FNHC Infobulletin Volume 2 Issue 1 | March 2009 - First Nations ...
FNHC Infobulletin Volume 2 Issue 1 | March 2009 - First Nations ... FNHC Infobulletin Volume 2 Issue 1 | March 2009 - First Nations ...
F i r s t N a t i o n s H e a l t h C o u n c i l infobulletin Volume 2 Issue 1 / March 2009 Our Vision Healthy, self-determining and vibrant BC First Nations children, families and communities >INSIDE > Tripartite Injury Prevention p.2 > 2009 Wellness Diary Launched p.5 > Food Skills for Families p.8 > Research and Data p.9 > Gathering Wisdom III p.11 Photo: Boothroyd Band- Hearts at work event
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F i r s t N a t i o n s H e a l t h C o u n c i l<br />
infobulletin<br />
<strong>Volume</strong><br />
2 <strong>Issue</strong> 1 / <strong>March</strong> <strong>2009</strong><br />
Our Vision Healthy, self-determining and vibrant BC <strong>First</strong> <strong>Nations</strong> children, families and communities<br />
>INSIDE<br />
> Tripartite Injury Prevention p.2<br />
> <strong>2009</strong> Wellness Diary Launched p.5<br />
> Food Skills for Families p.8<br />
> Research and Data p.9<br />
> Gathering Wisdom III p.11<br />
Photo: Boothroyd Band- Hearts at work event
<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 2<br />
Tripartite Injury Prevention- Keeping Our Children Safe<br />
Tripartite injury prevention<br />
Tripartite partners will be working<br />
with BCAA Traffic Safety Foundation<br />
to develop practical tools and tips that<br />
can help families and communities be<br />
safer on our roads.<br />
The Tripartite <strong>First</strong> <strong>Nations</strong> Health Plan calls<br />
on the parties to: “Develop an informational<br />
campaign to increase awareness about seatbelt<br />
use and safe driving.”<br />
Recognizing that child car seats protect<br />
our cherished young family members, the<br />
<strong>First</strong> <strong>Nations</strong> Health Council, along with our<br />
tripartite partners, has developed a partnership<br />
with the BCAA Traffic Safety Foundation.<br />
For over 100 years the BCAA TSF has been<br />
helping drivers and their families. Now they<br />
will be working with the Tripartite Injury<br />
Prevention Working Group to develop practical<br />
tools and tips that can help families and<br />
communities be safer on our roads.<br />
Training will occur in communities to<br />
increase the awareness of the importance<br />
of using infant, child or booster seats.<br />
Additionally, options will be explored to<br />
increase access to seats within communities<br />
and expertise to guide safe installation. An<br />
interactive DVD workshop for parents and<br />
family members of teen drivers is also in<br />
development.<br />
If you would like more information about<br />
the programs offered by BCAA TSF, please<br />
visit: www.bcaatsf.com<br />
If you would like more information about<br />
child car seats, please visit: www.ChildSeat-<br />
Info.com to access a wide range of easy-touse<br />
resources.<br />
Community members and health care workers will be trained in installing child car seats<br />
and in developing car seat loaner programs.<br />
Tripartite injury prevention working group<br />
Ministry of Healthy Living and Sport<br />
Matt Herman<br />
Director, Injury Prevention & Healthy Built<br />
Environment Chronic Disease/Injury Prevention<br />
and Built Environment Branch Population<br />
and Public Health Division<br />
email: Matt.Herman@gov.bc.ca<br />
Robin Yates<br />
Injury Prevention Analyst<br />
Ministry of Healthy Living and Sport<br />
email: robin.yates@gov.bc.ca<br />
Health Canada<br />
Randal Defant<br />
Injury Prevention Coordinator<br />
<strong>First</strong> <strong>Nations</strong> & Inuit Health, Pacific Region.<br />
Email: randal_defant@hc-sc.gc.ca<br />
<strong>First</strong> <strong>Nations</strong> Health Council<br />
Tania Moore<br />
Policy Analyst<br />
tmoore@fnhc.ca<br />
Derina Peters<br />
Jr. Policy Analyst<br />
dpeters@fnhc.ca<br />
Tara R. Nault<br />
A/Director, Aboriginal Health<br />
Ministry of Healthy Living and Sport<br />
email: Tara.nault@gov.bc.ca<br />
Tripartite <strong>First</strong> <strong>Nations</strong> Health Plan
<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 3<br />
A Message from the Health Council<br />
<strong>First</strong> <strong>Nations</strong> Health Society:<br />
Interim Operating<br />
Structure<br />
The Tripartite <strong>First</strong> <strong>Nations</strong> Health<br />
Plan references the four pillars of<br />
the future governing structure for<br />
<strong>First</strong> <strong>Nations</strong> Health in BC which<br />
include: A <strong>First</strong> <strong>Nations</strong> Health<br />
Governing Body, A <strong>First</strong> <strong>Nations</strong><br />
Health Council, A Tripartite<br />
