Quarterly Info Bulletin April 2012 For Website

infobulletin
F i r s t N at i o N s H e a lt H Co u N C i l
Volume 5 Issue 2 / April 2012
Our VisiOn: Healthy, self-determining and vibrant BC First Nations children, families and communities
>INSIDE
The BC Junior All Native Basketball Tournament was hosted by the Homiss Wolves and Hesquiaht First Nation in Port Alberni, BC on March 18-23, 2012. Read page 19 for more details. (photo provided by Ha-Shilth-Sa)
GOVERNANCE
HEALTH HuMAN RESOuRCES

Jr. All Native Basketball Tournament Aboriginal Patient Liaisons
HEALTH SYSTEMS
HEALTH kNOwLEdGE & INfORMATION

Cluster Update
fNHdA
FNHC update: Health Governance Workbook, Caucus Meetings, the Framework Agreement Tripartite Committee discusses transformation
Aboriginal Doula Initiative Northern HIV/AIDS TaskForce Panorama brings eHealth local
FNHDA update: Provincial Training Session held in Osoyoos
First Nations Health Council | April 2012 Infobulletin |
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Governance
Dr. Evan Adams appointed as new Deputy Provincial Health Officer in B.C.
Another positive step in First Nations taking better control of health needs
VANCOUVER - The interim First Nations Health Authority (iFNHA) and B.C. Ministry of Health have announced the appointment of esteemed Aboriginal Physician Dr. Evan Adams to the position of Deputy Provincial Health Officer (DPHO) within the B.C. Ministry of Health. The appointment is a first for B.C. and Dr. Adams is seen as the perfect candidate for the position. His extensive resume is admired by many and his work in the area of health for First Nations and Aboriginal people has been praised across Canada. Dr. Adams has been dedicating years of work to serving First Nations people in the province. From an executive position as the top Physician Advisor on Aboriginal Health, down to working first-hand with one of the most at-risk Aboriginal populations in the country in Vancouvers Downtown Eastside, Dr. Adams brings invaluable on-the-ground and executive experience. Im excited and eager to take on this enhanced role in the Office of the Provincial Health Officer. I have learned a lot over the last 5 years as the Aboriginal Health Physician Advisor and Im honored to have more responsibility. We have worked a long time to find ways to support Aboriginal health in this province and I think this new position can only help to reform systems, create better policies and achieve better Aboriginal health outcomes. Im pleased the office of the Provincial Health Officer is so eager to support Aboriginal health and I am honored to step up into the position and help our people, said Dr. Adams. For the young people in our communities, I always remember one of my Elders saying, We had nothing to do, nothing to do but help the People. Its very honourable and traditional to work in a helping profession. In Dr. Adams new role as DPHO he will support the Provincial Health Officer (PHO) by providing independent advice on First Nations and Aboriginal health issues to the Ministry of Health, reporting to citizens on health issues affecting the general population, recommending actions for the improvement of First Nations and Aboriginal health and wellness, and more. Dr. Adams is a Coast Salish physician, actor and writer from the Sliammon First Nation located near Powell River, B.C. Over the years he has significantly contributed to positive developments in health for all citizens in B.C. while making substantial improvements in service delivery to First Nations in the province.
The elevation of Dr. Adams position from that of Advisor to DPHO represents a huge step forward in the evolution of a First Nation provincial partnership, said Joe Gallagher, CEO of the iFNHA.
Some helping professions require more training and skills than others, so its good to plan and prepare. There are lots of us who can help you and want to help you get where you need to be, helping the people. He is a full-scholarship alumnus from Victorias St. Michaels University School and Lester B. Pearson College of the Pacific, and also studied general science at the University of B.C., completed his Medical Doctorate at the University of Calgary and
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holds a Masters of Public Health from the Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland. Dr. Adams has extensive medical education and experience but hes also a man of the arts and has received international acclaim for much of his work. As a successful actor he has starred in mainstream films and television work like The Beachcombers, Smoke Signals, Da Vincis Inquest and many others. He has traveled across Canada and Europe with traditional and competitive First Nations dancing, has won Best Actor Awards from the American Indian Film Festival and First Americans in the Arts, as well as a 1999 Independent Spirit Award. He has also written nationally and internationally acclaimed theatre pieces and an award-winning audio tour of the First Peoples Gallery at the Royal British Columbia Museum in Victoria. The elevation of Dr. Adams position from that of Advisor to DPHO represents a huge step forward in the evolution of a First
Nation provincial partnership, said Joe Gallagher, CEO of the iFNHA. In the area of health Dr. Adams has been instrumental in the success of a number of First Nations focused health care initiatives. He was the first president of the Healing Our Spirit, B.C. First Nations AIDS Society, which provides prevention education for Aboriginal people in urban and rural communities throughout the province, as well as being a past President of the Indigenous Physicians Association of Canada and the Director of the Division of Aboriginal Peoples Health in the University of British Columbia Faculty of Medicine. As the Chief Resident during his Family Practice residency in the Aboriginal Family Practice Program at St. Pauls Hospital in Vancouver, he won the provincial Family Medicine Resident Leadership Award from the College of Family Physicians of Canada. He was named as a role model by the National Native Alcohol and Drug Abuse Program and has worked with First
Nations youth in health promotions and lifeskills workshops across Canada. I am pleased that a member of our First Nations community who has taken on the challenge of education and the role of a health professional as an individual is now taking on a more significant role in the health care system in B.C., said Grand Chief Doug Kelly, Chair of the FNHC. Congratulations and good luck to Dr. Adams on his step forward and into the important work ahead. Dr. Adams appointment represents another critical milestone in the evolving BC First Nations health landscape, and brings greater Aboriginal perspective to the provincial health system with the goal of raising the quality of life for First Nations and all citizens.
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Governance
Final iFNHA Board appointments prepare for historic transition
Left - Lydia Hwitsum returns to the Board and has been appointed as Chair; Centre - (left) Pierre Leduc returns to the Board and will serve as Vice-Chair; Right Madeline Dion-Stout is re-appointed to the board.
VANCOUVER - The interim First Nations Health Authority (iFNHA) is pleased to announce new and returning Board of Directors that will continue an important leadership role taking the organization through a significant transition period over the next few years. The now complete seven member team has decades of experience in First Nations health, community development, financial management and political expertise, at local, provincial, national and international levels. Returning Board members have been reappointed for another three years to continue their valuable direction and add consistency to the Board, while newly appointed members bring with them a wealth of vital knowledge and experience that will elevate the operations of the group and the rest of the organization. The iFNHA is entering a historic transition period establishing processes and agreements to transfer resources, records, facilities, assets and staff from First Nations and Inuit Health BC Region into iFNHA control and the newly established Board will aid this transformation. The iFNHA as an organization has undergone tremendous change since its inception three years ago as the First Nations Health Society. The foundation that has been built is due to the work and commitment of the departing Board members and I would like to thank them for their service and dedication, said Board Vice-Chair Pierre Leduc. As we embark on this historic journey that will transfer federally administered health programs and services to BC First Nations, the newly appointed Board members bring a vast and diverse wealth of experience to build on the strong foundational work of the previous Board members. I welcome the new members
and very much look forward to working with them. Returning Board members Lydia Hwitsum (Chair), Pierre Leduc (Vice-Chair) and John Scherebnyj (Secretary-Treasurer) threeyear re-appointment expires March 31, 2015. Former member Madeleine Dion-Stout has been reappointed along with new members Jim Morrison, Jason Calla and Dr. Elizabeth Whynot for a two-year term ending March 31, 2014. The introduction of staggered terms will allow for continuity and mentorship through the transition period. The full team brings together diverse perspectives, experiences and talents that promise to lead the organization into the coming years with a strong foundation and clear vision. Ive been following with great interest the progress of the First Nations Health Council. Ever since the beginning of this historic process, I have been hoping for a way to be involved, said Dr. Elizabeth Whynot. A First Nations Health Authority will provide the necessary structure to implement a new approach to the design and delivery of services to improve the health of First Nations across BC. This is a very exciting opportunity. Jim Morrison has been a management consultant for twenty years working mainly with BC First Nations organizations along with holding positions within the Department of Indian and Northern Affairs as well as being an adjunct professor at Simon Fraser University. Jason Calla is a member of the Squamish Nation and brings extensive experience working with First Nations in community development plans, economic strategies and
impact assessments, financial and tax advisory, and consultation for First Nations governance and other organizations. Originally from the Kehewin First Nation, Madeleine Dion-Stout has contributed to Aboriginal health in numerous ways and has been honoured with a Centennial Award from the Canadian Nurses Association, the National Aboriginal Achievement Award in Health, appointed by Prime Minister Jean Chretien as a member of the National Forum on Health and appointed as Vice-Chair of the Mental Health Commission of Canada. Dr. Elizabeth Whynot is the past President of the BC Womens Hospital and Health Centre, has developed a Provincial Womens Health Strategy, the Womens Health Research Institute, Aboriginal Maternity Strategy and Provincial Health Services Authority HIV/AIDS and Aboriginal Health Strategies as part of the Executive Committee. The iFNHA has accomplished much in the past three years, which would not have been possible without the dedication of the members of the Board, said First Nations Health Council Chair Grand Chief Doug Kelly. We raise our hands to the outgoing members of the Board, Ruth Williams, Carol Anne Hilton and Matt Pasco, and thank them for their dedication, wisdom and leadership. Formerly the First Nations Health Society, the iFNHA is a non-profit Society whose members are also a part of the First Nations Health Council and appointed directly by BC First Nations leaders. The Societys Board of Directors oversee financial, operation and service delivery matters to maintain the separation of business and politics within the organization.
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BC First Nations set to meet at Gathering Wisdom V

