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![Page 1: Evan Adams, MD, MPH Deputy Provincial Health Officer Office of the Provincial Health Officer Ministry of Health May 1, 2013.](https://reader030.fdocuments.us/reader030/viewer/2022032707/56649e4b5503460f94b40547/html5/thumbnails/1.jpg)
FIRST NATIONS HEALTH AUTHORITY UPDATE
Evan Adams, MD, MPHDeputy Provincial Health Officer
Office of the Provincial Health OfficerMinistry of Health
May 1, 2013
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Who are Indigenous Peoples?There are an estimated 370 million Indigenous people living in over 70 countries worldwide. They present a rich diversity of cultures, religions, traditions, languages & histories yet they continue to be among the world's poorest & most marginalized populations.
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Who are Indigenous Peoples?
An official definition of “Indigenous" has not been adopted by the United Nations system due to the diversity of the world’s Indigenous peoples.
Instead, a modern & inclusive understanding of “Indigenous" has been developed & includes peoples who:
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Have strong links to territories & surrounding natural resources.
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Maintain distinct languages, cultures & beliefs.
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Have distinct social, economic or political
systems.
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Resolve to maintain & reproduce their ancestral environments & systems as distinctive peoples & communities.
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Form non-dominant groups of society.
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The Report of the Royal Commission on Aboriginal Peoples (1996)
concluded:
“Aboriginal people are at the bottom of almost every available index of socioeconomic well-being, whether [they] are measuring educational levels, employment opportunities, housing conditions, per capita incomes or any of the other conditions that give non-Aboriginal Canadians one of the highest standards of living in the world.”
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CONTEXT- Agreements
• Leadership Accord (2005)
• The New Relationship (2005)
• The Transformative Change Accord (2005)
One of the purposes of the TCA is to bring together the three parties to
achieve goals of closing the social & economic gap between First Nations and other British Columbians over the next
10 years.
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Tripartite First Nations Health Plan
• Signed June, 2007, by the Tripartite partners to build on the bilateral Transformative Change Accord: First Nations Health Plan.
• Commits the partners to take action in:– Governance, Relationships &
Accountability– Health Actions – Health
Services, Health Promotion & Disease & Injury Prevention, & Performance Tracking
– Implementation, Oversight & Community Engagement
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Tripartite First Nations Health Plan
Governance Health Actions
One Plan
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Governance is a Key ElementOutcomes of Governance Work:
o Effective & accountable First Nations, in full partnership with BC & Canada
o Culturally-responsive systemo Efficient & sustained delivery
structure (no duplication)o First Nations health care
needs & priorities meto Better First Nations health
outcomes
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7 HEALTH ACTION TRIPARTITE STRATEGY TABLES (TST)
(First Nations + Province + Federal decision-makers)
Planning Group (s)
TECHNICAL COMMITTEE/
WORKING GROUP – SUBJECT A
TECHNICAL COMMITTEE /
WORKING GROUP – SUBJECT B
Implementation – Provincial, regional, &/or local
Planning level – Provincial / Regional
Strategic level – Provincial overview
Health Actions “Model”
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Tripartite Management
Team
Primary Care & Public Health
Mental Health &
Addictions
Maternal & Child Health
Health Human
ResourceseHealth
Health Planning &
Capital
Health Knowledge
& Information
Health Actions Strategy Areas
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Emergency Planning - Themes
* Emergency Response to Natural Disasters in First Nations Communities: Roles and Responsibilities (First Nations & Inuit Health, Health Canada)* First Nations Health Emergency Management Working Group - Understand & respect First Nations - Collaboration to clarify complex web or organizational roles - Increase linkages to the FNHA - Flow charts & algorithms w/ contacts please
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Framework Agreement
Federal Undertakings
• Section 6.3(1) Canada shall... provide funding to the FNHA to support the transfer of Federal Health Programs… in phases or blocks as agreed… within two years of signing.
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Framework Agreement – Key Elements
• A new Health Governance Structure where First Nations plan, manage, design & deliver certain health programs & services
• A more integrated Health System with stronger linkages between service providers & reflective of BC First Nations cultures & perspectives
• Facilitates discussion of the determinants of health
• Provision of health care access at minimum comparable to those in similar locations
• Reciprocal accountability
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First Nations Undertakings
• Support a regional structure which allows First Nations to collaborate among themselves to plan, design, deliver & manage a range of health services to First Nations people in BC
• Establish working relationships & reciprocal accountability processes with Health Canada, BC Ministry of Health, regional Health Authorities & other providers
• Work with partners to integrate First Nations models of wellness.
• Develop Health information systems & protocols for information sharing/surveillance
• Work with broad partners to address social determinants
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Also
• We have been concluding Sub-Agreements to describe how the transfer of First Nations & Inuit Health Branch (FNIHB)-BC Region (Health Canada) to the First Nations Health Authority will take place – by October 1, 2013.
• We have been working in our regions to conclude arrangements & partnerships with regional Health Authorities.
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Our Healthy Communities
Coming together
to address issues
High quality
education for our children
& families
Proper Housing
Prosperity &
Wealth
Strong culture & Tradition
s
Evidence of
healthy activities & sport
Valuing our lands
& territorie
s
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discussion