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
1,375 in Ontario1,375 in Ontario
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
48,350 in Ontario48,350 in Ontario
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
Aboriginal Health Promotions
Can the current process be improved upon?
Can the current process be improved upon?
Aboriginal Health Promotions
Aboriginal Health Promotions
Currently, there are three approaches being utilizedCurrently, there are three approaches being utilized
Aboriginal Health Promotions
Aboriginal Health Promotions
An external process based on a set of goals and objectives
An external process based on a set of goals and objectives
Aboriginal Health Promotions
Aboriginal Health Promotions
Aboriginal Health Promotions
Aboriginal Health Promotions
The Second: A collaborative approach
The Second: A collaborative approach
Aboriginal Health Promotions
Aboriginal Health Promotions
Aboriginal Health Promotions
Aboriginal Health Promotions
A Third ApproachA Third Approach
AdaptationAdaptation
Aboriginal Health Promotions
Aboriginal Health Promotions
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
To increase OHPRS capacity to effectively serve Aboriginal
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
Objective #2Objective #2
To increase OHPRS capacity to effectively serve Aboriginal
populations, given the system’s resources and capacity.
To increase OHPRS capacity to effectively serve Aboriginal
populations, given the system’s resources and capacity.
Objective #3Objective #3
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
A StrategyA Strategy
Education & Awareness BuildingEducation & Awareness Building
A StrategyA Strategy
TrainingTraining
A StrategyA Strategy
Linkages Linkages
A StrategyA Strategy
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