VANCOUVER - The interim First Nations Health Authority (iFNHA) is gearing up for the 2012 Gathering Wisdom for a Shared Journey V event set for May 15-17 in downtown Vancouver. Representation is expected from nearly every First Nation in BC with Chiefs, Elders, provincial and federal partners, health representatives, front-line workers and more at the table discussing the next steps in the future of First Nations health care in the province. At last years forum BC First Nations made history. This year we continue our collective journey towards First Nations control of the design and delivery of First Nations health programs and services, and a new health partnership with federal and provincial governments. Since January, BC First Nations leadership and health technicians have been meeting in their respective regions to consider the 2012 Navigating the Currents of Change workbook package. The workbook engages BC First Nation representatives and asks their input on the future First Nations Health Governance structure with particular focus on the interim and permanent First Nations Health Authority and the concept of Regional Offices. The workbook results will be used to develop Regional Papers outlining the perspectives of each of the 5 regions. The Regional Papers will be used to build consensus among Leaders heading into Gathering Wisdom where a Consensus Paper will be considered that describes a collective direction for future BC First Nations health governance. This is consistent with the Engagement and Approval Pathway reviewed with First Nations in the fall of 2011 a reliable, consistent and transparent way for BC First Nations to provide their input on the future of their health system and the efforts of the FNHC, iFNHA and FNHDA now and in the future. A key message from our Chiefs, leaders, and Indigenous brothers and sisters worldwide is that we must manage change, and not let change manage us, said Grand Chief Doug Kelly, Chair of the First Nations Health Council. This years Gathering Wisdom will therefore include a focus on the opportunity in front of us, and how we will get there navigating the currents of change carefully, responsibly, and in alignment with the 7 Directives established by our leadership.
Gathering Wisdom V Highlights

