Healthy Parenting & Early Childhood Development

The prenatal period through the first five years of life are critically important to a child’s healthy development and strongly influence success later in life.  Healthy pregnancies, breastfeeding and healthy nutrition, parental mental well-being, safe nurturing environments and positive parenting are the most powerful influences on healthy child development.  Public Health Nurses offer home visits to all families after a birth.  They also provide support during pregnancy.  Public Health staff work with fathers and mothers to promote family health and well-being.

Major initiatives

Prenatal Connections

In partnership with Manitoba Health and under the leadership and direction of the WRHA Prenatal Connections Steering Committee, the program is using an “action research” approach to develop culturally responsive prenatal services for women who must leave their homes and loved ones and travel to Winnipeg to give birth.  The program is currently serving the approximately 250 women who travel each year from the Kivalliq region of Nunavut to Winnipeg to give birth.

The Prenatal Connections Needs Assessment was completed in January 2014 and has been used to guide program delivery and adaptations.  The Prenatal Connections Evaluation is now complete.  The evaluation results will be used during strategic planning in the fall of 2016.


Partners in Inner-City Integrated Prenatal Care (PIIPC)

The Partners in Inner-City Integrated Prenatal Care (PIIPC) project aimed to reduce barriers to prenatal care for pregnant women in inner-city Winnipeg. The project started in 2012 and was evaluated until 2016. The project was effective in improving access to and use of prenatal care by selected inner-city women in the WHR.  The final evaluation report/info graphic is now available.  PIIPC services continue through a collaborative network of health care providers. 

Towards Flourishing Project

A collaboration between the WRHA, Healthy Child Manitoba and the University of Manitoba designed to enhance the mental well-being of parents and children by introducing a mental health promotion strategy for families, public health and mental health staff in Manitoba’s Families First Home Visiting Program.  The research component of this project ends March 31, 2015.  Delivery of training and strategies related to Towards Flourishing will continue in the WRHA. 

Manitoba Health Provincial Public Health Standards Project

Phase 1 (2013- 2015): The Provincial Public Health Nursing Standards for prenatal, postpartum, and early childhood were developed from May 2013 through December 2015, using a collaborative process involving Manitoba Health, Healthy Living and Seniors, and Regional Health Authorities.

The standards define the minimum practice expectations for Public Health Nurses (PHNs) in Manitoba in the areas of prenatal, postpartum and early childhood. Public health nursing practice will improve health outcomes for all Manitobans by promoting equity, social justice, and addressing the social determinants of health in prenatal, postpartum, and early childhood populations.

Phase 2 – (2015 – 2016) includes the development of an implementation strategy including a generic provincial orientation, training, continuing professional development materials, tools, competency check list, etc.

Strategic Plan and Logic Model

HPECD Strategic Plan

HPECD Logic Model


Families First Program Evaluation

Healthy Parenting Early Childhood Development Program Summary 2011

Healthy Parenting Early Childhood Development Program Key Indicators

Manitoba’s Healthy Baby Program; Does it Make a Difference?

2016 Program Monitoring and Evaluation Report - HPECD

Service Area Committees

Prenatal Connections Steering Committee Terms of Reference 

Public Health Nursing Practice Council Terms of Reference 

Families First Practice Council Terms of Reference 

Winnipeg Breastfeeding Network 

WRHA Baby Friendly Initiative Community Committee Terms of Reference


Child Protection and Child Abuse Handbook

Child Protection and Child Abuse Reporting Fact Sheet

Pamphlet of Childbirth and Postpartum Resources June 2018

Feeding Healthy Term Infants Resource Manual


Manitoba Poverty Tool:

Mental Health Promotion - Perinatal Mental Health Resources

Memo Practice Change for Discharging Newborns at Risk for Jaundice

Practice Change for Discharging Newborns at Risk for Jaundice Handout

Service Delivery Standards

Families First Program Standards

Postpartum Hypertension Service Delivery Standard

Provincial Public Health Nursing Standards: Prenatal, Postpartum and Early Childhood

Supplemental Document I: Public Health Nursing: Prenatal, Postpartum and Early Childhood Practice Examples

Clinical Practice Guidelines

Operational Guideline for Collaborative Practice between Public Health Nurses and Midwives – Perinatal Services 

Bereavement Practice Guidelines (updated 2014)

Breastfeeding - Regional Guidelines

Education and Use of Education Materials

Home Phototherapy Clinical Practice Guideline

Management of Infant and Child Dehydration due to Diarrhea Clinical Practice Guideline

Newborn Nursing Care Pathway

Postpartum Nursing Care Pathway

Practice Guidelines for PHN's Working with Healthy Children and Youth Population

Practice Guidelines for Public Health Nurses working in Healthy Parenting & Early Childhood Development based on the Professional Practice Model

Prenatal Clinical Practice Guidelines - July 2016

Sudden Infant Death Syndrome (SIDS) and Sudden Unexpected Death Syndrome (SUDS) - Prevention Of - Clinical Practice Guideline

Perinatal Mental Health Clinical Practice Guideline 2017

Families First:

Ages & Stages - Questionnaires, Summaries and Activity Sheets

Families First Home Visitor Support Manual:

These documents are filed in the HPECD Program Resources Shared Folder on the R:\ drive, or you can click on the Section title below to view the contents and download a pdf to view or print and use.

Operating Guidelines

Newborn Screening in Manitoba: Information for Parents

Newborn Screening in Manitoba: Information for Health Care Providers

Operating Guidelines for Legal Proceedings

Operating Guidelines for Product Distribution

Operational guidelines for sphygmomanometers

Operating Guidelines for Supplementation with Artificial Baby Milk

Operational Guidelines for Use of Electronic Breast Pump and Pumping Kits

Injury Prevention and Sling-Style Infant Scales:

Q & A How to minimize neck and back injuries in Public Health Nursing Practice

Use of sling style scales and good body mechanics

Instructions to assemble sling scale