Provincial Advisory Committee<br />
on <strong>First</strong> <strong>Nations</strong> Health, and an<br />
Association of Health Directors.<br />
Work is underway toward the<br />
creation of a <strong>First</strong> <strong>Nations</strong> Health<br />
Society (FNHS) which will serve<br />
as operational arm of the <strong>First</strong><br />
<strong>Nations</strong> Health Council. It is<br />
important to note that, the<br />
creation of the FNHS does not<br />
preclude governance discussions<br />
through the <strong>First</strong> <strong>Nations</strong> Interim<br />
Health Governance Committee<br />
(FNIHGC) focussed on the creation<br />
of the new structure to govern<br />
<strong>First</strong> <strong>Nations</strong> Health Services in<br />
BC.<br />
Board of Directors<br />
Selection Process<br />
The new FNHS Board of Directors<br />
(BoD) will consist of seven<br />
directors selected by the current<br />
<strong>First</strong> <strong>Nations</strong> Health Council. The<br />
current health council (Chief Lydia<br />
Hwitsum, Chief Fabian Alexis,<br />
Debbie Abbott, Chief William<br />
Starr, Chief Jennifer Bobb, Grand<br />
Chief Doug Kelly & Grand Chief<br />
Edward John (ex-officio) are the<br />
members of the <strong>First</strong> <strong>Nations</strong><br />
Health Society. On the FNHS<br />
board, three out of seven seats on<br />
the will be reserved for BC <strong>First</strong><br />
<strong>Nations</strong>. The term for BoD seats is<br />
three years.<br />
The <strong>FNHC</strong> expects to complete<br />
the BoD selection process by mid-<br />
<strong>March</strong>. An introduction to the<br />
new Board will be featured in the<br />
June infobulletin.<br />
Gathering Wisdom III<br />
The 3rd Annual Gathering Wisdom<br />
for a Shared Journey Forum will<br />
be held May 19-21st, <strong>2009</strong>. <strong>FNHC</strong><br />
is excited to add a third day to this<br />
year’s forum and to separate the<br />
dialogue into three distinct areas.<br />
• Day one- Health Governance<br />
• Day two- Tripartite Health<br />
Actions Updates<br />
• Day three- Health Directors<br />
Based on feedback from past<br />
forums, there is a strong<br />
community interest in having<br />
more reporting from our tripartite<br />
partners. Day two of this year’s<br />
forum will see <strong>First</strong> <strong>Nations</strong><br />
Inuit Health, Ministry of Health<br />
Services, Ministry of Healthy<br />
Living and Sport, and <strong>First</strong> <strong>Nations</strong><br />
Health Council staff providing joint<br />
reporting on progress made in the<br />
implementation of the Tripartite<br />
Plan during 2008. Potential topic<br />
areas include Maternal and<br />
Child Health, Mental Wellness<br />
and Substance Misuse, eHealth,<br />
Research and Data, Health Human<br />
Resources, and Health Advocacy.<br />
Leadership Challenge<br />
<strong>FNHC</strong> is launching a Leadership<br />
Challenge to all <strong>First</strong> <strong>Nations</strong><br />
communities in BC during the<br />
upcoming Union of BC Indian<br />
Chiefs and <strong>First</strong> <strong>Nations</strong> Summit<br />
forums. The Leadership Challenge<br />
asks communities to set and meet<br />
3 health goals. The Challenge is an<br />
initiative of <strong>First</strong> <strong>Nations</strong> Act Now,<br />
and requires political leadership<br />
(Chief or Council member) to sign<br />
up their communities to meet<br />
personal, organizational, and<br />
community-wide health goals.<br />
Those communities who meet<br />
the challenge become eligible for<br />
$1000 dollar prize packages. So<br />
don’t delay, sign up today!<br />
Sincerely,<br />
<strong>First</strong> <strong>Nations</strong> Health Council<br />
Health Council Members (l-r) Chief Jennifer Bobb (Spuzzum <strong>First</strong> Nation), Chief<br />
Fabian Alexis (Okanagan Indian Band) and Health Council Co-Chair Debbie Abbott,<br />
sign the FN Health Society constitution.<br />
Call for BC <strong>First</strong> <strong>Nations</strong> Directors<br />
The <strong>First</strong> <strong>Nations</strong> Health Council is seeking 3 BC <strong>First</strong> <strong>Nations</strong> Directors<br />
RESPONSIBILITIES<br />
Under the direction of the <strong>First</strong> <strong>Nations</strong> Health<br />
Society Members, the Board of Directors will be<br />
responsible for the following key activities:<br />
• Develop the strategic plan with input from<br />
the FNHS members<br />
• Select, monitor and annually review the<br />
Executive Directors performance against<br />
the agreed upon objectives<br />
• Provide input to the Executive Director for<br />
the development of the operational plan<br />
• Approve annual action plans, operating and<br />
capital budgets<br />
• Monitor progress towards the FNHS<br />