Health Fair with sports and nutrition activities, vendors and health demonstrations Improving Wellness and Prosperity presentations with Alaska and Nisgaa health Traditional Opening Procession Discussion on Resolution 2012-01 and Consensus Paper Alaskan Tribe Panel Presentation Signing ceremony of Regional Partnership Accords Judging the Safer Nations Injury Prevention video contest Health Actions sessions
The opening procession is a highlight of Gathering Wisdom with representation from nearly every BC First Nation.
Other topics at the event will include an address on lateral violence issues, presentations on elements of the new First Nations health governance structure and the federal and provincial health system overall, and signings of Regional Partnership Accords between First Nations and Regional Health Authorities. Day 3 of the forum will be dedicated to Health Actions engagement on health system transformation and initiatives benefiting First Nations communities. Gathering Wisdom for a Shared Journey V will open with a regional procession we are asking Nations to once again bring their drums, regalia and celebratory spirit to help us open this years forum. A number of international partners and esteemed guests will be on hand to offer education, direction, advice and perspectives on the path of First Nations health and the importance of the process. This will include a panel presentation from Alaskan Tribal representation on partnerships, governance, transition and business opportunities. An information, activities and nutrition health fair will be an exciting addition to this years event with a few celebrity guests and dozens of First Nations health and lifestyle related organizations showcasing their work. The iFNHAs 2012 Safer Nations Injury
Prevention video contest, for up and coming and established First Nations filmmakers will also be judged. Top entries will be screened and a panel will select winners of up to $10,000 in prizes. Last years Gathering Wisdom was an overwhelming success with 146 of 167 First Nations Chiefs and proxies in attendance electing to move forward in a new era of First Nations health governance taking over service delivery from the federal government. At its core, Gathering Wisdom is an illustration of the Community-Driven, NationBased approach in action. and has become a premiere event after five years in operation. The forum began in 2007 as a way to bring together all delegates representing First Nations in BC to dialogue about functional solutions to effectively meeting the health needs of their people. It is a celebration of First Nations culture, tradition and the bright future of self-determining, independent and healthy communities. For more information on Gathering Wisdom V connect online: http://fnhc.ca/index.php/news/gathering_ wisdom/
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Governance
APRIL 2012: First Nations Health Council Update
Above: Leaders, health representatives and community members at the Vancouver Island Health Governance Caucus meeting review the Navigating the Currents of Change: Health Governance Structure workbook on Feb 1-2, 2012.
Dear Respected Elders, Chiefs, Health Leaders, Community Members and Partners, Were pleased to provide you with an update on our ongoing efforts to implement Resolution 2011-01, the Consensus Paper: BC First Nations Perspectives on a New Health Governance Arrangement, and the Tripartite Framework Agreement on First Nation Health Governance. We are proud to report that there has been significant turnout and participation at the Regional and SubRegional caucus meetings and are looking forward to continuing dialogue at Gathering Wisdom for a Shared Journey V, May 15-17, 2012 at the Hyatt Regency Vancouver Hotel. This written update is a short summary of the more detailed updates we are currently providing at Regional and Sub-Regional Caucus sessions around the province. Regional Caucus and Regional Table Work Resolution 2011-01 and the Consensus Paper: BC First Nations Perspectives on a New Health Governance Arrangement called upon the FNHC to support Regional Caucuses to develop Regional Tables. In recent months, Regional Caucuses have been confirming, updating, and passing their Terms of Reference, ensuring that these reflect the roles, responsibilities and scope
Workbook provides a detailed update on progress in the implementation of Resolution 2011-01 and seeks feedback from First Nations on how we will manage change and transition in the coming years, with particular focus on models and options for an interim and permanent First Nations Also as directed via Resolution 2011- Health Authority and Regional Offices. 01, Regions are proceeding with the development of Partnership Accords with We would like to extend our appreciation to the Regional Health Authorities. The Fraser all of you that have provided your feedback We are now Salish Regional Caucus has signed a through the Workbook. Partnership Accord with Fraser Health, and summarizing the feedback into Regional a number of other regions are very close Summary Papers which will be presented to signing their respective agreements. back to First Nations for further review and consideration. These Regional Papers will be Navigating the Currents of Change: used to help build consensus amongst all BC Transitioning to a New First Nations First Nations leading into Gathering Wisdom Health Governance Structure Workbook V. At that Forum, our political leadership will then consider adopting a Consensus Paper The Engagement & Approval Pathway that will describe the collective agreement describes a consistent process for First and direction in how to navigate the currents Nations to provide direction for the work of of change effectively in the coming years. the FNHC, FNHDA and FNHA (including the interim FNHA) moving forward. Gathering Wisdom for a Shared Journey V What to Expect In accordance with this Pathway, in January 2012, the FNHC rolled out the Navigating At this years forum, we will continue with the Currents of Change: Transitioning to the dialogue from the Winter/Spring 2012 a New First Nations Health Governance Regional Caucus sessions about exploring Structure Workbook at Regional Caucus models and options for a new First Nations meetings across the province. This health governance structure. We will further of work described in the Consensus Paper and Resolution 2011-01. These Terms of Reference have included provisions for the establishment of Regional Tables, which will carry out the work directed by the Regional Caucus between meetings.
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(contd First Nations Health Council Update)
explore the concept of regional offices that operate within a broader provincial-wide framework; the separation of business from politics; and the successful implementation of business development that generates revenues to be reinvested in the health system. Day 1 will include opening remarks, Regional Caucuses, and a fun and interactive health fair in the evening. Days 2 and 3 will give leadership the opportunity to hear from international speakers, and to discuss and debate a resolution on the development of and transition to a First Nations health governance structure. Registration is open now! Term of the First Nations Health Council When the UBCIC and FNS Chiefs passed resolutions in March 2010, they set the term for the FNHC members at two years. Therefore, the terms of the current FNHC members expire May 30, 2012. In February, we wrote to our Chiefs and leaders in each of the sub-regions asking them to consider renewing their terms. As described in the Navigating the Currents of Change: Transitioning to a New First Nations Health Governance Structure Workbook consistency in leadership is
a best practice in change management. We are in the midst of a significant change as we transition the design and delivery of First Nations health programs and services to First Nations control. During the past twenty months, the FNHC members have learned to be tough on the issues, easy on one another, and focused on results. The current FNHC has worked with our community leadership to help manage this change in a good way. We have significant work left to do and this will require focused and consistent leadership. This exciting work, combined with a collective personal dedication to improve the quality of life of our citizens, has resulted in a very powerful and productive FNHC. The Framework Agreement Whats happened between January and March 2012? The work on implementing the Framework Agreement continues, particularly the technical work of the Implementation Committee and sub-committee level to develop the detailed plans required to support the transfer of First Nations and Inuit Health-BC Region to the iFNHA.
This current period of transition we are in for the next 2-5 years will be for the purpose of achieving the transfer creating the interim First Nations Health Authority, preparing it to receive federal programs and services, and working with our partners to finalize arrangements to transfer the programs and services. Once the current stage of work is behind us, and we have management control of the programs and services, we move into a period of transformation where we will put our focus. Until then, we will need to continue with the current programs and services in anticipation of the new FNHA taking complete control of programs in 2013. This will allow us additional time to learn more about the programs, and engage fully with all BC First Nations (consistent with the Engagement and Approvals Pathway) on how you want those programs to change. We hope this update has been informative and we look forward to meeting with the Chiefs and health leads at the next Gathering Wisdom for a Shared Journey V. Thank you for taking the time to review this report. The First Nations Health Council
L: Vancouver Island Health Governance Caucus Meeting, Representatives Shana Manson, James Wilson and Cliff Atleo; R: Warner Adam speaks at the Northern Health Governance Caucus Meeting
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Governance
Tripartite Committee discusses regional focus on First Nations Health transformation
VANCOUVER - Members of the Tripartite Committee on First Nations Health (TCFNH) met in Vancouver on Feb. 7 to discuss progress on the shared goal of improving First Nations health in the province. First Nations, federal and provincial leaders in attendance include First Nations and Inuit Health Branch Assistant Deputy Minister Michel Roy, BCs Deputy Minister of Health Graham Whitmarsh, First Nations Health Council (FNHC) Chair and Fraser region representative Grand Chief Doug Kelly, interim First Nations Health Authority (iFNHA) Chair Pierre Leduc, Vice-Chair Nations to improve the quality of services. We are defining new ways of working together. The meeting was generally friendly and cooperative with an optimistic view of the work being completed. Representatives from all sides acknowledged the difficult task at hand and the issues their counterparts were facing. Strong voices at the table were on display as many werent afraid to be blunt in their opinions on the process and in what direction work needs to move, it was noted that that the open discussions serve well to strengthen the equal partnerships spoke on the Fraser Partnership Accord success, what it means for First Nations people and how the process can inform similar efforts in other areas of the province. It has not always been easy during the creation of this partnership, said Dr. Murray. We havent always seen eye to eye but from working with Grand Chief Kelly and bringing together our two sides weve realized that when we both come to the table willing to work together to meet each others needs, great things can happen. It was noted that each region has different needs and issues that must be taken into consideration with their respective Regional Partnership Accords. Representatives from the other regions provided updates on their Accord progress. The Vancouver Coastal and Vancouver Island regions are closing in on their agreements, the North has produced a near-complete draft and there is ongoing work in the Interior. We dont really have a template. What were seeing is that things are playing out the way they need to in every region, said iFNHA CEO Joe Gallagher. I think we need to figure out how we support those regional conversations to make sure we can get to agreements sooner than later.
I think together we can learn from one another. Together we can examine past policies that have thus far produced questionable results and see if we cant use these challenging times to achieve change.
- Grand Chief Doug Kelly, Chair of the FNHC.
Lydia Hwitsum and CEO Joe Gallagher. Other First Nations health representatives at the table included Deputy Chair Warner Adam representing the Northern region, Shana Manson from Vancouver Island, Gwen Phillips from the Interior and Ernest Armann from Vancouver Coastal along with their Regional Health Authority CEO counterparts and other health experts. A number of important updates were made on Framework Agreement Implementation, Health Actions, and Regional Partnership Accord developments. Negotiating and signing the framework was a big task but now we have a bigger task in front of us, said Michel Roy. We are trying to achieve new ways of working with our partners, provinces, territories and First
The seven Health Actions cluster areas of Primary Care and Public Health, Mental Health and Addictions, Maternal and Child Health, Health Human Resources, eHealth, Health Planning, and Health Knowledge and Information were all reported on. Significant positive steps have been taken with the clusters in placing leads, situation analysis, tripartite engagement, as originally envisioned in the Framework strategy, and working and planning groups. Agreement. However work still needs to be done notably in the areas of annual action plans, We are in an environment of incredible budgets, reporting and accountability, challenges. Im going to ask you to look and implementation working groups. at these challenges as an opportunity. As an opportunity to revisit the way things I think on the governance and administration have been done. An opportunity to work side we have made some good progress in with us and to work with other partners the last 3 to 4 months. As I look at what we are to find new and better and perhaps less going through today I am completely pleased expensive ways to achieve better results, to see us focus on some of the success said Grand Chief Doug Kelly, Chair of the stories that are out there making a difference FNHC. I think together we can learn from on the ground, said BCs Deputy Minister of one another. Together we can examine Health, Graham Whitmarsh, who also noted past policies that have thus far produced that budget shortfalls and lack of money will questionable results and see if we cant use drive innovation. Ultimately while we sit here these challenging times to achieve change. and talk about the governance delivery, the integrations of services and delivery on the Grand Chief Kelly and Fraser Health ground is really the benchmark by which we President and CEO Nigel Murray specifically should measure our success.
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First Nations Honour Vancouver Coastal Health Council member Charles Nelson
NORTH VANCOUVER - In a Coast Salish ceremony First Nations from the Vancouver Coastal Health Region recognized Charles Nelson member Nuxalk Nation recently in North Vancouver. Mr. Nelson stepped down as a member of the First Nations Health Council (FNHC) and Chair of the Vancouver Coastal Caucus in January 2012. The Caucus session opened with a special presentation to Charles Nelson with a Coast Salish blanket covering ceremony to honour his hard work and contribution to the First Nations health reform process in BC. Mr. Nelson, who holds the hereditary Chiefs name Lhlalyam, was dressed in a blanket by Health Council members Leah GeorgeWilson and Ernest Armann. The other meeting attendees were asked to witness the dressing.
Charles Nelson (right) is presented with a Blanket in an honouring ceremony in North Vancouver.
I hold my hands up to you (Charles Nelson) and to the family for recognizing our good friend here for all the work hes done. That blanket symbolizes our kinship and friendship with you; represents the respect we have for you.
Councillor Chris Syetaxtn Lewis, Squamish Nation. I hold my hands up to you (Charles Nelson) and to the family for recognizing our good friend here for all the work hes done. That blanket symbolizes our kinship and friendship with you; represents the respect we have for you, Councillor Chris Syetaxtn Lewis Squamish Nation. Charles was selected by the Vancouver Coastal Caucus as the representative for the Central Coast sub-region on the FNHC when it was restructured in 2010. The Central Coast Sub-region represents the Nuxalk, Heiltsuk, Kitasoo-Xaixis, and Oweekeno Nations in the Health Council. Mr. Nelson was also selected by First Nations in the region to serve as the Chair of the Vancouver Coastal Caucus. Prior to his term on the FNHC he was deeply involved with the work as an advisor. In his roles as advisor and Health Council member Mr. Nelson formed part of the team that helped to guide the process from concept
through approval by BC First Nations. Mr. Nelson has resigned from his position on the FNHC and as the Chair of the VCC but will continue to participate in the Caucus as a health technical member for the Nuxalk Nation. The FNHC responded to his resignation with a letter thanking him for his contributions: we appreciate your deep commitment to First Nations cultures, teachings, and conducting our critical business with ceremony. We also note your deep love for your family you truly provided us with a role model for a proud, loving, and responsible family man. The two-day meeting was part of ongoing work that is being done throughout BC under a series of agreements with Canada and BC. Fourteen First Nations reside within the boundaries of the Vancouver Coastal Health Region and have been working together to guide the development of a new health governance arrangement for BC First Nations for several years. The meeting included 21 representatives from 9 Nations in the region and included leadership and Health Directors as well as support staff from the interim First Nations Health Authority.
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First Nations Health Directors Association

