About the Program
What is CPNP?
- CPNP funds community groups to develop or enhance programs for
vulnerable pregnant women. Through a community development
approach, the CPNP aims to reduce the incidence of unhealthy birth
weights, improve the health of both infant and mother and encourage
breastfeeding.
- CPNP enhances access to services and strengthens inter-sectoral
collaboration to support the needs of pregnant women facing
conditions of risk. As a comprehensive program, the services
provided include food supplementation, nutrition counselling,
support, education, referral and counselling on health and
lifestyle issues.
Resource Allocations &
Projects:
- Based on the enhancement from the 1999 Federal Budget, the
budget for the non-reserve portion of CPNP is $30.8 million as of
2002/03. Of this, $27 million goes directly to communities in the
form of grants and contributions.
- There are currently 350 CPNP projects funded by PPHB serving
over 2,000 communities across Canada. In addition, over 550 CPNP
projects are funded by FNIHB in Inuit and on-reserve First Nation
communities.
How is CPNP managed?
- CPNP is jointly managed by the Federal government and
Provincial/Territorial governments. Administrative protocols,
established for the Community Action Program for Children, set out
the terms and conditions of how the program will be managed in each
Province/Territory.
Who is served by CPNP?
- CPNP targets those women most likely to have unhealthy babies
due to poor health and nutrition. Over 95% of projects target
pregnant women living in poverty, teens, or women living in
isolation or with poor access to services. Other client groups
targeted include women who abuse alcohol or drugs, live with
violence, women with gestational diabetes, Aboriginal women, and
immigrant and/or refugee women.
- In 2001/02, over 44, 650 women participated in CPNP projects.
In addition, close to 6,000 women were served by FNIHB-funded CPNP
projects in Inuit and on-reserve First Nations communities.
What do projects offer?
- CPNP projects offer comprehensive services, tailored to meet
client needs. In 2001-2002, 96% of projects reported offering food
supplements, 95% offered vitamin supplements, 87% offered
breastfeeding support, and 86% offered one-to-one nutrition
counselling. Other services offered include education and
counselling on lifestyle issues, food preparation training,
transportation, childcare and referral to other services. Across
Canada, 306 projects offered an average of 10.2 different kinds of
services in 2001-2002.
- In 2001-02, over 36,300 referrals to other programs/services
were reported by 129 projects outside of Quebec.
- CPNP fills a distinct gap in communities. Three times out of
five, CPNP projects are the community's only source of prenatal
nutrition services. Many of the other prenatal nutrition services
available do not meet the needs of the CPNP target population.
How is CPNP demonstrating
success?
- Results indicate CPNP funded projects are successfully reaching
those pregnant women most at risk for poor birth outcome and often
least likely to participate in traditional prenatal programming.
Data collected between 1996 and the spring of 2002 revealed;
- 34% of women served were teenagers, including 8% who are 16
years old or younger;
- 79% had less than 12 years of education; 21% had not completed
grade 10, two-thirds of whom were 18 years of age or older ;
- 46% were single, divorced, separated or widowed
- 22% were Aboriginal;
- 56% lived on household income of less than $1,000 per
month;
- 43% smoked during their pregnancy;
- 14% reported experiencing abuse during the current
pregnancy.
- Positive impact results include a breastfeeding initiation rate
of 79%. Although not directly comparable, this is far above the
breastfeeding initiation rates reported for similar at-risk groups
in the NPHS1 (18-19 years old
66%; <High school 60%; single 74%; low income 75%; Aboriginal
61%2
I had no plans to breastfeed until I saw so many women doing it
here.
- CPNP participant |
- Communities are clearly taking ownership of their local CPNP
projects: Over 370 new programs, activities or services were
created in 2001/02 as a result of CPNP, including parent support
groups, community kitchens, breastfeeding support groups and
clothing/baby equipment banks.
- CPNP projects have demonstrated an impressive ability to lever
local support. Community sources are strengthening CPNP projects
through in-kind contributions, additional funding, and discounts on
goods and services. Non-budgeted financial contributions totalling
$635,248 were reported by CPNP projects in 2001/02. Almost every
project reported receiving in-kind contributions, including
donations of space, materials, and food. In-kind staff hours
represent an average of approximately 51 hours per week, per
project.
- In 2001-02, over 86.4% of projects reported that participants
(current or former) gave back time and energy to their projects as
volunteers or paid staff.
In Manitoba, an analysis of regional CPNP participants found
that 100% of Manitoba mothers who had previously delivered a low
birth weight baby were breastfeeding their babies to some extent
upon hospital discharge, compared to 86.5% of other
women. |
1.Federal, Provincial and
Territorial Advisory Committee on Population Health. Statistical
Report on the Health of Canadians. Prepared for the Meeting of
Ministers of Health, Charlottetown, P.E.I., 1999. )
2.Source: Health and
Welfare Canada, 1990
All other data from 2000/01 IPQ Report and Participant
Summary Report, 1996-2002.
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