strategic objectives and performance<br />
against operating and capital plans as well<br />
as budgets<br />
• Power to delegate both decision-making<br />
and signing authority by resolution to<br />
Directors, Officers or others (e.g. Exec<br />
Director)<br />
• Guide and oversee the development,<br />
implementation and maintenance of a<br />
reporting system that accurately measures<br />
the FNHS performance against its strategic<br />
plans and action plans<br />
• • Participate on sub-committees as<br />
required<br />
FIRST NATIONS HEALTH COUNCIL<br />
The role of the <strong>First</strong> <strong>Nations</strong> Health Council<br />
is to support and assist BC’s diverse <strong>First</strong><br />
<strong>Nations</strong> by:<br />
• Serving as an advocacy voice of BC<br />
<strong>First</strong> <strong>Nations</strong> in achieving their health<br />
priorities and objectives;<br />
• Conducting health-related policy<br />
analysis and research;<br />
• Participating in policy and program<br />
planning processes related to <strong>First</strong><br />
<strong>Nations</strong> health; and<br />
• Providing leadership in the<br />
implementation of the Transformative<br />
Change Accord; <strong>First</strong> <strong>Nations</strong> Health<br />
Plan, and the Tripartite <strong>First</strong> <strong>Nations</strong><br />
Health Plan.<br />
TIME COMMITMENT<br />
It is anticipated that the Board of Directors<br />
will be required to attend a minimum of 4<br />
meetings per year with additional meetings<br />
called as required. In addition, Members of<br />
the Board of Directors are required to attend<br />
the FNHS annual general meeting. The term<br />
of office for the Board of Directors will be<br />
three years.<br />
DEADLINE for applications: <strong>March</strong> 6th, <strong>2009</strong> | For more information please visit: www.fnhc.ca |
<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 4<br />
Health Careers Recruitment<br />
Recruiting<br />
It has been a busy winter season for health<br />
recruiters Erin Mearns and Steve Sxwithultxw.<br />
The “Strengthening Connections<br />
Tour” was a major success. Our <strong>First</strong> <strong>Nations</strong><br />
approach to recruiting initiatives is gaining<br />
momentum as we travel across the province<br />
promoting all of the employment and career<br />
opportunities in health care.<br />
Recently the recruiters attended a very<br />
intimate career fair in Sumas <strong>First</strong> Nation<br />
near Abbotsford, BC. Although just 30 youth<br />
attended, it was a great opportunity to talk<br />
with community members about the role of<br />
Health Careers Recruitment Officers within<br />
the overall health human resources strategy<br />
of the <strong>First</strong> <strong>Nations</strong> Health Council.<br />
In January, Steve attended a recruiting fair in<br />
Bella Bella and in Bella Coola. In Bella Coola,<br />
approximately 50 youth and adults attended<br />
a detailed presentation. In a videotaped<br />
message from Dr. Evan Adams and Lieutenant<br />
Governor Steven Point the attendees<br />
heard valuable key messages about the<br />
importance of health education and health<br />
careers. At the Bella Bella fair, students and<br />
exhibitors were honoured when local Chiefs<br />
performed a traditional song and dance<br />
for the group. Over 100 students attended<br />
breakout sessions with all in attendance,<br />
learning the values of education.<br />
Erin recently attended the All Native Basketball<br />
tournament in Prince Rupert BC. Several<br />
thousand <strong>First</strong> Nation youth attended.<br />
“Strengthening Connections” toured the<br />
north attending towns like Terrace, Hazelton,<br />
Prince George, and Smithers. The tour<br />
is over a week long and is targeting as many<br />
<strong>First</strong> <strong>Nations</strong> as possible within that time.<br />
Mentorship<br />
The <strong>FNHC</strong> is currently developing a mentorship<br />
program and are seeking names of professionals<br />
in the health field who are willing<br />
to work with adult learners and youth who<br />
are embarking on a health career. Although<br />
this initiative is just beginning we are hoping<br />
health workers will step forward in their<br />
communities and assist us with this exciting<br />
Health Careers Recruiter Erin Mearns shares information with interested youth at the Prince<br />
Rupert All-Native basketball tournament.<br />
program. The benefits of this program to<br />
those mentored will be tremendous.<br />
If you are interested in mentoring in the<br />
future please let us know by contacting us at<br />
our office.<br />
contact us:<br />
If you would like us to come to your school<br />
or community, please let us know...we<br />
