Evidence collected during the EfHIA (from the literature review, community consultations and key informant interviews) was analyzed thematically and summarized by the project team using evidence charts.
At the writing of this paper, HCMO is undertaking a small TTP pilot project to further explore a number of the proposed recommendations of the EfHIA study with the goal of using the findings (and the associated EfHIA recommendations) to guide future TTP program planning.
To the best of our knowledge, this was the first EfHIA conducted on a proposed parenting support initiative, and the first comprehensive EfHIA conducted on a provincial government program in Canada.
This was the first time that Canadian collaborating partners had conducted an impact assessment, so the EfHIA pilot took longer than a typical or subsequent comprehensive EfHIA would be expected to take.
As with all impact assessments, the EfHIA findings are context-specific and not intended to be generalized beyond the particular setting and proposed program being assessed.
The purpose of the EfHIA was to determine whether the proposed TTP program had the potential for inequitable impacts among parents and caregivers in Manitoba.
EfHIA is a proven planning tool for ensuring that health equity is considered in all policies, which is a necessary condition for closing the health equity gap throughout Canada within a generation.