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Adapting, Piloting and Evaluating NFP in Canada

Phase 4. Continued Refinement and Expansion of NFP in Canada

The results of the British Columbia (BC) Healthy Connections Project randomized controlled trial (RCT) will inform future decisions regarding the expansion of NFP in Canada – including sustaining the program in BC and selected regions in Ontario and potentially expanding it to other provinces. Until we have these RCT results in 2020–2021, the only ongoing NFP work will be related to existing or new research projects.

To guide planning for any potential expansion, however, in  2016, all Canadian NFP license holders (representing the province of BC and the cities of Hamilton and London in Ontario) met to begin discussions on forming a national working group to prepare for the eventuality that the BC RCT might show success and merit Canada-wide scale-up. Hosted by the BC Ministries of Health and Children and Family Development, the group included all license holders, the BC RCT leads, process evaluation leads, as well as David Olds and Elly Yost from the University of Colorado. Issues were discussed pertaining to governance; core functions including communications, science, policy and implementation; and long-term funding for a potential non-profit national leadership body. The group has agreed to continue meeting to further develop a shared leadership model that could encourage more widespread NFP adoption in future.

For more information, contact Donna Jepsen, BC Ministry of Health, donna.jepsen@gov.bc.ca; 1-604-775-0336  or Heather Lokko, Middlesex-London Health Unit, London, Ontario (heather.lokko@mlhu.on.ca)

British Columbia’s Province-Wide Scale-Up

Across BC, regional Health Authorities are continuing to implement NFP as an “enhanced” maternal and child health program embedded within the overall suite of public health services, while awaiting the RCT outcomes. Provincial coordination is provided by the BC Ministry of Health to support BC’s NFP public health nurses and supervisors located at over 50 sites across the province (BC has an NFP Licensing and Implementation Agreement with the University of Colorado Denver). BC has been adapting a province-specific NFP education for new NFP nurses in BC since 2015 in consultation with and support from the University of Colorado Denver.  

For more information on implementation of NFP in BC, please contact Donna Jepsen in the BC Health Ministry.

BC’s Implementation of NFP:  Donna Jepsen, BC Ministry of Health: donna.jepsen@gov.bc.ca; 1-604-775-0336 https://www.healthyfamiliesbc.ca/nurse-family-partnership

Additional Canadian Nurse-Family Partnership Research and Evaluation Projects

Nurse-Family Partnership Telehealth Project

The NFP Telehealth Project, in collaboration with UBC Okanagan, the Ministry of Health and Perinatal Services BC, offers young, first time mothers who reside in rural/remote communities, on and off reserve a combination of in-person home visits and "virtual visits" prenatally and up to 2 years post-partum.  The NFP Telehealth Project is an adjunct to the current NFP model in order to increase greater reach of young pregnant moms and babes.  Some telehealth technology mediums being explored include: mobile videoconferencing and the Facetime application.

For more information, contact Penny Liao-Lussier, Interior Health Community Health & Services Centre: penny.liao-lussier@interiorhealth.ca 

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