would be happy to attend!<br />
Erin (emearns@fnhc.ca)<br />
Steve (steves@fnesc.ca)<br />
Or call the <strong>First</strong> <strong>Nations</strong> Health Council at<br />
604-913-2080<br />
UVIC Aboriginal Career Fair<br />
- <strong>March</strong> 6, <strong>2009</strong>, Victoria<br />
BC Aboriginal Youth<br />
Conference - <strong>March</strong> 17-20,<br />
<strong>2009</strong>, Kelowna<br />
Heritage Woods Secondary<br />
Health Career Presentation<br />
- April 2, <strong>2009</strong>, Port Moody<br />
Spring Recruitment Trips
<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 5<br />
<strong>2009</strong>/2010 Wellness Diaries<br />
Health and Wellness Diary<br />
Dr. Rosalin Hanna, Physical Activity Specialist<br />
Making sure physical activity is a part of your<br />
schedule is the only way to make sure it is a<br />
part of your day.<br />
This year, the Health Council will offer three<br />
tools to support people to be motivated daily:<br />
1) the <strong>2009</strong> Wellness Diary; 2) a downloadable<br />
diary file that can be personalized by the<br />
community; and 3) MS Outlook health tips and<br />
prompts.<br />
The <strong>2009</strong> / 2010 Health and Wellness diary<br />
has been improved to better meet community<br />
needs. It will be available April 1 st , <strong>2009</strong> for<br />
communities to start recording their steps,<br />
their minutes of activity, and to set physical<br />
activity goals. We will also have an online file<br />
copy available for communities to utilize to<br />
develop and personalize their own calendars.<br />
To order a wellness diary email: info@fnhc.ca<br />
The other new and exciting addition to our<br />
calendar production is the development of a<br />
file that can be downloaded in Outlook to offer<br />
daily tips or prompts related to physical activity,<br />
nutrition and traditional wellness. This<br />
will be a great way to remind those people<br />
tethered to blackberries to make health and<br />
wellness a part of their daily schedule.<br />
To date the Fitness Knowledge course has<br />
been a great success. Six students from various<br />
locations are committed to completing<br />
the course by <strong>March</strong> 3 rd in Prince Rupert. They<br />
have been. I am proud of each of them for<br />
communicating where they are at and at what<br />
type of help they need to complete the course<br />
successfully. This course builds knowledgeable<br />
fitness leaders for our communities,<br />
which then builds our capacity to develop<br />
more ways to prevent disease through physical<br />
activity.<br />
I look forward to presenting on <strong>March</strong> 18th<br />
at Gathering Our Voices on “Enviro-Active : A<br />
Discussion on Be Physically Active by Restoring<br />
Our Land”. I will also be present on <strong>March</strong><br />
10th at the BC Aboriginal Diabetes Conference<br />
on “Pedometer Challenge- Using them to your<br />
Benefit”. Keep health and stay active!<br />
All my Relations,<br />
Dr. Rosalin Hanna, phact@fnhc.ca<br />
Visit the <strong>FNHC</strong> website for resources to support your community with physical activity initiatives:<br />
http://www.fnhc.ca/index.php/initiatives/community_health/physical_activity/<br />
Mary’s NIHB Corner<br />
Ambulance services (billing process)<br />
It is a little known fact that Status Card<br />
information can and should be presented<br />
upfront for billing purposes when acessing<br />
ambulance services. In the midst of a<br />
medical emergency, payment becomes less<br />
of a priority than the health, safety and well<br />
being of the patient.<br />
In the event that the Status Card is not<br />
presented to the paramedics, an ambulance<br />
bill will be sent to the patient who received<br />
care. It is imperative that the bills be dealt<br />
with as soon as possible to avoid future<br />
problems such as accumulating interest<br />
charges and additional collection efforts.<br />
Ultimately, the debt can impact the<br />
patient’s wages, bank account, and delay<br />
processing income tax refunds and GST<br />
credit.<br />
To resolve billing issues contact:<br />
Revenue Canada<br />
Call toll free at 1.866.361.5050 and provide<br />
your account number, legal name as it<br />
appears on your BC Care Card and Status<br />
Number.<br />
Non- Insured Health Benefits (NIHB)<br />
Call toll free at 1.800.317.7878 and listen to<br />
the prompts for Ambulance Services<br />
Mary Knox-Guimont<br />
Health Benefits Policy Analyst<br />
1-866-417-1139<br />
mguimont@fnhc.ca<br />
Allison Ducharme<br />
Health Advocate<br />
Toll Free: 1-866-913-0033<br />
aducharme@fnch.ca
<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 6<br />
NEWS IN BRIEF<br />
Youth Suicide Prevention Camps<br />
Action Item 9 of the Transformative Change<br />
