Thirty-one First Nation Chiefs and about 100 health directors,
health professionals, and representatives from Ontario and
Canada gathered to review the Anishnawbe Health Plan (AHP),
obtain the Chiefs’ approval, and start the implementation
process.
When finished, the AHP will see First
Nations managing and governing their own Health System both at
the community and district level.
In addition to approving the AHP, the
Chiefs also approved a resolution directing that all the
hospital amalgamation savings, or Reinvestment Funding, go
straight to the communities. This $3.14 million will become
available starting at the end of September 2006, and will
continue in future years. It is to be used on community health
priorities.
Changes in the Anishnawbe Health Plan will
take more time, and will be done at the pace of each First
Nation community. Implementation planning will be completed by
September 2006. Then the Chiefs Committee on Health will begin
negotiating funding. Changes in the AHP include more emphasis
on using Anishnawbe ways in health services, including
traditional specialists or ooweechiwaywin, and having services
under First Nations control, including community nurses and
physicians. Staff with specific responsibility in public
health, community development, as well as more treatment nurses,
specialized visiting rehabilitation staff, more translators and
other support staff is also proposed in the Plan.
Some objectives of the Anishnawbe Health
Plan are:
1) In five
years, 65% of our communities will have fully integrated program
teams (chronic diseases, mother and child health, or mental
health and addictions). In ten years it will be 80%.
2) In five
years, 50% of the communities will have the mechanisms and
policies to include language, traditions and culture within
today’s context in service delivery. In ten years, it will be
75% of the communities.
3) In five
years, 100% of our leaders and managers and 50% of our front
line workers will have the skills to meet their respective jobs.
In ten years, it will be 80% of our front line workers.
The Chiefs passed the resolutions about the
Plan being presented by the Sioux Lookout First Nation Health
Authority, and wanted the planning team to work closely with
First Nations and the Health Directors to make sure the
implementation process is successful from the community’s view.
Other resolutions that followed saw the Sioux Lookout Zone
Chiefs in Assembly:
1) Accept
the interim report from the health plan and mandate the SLFNHA
to continue with the planning process.
2) Conclude
the AHP includes structure that supports and enhance First
Nation autonomy in delivering their existing health services.
3) Mandate
the SLFNHA to work in consultation with the Sioux Lookout Zone
First Nations and Tribal Councils on Health planning.
4)
Mandated the Chief’s Committee on Health to guide and direct the
Anishinawbe Health Planning process.
5) Direct
the SLFNHA to develop a negotiation framework and that it
develop this framework under the direction of the Chiefs’
Committee on Health.
6) Follow
the NAN/Canada Bi-Lateral agreement on Health Care and make
provisions for “Net Funding” in the amount of $3.14 million
(1994 dollars) that will be saved from the amalgamation of the
two hospitals, to be re-invested in First Nation community based
health programs.
7) Directed
First Nations to develop a reinvestment plan that will guide the
deployment of the recourses to support and enhance community
based primary health care services.