tickets X. SITE ADMINISTRATION Policies and Procedures Site Requirements Operational and Program Delivery Requirements XI. APPENDICES INTRODUCTION In 2001, Healthy Child Manitoba Office (HCMO) launched a two-part program of financial benefits and community supports for pregnant individuals and new parents. The Manitoba Prenatal Benefit (MPB) assists individuals in meeting their nutritional needs in pregnancy and Healthy Baby Community Support Programs offer social support and informal learning opportunities to families before and after baby is born. For the purpose of this document, Healthy Baby Community Support Programs will be referred to as Healthy Baby programs. The Healthy Baby Community Program Guide has been compiled with input from the service providers who deliver Healthy Baby programs to ensure consistent application of the standards and guidelines for all programs throughout Manitoba. Over the last number of years, elements of the programs have evolved in response to increased knowledge about maternal/child health best practices and evidenced-based research, testing to see what works in a community, programs sharing experiences, changes in participant and community characteristics, and growth in size and number of programs. As a result, the Healthy Baby Community Program Guide is a living document that will change with time to ensure it meets the needs of participants, service providers, communities and government. This document addresses the goals, objectives and standards of service for Healthy Baby programs with an emphasis on both administrative and service delivery priorities. While recognizing the organic and flexible nature of Healthy Baby programs, the need exists to ensure that certain core program elements are administered and maintained. This does not limit programs from being innovative and creative or having fun in the way programs are delivered. Research and knowledge about pregnancy, birth outcomes and determinants of health have influenced policy and program development. Research suggests that to effectively address complex issues, programs should focus on creating supportive environments, providing evidence based and best practice information and appropriate resources, equipping participants to make informed choices. Community programs must work alongside health professionals and community partners to offer holistic, community-based assistance to achieve the outcomes all children and families deserve. Effective programming strategies incorporate knowledge exchange, empowerment, capacity building, advocacy, participatory research and population health and health equity Section 1: Introduction approaches that place emphasis on relationships with participants. With the proper tools, every community has the potential to provide critical assistance to support healthy pregnancies and enhanced infant development and parenting outcomes for Manitoba families. These standards and guidelines will form the basis of your tool-kit to support you in achieving the goals set for your community. Your cooperation in following the standards and guidelines set out in this document will help ensure we are providing the best programs and services possible for all families. Section 1: Introduction ABOUT HEALTHY CHILD MANITOBA INTRODUCTION We know that children who grow up in safe, nurturing environments have better success throughout their lives. Parents have the most important impact on their child's healthy development. There is strong evidence that healthy brain development relies on positive stimulation and nurturing, proper nutrition and good health in the earliest years of life. We recognize that addressing early childhood care and learning works best when parents, communities and governments work together in partnership. In Manitoba, this understanding has led to a child-centred policy framework built on two foundations: economic justice through financial supports; and social justice through community-based family supports. Background In March 2000, the Manitoba Government established Healthy Child Manitoba and the Premier created the Healthy Child Committee of Cabinet. The Healthy Child Committee of Cabinet develops and leads child-centred public policy across government and ensures interdepartmental cooperation and coordination with respect to programs and services for Manitoba’s children and families. The existence of the Healthy Child Committee of Cabinet signals healthy child and adolescent development as a top-level policy priority of government. The Ministers on the Healthy Child Committee of Cabinet represent six areas of government: Manitoba Education and Training (Chair); Manitoba Families; Manitoba Health, Seniors and Active Living; Manitoba Indigenous and Municipal Relations; Manitoba Justice; and Manitoba Sport, Culture and Heritage / Status of Women. The Deputy Ministers of the six government partners comprise the Healthy Child Deputy Ministers’ Committee. As directed by the Healthy Child Committee of Cabinet, the Healthy Child Deputy Ministers’ Committee shares responsibility for implementing Manitoba’s child-centred public policy within and across departments. Healthy Child Manitoba is a prevention and early intervention strategy; Healthy Child Manitoba Office is the administrative body responsible for carrying out that strategy. Healthy Child Manitoba Office serves as staff and secretariat to the Healthy Child Committee of Cabinet and Healthy Child Deputy Ministers’ Committee. Healthy Child Manitoba Office’s primary responsibilities include research, program and policy development, evaluation, and community development. Healthy Child Manitoba also facilitates and liaises with the Provincial Healthy Child Advisory Committee, comprised of Section 2: About Healthy Child Manitoba cross-sectoral community and government representatives, that provides advice to the Chair of the Healthy Child Committee of Cabinet regarding the Healthy Child Manitoba strategy. Healthy Child Manitoba Office falls within Manitoba Education and Training. The Minister and Deputy Minister have both departmental (Education and Training) and cross- departmental (Healthy Child Manitoba Office) responsibilities. By statute (The Healthy Child Manitoba Act), the Minister responsible for Healthy Child Manitoba is Chair of the Healthy Child Committee of Cabinet. The Healthy Child Manitoba Act was proclaimed in legislation on December 6, 2007. The legislation was implemented to: Continue the Healthy Child Committee of Cabinet, ensuring the ongoing leadership of all ministers whose portfolios or departments directly affect the lives of children; Formalize the roles and responsibilities of the Healthy Child Committee of Cabinet, the Healthy Child Deputy Ministers’ Committee and