Accord <strong>First</strong> <strong>Nations</strong> Health Plan states:<br />
The <strong>First</strong> <strong>Nations</strong> Leadership Council and<br />
the province will host a forum for all health<br />
authorities (Aboriginal Health Leads and<br />
Executive members) and <strong>First</strong> <strong>Nations</strong><br />
Elders and youth to support and encourage<br />
learning about <strong>First</strong> <strong>Nations</strong>’ heritage,<br />
cultures and spirituality, and to develop<br />
models for youth suicide prevention.<br />
In partnership with Regional Health<br />
Authorities, and <strong>FNHC</strong>, <strong>First</strong> <strong>Nations</strong><br />
communities will host regional youth suicide<br />
prevention camps.<br />
The focus of these camps will be addressing<br />
high risk youth suicide prevention. Camp<br />
objectives include:<br />
1) The development of Promising Practices<br />
in youth suicide prevention. One camp<br />
from each HA region will be highlighted<br />
as a Promising Practice at the Provincial<br />
Youth Suicide Prevention forum (<strong>2009</strong>).<br />
2) To build a foundation for <strong>First</strong> <strong>Nations</strong><br />
youth to become our next leaders.<br />
The deadline for applications to host<br />
camps was Feb. 27, <strong>2009</strong>. Partnership<br />
and collaboration between <strong>First</strong> <strong>Nations</strong><br />
communities was highly encouraged in the<br />
development of these camps.<br />
Youth Suicide Prevention Camps must be<br />
completed by July 31st, <strong>2009</strong>.<br />
Vision Screening Training<br />
Action Item 10 of the Transformative Change<br />
Accord <strong>First</strong> <strong>Nations</strong> Health Plan states:<br />
Aboriginal children under age six (on and<br />
off-reserve) will receive hearing, dental and<br />
vision screening.<br />
The first round of vision screening training<br />
was successfully completed November 4th,<br />
2008. The second round of will be conducted<br />
by Dr. Barry Lester, April 2nd in Vancouver.<br />
After the training session, community<br />
representatives will:<br />
• Have a clear understanding of eye<br />
anatomy<br />
• Understand refractive errors and visual<br />
acuities and the role they play in vision<br />
screening<br />
• Understand vision irregularities that are<br />
relevant to the screening program<br />
• Have a general understanding of<br />
screening tools and how they are relevant<br />
to the screening program<br />
• Be confident in starting the second phase<br />
of the vision screening training which<br />
includes review of the<br />
• provincial vision screening manual and<br />
conducting vision screening on preschool<br />
children<br />
• Be comfortable in proceeding with the<br />
objectives of the BC Provincial vision<br />
screening manual<br />
You’re Invited<br />
Aboriginal Vision Screening<br />
Training<br />
April 2nd, <strong>2009</strong><br />
Vancouver, BC<br />
Space is limited, so please submit your<br />
name to Marilyn Ota:<br />
mota@fnhc.ca or 604.913.2080<br />
DEADLINE TO APPLY: Friday <strong>March</strong> 23, <strong>2009</strong><br />
Health Directors Association<br />
The Tripartite <strong>First</strong> <strong>Nations</strong> Health Plan<br />
states:<br />
An association of health directors and other<br />
health professionals will create and implement<br />
a comprehensive capacity development<br />
plan for the management and delivery<br />
of community-based services and support<br />
<strong>First</strong> <strong>Nations</strong> and their mandated health<br />
organizations in training, program development<br />
and knowledge transfer.<br />
Toward the fulfillment of this action item,<br />
and building upon the work of BC <strong>First</strong> <strong>Nations</strong><br />
Health Directors conducted in September<br />
2008:<br />
1. A Health Directors Coordinator is in the<br />
process of being hired.<br />
2. The 2008 Health Directors Forum<br />
summary report will be available in late<br />
<strong>March</strong>.<br />
3. Day three of the Gathering Wisdom<br />
Forum in May has been set aside to<br />
continue working with Health Directors.<br />
For more information on the Health Directors<br />
Association please visit: http://www.fnhc.ca/<br />
index.php/community_engagement/health_directors_association/<br />
Call for Participants<br />
Maternal and Child Health Expert Working Group<br />
Deadline: <strong>March</strong> 23, <strong>2009</strong><br />
<strong>FNHC</strong> is seeking <strong>First</strong> <strong>Nations</strong> experts in<br />
Maternal and Child Health from the Northern,<br />
Interior, Vancouver Coastal and Fraser health<br />
authority regions to join our Provincial<br />
Committee.<br />
If you are interested in joining this expert<br />
