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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 l.jpg

First Nations and Inuit Health Branch:

Program Overview and

Communities in Crisis

Presentation to the CAOT

June 13, 2008


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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




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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.


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FNIHB: Major Program Areas

  • Health Protection and Public Health

  • Primary Care

  • Community Programs

  • Non Insured HealthBenefits (NIHB) Program


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  • 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


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  • 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


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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


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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


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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).


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Initial Plan of Action

data

collection analysis

Expert

Advisory

Committee

framework

consultation development


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Data Collection

  • literature reviews

  • commissioned studies

  • lessons learned from formal evaluations:

  • watching brief on parallel initiatives

  • community profiles


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Community Resilience as BALANCE among a set of categories of Determinants of Community Health

self-determination

community

development

economic

development

environmental

development

social

development


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Examples of Determinants of Community Health 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


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Social Development Determinants of Community Health


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resilience Determinants of Community Health

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


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thank you / merci Determinants of Community Health