FNHDA Update: Provincial Training in Osoyoos
www.fnhda.ca
OSOYOOS - Members of the First Nations Health Directors Association (FNHDA) met in Osoyoos on March 7-10, 2012 for a provincial training and networking session to collaborate and move forward on their mandate to support their Health Directors in elevating the health of First Nations people in BC. The four-day event had professional development training in positive engagement, provincial Health Actions updates, focus groups on specific community issues, furthering the path of direction and leadership from the FNHDA, and special guest Okanagan Elder Modesta Betterton offering insight, prayers and stressing the value of the work ahead. The session also included a video address by Chief Clarence Louie, speeches from Union of BC Indian Chiefs Grand Chief Stewart Phillip, First Nations Health Council Chair Grand Chief Doug Kelly and capped off with a traditional Okanagan knowledge session by University of BC Okanagan Indigenous studies program professor Bill Cohen. The Osoyoos session provided Health Directors with the space to share successes and best practices within their communities. Plenty of positive feedback was received and the FNHDA is now eagerly anticipating the coming Gathering Wisdom V where the FNHDA will have a full day to collaborate with the Health Actions Team on communicating up-to-date information and educational updates to BC First Nations. Its a very exciting time for us, were always learning what works and doesnt work and applying that in our work. The organization is still evolving very much and theres still a lot of work to be done yet, said FNHDA President Judith Gohn. All our Health Directors are working on the ground level within communities and Community Engagement Hubs. Theres lots of networking going on within the FNHDA and all First Nations communities. Gohn mentioned that the FNHDA has been invited to be on the planning committee for the coming national First Nations Health Managers Association conference in Vancouver this September. She is also very excited about moving forward on the Health Directors competency certification within the FNHDA. The World Caf Health Actions focus groups during the Osoyoos meeting was a highlight for many of the Health Directors who were workers who work long hours in demanding positions need to put their own health as a priority to continue their work and set healthy examples. Departing Executive Director Deborah Schwartz was also acknowledged by the FNHDA Board of Directors and Health Directors for her work through an honouring ceremony and prayer song. The year flew by for me, but I am proud that I was able to work with the Board to formalize our policies and processes, increase our membership from 45 to 106 and build an excellent team of Anne Heyes, Valerie Birdgeneau and June Halliday. We still have so much to do, were just getting
Check out the FNHDA website:
All our Health Directors are working on the ground level within communities and Community Engagement Hubs. Theres lots of networking going on within the FNHDA and all First Nations communities. Judith Gohn, FNHDA President
given the opportunity to gather with other Directors to discuss and move forward on a number of specific issues directly affecting First Nations communities. The groups were organized around the seven Health Actions cluster areas. Health Actions works for health systems transformation, developed capacity, working relationships and community-driven processes that give increased First Nations authority over health. An important message was reinforced throughout the meetings that all health care started, said Schwartz. I will watch with eagerness as the FNHDA develops its website this year, providing an interactive forum for health directors to network, share ideas, exchange best practices and tools and templates for community wellness planning and I know the FNHDA and health directors have a big role this year working with its partners the FNHC and iFNHA providing advice and support from the community, based on your excellent and valuable experience as health directors.
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Health Human Resources

Northern Aboriginal Patient Liaisons are Going the Distance
Northern British Columbia is home to some of the most beautiful, scenic areas of this entire province. Communities, towns and cities are spread across this region with great distances between populated areas. This distance, which is sometimes further challenged by severe weather conditions, can cause great difficulty in providing consistent access to health care for patients residing in remote areas. Facilitating transportation is an important role for Aboriginal Patient Liaisons. In the North, arranging travel is a complicated procedure for patients travelling from small, remote areas. While the Northern Health Region maintains a Northern Health bus to assist in patient travel, the bus does not stop at all reserve communities so patients may need to take a greyhound bus to travel to the next scheduled stop for the Northern Health Bus. APLs assist in transportation by working to ensure patients can reach their destination in order to make specialist appointments and any necessary follow-up treatment. Additionally, APLs help foster trust, social and emotional support and provide education to the patient in terms of health literacy and also to health care providers regarding cultural competency. When Pete Thompson was asked how Aboriginal Patient Liaisons assisted him he said, Without their help, I wouldnt have got information on how our patients were doing. They let us know whether the patients are getting better or worse. [Aboriginal Patient Navigators] are very valuable people, I cant say enough how much we need more. If you cant be there with the patient or if the patients family cant be there, its like you have another pair of eyes watching over them.
In Haida Gwaii, patients who need immediate medical attention are medevaced out to Prince George or to Vancouver. Without family supports, Aboriginal Patient Navigators/Aboriginal Patient Liaisons (APNs/APLs) provide a sense of care and understanding to patients who may feel isolated or vulnerable when being treated so far from home. Pete Thompson is an Elder and Family Support Worker in Skidegate, who regularly interfaces with APNs/APLs when patients are sent away from home for treatment. Pete Thompson explains, The APL would let us know if one of our patients was getting depressed or wanted to come home. There was one patient who was critically ill, he was in the intensive-care unit for 10 days and every day we checked with the APL about how the patient was doing. We told the APL that the patient might enjoy some traditional food, fish and rice, to bring their spirits up. If it hadnt been for the Aboriginal Patient Liaison, the patient who was critically ill with cancer would have died away from home. The [APL] was able to recognize that this patient was longing for home and that if he was going to pass, it would be better for him to be at home with his family.
APNs/APLs fill a health gap by facilitating Aboriginal peoples access to health care services that are culturally and linguistically appropriate. APLs link Aboriginal patients or community members to the right health services by liaising between the patients and health care professionals or health care agencies (Northern Health, Aboriginal community organizations, First Nations Bands, First Nations Inuit Health). APLs also fill an important Mediation and Advocacy role, mediating situations so information can be clearly understood both from the perspective of the patient and the care providers. Northern Health generated a report in 2011 entitled An Evaluation of the Northern Health Aboriginal Patient Liaison Program, it details how Northern Aboriginal Patient Liaisons work to improve access to culturally safe care by facilitating communication and understanding. An important role that Liaisons play is that of assisting patients in overcoming health literacy barriers and providing both the doctor and patient with the information they need to ensure better treatment. Lyndsey Rhea is an Aboriginal Patient Liaison located in Quesnel, she explains the need for well-organized planning when patients travel away from home to receive medical treatment, There has to be a lot of thinking ahead in terms of planning for patient travel, if a patient is air-ambulanced to Prince George, patient travel needs to be arranged with their band and family for the patient to return home.
Lyndsey Rhea talks about how her role as an APL gives her more opportunity to connect directly with the intake of Aboriginal patients, I do see every First Nation patient that comes in, I do a lot of supportive visiting if theres no family in town. Just so they have someone to talk to. When asked what further work needs to be done to better assist Aboriginal patient needs, Lyndsey spoke about the need to look at how cultural aspects can be incorporated into care, [At a recent Northern Interior Health Conference], food was brought up as a barrier because often hospital food is not a traditional diet for Aboriginal patients. It would be good to have different menu options, with choices that are more local. We also want to work more with elders, listening to their stories and understanding the culture in the area. There was an idea to have elders go into nursing classes, to give an idea of health from the First Nations perspective. In our next article of this series, we will look at the Vancouver Coastal region and what kind of successes and challenges APNs/APLs face amongst our coastal and urban communities!
This is the third article in a series about Aboriginal Patient Navigators/ Aboriginal Patient Liaisons. Check out our website to read past issues of the infobulletin: www.fnhc.ca
Photo taken in Haida Gwaii
[Aboriginal Patient Navigators] are very valuable people, I cant say enough how much we need more. If you cant be there with the patient or if the patients family cant be there, its like you have another pair of eyes watching over them.
Page 12
Health Systems
Local Vancouver Island Health Centres filling the gap:
VANCOUVER ISLAND - The Huu-ay-aht and Ditidaht First Nations on Vancouver Island are enjoying an increase in a variety of community health care services after recent clinic renovations and health centre construction. The Ditidaht Nation has completed renovations on their health clinic and reopened their doors as of the beginning of April with a special focus on new Elder facilities. Increased services in the community include family care, patient travel clinic, social assistance, youth and recreation facilities, counseling, child care and designated Elder community space. Due to lack of space Elders in many communities must meet, interact and teach in facilities that are shared with a number of groups. In Ditidaht like other Nations, Elders play a vital role in the local culture and language educational program teaching the next generation. The school has become their unofficial gathering space but with new development in the community, the Elders will now have a cultural space they call their own to meet, relax, teach and strengthen friendships. The idea of paying more Elders for community teaching and increasing the size of their audience has been discussed by post-secondary institutions and community representatives at the recent BC Academic Health council Aboriginal Practice Education Forum. Elders are such an important part of the community. They havent really had a designated area they can call their own so we really want to give back to them and let them know we value them and their knowledge. Its so important that we care for our Elders, said Sandra Tate, Community Services Manager with the Ditidaht First Nation. In our community the issues are similar to many other First Nations, we are rural and isolated way out on a logging road and for emergencies we have to use a helicopter. The weather conditions in our area make for up to three weeks in the winter without any access to services, we expect this every winter and we have to be creative in the ways we deal with it. The Nation is looking at increasing the general capacity of the clinic and including emergency and expanded nurse services as well as recruiting more care-givers and maternity workers. Future plans include working toward a sustainable local health system, further health clinic expansion and looking at ways to better utilize the space they have. Another initiative of the Ditidaht includes partnering with the Hesquiat Nation who are seeking funding for new sports equipment in their schools. The Ditidaht will be donating a large amount of their usable sports gear in collaboration with the Meet the Need Coquitlim-based program to pay it forward to their neighbouring Nation.
Success stories applauded and more Island development coming

