2000 October Report of the Auditor General of Canada

First Nations Health Information System

• additional funding announced in 1999 Budget

• To improve the management of health services within First Nations communities as an initial version of a comprehensive community health information system
• $23 million over four years and then $20 million annually

• early implementation
• system installed in 265 First Nations

• Health Canada provides infrastructure and training
• contribution agreements with First Nations for data entry

• evaluation framework established

Aboriginal Head Start (On-Reserve) Program

• announced by Minister of Health in October 1998

• To support early child development strategies designed and controlled by First Nations
• $100 million over four years and then $25 million annually

• early implementation
• 156 projects funded and additional 47 First Nations completed needs assessments

• contribution agreements with First Nations

• national evaluation framework developed

Home and Community Care Program

• announced in 1999 Budget

• To provide improved care for the elderly, disabled, chronically ill and those requiring short-term acute care services
• $62 million over two years and then $90 million annually

• early implementation
• over 400 First Nations communities participating

• contribution agreements with First Nations

• accountability framework completed but evaluation framework still outstanding

Aboriginal Diabetes Initiative

• announced in 1999 Budget and launched by Minister of Health in November 1999

• To decrease diabetes and its complications in First Nations and Inuit communities
• $58 million over five years

• planning phase

• contribution agreements with First Nations

• to be developed