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Health Canada - Northern Region

100-300 Main Street

Whitehorse, Yukon

Y1A 2B5

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July 23, 2009

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Re:Canadian Diabetes Strategy (CDS) Community-Based Program
Request for Proposals 2009-2010 – Deadline August 28, 2009

Health Canada’s Northern Region, on behalf of the Public Health Agency of Canada, is pleased to provide your organization with information about project funding under the Canadian Diabetes Strategy (CDS) Community-Based Program for 2009-2010.

We anticipate that these will be short-term community-based projects (to be completed by March31, 2010) that meet at least one of the priorities of this invitation. If funding is available for the 2010-11 fiscal year, your project may be amended to support a Phase 2 of the project.

2009-10 Funding Priorities

The CDS targets information to Canadians who are at higher risk for diabetes (e.g., family history, overweight/obese, pre-diabetic, certain ethnic groups), and/or living with diabetes to aid in the prevention of diabetes-related complications. In Yukon, proposals should focus on people at higher risk for diabetes and/or living with diabetes, and on rural populations.

The 2009-10 funding priorities under the Community-based[1] Program are:

  1. supporting the development of tools and approaches for the screening and early detection of gestational and type 2 diabetes; and,
  1. supporting the development of tools that help Canadians self-manage all types of diabetes(types 1, 2 and gestational), including increasing access to reliable information toimproveknowledge and influence behaviour change.

In addition, the 2009-10 solicitation encompasses the disease areas of cardiovascular disease and mental health/mental illness, as they contribute significantly to the burden of diabetes co-morbidities, costs and complications. As such, projects that seek to address screening, early detection and/or self-management of cardiovascular disease or mental illness/healthamong Canadians living with diabetes, will also be considered

Screening and Early Detection

  • Approximately one third of diabetes in Canada is currently undiagnosed, which means that many affected persons are not receiving the appropriate care required in order to manage their diabetes.
  • Furthermore, another 20% of the adult population has pre-diabetes (abnormally high blood glucose levels), over half of whom will progress to develop type 2 diabetes within 8 to 10 years without intervention.
  • Since there are effective lifestyle and medical options to prevent the development of pre-diabetes and Type 2 diabetes, early detection through screening has the potential to prevent diabetes and serious debilitating diabetic complications.

Self-Management

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  • While most people with diabetes consult with health care professionals for their medications, screening and monitoring, the burden of responsibility of care of diabetes and its complications rests with the patient themselves.
  • Self-management of all types of diabetes goes beyond medication and blood glucose monitoring. Other aspects of self-management include: weight control; healthy eating; physical activity; stress management; monitoring and management of cholesterol and blood pressure; and care of other affected organs, including kidneys and eyes.

Cardiovascular Disease

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  • Heart disease and stroke account for about 2 out of 3 deaths in people with diabetes.
  • Diabetics have an increased risk of developing high blood pressure and other cardiovascular problems, as diabetes adversely affects the arteries, predisposing them to atherosclerosis.
  • Depression is also more common among people with cardiovascular disease

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Mental Illness/Mental Health

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  • People with diabetes more commonly have depressive symptoms and major depressive disorder is present in approximately 15% of patients.
  • It has been estimated that type 2 diabetes is two to five times more common among people receiving treatment for schizophrenia.
  • Unhealthy life styles, poor eating habits and lack of physical activity among the chronically mentally ill increase the risk for weight gain, diabetes and related metabolic and cardiovascular disorders.
  • Evidence suggests that improved emotional-social learning in children and youth leads to self-efficacy for health living.

Timelines and Level of Funding

Funding is available for projects 5 months in duration beginning approximately

November 1, 2009 and ending March 31, 2010. Funds are limited; therefore, it is recommended that your budget not exceed $75,000.

Additional Requirements

Proposed projects should go beyond capacity-building as an objective and should address the development and application of best practices to positively influence behaviour change.

It is essential that the best available evidence and surveillance data be used in developing the project proposals, and that the proposal clearly demonstrate how relevant stakeholders have been engaged in the development and proposed implementation of the project.

Long-term Outcomes for the CDS

It is expected that recipients will develop strategic approaches designed to help determine and guide future work within and across settings, health practitioners, organizations, sectors and jurisdictions. Strategic approaches funded through this request for proposals will help lay the foundation for achieving the eventual longer-term outcomes of the Diabetes Community-based Program, such as:

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•healthier public policy;

•integrated, evidence-based, responsive systems;

•increased capacity of community organizations and networks to plan, implement and evaluate interventions, by using evidence to address multiple chronic disease risk factors;

•expanded capacity of health professionals to apply best practices and clinical practice guidelines to better screen, educate and counsel;

•strengthened community capacity and action to address social and physical environments; and,

•enhanced individual capacity to reduce risk, or reduce complications, of chronic disease.

All proposals must clearly identify how the proposed strategic approach will address one or more of the 2009-10 funding priorities.

Application Process

Your application must follow the format outlined in the Application Process section of the attached Guide for Applicants. Theproposal should not exceed 10 pages in length and include abrief work plan of what activities your project would undertake if funding were available for Phase 2.You must also complete the attached Application for Funding and Detailed Budget forms. Please review Application for Funding form checklist to ensure your application package is complete.

Also, with the recent amendments to the Lobbyist Registration Act, please review the Act to ensure that your organization is in compliance with the regulations (available at

Submission Deadline

The deadline to submit your proposal is August 28, 2009 (postmark date). Please send the original proposal, Application for Funding form and Detailed Budget form along with two hard copies to:

Patricia Adamek, Team Leader

Northern Region,

Health Canada

100-300 Main Street

Whitehorse, Yukon, Y1A 2B5

Please note the Northern Region will not be responsible for any late or lost deliveries. Proposals received after the deadline will not be accepted.

The Public Health Agency of Canada (PHAC) is under no obligation to provide funding, or enter into a contribution agreement as a result of this invitation to submit a proposal.

PHAC also reserves the right to:

●reject any or all proposals received in response to this invitation;

●accept any proposal in whole or in part; and

●cancel and/or re-issue this invitation to submit a proposal at any time.

Please note that PHAC will not reimburse an Applicant for costs incurred in the preparation and/or submission of a proposal in response to this invitation.

Should you have any questions about any aspect of the Canadian Diabetes Strategy, please do not hesitate to contact me at 867-393-6775.

We look forward to receiving your submission.

Sincerely,

Patricia Adamek

Team Leader

Encl: Guide for Applicants

Application for Funding form

Detailed Budget form

Sources:

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  • Diabetes Prevention Program,
  • Public Health Agency of Canada, National Diabetes Fact Sheets 

[1] Community-based projects are intended to enhance community capacity. “Community” refers to a group of individuals and/or organizations sharing a common identity based on culture, geographic location, values, interests, norms and/or agreed upon beliefs or goals, including communities of practice such as communities of practitioners, researchers, planners or policy-makers as well as the public health and health care communities.