working group, please send a resume and cover<br />
letter describing why you would like to be<br />
involved.<br />
For more information please contact Marilyn Ota<br />
604.913.2080 / mota@fnhc.ca
<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 7<br />
Health Governance Update<br />
Submitted by: Grand Chief Doug Kelly, Grand<br />
Chief Ed John, and Chief Wayne Christian,<br />
<strong>First</strong> <strong>Nations</strong> Interim Health Governance<br />
Committee Co-Chairs<br />
BACKGROUND: The Regional Caucus Sessions<br />
serve to establish meaningful dialogue<br />
with BC <strong>First</strong> <strong>Nations</strong> Leadership and Senior<br />
Health Leads.<br />
Session participants examined the development<br />
of a caucus within each of the North,<br />
Interior, Fraser, Vancouver Coastal, and Vancouver<br />
Island regions. They considered the<br />
selection of members for the <strong>First</strong> <strong>Nations</strong><br />
Interim Health Governance Committee, and<br />
each caucus determined how to communicate<br />
and work together.<br />
<strong>First</strong> <strong>Nations</strong> are working together to<br />
consider a negotiations mandate for the<br />
Committee to develop a governance<br />
framework, as detailed in the Tripartite<br />
<strong>First</strong> <strong>Nations</strong> Health Plan. This framework<br />
is critical to the overall success of the <strong>First</strong><br />
<strong>Nations</strong> Health Council, the Association of<br />
Health Directors, and the Provincial Advisory<br />
Committee on <strong>First</strong> <strong>Nations</strong> Health.<br />
CURRENT STATUS: In each region participants<br />
engaged in two days of dialogue and<br />
considered a community process to move<br />
forward. Key outcomes were:<br />
--------------------------------------------------------<br />
NORTH<br />
Prince George (Oct 22/23, 2008),<br />
Terrace (Oct 27/28, 2008),<br />
Vancouver (Nov 24/25, 2008)<br />
Prince George (Jan 15/16, <strong>2009</strong>)<br />
Participants confirmed their Northern<br />
members to the <strong>First</strong> <strong>Nations</strong> Interim Health<br />
Governance Committee with Band Council<br />
Resolutions by January 23, 2008 at 5 pm.<br />
o Northwest: (Far North) Feddie Louie,<br />
(North Coast) Chief Willard Wilson, (Central<br />
Northwest) Chief Marjorie McRae<br />
o Northern Interior: Warner Adam, Justa<br />
Monk and Anne Marie Sam<br />
o Northeast/ Treaty 8: Dorris Ronnenberg<br />
They also considered a North-specific Health<br />
Coordinator and Secretary/Support Staff<br />
and created an Interim Working Committee<br />
to develop a Northern Region Caucus draft<br />
model by February <strong>2009</strong> to advise on Servicing,<br />
Delivery and Programming.<br />
Participants agreed to a Northern Region<br />
Caucus Meeting to introduce the Northern<br />
Region Committee members and to review<br />
the draft model of the Northern Region Caucus<br />
on <strong>March</strong> 26-27, <strong>2009</strong> in Prince George.<br />
--------------------------------------------------------<br />
INTERIOR<br />
Kamloops (Oct 14/15, 2008),<br />
Kamloops (Nov 20, 2008),<br />
Kamloops (Jan 22/23, <strong>2009</strong>)<br />
Chief Shane Gottfriedson and Chief Joe Dennis<br />
have been confirmed as members for the<br />
Committee at a follow-up meeting on January<br />
15 and 16, <strong>2009</strong> in Kamloops.<br />
Participants held group discussions on the<br />
Interior Caucus structure and committed<br />
to bring the information back to their own<br />
communities and schedule another followup<br />
meeting to discuss and/or confirm the<br />
Interior Caucus structure, and any other<br />
nominations for representatives for the <strong>First</strong><br />
<strong>Nations</strong> Interim Health Governance Committee.<br />
They are considering a tribal grouping<br />
approach for the Interior Caucus structure.<br />
They also discussed tentative dates for the<br />
next Interior Region Caucus Meeting in Merritt,<br />
BC on Feb 19/20, <strong>March</strong> 18/19, <strong>March</strong><br />
19/20 and <strong>March</strong> 24/25.<br />
--------------------------------------------------------<br />
Vancouver Island<br />
Nanaimo (17/18, 2008),<br />
Duncan (Dec 11, 2008)<br />
Campbell River (Dec 12, 2008),<br />
Port Alberni (Dec 16, 2008)<br />
Each nation, the Nuuchahnulth, the Coast<br />
Salish, and the Kwakiutl determined to meet<br />
with their respective nations in December<br />
2008 and January <strong>2009</strong>.<br />
Duncan, (Dec 11, 2008) Participants determined<br />
that one member per nation for the<br />
Committee would an acceptable minimum<br />
for the Vancouver Island Region for a<br />
potential total of three. They considered a<br />
