Ontario Public Health Standards

Child Health

Goal

  • To enable all children to attain and sustain optimal health and developmental potential.

Societal Outcomes

  • An increased proportion of community partners provide safe and supportive environments for children and their families.
  • An increased proportion of families provide safe and supportive environments for their children.
  • There is an increased rate of exclusive breastfeeding until 6 months, with continued breastfeeding until 24 months and beyond.
  • An increased proportion of children reach growth and developmental outcomes.
  • An increased proportion of children beginning school are ready to achieve success.
  • An increased proportion of children have optimal oral health.

Board of Health Outcomes

  • The board of health is aware of and uses epidemiology to influence the development of healthy public policy and its programs and services for the promotion of healthy child development.
  • The board of health achieves timely and effective detection and identification of children at risk of poor oral health outcomes, their associated risk factors, and emerging trends.
  • The public is aware of the importance of creating safe and supportive environments that promote healthy child development.
  • The public is aware of the factors associated with positive parenting.
  • Community partners are aware of the importance of creating safe and supportive environments that promote healthy child development.
  • Policy-makers have the information required to enable them to amend current policies or develop new policies that would have an impact on the promotion of healthy child development.
  • Breastfeeding women have improved knowledge and skills.
  • Priority populations are linked to child/family health information, programs, and services.
  • Children at risk of poor health and developmental outcomes are supported and referred to services prior to school entry.
  • Children urgently in need of oral health care have access to such care.
  • Children in need of preventive oral health services receive essential clinical preventive oral health services.
  • The board of health achieves timely and effective detection and identification of communities with levels of fluoride outside the therapeutic range.

Assessment and Surveillance

Requirements

  1. The board of health shall conduct epidemiological analysis of surveillance data, including monitoring of trends over time, emerging trends, and priority populations in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current), [PDF] in the areas of:
    • Positive parenting;
    • Breastfeeding;
    • Healthy family dynamics;
    • Healthy eating, healthy weights, and physical activity;
    • Growth and development; and
    • Oral health.
  2. The board of health shall conduct surveillance of children in schools and refer individuals who may be at risk of poor oral health outcomes in accordance with the Oral Health Assessment and Surveillance Protocol, 2008 (or as current), [PDF] and the Population Health Assessment and Surveillance Protocol, 2008 (or as current). [PDF]
  3. The board of health shall report oral health data elements in accordance with the Oral Health Assessment and Surveillance Protocol, 2008(or as current). [PDF]

Health Promotion and Policy Development

Requirements

  1. The board of health shall work with community partners, using a comprehensive health promotion approach, to influence the development and implementation of healthy policies and the creation or enhancement of supportive environments to address:
    • Positive parenting;
    • Breastfeeding;
    • Healthy family dynamics;
    • Healthy eating, healthy weights, and physical activity;
    • Growth and development; and
    • Oral health.
    These efforts shall include :
    1. Conducting a situational assessment in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current); [PDF] and
    2. Reviewing, adapting, and/or providing behaviour change support resources and programs.18
  2. The board of health shall increase public awareness of:
    • Positive parenting;
    • Breastfeeding;
    • Healthy family dynamics;
    • Healthy eating, healthy weights, and physical activity;
    • Growth and development; and
    • Oral health.
    These efforts shall include:
    1. Adapting and/or supplementing national and provincial health communications strategies; and/or
    2. Developing and implementing regional/local communications strategies.
  3. The board of health shall provide, in collaboration with community partners, parenting programs, services, and supports, which include:
    1. Consultation, assessment, and referral; and
    2. Group sessions.
  4. The board of health shall provide advice and information to link people to community programs and services on the following topics:
    • Positive parenting;
    • Breastfeeding;
    • Healthy family dynamics;
    • Healthy eating, healthy weights, and physical activity;
    • Growth and development; and
    • Oral health.
  5. The board of health shall provide, in collaboration with community partners, outreach to priority populations to link them to information, programs, and services.

Disease Prevention

Requirements

  1. The board of health shall provide all the components of the Healthy Babies Healthy Children Program in accordance with the Healthy Babies Healthy Children Protocol, 2008 (or as current) [PDF] (Ministry of Children and Youth Services).19
  2. The board of health shall conduct oral screening in accordance with the Oral Health Assessment and Surveillance Protocol, 2008 (or as current).
  3. The board of health shall facilitate access and support for families to complete screening tools20 to monitor their child's health and development, and provide a contact for families to discuss results and arrange follow-up.
  4. The board of health shall provide the Children in Need of Treatment (CINOT) Program in accordance with the Children in Need of Treatment (CINOT) Program Protocol, 2008 (or as current). [PDF] For CINOT-eligible children, the board of health shall provide referrals to oral health care providers and monitor the action taken.
  5. The board of health shall provide or ensure the provision of the essential clinical preventive oral health services at least annually in accordance with the Preventive Oral Health Services Protocol, 2008 (or as current). [PDF]

Health Protection

Requirement

  1. The board of health shall review drinking water quality reports for its municipal drinking water supply(ies) where fluoride is added. These reports shall be reviewed at least monthly and, where necessary, action shall be taken in accordance with the Protocol for the Monitoring of Community Water Fluoride Levels, 2008 (or as current). [PDF]

Resources




18 This could include, but is not limited to, curriculum support resources (in preschools, schools, etc.), workplace support resources, education and skill-building opportunities, etc.
19 While the Healthy Babies Healthy Children program does contain Health Promotion and Policy Development components, it has been included in the Disease Prevention section due to its focus on screening, assessment, referrals, and support services.
20 Screening tools will include those that are part of the Healthy Babies Healthy Children program (e.g., Nipissing District Developmental Screen™) as well as other reliable, valid screening tools that may be identified, such as NutriSTEP™ and the Paediatric Dental Screening Instrument.

To view Portable Document Format PDF files, you will need to have Adobe Acrobat® Reader installed on your computer. You can download this free software from the Adobe website.

For More Information

Call ServiceOntario, Infoline at:
1-866-532-3161 (Toll-free)
In Toronto, (416) 314-5518
TTY 1-800-387-5559.
In Toronto, TTY 416-327-4282
Hours of operation : 8:30am - 5:00pm