Celebrating the one-year anniversary in April, the health centre in Huu-ay-aht located near the Pacific Rim National Park has been a success story for a number of reasons and although the project took time to come to completion, the community is seeing many benefits. Weve always had control of our health but now as a full treaty Nation we are seeing a lot of new benefits. The treaties take time and we have found that it has worked well for us. With whats going on with the interim First Nations Health Authority and the Tripartite agreements (in First Nations health) we are waiting to see what happens its exciting, said Kathy Wadell, Director of Human Services with the Huu-ay-aht First Nation. Now without the patient travel costs we used to have we can keep that money in the community. Were always looking at better ways to do things and through planning find out what works best for our community. The Huu-ay-aht Nations new health centre includes an emergency clinic, patient travel clerk, nursing station, and offers services like counseling, immunization, elder care, acupressure, massage, and cultural and education facilities. The on-site dental clinic started as a small scale preventable dental issues project for youth and ended up growing by leaps and bounds to include all age groups. Many hours of hard work by Melanie Bracken and her team have turned what was a part-time experiment
Now without the patient travel costs we used to have we can keep that money in the community. Were always looking at better ways to do things and through planning find out what works best for our community.
into a bustling all-day clinic taking up a full wing of the village administration building. The old health clinic has been converted into a community education centre offering life skills training including healthy living, cooking, nutrition, prevention education and much more.
Connect online: www.fnhc.ca
First Nations Health Council | April
2012 Infobulletin |
Page 13
Health Information & Research

Health Knowledge and Information Cluster Update
One of the goals of the Health Knowledge and Information strategy area is to build First Nations capacity to conduct their own health research, and support research that directly improves the health of First Nations communities. Toward this end, the Health Knowledge and Information team has initiated discussions with academic researchers, academic institutions, and research funders to build collaborative partnerships and pursue opportunities to leverage existing funding processes, expertise and resources. As of this quarter, a new Tripartite Academic Collaboration Planning Committee has been formed to move this work forward. The Health Knowledge and Information team also continues to look for opportunities to connect and engage with academia: Since January 2012, the Health Knowledge and Information team has been working with Nancy Laliberte, a Mtis second-year University of British Columbia (UBC) Masters of Public Health student. The iFNHA and FNIHBC are co-hosting Nancy to complete a practicum focused on supporting the health knowledge and information needs of First Nations by contributing to current surveillance and health indicator development initiatives. Nancy anticipates completion of her practicum in late spring/early summer 2012. The Health Knowledge and Information team participated on an Indigenous health panel at the Canadian Coalition for Global Health Research Knowledge to Action conference held in Vancouver on March 16, 2012. The panel was entitled, Canadas 1st First Nations Health Authority: Changes to Health Research and the panellists and audience had an opportunity to dialogue on how the current First Nations health governance transition and transformation will influence the research environment in BC, and the current opportunities redefine First Nations research. The Health Knowledge and Information team will be participating at the upcoming UBC Aboriginal Health Research Forum to be held on June 5 at the UBC First Nations Longhouse. The forum is an opportunity to continue dialogue with researchers, students, and others on how to build meaningful, collaborative partnerships that support First Nations to drive, own and conduct their own research. The Health Knowledge and Information team has partnered with UBC to present the results of the quantitative evaluation of the Tripartite response to the H1N1 pandemic on April 26 through the UBC learning circle. The Health Knowledge and Information team also looks forward to opportunities to engage with First Nations communities on their research interests and priorities and to support community-driven research.
Submitted by Miranda Kelly Health Planner, Research and Surveillance
Stay tuned to see who wins the The First Nations Health Society 2012 Video Contest: Safer Nations - Injury Prevention The Nations - Health Prevention SaferFirst NationsInjury Society 2012 Video Contest: Video Contest!
Building on the success of video $10,000 in Safer Nations - Injury Preventionis askinglast years Active Spirit, Active Historyinspire contest, the FNHS B.C. First Nations to get creative and messages that promote injury prevention. Prizes! $10,000 in
DEADLINE FOR ENTRIES: APRIL 27, 2012 Visit Us Online For More Information: www.fnhc.ca
Prizes!
Get creative, use video technology off of your smart phone, computer, or camera! We want a 1-3 minute Public Service Announcement (PSA) that will inspire injury prevention and safety awareness! Finalists will be judged at the Gathering Wisdom V conference, our next quarterly infobulletin will feature an article on the winners!
>>Social Media Update

