Objectives and Indicators for the
Mandatory Health Programs and Services Guidelines:



For the complete Mandatory Health Programs and Services Guidelines,
See: http://www.health.gov.on.ca/english/providers/pub/pubhealth/manprog/manprog.html 

 

Objectives

Indicators
CHRONIC DISEASES AND INJURIES
Chronic Disease Prevention 
1.  To reduce the mortality from ischemic heart diseases by 25 per cent by the year 2010.
2.  To reduce the mortality from stroke by 10 per cent by the year 2010.
3.  
 To slow the rise in incidence of lung cancer.
4.  To slow the rise in mortality from chronic obstructive lung disease.
5.  
 To reduce the morbidity from diabetes and hypertension.
6.  To reduce the incidence of oral cancer by 10 per cent by the year 2010.
7.  To reduce the morbidity of osteoporosis.
8.  To slow the rise in incidence of skin cancers.  
1.  Chronic disease mortality (Section 4A: Chronic Diseases)
2.  Chronic disease mortality (Section 4A: Chronic Diseases)
3.  Cancer incidence (Section 4B: Cancer Incidence and Early Detection of Cancer)
4.  Chronic disease mortality (Section 4A: Chronic Diseases)
5.  Chronic disease hospitalization; Chronic health problem prevalence (Section 4A: Chronic Diseases)
6.  Cancer incidence (Section 4B: Cancer Incidence and Early Detection of Cancer)
7.  No source of data
8.  Cancer incidence (Section 4B: Cancer Incidence and Early Detection of Cancer)
Behavioural and policy objectives:
a. To reduce the proportion of 12-to-19 year-olds who smoke daily to 10 per cent by the year 2005.
b. To reduce the proportion of adult women and men who smoke daily to 15 per cent by the year 2005.
c. To increase the proportion of smoke-free public places and workplaces to 100 per cent by the year 2005.
d. To reduce tobacco vendor non-compliance with sale of tobacco to minors legislation to 10 per cent by the year 2000.
e. To increase the proportion of smoke-free homes by the year 2010.
f. To reduce dietary fat intake to an average of 30 per cent of calories or less among people age 18 and older by the year 2010.
g. To increase to 75 per cent the proportion of the population age four and older consuming five or more servings of vegetables and fruit daily by the year 2010.
h. To increase to 75 per cent the proportion of youth ages 10-16 years consuming three or more servings of milk products daily, and to increase to 65 per cent the proportion of adults consuming two or more servings of milk products daily by the year 2010.
i. To increase to 50 per cent the proportion of the population age four and older consuming five or more servings of grain products daily by the year 2010.
j. To slow the decrease in the proportion of adults ages 20-64 with healthy weight status (Body Mass Index 20-27) by the year 2010.
k. To increase to 40 per cent the proportion of all adults who include at least 30 minutes of accumulated, moderate physical activity on most if not all days of the week by the year 2010.
l.  To increase to 60 per cent the proportion of youth who include at least 30 minutes of accumulated, moderate physical activity on most if not all days of the week by the year 2010.
m. To increase the proportion of children who are active.
n. To increase the proportion of the population of all ages who limit sun exposure, use protective clothing and sunscreens when exposed to sunlight, and avoid artificial sources of ultraviolet light (i.e., sun lamps, tanning booths).
    
