Creating Partnerships for Health Promotion in Aboriginal Communities

Creating Partnerships for Health Promotion in Aboriginal

Communities

Creating Partnerships for Health Promotion in Aboriginal

Communities

SMARTRISK Learning Series

November 22, 2007

SMARTRISK Learning Series

November 22, 2007

Why Are we Here?Why Are we Here?

OHPRS 2004 Needs AssessmentOHPRS 2004 Needs Assessment

Aboriginal Awareness RaisingAboriginal Awareness Raising

Key Aspects of ReportKey Aspects of Report

Aboriginal PeopleAboriginal People Aboriginal World ViewAboriginal World View Aboriginal Health PrioritiesAboriginal Health Priorities Health Promotion MaterialHealth Promotion Material Building an Effective Aboriginal Building an Effective Aboriginal

NetworkNetwork

Aboriginal Peoplesin Ontario

Aboriginal Peoplesin Ontario

Who make up the Aboriginal People in Ontario?

Who make up the Aboriginal People in Ontario?

First Nation First Nation

60 Distinct Nations60 Distinct Nationsin Canadain Canada

14 Distinct Nations14 Distinct NationsIn OntarioIn Ontario

133 First Nations133 First Nations First Nation Population: First Nation Population:

131,500 in Ontario131,500 in Ontario

How many First Nation cultures can you

identify?

How many First Nation cultures can you

identify?

First Nation Political StructureFirst Nation Political Structure

134 First Nation’s in Ontario134 First Nation’s in Ontario 5 Regional Political Territorial 5 Regional Political Territorial

OrganizationsOrganizations 1 Regional Coordination1 Regional Coordination

OrganizationOrganization 1 National Coordination1 National Coordination

OrganizationOrganization

Chiefs of Ontario

Independent First Nations

Assoc. ofIroquois &

AlliedIndians

NishnawbeAski Nation

GrandCouncil

Treaty #3

Union ofOntarioIndians

First Nation Political Structure First Nation Political Structure

InuitInuit

45,000 Inuit People45,000 Inuit People in Canada in Canada


Inuit Political StructureInuit Political Structure

Primarily located in northern Primarily located in northern Canada north of the 60th parallelCanada north of the 60th parallel

Presence primarily in OttawaPresence primarily in Ottawa No Provincial Inuit OrganizationNo Provincial Inuit Organization 1 National Coordination Office1 National Coordination Office

MétisMétis


Métis Political StructureMétis Political Structure

Twenty-four Community CouncilsTwenty-four Community Councils Nine Ontario Regional OfficesNine Ontario Regional Offices Métis Nation of OntarioMétis Nation of Ontario Métis National CouncilMétis National Council

MNO Governance OverviewMNO Governance Overview

Urban Aboriginal PeopleUrban Aboriginal People

Estimated 40- 60% of the Estimated 40- 60% of the Aboriginal population reside in Aboriginal population reside in urban centresurban centres

Serviced by the National Serviced by the National Association of Friendship CentresAssociation of Friendship Centres

1 Regional Coordinating 1 Regional Coordinating Friendship CentreFriendship Centre

Twenty-seven Friendship CentresTwenty-seven Friendship Centres

Map of Friendship CentresMap of Friendship Centres

Health StatusHealth Status

Royal Commission onRoyal Commission onAboriginal People Aboriginal People (1996)(1996)

Regional Health Survey Regional Health Survey (2002)(2002)

Report ConsiderationsReport Considerations

Inuit – population in Ontario does Inuit – population in Ontario does not provide sufficient information not provide sufficient information to be included in this summaryto be included in this summary

Métis - share similar socio-Métis - share similar socio-economic and health profile as economic and health profile as other Aboriginal peoples. There other Aboriginal peoples. There has not been a comprehensive has not been a comprehensive health study for the Métis People.health study for the Métis People.

Aboriginal Health StatusAboriginal Health Status

““Factors contributing to ill Factors contributing to ill health of Aboriginal peoples health of Aboriginal peoples stem not from bio-medical stem not from bio-medical

factors, but from social factors, but from social economic and political economic and political

factors”factors”RCAPRCAP

Aboriginal Health StatusAboriginal Health Status

The Deeper IssueThe Deeper Issue

Aboriginal Health Key HighlightAboriginal Health Key Highlight

““Non-Aboriginal service agencies and Non-Aboriginal service agencies and institutions …., undertake a systematic institutions …., undertake a systematic examination to determine how they can examination to determine how they can encourage and support development of encourage and support development of

Aboriginal health & improve Aboriginal health & improve appropriateness and effectiveness of appropriateness and effectiveness of

mainstream services to Aboriginal mainstream services to Aboriginal peoples and engage Aboriginal peoples and engage Aboriginal

communities in such an examination” communities in such an examination” RCAPRCAP

Aboriginal Health Key HighlightAboriginal Health Key Highlight

HolismHolism EquityEquity ControlControl Cultural CompetencyCultural Competency

Aboriginal Health PromotionsAboriginal Health Promotions

Where/How do Aboriginal Where/How do Aboriginal peoples currently access peoples currently access

health promotion health promotion resources?resources?

Aboriginal Health Promotions


Can the current process be improved upon?

Can the current process be improved upon?



Currently, there are three approaches being utilizedCurrently, there are three approaches being utilized



An external process based on a set of goals and objectives

An external process based on a set of goals and objectives





The Second: A collaborative approach

The Second: A collaborative approach





A Third ApproachA Third Approach

AdaptationAdaptation



Is there even an interest in the Aboriginal community for support

by Ontario Public Health?

Is there even an interest in the Aboriginal community for support

by Ontario Public Health?

Building a Supportive Aboriginal Network

Building a Supportive Aboriginal Network

“It is a great deal easier to reject the ideas and aspirations of people (agencies) with whom we have never shaken hands, with

whom we have never laughed together over a joke, or with whom we have never sat down

to a shared meal.”

Mayor of Kamloops, BC

“It is a great deal easier to reject the ideas and aspirations of people (agencies) with whom we have never shaken hands, with

whom we have never laughed together over a joke, or with whom we have never sat down

to a shared meal.”

Mayor of Kamloops, BC

Next StepsNext Steps

A System Level StrategyA System Level Strategy

GoalsGoals

To increase OHPRS capacity to effectively serve Aboriginal

populations, given the system’s resources and capacity


populations, given the system’s resources and capacity

To recommend strategies to encourage train-the-trainer programs, the

engagement of volunteers and health promoters from Aboriginal

communities, and the development of effective methods and approaches for

outreach and service delivery

To recommend strategies to encourage train-the-trainer programs, the

engagement of volunteers and health promoters from Aboriginal

communities, and the development of effective methods and approaches for

outreach and service delivery

GoalsGoals

Objective #1Objective #1

To increase awareness of Aboriginal culture and

health issues

To increase awareness of Aboriginal culture and

health issues



populations, given the system’s resources and capacity.


populations, given the system’s resources and capacity.


To promote effective methods and approaches for outreach and

service delivery

To promote effective methods and approaches for outreach and

service delivery

A StrategyA Strategy

The Two Row WampumThe Two Row Wampum


Education & Awareness BuildingEducation & Awareness Building


TrainingTraining


Linkages Linkages


Promotional StrategyPromotional Strategy

Nya:wehNya:weh

“Never doubt that a small group of thoughtful committed citizens

can change the world. Indeed, it is the only thing that ever has.”

Margaret Meade

“Never doubt that a small group of thoughtful committed citizens

can change the world. Indeed, it is the only thing that ever has.”

Margaret Meade

Documents

Creating Partnerships for Health Promotion in Aboriginal Communities