youtube.com/fnhealthcouncil
DEADLINE FOR Questions? Email: kharvey@fnhc.ca ENTRIES: out our website for the full contest details: Check APRIL 27, 2012
www.fnhc.ca
Visit Us Online twitter.com/FNHC Follow us on twitter for up to date information! For More Navigating the Currents Information: of Change, the video that www.fnhc.ca
accompanied our Health Governance workbook process is available to watch on our YouTube channel.
facebook.com/firstnationshealthcouncil.fanpage
Page 14
Population Health
11th BC Aboriginal Diabetes Conference finds Route to Wellness
PENTICTON The 11th annual BC Aboriginal Diabetes Conference wrapped up as an astounding success after four days of education, collaboration and finding solutions to an issue that affects many First Nations communities. Held March 20-23 in Penticton, the event brought together over 400 participants from around the province including Chiefs, Elders, community health workers, educators, community members, and keynote speeches from Osoyoos Chief Clarence Louie, Splatsin Chief Wayne Christian, Dr. Curtis Bell from Interior Health and the interim First Nations Health Authority Executive Director Michelle Degroot. This years theme was Diabetes: Route to Wellness and had numerous educational workshops, guest speakers, exercise activities, a trade fair, banquet, entertainment and more. This year was amazing as participants looked at emotional and spiritual trauma in relation to diabetes, celebrated life, remembered those lost to diabetes and through spiritual ceremony were able to release and heal, said Conference Organizer and Splatsin Nation member Donna Felix who has been involved in the conference since the first year. We are so thankful of all the volunteers, our sponsors and the attendees who make this event a success year after year, it wouldnt happen without your work. The goals of the conference included increasing awareness and knowledge for health promotion, prevention and complications associated with diabetes. It also provided an atmosphere to network and share among health care workers to support healthy lifestyles, and to promote culturally appropriate education for First Nations people with diabetes and Community Health Care Workers. Diabetes is an issue that affects many First Nations communities for a number of reasons including the loss of traditional land base and foods, economic factors and a reliance upon western diets and medicines. This conference plays an important role in spreading awareness and education related to diabetes in First Nations communities.
Educational topics included food sovereignty, natural and holistic nutrition, focusing on traditional foods, diabetes 101, colonization and health, and the balance triangle that focuses on treatment, nutrition and activity to address diabetes. The event also revealed the provincial Button Blanket Project that aims to raise awareness about diabetes in BC communities by honouring those who have lost loved ones to the effects of
diabetes. Conference attendees and others have gathered buttons together that will be sewn on the blanket by First Nations Elders and when the blanket is complete it will travel to communities around BC. The number of attendees who took the stage to offer buttons showed that diabetes impacts many First Nations communities and families throughout BC.
This year was amazing as participants looked at emotional and spiritual trauma in relation to diabetes, celebrated life, remembered those lost to diabetes and through spiritual ceremony were able to release and heal. - Donna Felix, Conference Organizer and Splatsin Nation member.
Population Health
Page 15
Northern HIV/AIDS Task Force renews mandate to STOP disease: The time for pilot projects is over
PRINCE GEORGE - Valentines Day in Prince George brought together the Northern BC Aboriginal HIV/AIDS Task Force Leadership Forum Feb. 14, 2012 for important collaboration between Northern First Nations working to find solutions to the issue. Discussing important new developments in fighting HIV/AIDS in Northern First Nations Communities, the group left the forum with a renewed mandate to continue their work and a better understanding of the issues and statistics related to HIV/AIDS in Northern BC. The event was hosted by Carrier-Sekani Family Services and attended by Northern Chiefs, Task Force Chair Emma Palmantier, Kathy MacDonald from the Northern Health Authority, First Nations Health Council (FNHC) Northern Caucus Deputy Chair Warner Adam, FNHC Chair Grand Chief Doug Kelly and community health representatives. Highlights included a moving personal story panel from Northern First Nation members living with HIV/AIDS, success stories in Northern communities, updates on the future of the Task Force and the Seek and Treat for Optimal Prevention of HIV/AIDS (STOP HIV/AIDS) program, as well as an address from the Director of the BC Centre of Excellence in HIV/AIDS Dr. Julio Montaner. The Task Forces We Are Knowledge Is Empowering Engagement Project visited Northern First Nations receiving vital information on rural northern communities Not Afraid: Community 53 of 55 communities the realities are facing. Recommendations from this report include a new funding formula for First Nations communities to reflect their needs rather than on a per capita basis, increasing patient travel funding, community education and training, building three new treatment centres in the North, more programming, resources and youth outreach. Statistics show HIV/AIDS disproportionately affects First Nations and Aboriginals more than the rest of the population. The realities are that these communities are younger when diagnosed with HIV, not accessing treatment and dying sooner. Only 35 per cent of surveyed communities would welcome HIV positive people back into their community and encouraging HIV/AIDS testing to the entire community has been noted as an important first step and integral part of addressing stigma and discrimination around HIV/AIDS. Northern Chiefs Lead the Way The Nakazdli First Nations in Fort St. James is taking this situation head on by the Chief and Council electing to all be tested for HIV/AIDS to encourage their community members and all First Nations to test themselves in the name of ending HIV/AIDS. The BC Centre of Excellence for HIV/AIDS says that 25 per cent of people who are HIV positive do not know and are believed to be responsible for 75 per cent of new infections. New HIV/AIDS breakthroughs are very promising and with proper access to care the presence of HIV in the body can be reduced to the point where mothers do not pass it onto their children. By doing the best we can for the person affected by HIV/AIDS we address his or her problem but in doing so we address our community problem which is stopping the spread of HIV, said Julio Montaner. We want to continue to promote education, changes in behaviour and harm reduction but over and above that if we facilitate access to HIV testing and treatment we can actually see one day where our communities will be free of this disease. The time for pilot projects is over, I want to see the end of this epidemic in my professional life. Access to Highly Active Anti-Retroviral Therapy (HAART) significantly improves health outcomes of those affected by HIV, but only approximately 30 per cent of people who test positive for HIV have ever accessed treatment in Northern BC. Montaner and others noted that remote communities need an ample supply of medication, access to care, as well services like Tele-health and eHealth which offer new ways of accessing health care and knowledge. Along with HIV, Hepatitis C is recognized as an equally serious threat to the health of the population through all the same risk factors, is easier to contract and doesnt get the awareness it needs. The Task Force came away from the meeting with a renewed mandate to continue their work, including forming a strategic 5-year plan with governance structure and authority, engaging with Aboriginal sub-committees and a name change to the Northern BC HIV/ AIDS Coalition. As the four-year STOP HIV/AIDS pilot project comes to an end there is still a great need for increased programming and services for First Nations in the North and across BC. Beyond the pilot project it was stated that better integration and collaboration with all partners, communities and stakeholders is essential to the success in winning the battle against HIV/AIDS.
Northern BC First Nations panelists tell personal stories about living with HIV
Our recent community engagement project connected directly with 53 of our Northern communities finding out their issues, needs and possible solutions, said Emma Palmantier, Chair of the Northern BC Aboriginal HIV/AIDS Task Force. Through this community engagement we are able to inform our partners of the challenges and barriers that our communities are dealing with and find ways to fix these issues. The information obtained in the project informs researchers, communities, First Nations, Aboriginal, Federal, Provincial and regional agencies, and leadership.
Page 16
Population Health
Aboriginal Doula Training Initiative:
Were Leaders in showing Health Actions in Action
comments: When youre a Doula with a family or couple, its important to remember its their birth, their story, their experience. You are there to support them physically and emotionally through the birthing experience. I really learned from the collection of Aboriginal women in that room that we all come from a strong, cultural base. We want to support our women along the way with finding their own culture and traditions and explore those options. Yes, we need doctors and nurses but we also need to reclaim our traditional birthing practices and cultural teachings. Its important to remember that birthing is a way of life not a medical condition. When asked about the future of the Aboriginal Doula Training Initiative, Lucy Barney is hopeful that the training will be a stepping stone to more training. A really good outcome for these Doulas would be if they continue into health careers such as nursing, doctors or midwifery. It would be great to do this [Doula] training in the other health authorities, says Barney. Were learning to engage communities and health service providers and all levels of government to participate in this initiative. This training is a great example of a successful Tripartite initiative, were leaders in showing health actions in action.
The Kamloops Doula Training Class in December 2011
A Tripartite initiative is working to bring First Nations and Aboriginal birthing closer to home and into the hands of communities. The Aboriginal Doula initiative was created in 2005 increase the number of practicing Aboriginal Doulas in the province of BC. Since its inception, the initiative has trained 58 Doulas through regionally-based training sessions held in Kamloops, Hazelton and Port Alberni. Aboriginal Doula Training most recently took place in Kamloops in December and Port Alberni in March. Deborah community experience Peters, a member shares following the Lillooet her first training:
blocking the road. At the hospital the doctors and nurses used a lot of big words and the mother panicked. Because the mother was not ready to give birth yet and the maternity ward was full, Debora Peters explained that they returned to Lillooet. A few days later, the mother began experiencing contractions and gave birth in Lillooet Hospital, That was my first birth where I was in the labour room, the mother held her boyfriend and my hands and the doctor stood back because we were guiding and helping her. The Tripartite Aboriginal Doula Initiative aims to overcome barriers that pregnant mothers
My first mom was 18 years old, she was a very quiet person and when her sister found out I was a Doula she tracked me down to get me in touch with her. When the mother went into labour, she went to Lillooet where she was told that she needed to go to Kamloops because her baby may need extra assistance. I travelled with her to Kamloops hospital; she was very emotional because her family couldnt be there due to a rockslide
Were building stronger collaboration and partnerships with all levels of health care in British Columbia in perinatal health.
Lucy Barney, Aboriginal Lead, Aboriginal Health Perinatal Services BC.
may experience when receiving perinatal care. Some challenges include transportation and an absence of culture-based prenatal outreach and support programs. I think we are now building in the strengths of our beliefs and values into our health care, making it more holistic. Were building stronger collaboration and partnerships with all levels of health care in British Columbia in perinatal health, Lucy Barney, Aboriginal Lead, Aboriginal Health Perinatal Services BC. Nadine McGee, a Community Action Program for Children (CAPC) coordinator in Campbell River participated in the May 4-8 session in Port Alberni. Reflecting on the training, she
Background
Read up on the Transformative Change Accord: First Nations Health Plan (http:// fnhc.ca/index.php/about/background) and how this lead to the creation of 29 priorities for Health Actions (http://fnhc.ca/index.php/ health_actions/). Action #21 states: Improving Access to Maternity Services. The Tripartite Management Team designated BC Perinatal Health Program and the Aboriginal Perinatal Health Executive responsible for implementing this health action item. The Aboriginal Doula project was created out of the work addressing maternal health services needed closer to home and into the hands of women.
Whats a Doula?
A Doula is a woman who provides expecting mothers and families who reside within her community support over the course of the mothers pregnancy. A Doula works to bridge language and cultural barriers that the mother and family might experience when interfacing with health service providers.
Population Health
Page 17
Learning from the past on injury awareness
for creating video messages that create awareness on injury prevention. The deadline for entries is April 27, 2012 and videos will be judged by a panel at the Gathering Wisdom V forum in Vancouver in May 2012. The contest is encouraging all First Nations film makers, from the pros to the amateur camera phone directors to enter. In line with BC First Nation communities taking control of their health needs, the iFNHA is continually working to elevate the health of their people in an organization created by and working for them. Over the last number of years the First Nations Health Society (FNHS) has been diligently working under the guidance of Chiefs, Health Directors and First Nations communities in collaboration with Provincial and Federal partners. Many important developments have taken place including the establishment of the First Nations Health Council and Health Directors Association as well as the achievement of a number of enabling agreements with BC and Canada. Along with other political and technical changes, the FNHS recently changed their name to the iFNHA.
First Nations have always had a tradition of good health in their communities. The health of the land and mental, physical and spiritual health of the people comes as second nature. This awareness comes from a deep knowledge and spiritual connection to the natural environment. The land was shared as a way to feed each other, to stay warm and happy, with respect for the earth and a trust in the laws of nature. Being safe and avoiding injury was necessary for the continuance of traditional ways of living like collecting food, hunting, traveling and harvesting natural resources.
Rural and urban living both have unique challenges. Something as simple as crossing the street can be dangerous in the big city, whereas rural people deal with the issues related to remote and isolated living. Many preventable injuries in 2012 are still related to traditional and respected cultural activities like hunting, boating, hiking and interacting with wildlife. Today, First Nations people are also influenced by new risk factors that all community members need to be aware of. Some frequently noted preventable accidents include chemical safety, intoxication, motor vehicle safety and forms of violence.
We need to develop a strategy to support better health and longevity for First Nations by enhancing surveillance, skills, knowledge, community capacity, and support the area of injury prevention.
- Dr. Evan Adams, the Aboriginal Physician Advisor to the BC Provincial Health Officer. First Nations people have always had an incredible understanding of themselves, their health and their place in the world. Living wisely with good health is something we have always done, and we are often reaching back into our ancestral knowledge our traditional ways of being and knowing to reaffirm how we can live healthier lives today and tomorrow, said Dr. Evan Adams, the Aboriginal Physician Advisor to the BC Provincial Health Officer. The generation before us hardly interacted with the health care system often only just near the end of life. If the entire health care system disappeared today, we would still be taking care of each other, and we are taking care of each other. It was said that all we have to do in life is to go out and help the people. The statistics today show what many First Nations already know. Preventable accidents impact a high number of communities and families. It has been shown that up to 90 per cent of injuries are predictable and preventable with a little bit of mindfulness. This can be as simple as wearing a seatbelt while traveling in a motor vehicle, boat or ATV. Injuries are one of the leading, preventable causes of death, hospitalization, and disability among Aboriginal peoples in BC the leading cause being motor vehicle crashes, said Dr. Adams. We need to develop a strategy to support better health and longevity for First Nations by enhancing surveillance, skills, knowledge, community capacity, and support the area of injury prevention. The interim First Nations Health Authority (iFNHA) is encouraging BC First Nations to take control of their health messaging. The Safer Nations Injury Prevention 2012 Video contest is offering up $10,000 in prizes as well as provincial recognition The interim period gives the organization a chance to make necessary internal changes as well as to seek out the guidance of BC First Nations in the establishment of a permanent First Nations Health Authority, creating a unique and exciting opportunity for First Nations in BC. As things progress during the interim phase, consultation, input and collective decision making is the path being pursued while regional First Nations meet and collaborate on the formation of their governance structure. Through advice gained from other Aboriginal peoples in places like Alaska and New Zealand who have already progressed through their own health care selfgovernance, BC First Nations can set the stage for other aboriginal populations across Canada and even around the globe in operating a new, innovative and successful health care service delivery operation.
Page 18
Population Health Panorama project brings eHealth local