a. Daily cigarette smoking (Section 5A: Smoking)
b. Daily cigarette smoking (Section 5A: Smoking)
c. Not relevant with new legislation
d. Minors’ access to tobacco (Section 5A: Smoking)
e. Smoke-free homes (Section 5A: Smoking)
f. No source of data
g. Fruit and Vegetable Consumption, Ages 12+ (Section 5D: Nutrition and Healthy Weights)
h. No source of data
i. No source of data
j. Body Mass Index (Section 5D: Nutrition)
Note: Indicator uses international categories that are inconsistent with this objective.
k. Physical activity index (Section 5C: Physical Activity)
l. Physical activity index (Section 5C: Physical Activity)
m. No source of data, needs to be operationalized
n. Sun safety (Section 5E: Sun Safety)
Early Detection of Cancer
1. To reduce female breast cancer mortality by 10 per cent by the year 2010.
2. To increase to 70 per cent the proportion of women ages 50-69 who receive screening mammography through the Ontario Breast Screening Program (OBSP) by the year 2010.
3. To reduce the mortality from cervical cancer by 50 per cent by the year 2005.
4. To increase the proportion of women screened according to the guidelines of the Ontario Cervical Screening Collaborative Group to 85 per cent and to increase the proportion of ever-screened to 95 per cent by the year 2010.
1. Cancer mortality (Section 4B: Cancer Incidence and Early Detection of Cancer)
2. OBSP mammography (Section 4B: Cancer Incidence and Early Detection of Cancer)
3. Cancer mortality (Section 4B: Cancer Incidence and Early Detection of Cancer)
4. Cervical cancer screening (Section 4B: Cancer Incidence and Early Detection of Cancer)
Injury Prevention Including Substance Abuse Prevention
1. To reduce the rate of injuries caused by cycling crashes and motorized vehicle crashes including, boats, snowmobiles and all terrain vehicles that lead to hospitalization or death by 20 per cent by the year 2010.
2. To reduce the rate of alcohol and other substance-related injuries or deaths by 20 per cent by the year 2010.
3. To reduce the percentage of the adult population who drink more than two drinks per day by 20 per cent by the year 2010.
4. To reduce the rate of illicit substance use and the non-medical use of drugs and of other psychoactive substances by 20 per cent by the year 2010.
5. To reduce the rate of fall-related injuries in the elderly (aged 65+ years) that lead to hospitalization or death by 20 per cent by the year 2010.
6. To eliminate drowning in waters used for specified recreational purposes.
1. Injury mortality; Injury hospitalization; Alcohol-related injuries and mortality from motor vehicle traffic collisions (Section 4C: Injury Prevention and Substance Abuse Prevention) 
2. Alcohol-related injuries and mortality from motor vehicle traffic collisions (Section 4C: Injury Prevention and Substance Abuse Prevention)
3. No indicator (Low risk drinking used instead)
4. No source of data
5. Fall-related mortality among seniors; Fall-related hospitalization among seniors (Section 4C: Injury Prevention and Substance Abuse Prevention)
6. Injury mortality; Injury hospitalization (Section 4C: Injury Prevention and Substance Abuse Prevention)
FAMILY HEALTH
Sexual Health
1. To decrease the rate of pregnancy in women 15-19 years of age to 40 per 1,000 population by the year 2005.
2. To increase access to contraception for individuals in need to decrease unplanned pregnancy.
3. To increase the awareness and knowledge about personal responsibility and life skills required to deal with sexual relationships and behaviours including the impact of alcohol and other drugs.
1. Pregnancy rate (Section 6B: Reproductive Health)
2. No source of data
3. No source of data, needs to be operationalized
Reproductive Health
1. To reduce the low birth weight rate (under 2500g) to 4 per cent by the year 2010.
2. To decrease the prevalence of neural tube defects by 25 per cent by the year 2010.
1. Live birth weight rate (Section 6B: Reproductive Health)
2. Neural tube defect rate (Section 6B: Reproductive Health)
Child Health
1. To increase the percentage of children and youth who meet physical, cognitive, communicative and psychosocial developmental milestones.
2. To increase to 50 per cent the percentage of infants breast-fed up to six months by the year 2010.
3. To reduce the prevalence of dental diseases in children and youth.
4. To increase access to and the use of needs-based services and supports for children who are at risk of poor physical, cognitive, communicative, and psychosocial development, and their families.
5. To increase effective parenting ability in high-risk families.
1. No source of data, needs to be operationalized
2. Breastfeeding Initiation & Duration (Section 6C: Child and Adolescent Health)
3. deft/DMFT (for children only) (Section 6C: Child and Adolescent Health)
4. No source of data, needs to be operationalized
5. No source of data, needs to be operationalized
INFECTIOUS DISEASES
Control of Infectious Diseases
To reduce morbidity and mortality associated with infectious diseases. Infectious disease mortality (Section 8: Infectious Diseases)
Food Safety
1. To ensure that food is stored, prepared, served and distributed in a manner consistent with accepted public health practices.
2. To stop the sale or distribution of food that is unfit for human consumption by reason of disease, adulteration, impurity or other cause.
1. Process objective
2. Process objective
Infection Control
To reduce morbidity and mortality associated with infectious diseases in institutions, day care centres and personal service settings. No source of data
Rabies Control