Health Coordinator to provide support to<br />
the Vancouver Island Region Caucus and the<br />
Vancouver Island Region members of the<br />
Committee.<br />
Campbell River, (Dec 12, 2008) - Participants<br />
agreed to meet with the other two nations<br />
in <strong>March</strong> <strong>2009</strong>.<br />
Port Alberni, (Dec 16, 2008) – Nuuchahnulth<br />
met and discussed the role of the Committee<br />
and forwarded recommendations to the<br />
NTC Board of Directors.<br />
The three <strong>Nations</strong> of the Coast Salish, the<br />
Kwakiutl, and the Nuuchahnulth have<br />
agreed to a follow-up meeting on <strong>March</strong><br />
11/12/13, <strong>2009</strong> to determine and confirm<br />
members for Committee and to establish a<br />
Vancouver Island Regional Caucus.<br />
--------------------------------------------------------<br />
FRASER<br />
Chilliwack (Nov 4/5, 2008)<br />
Participants determined to select one<br />
member for the Committee and established<br />
a Selection Committee. Nominations were<br />
put forward from each sub-region within the<br />
Fraser in December 2008 and January <strong>2009</strong>.<br />
The Selection Committee will determine a<br />
member for the Committee by <strong>March</strong> <strong>2009</strong>.<br />
--------------------------------------------------------<br />
Vancouver Coastal<br />
Vancouver (Nov 12/13, 2008),<br />
Vancouver (Nov 25, 2008)<br />
Participants determined two members to<br />
the Committee at a follow-up meeting on<br />
November 25, 2008. Charles Nelson has<br />
been confirmed as a member to the Committee<br />
and the second member has yet to<br />
be determined.<br />
If you have any questions or require further<br />
information please contact:<br />
Derek Thompson,<br />
Health Governance Coordinator at<br />
604.913.2080 or DThompson@fnhc.ca.
<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 8<br />
Increasing Food Security-Food Skills for Families<br />
Food Security in BC <strong>First</strong><br />
<strong>Nations</strong><br />
A community enjoys food<br />
security when all people at all<br />
times have access to nutritious,<br />
safe, personally acceptable and<br />
culturally appropriate foods,<br />
which are gathered, hunted,<br />
fished and produced in ways<br />
that are environmentally sound<br />
and socially just.<br />
<strong>First</strong> <strong>Nations</strong> often look at<br />
food security differently as we<br />
consider factors that are unique<br />
to us such as geographic isolation,<br />
high food costs, poverty<br />
and preference or reliance on<br />
traditional foods as well as the<br />
responsibility as stewards of the<br />
lands and water which support<br />
our access to food.<br />
The gathering of health statistics<br />
and information is starting to<br />
quantify the disproportionate<br />
degree of food insecurity in our<br />
communities.<br />
A recent national<br />
health survey reported<br />
that 1 in 3 off-reserve<br />
aboriginal households<br />
were experiencing<br />
food insecurity and<br />
that just under half of<br />
these households were<br />
also the homes of<br />
children.<br />
In community we know this to<br />
be true when we have had to<br />
provide a breakfast, snack or<br />
lunch for children who have arrived<br />
at school without food, as<br />
well as other examples.<br />
Gathering Wisdom 2008 identified<br />
many actions that we could<br />
take to improve <strong>First</strong> Nation<br />
peoples’ access to healthy<br />
(L-R) Suzanne<br />
Johnson (<strong>FNHC</strong>);<br />
Brenda Wilson<br />
(Office of<br />
Wetsuweten);<br />
Sandra Dryden<br />
(Revelstoke);<br />
Sandy Terbasket<br />
(LSIB/OFC);<br />
Lana Lamb<br />
(School District<br />
67 - Penticton);<br />
Shannon Sollows<br />
(Ktunaxa<br />
Kinbasket)<br />
foods. One action directed<br />
towards increasing knowledge<br />
involved the concept of peers<br />
teaching peers. This year the<br />
Canadian Diabetes Association<br />
has rolled out an innovative<br />
program that meets this action<br />
and the <strong>FNHC</strong> and Aboriginal<br />
Diabetes Initiative (FNIH) has<br />
had the opportunity to increase<br />
access to this program in <strong>First</strong><br />
<strong>Nations</strong> communities.<br />
Food Skills For Families<br />
Training In <strong>First</strong> <strong>Nations</strong><br />
Communities<br />
Cooking healthy food at home<br />
that is tasty and appealing is not<br />
always easy.<br />
Food Skills for Families is a new<br />
and exciting initiative that has<br />
the recipe for success. Food<br />
Skills for Families is being led by<br />
the Canadian Diabetes Association<br />
(CDA) and is one of the<br />
Healthy Eating Strategies supported<br />
by the BC Healthy Living<br />
Alliance (BCHLA) with funding<br />