For many BC First Nation communities, online eHealth initiatives are opening doors to health care educational resources and services adding a new dimension to the way health care services are delivered. The First Nations Panorama Implementation Project (FNPIP) is a great example of communities pushing forward in eHealth development with the ultimate goal of taking better control of their health care. For years Community Health Nurses working in First Nations health centres could not access the provincial information repository for communicable disease control which includes immunization data. This has made their job and the task of providing safe quality care more difficult. With the new Panorama public health information management tool being implemented in BC there is a significant opportunity for the integration of communitylevel First Nations public health processes and information with that of the larger BC health care community, said Mark Sommerfeld, community and organizational development co-ordinator with the FNPIP. The FNPIP is taking a community-driven partnership approach. 28 First Nations health services organizations are taking part in the Group One implementation initiative and will be leading their own individual Panorama implementation projects with the FNPIP team playing supporting roles. A key part of this approach is a comprehensive Implementation Toolkit, developed by the FNPIP team that will progressively assist the community project teams to move through their implementation process. The FNPIP is a Tripartite eHealth project funded by Health Canada and hosted by the BC Centre for Disease Control that is working closely with the larger provincial Panorama Implementation Project with BC Health Authorities and the Ministry of Health. The FNPIP represents an important and tangible eHealth implementation that will leverage the larger infrastructure developments around network and connectivity. The efforts of First Nations health service organizations in taking on the implementation of Panorama and its use by nurses in health centres will have a significant impact on improving health outcomes for First Nations people and in chipping away unnecessary jurisdictional barriers in the provision of quality care. The FNPIP is in the early stages of working through the implementation toolkit with a number of community based implementation teams. To date the Saulteau First Nations, Nakazdli First Nation, Lax Kwalaams Health, Penticton Indian Band, Ulkatcho First Nation, Three Corners Health Society, Ktunaxa Nation Health and Cowichan Tribes are starting to move forward in setting up their implementation projects. In particular the Saulteau and Nakazdli First Nation have achieved their first milestones of site implementation Project Charters and are receiving accolades for their efforts.
Group I Sites for BC First Nations Panorama Implementation Project:

Hartley Bay Nursing Station Kitsumkalum Health Port Simpson Nursing Station Bella Coola Carrier Sekani Family Services Hailikaàs Heiltsuk Health Centre Lake Babine Ulkatcho Indian Band Ktunaxa Nation Health Lillooet Health Centre Okanagan Indian Band Penticton Indian Band Wellness Centre Quatsino First Nation (Scwèxmx Community Health Services Society) Seabird Island Health Services Sto:Lo Nation Three Corners Health Services Society
Westbank First Nation The Saulteau and Nakazdli Chehalis Health Service First Nations should be Pauquachin First Nation congratulated for their work to Tsèwulhtun HC Tseycum Health date. Theres really no cookie Nuu-chah-nulth Tribal Council cutter solution for the different TlaÀmin Community Health Services regions we are working in, each Escetemc First Nation community has such different wants and needs to use the technology for health purposes. Steven Raphael, eHealth development co-ordinator with the interim First Nations
Health Authority.
Its really a community-driven nation-based process. With the remoteness of some communities, even the basics of having reliable sources of power are challenges that we are dealing with, but there are great steps being taken in projects like the FNPIP and others, said Raphael.
Page 19
Health Human Resources