To maintain the incidence of rabies at zero in the human population. Animal rabies (Section 8: Infectious Diseases)
Safe Water
1. To ensure that community drinking water systems meet the health-related chemical, physical, microbiological and radionuclide objectives as published in the Ontario Drinking Water Objectives (revised 1994) and the Guidelines for Canadian Drinking Water Quality (sixth edition).
2. To reduce communicable disease transmission from waters used for bathing at public beaches.
1. Municipal drinking water quality; Water advisories; Private well water testing (Section 2B: Physical Environment)
2. Posted bathing beaches (Section 2B: Physical Environment)
Sexually Transmitted Diseases (STDs) Including HIV/AIDS
1. To reduce the incidence rate of gonorrhea to 15 per 100,000 population by the year 2005.
2. To reduce the incidence rate of genital chlamydia to 500 per 100,000 women ages 15-24 years by the year 2005.
3. To maintain the incidence rate of primary and secondary syphilis at less than one per 100,000 population by the year 2005.
4. To maintain the incidence of congenitally acquired syphilis at zero.
5. To reduce the number of newly diagnosed human immunodeficiency virus (HIV) infections to less than 800 per year by the year 2005.
6 To reduce the incidence of perinatal HIV infection.
1. Sexually transmitted disease incidence (Section 8: Infectious Diseases)
2. Sexually transmitted disease incidence (Section 8: Infectious Diseases)
3. Sexually transmitted disease incidence (Section 8: Infectious Diseases)
4. Congenital infection rate (Section 6B: Reproductive Health)
5. Sexually transmitted disease incidence (Section 8: Infectious Diseases)
6. No source of data Note: Some health units enter HIV data onto RDIS but since HIV is not reportable, consistent data are not available.
Tuberculosis (TB) Control
1. To reduce the annual incidence rate of active and reactivated TB to 3.5 per 100,000 population by the year 2005.
2. To reduce the progression of latent TB infection to active TB.
3. To reduce secondary drug-resistance by the year 2005.
4. To achieve the following completion rates by the year 2005:
   a. 95 per cent of active TB cases will complete treatment as prescribed;
   b. 90 per cent of individuals on chemoprophylaxis will complete therapy; and
   c. 90 per cent of contacts of active cases of TB will be assessed.
1. Tuberculosis incidence (Section 8: Infectious Diseases)
2. Tuberculosis incidence (Section 8: Infectious Diseases)
3. Tuberculosis incidence (Section 8: Infectious Diseases)
4. Process objectives 
Vaccine Preventable Diseases
1. To eliminate indigenous measles by the year 2000.
2. To maintain at zero the incidence of tetanus and diphtheria and indigenous polio.
3. To reduce to zero the incidence of invasive Haemophilus influenzae type b (Hib) among children under five years of age.
4. To reduce to zero the incidence of indigenous congenital rubella.
5. To reduce the annual incidence rate of mumps to 1.0 per 100,000 and pertussis to 2.5 per 100,000 population by the year 2005.
6. To reduce the annual incidence rate of acute hepatitis B to 1.5 per 100,000 population by the year 2000.
7. To reduce the age-adjusted mortality rate for pneumonia and influenza (using a five-year moving average).
8. To achieve the following vaccine coverage targets by the year 2000:
   8a. 95 per cent coverage for up-to-date vaccination against diphtheria, pertussis, polio, tetanus, Haemophilus influenzae type b (Hib), measles, mumps and rubella by the second birthday.
   8b. 95 per cent coverage for up-to-date vaccination against diphtheria, pertussis, polio, tetanus, and measles, mumps, rubella and second dose measles by the seventh birthday.
   8c. 95 per cent coverage for hepatitis B vaccination by the end of grade 7.
   8d. 100 per cent coverage for hepatitis B vaccination of infants born to mothers who are hepatitis B carriers.
   8e. 95 per cent coverage for pneumococcal and annual influenza vaccination of residents of long term care facilities.
   8f. 70 per cent coverage for pneumococcal and annual influenza vaccination for persons age 65 years and older and persons with high-risk conditions.
   8g. 70 per cent coverage for annual influenza vaccination of health care workers in contact with high-risk individuals
9. To minimize wastage of provincially-funded vaccines to five per cent or less.
10. To monitor adverse events associated with provincially-funded vaccines.
1. Vaccine-preventable disease incidence (Section 8: Infectious Diseases)
2. Vaccine-preventable disease incidence (Section 8: Infectious Diseases)
3. Vaccine-preventable disease incidence (Section 8: Infectious Diseases)
4. Vaccine-preventable disease incidence (Section 8: Infectious Diseases)
5. Vaccine-preventable disease incidence (Section 8: Infectious Diseases) 
6. Vaccine-preventable disease incidence (Section 8: Infectious Diseases) 
7. Infectious disease mortality (Section 8: Infectious Diseases) 
8.
   8a. Vaccination coverage (Section 8: Infectious Diseases) 
   8b. Vaccination coverage (Section 8: Infectious Diseases) 
   8c. Vaccination coverage (Section 8: Infectious Diseases)
   8d. Vaccination coverage (Section 8: Infectious Diseases) 
   8e. Influenza and pneumococcal vaccination rates among long-term care facility residents (Section 8: Infectious Diseases)
   8f. Influenza vaccination; Pneumococcal vaccination (Section 8: Infectious Diseases)
   8g. Influenza and pneumococcal vaccination rates among long-term care health care workers (Section 8: Infectious Diseases)
9. Vaccine wastage
10. Adverse Vaccine Events (Section 8: Infectious Diseases)
This page last updated: May 31, 2006