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Presentation to the CAOT June 13, 2008

First Nations and Inuit Health Branch: Program Overview and Communities in Crisis . Presentation to the CAOT June 13, 2008. 2007 Projected Registered Indian Population. Inuit Population (2007) is 48,700 across the four land claims regions: Inuvialuit, Nunavut, Nunavik, and Nunatsiavut.

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Presentation to the CAOT June 13, 2008

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  1. First Nations and Inuit Health Branch: Program Overview and Communities in Crisis Presentation to the CAOT June 13, 2008

  2. 2007 Projected Registered Indian Population Inuit Population (2007) is 48,700 across the four land claims regions: Inuvialuit, Nunavut, Nunavik, and Nunatsiavut 8,347 17,743 127,533 105,592 130,335 131,910 72,565 33,645 178,080 Total: 805,750

  3. Demographic Profile

  4. Health Status of First Nations and Inuit

  5. Mandate of the First Nations and Inuit Health Branch (FNIHB) • With respect to First Nations and Inuit: • improving health outcomes; • ensuring availability of, or access to, quality health services; and • supporting greater control of the health system by First Nations and Inuit.

  6. FNIHB: Major Program Areas • Health Protection and Public Health • Primary Care • Community Programs • Non Insured HealthBenefits (NIHB) Program

  7. 1. Health Protection and Public Health • Communicable Diseases: • communicable disease control and surveillance • HIV/AIDS; TB • Environmental Health: • water quality monitoring on-reserve • mould inspections in housing on-reserve • 2. Primary Care: • Over 670 community health nurses; • more than 70 nursing stations; • 229 health centres, • home care programs in 600+ communities

  8. 3. Community Programs • Mental Health and Addictions: • alcohol and drug prevention / promotion • alcohol and drug / youth solvent abuse in-patient treatment centres • youth suicide prevention • Chronic Disease and Injury Prevention • Aboriginal Diabetes Initiative • nutrition and physical activity promotion • Children and Youth • Maternal/Child Health • Aboriginal Head Start • Prenatal supports • FASD

  9. Aboriginal Diabetes Initiative (ADI) • diabetes among First Nations reaching epidemic proportions • for FN/I 3 to 5 times national rates • in 2006 $190M invested over 5 years in community-based diabetes initiatives • ADI objective: reduce type 2 diabetes in Aboriginal pop’n thru: • promotion • prevention • screening • treatment • delivered mostly by trained community-based workers • >600 FN/I communities are funded for ADI projects • ~50 projects target Métis, off-reserve FNs and urban Inuit

  10. 4. Non-Insured Health Benefits (NIHB) • Payer of last resort for approx. 780,000 First Nation and Inuit beneficiaries for: • drugs • medical supplies and equipment • dental • medical transportation • vision care • mental health counseling • provincial health care premiums (BC, AB), • co-insurance payment deductibles

  11. Draft Vision of Health Canada’s First Nation Communities in Crisis Initiative Through strategies aimed at strengthening community resilience, First Nation community wellness is enhanced (thereby minimizing the incidence of communities being at-risk or in crisis).

  12. Initial Plan of Action data collection analysis Expert Advisory Committee framework consultation development

  13. Data Collection • literature reviews • commissioned studies • lessons learned from formal evaluations: • watching brief on parallel initiatives • community profiles

  14. Community Resilience as BALANCE among a set of categories of Determinants of Community Health self-determination community development economic development environmental development social development

  15. Examples of Determinants of Community Health Self-Determination control over local services and programs cultural continuity colonialism/dependence on govt. nature of justice system/ restorative justice Economic Development equitable distribution of household income diversity of economic resources in the community equitable distribution of economic opportunities/jobs in the community equitable distribution of economic “power” within families labour force capacity, ie. levels of educational attainment incidence of welfare recipients Social Development social capital traditional spirituality culture and language cultural safety overcoming the residential school experience / truth and reconciliation incidence of suicide and suicide ideation incidence of addictive & abusive behaviour Environmental Development sustainability existing or emerging human risk quality of water/sewage infrastructure quality of housing stock Community Development basic community capacities governance capacity leadership

  16. Social Development

  17. resilience COMMUNITY RESILIENCE AS A BALANCE AMONG COMPONENTS OF THE MEDICINE WHEEL self-determination continuum community development spiritual physical community environmental development healing / wellness economic development healing / wellness mental emotional social development self-determination continuum resilience

  18. thank you / merci

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