Apply for the Aboriginal Practical Nursing Program at Seabird Island!
Seabird Island Band is excited to announce their renewed partnership with Vancouver Community College to provide the Aboriginal Practical Nursing Program at Seabird Island. The core courses for the APN program will begin January 2013. The prerequisite Anatomy and Physiology course will be offered in the fall 2012. Please contact Laureen Duerksen to learn what the current requirements are to gain acceptance into the APN program. The Program is a 2 year program offered 4 days per week. Class size is limited to 20 and will be on a first come first served basis to those who have completed all prerequisites and have funding in place. If you are interested please contact Laureen Duerksen BSN, RN at 604-793-5663. Please ensure you have met with your funders and started the application process. Payment is due and payable Sept 1, 2012.
I really enjoyed taking the Aboriginal Practical Nursing Program because it was close to home and I felt comfortable on-reserve in a small class where I could ask a question and be heard. Rachael Peters, Chawathil First Nations*
>> Interested in applying to be a student for the Aboriginal Practical Nursing Program?
Contact Person: Laureen Duerksen BSN, RN | 604-7935663 laureen@seabirdisland.ca Date for Entry into the Program: Sept 1, 2012 Deadline for Applying: ASAP
>>The Aboriginal Practical Nursing Program is looking for Nursing Instructors with a Provincial Instructors Diploma (PID)!
Contact Person: Laureen Duerksen BSN, RN | 604-793-5663 laureen@seabirdisland.ca Date for Entry into the Program: January 2013 Deadline for Applying: ASAP
* Quotes taken from the Fraser Health Aboriginal Health Annual Review 2011: http://www.fraserhealth.ca/media/AboriginalHealth_ AnnualReview_2011.pdf
The Aboriginal Practical Nursing Program has been a long hard journey but has been the best choice Ive ever made for myself and my family. Shannon Leon, Squiala First Nation*
BC Junior All Native Basketball Tournament: Mar 18-23

51 teams from across British Columbia travelled to Port Alberni for the BC Junior All Native Basketball Tournament on March 18 - 23, 2012. This event was attended by young athletes, coaches, families and community supporters. The entire tournament had a live web-cast so that remote fans could watch their favourite team compete towards the finals. The interim First Nations Health Authority was a proud supporter of this event and wishes the best for all of these up and coming athletes. Read about the opening ceremony and all of the game re-caps at Ha-Shilth-Sa. Be sure to check out the photos at www.hashilthsa.com/photos
http://www.hashilthsa.com/news/2012-03-19/bcall-natives-kicked-high-energy-and-song
BC All Natives kicked off with high energy and song
Its about teamwork. You will be the future leaders in the province, and it is a bright future, I can see. - MLA Scott Fraser You athletes have chosen a path of selfsacrifice, sweat, pain and hard work. This is the path our people have followed for thousands of years. All you young people are role models for our children. Play hard and rest hard. - Nuu-chah-nulth Chief Councillor Stephen Tatoosh
Finish Line in Sight for Junior All Native Teams
Official Tournament Website: http://www.jrallnativetournament.com | Read all of the articles at www.hashilthsa.com
Page 20
First Nations Health Society Update eHealth Young Innovators Summer Camp
The eHealth Young Innovators Summer Camp is run by UBC and proudly sponsored by TELUS. It is designed for high school students entering grades 10-12 in September 2012. All campers will experiment with eHealth technologies, carry out first aid on virtual patients, visit behind-the scenes parts of a hospital and the TELUS Innovation Centre. There will also be visits from professionals and a careers day will allow students to explore potential career pathways. Students will complete a project mentored by UBC Faculty and health informatics students and each day will include 30 minutes of sports and a healthy nutritious lunch with a snack and beverage. (From the website) The camp is being offered on: Mon 16 July - Fri 20 July 2012 Mon 23 July - Fri 27 July 2012
Early Bird Registration until June 1:
$449
Check out the website: >> http://www.ehealthinnovators.ca
About the FNHC Infobulletin

The FNHC Infobulletin is published quarterly and reaches all 203 First Nations communities in BC. The Infobulletin is also sent to our government partners, non-profits and other subscription holders. Total hardcopy circulation of the Infobulletin has reached 2,000 copies. The publication is dedicated to reporting on the implementation of the Transformative Change Accord: First Nations Health Plan (2006) and the Tripartite First Nations Health Plan (2007). At each successive Gathering Wisdom forum, through the First Nations Health Directors Association, and Community Hub Gatherings we have heard the clear message that the FNHC should support knowdledge transfer and the sharing of best practices among BC First Nations. Looking ahead, the interim First Nations Health Authority would like to open the floor to communities and hubs to share their success with other BC First Nations. These stories will be diverse and may include: new approaches to community health programming, the strengthening of relationships with neighbouring nations or government partners, shared service solutions, creative solutions in building a health workforce, or the integration of culture in health care delivery. As the first province to achieve a Tripartite Health Plan we have the unique opportunity of creating a distinct history. Whatever your stories are, we would love to hear them.
Submission Guidelines
Tell us about innovations in relationship building and collaboration, creative health programming, the integration of culture in health service delivery, shared service solutions or any other stories youd like to share. Between 200-350 words in length, please include photos (at least 200 dpi). Include name and contact information. Email us if you would like to contribute something to our next quarterly infobulletin: info@fnhc.ca
North Central Health Governance Caucus Meeting on March 29th, 2012 (Photo credit: David Luggi)
CoNTACT US
email: info@fnhc.ca web: http://www.fnhc.ca
interim First Nations Health Authority 1205-100 Park Royal South West Vancouver, BC V7T1A2 Telephone: (604) 913.2080
This infobulletin is a publication of the interim First Nations Health Authority All rights reserved.

Quarterly Info Bulletin April 2012 For Website

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infobulletin

HEALTH HuMAN RESOuRCES

HEALTH kNOwLEdGE & INfORMATION

FNHDA update: Provincial Training Session held in Osoyoos

First Nations Health Council | April 2012 Infobulletin |

First Nations Health Council | April 2012 Infobulletin |

Join the conversation on Facebook!

Join the conversation on Twitter!

First Nations Health Council | April 2012 Infobulletin |

First Nations Health Council | April 2012 Infobulletin |

BC First Nations set to meet at Gathering Wisdom V

Gathering Wisdom V Highlights

First Nations Health Council | April 2012 Infobulletin |

First Nations Health Council | April 2012 Infobulletin |

(contd First Nations Health Council Update)

First Nations Health Council | April 2012 Infobulletin |

First Nations Health Council | April 2012 Infobulletin |

First Nations Health Council | April 2012 Infobulletin |

First Nations Health Directors Association

Check out the FNHDA website:

First Nations Health Council | April 2012 Infobulletin |

Health Human Resources

Photo taken in Haida Gwaii

First Nations Health Council | April 2012 Infobulletin |

Success stories applauded and more Island development coming

Connect online: www.fnhc.ca

First Nations Health Council | April

Health Information & Research

>>Social Media Update

First Nations Health Council | April 2012 Infobulletin |

First Nations Health Council | April 2012 Infobulletin |

First Nations Health Council | April 2012 Infobulletin |

The Kamloops Doula Training Class in December 2011

First Nations Health Council | April 2012 Infobulletin |

Learning from the past on injury awareness

First Nations Health Council | April 2012 Infobulletin |

Population Health Panorama project brings eHealth local

Group I Sites for BC First Nations Panorama Implementation Project:

First Nations Health Council | April 2012 Infobulletin |

Health Human Resources

BC Junior All Native Basketball Tournament: Mar 18-23

BC All Natives kicked off with high energy and song

Finish Line in Sight for Junior All Native Teams

Official Tournament Website: http://www.jrallnativetournament.com | Read all of the articles at www.hashilthsa.com

First Nations Health Council | April 2012 Infobulletin |

Early Bird Registration until June 1:

Check out the website: >> http://www.ehealthinnovators.ca

About the FNHC Infobulletin

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