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APPENDIX A: BREAKOUT GROUP DISCUSSION SUMMARY<br />

During the breakout group discussions the<br />

following key themes about issues and actions<br />

emerged from the topic tables:<br />

• Training for leadership related to Tripartite<br />

<strong>Health</strong> Plan.<br />

• Create initial and ongoing training to support<br />

new governance structure.<br />

• Lack of education around substance users,<br />

homosexuality/“two spirit peoples”, and HIV.<br />

• Educate/train community leaders and elders<br />

in order to foster community acceptance and<br />

knowledge.<br />

• Needs to be more knowledge about arthritis in<br />

<strong>First</strong> Nation communities.<br />

• Create an arthritis initiative.<br />

• <strong>Health</strong> delivery lacking cultural awareness,<br />

cultural safety and cultural competency.<br />

• Provide cross-cultural training,<br />

acknowledgement and incorporation of<br />

traditional health delivery methods.<br />

17<br />

VANCOUVER, bC • mAY 20 - 21 , 2008

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