First Nations Health Authority update
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Transcript of First Nations Health Authority update
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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 AgreementFederal 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 activitie
s & sport
Valuing our
lands & territorie
s
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discussion