Transcript Slide 1
Evan Adams, MD, MPH
Deputy Provincial Health Officer
Office of the Provincial Health Officer
Ministry of Health
May 1, 2013
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
An official
definition of
“Indigenous" has
not been adopted
by the United
Nations system
due to the
diversity of the
world’s
Indigenous
Instead, a
modern &
inclusive
understanding
of “Indigenous"
has been
developed &
includes
peoples who:
Have strong
links to
territories &
surrounding
natural
resources.
“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.”
• 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.
• 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
One Plan
Governance
Health Actions
Outcomes of Governance Work:
o Effective & accountable
First Nations, in full partnership
with BC & Canada
o Culturally-responsive system
o Efficient & sustained delivery
structure (no duplication)
o First Nations health care needs &
priorities met
o Better First Nations health
outcomes
Strategic level –
Provincial overview
7 HEALTH ACTION
TRIPARTITE STRATEGY TABLES (TST)
(First Nations + Province + Federal decision-makers)
Planning level –
Provincial / Regional
Implementation –
Provincial, regional,
&/or local
Planning Group (s)
TECHNICAL
COMMITTEE/
WORKING GROUP
– SUBJECT A
TECHNICAL
COMMITTEE /
WORKING GROUP
– SUBJECT B
Primary
Care &
Public
Health
Health
Knowledge
&
Information
Health
Planning &
Capital
Mental
Health &
Addictions
Tripartite
Management
Team
eHealth
Health
Human
Resources
Maternal &
Child Health
* 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
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.
• 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
•
•
•
•
•
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
•
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.
Coming
together to
address
issues
High
quality
education
for our
children &
families
Proper
Housing
Prosperity
& Wealth
Strong
culture &
Traditions
Evidence
of healthy
activities
& sport
Valuing
our lands
&
territories