from the Ministry of Health.<br />
The <strong>First</strong> <strong>Nations</strong> Health Council<br />
and the Aboriginal Diabetes<br />
Initiative (FNIH) have had the<br />
opportunity to partner with the<br />
Canadian Diabetes Association<br />
to make the training for this<br />
program available to more <strong>First</strong><br />
<strong>Nations</strong> communities. In the<br />
past 6 months <strong>First</strong> <strong>Nations</strong><br />
trainings have include participants<br />
from Alexis Creek, Lillooet,<br />
Ktunaxa Kinbasket, Ooknakane<br />
Friendship Centre, School District<br />
67 (Penticton), Office of the<br />
Wet’suwet’en, Quatsino, Fort<br />
Rupert, Gwa’Sala-’Naxwaxda’xw,<br />
Whe-la-la-U, and Alert Bay.<br />
Several other nations have been<br />
involved in training through the<br />
Canadian Diabetes Association.<br />
Participants gained core cooking<br />
and nutrition skills to facilitate a<br />
once weekly, six week program<br />
in their respective communities.<br />
The program includes recipes<br />
and resources that have been<br />
designed to meet the needs of<br />
Aboriginal and low income families<br />
giving a ‘hands-on’ cooking<br />
experience.<br />
“Every one of us<br />
learned so much and<br />
had a really great time.<br />
We really enjoyed the<br />
opportunity to get to<br />
know one another and<br />
see the possibilities of<br />
working together to<br />
make things happen.”<br />
“Karen was a wonderfully<br />
knowledgeable lady who taught<br />
us all so much with her great<br />
facilitation skills. I am looking<br />
forward to facilitating the Food<br />
Skills for Families program in my<br />
region! Again, on behalf of everyone<br />
that participated, thank<br />
you. Your organization made it<br />
possible for community members<br />
to get the skills necessary<br />
to build community capacity! “<br />
Gilakas’la,<br />
Sharon Gordon Community<br />
Development Leader Vancouver<br />
Island North
<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 9<br />
<strong>First</strong> <strong>Nations</strong> Research and Data<br />
<strong>First</strong> <strong>Nations</strong> Regional Health<br />
Survey (RHS)<br />
PHASE 2: 2008-09 “NOW IN BC FIRST<br />
NATIONS COMMUNITIES”<br />
The FIRST NATIONS REGIONAL<br />
LONGITUDINAL HEALTH SURVEY (RHS) is the<br />
most complete study of <strong>First</strong> nations health<br />
and living conditions in Canada.<br />
The RHS survey collects data on our adult,<br />
youth and children population in <strong>First</strong><br />
Nation Communities<br />
The RHS is the only national survey owned,<br />
controlled, and carried out by <strong>First</strong> <strong>Nations</strong><br />
for <strong>First</strong> nations.<br />
We are currently conducting Data collector<br />
interviews in communities that participated<br />
in Phase 1: 2002-02 of the RHS . Data<br />
collection training sessions have been<br />
held in Vancouver Coastal and Vancouver<br />
Island regions. The data collectors at these<br />
sessions have returned to their home<br />
communities and are now beginning to<br />
conduct surveys. We are now seeing data<br />
collection results coming in.<br />
The RHS team is preparing for data<br />
collection training sessions for the Northern,<br />
Interior and Fraser Regions. Once the<br />
returning communities from the 2002-<br />
03 RHS communities data collection is<br />
underway ata collection with an additional<br />
38 NEW communities will begin.<br />
The RHS will provide a snapshot of health<br />
and living conditions in our communities<br />
such as housing, employment, income,<br />
education, community development and<br />
effects of residential schools.<br />
<strong>First</strong> <strong>Nations</strong> Health Council<br />
Research Analyst<br />
Research & Data Analyst<br />
RHS 2002/03 RHS data, and be writing<br />
reports for the Province of BC, and the<br />
following health authorities – Vancouver<br />
Coastal, Vancouver Island, Interior Health<br />
and Northern Health. This project will be<br />
completed by the end of <strong>March</strong> <strong>2009</strong>. To<br />
follow up the reports, presentations will be<br />
made to the communities within the four<br />
Health Authorities. If you have any thoughts<br />
on the kind of research or data tools that<br />
are needed in your communities let us begin<br />
the dialogue.<br />
Tripartite Data quality and sharing<br />
agreement<br />
The purpose of this agreement is to establish<br />
a protocol through which the Government of<br />
Canada, the Government of British Columbia<br />
Heather Morin, Research Analyst<br />
Heather Morin is a Cree woman from Saddle Lake, Alberta,<br />
happily married to her husband Jerry. Heather continually<br />
practices her traditions and helps to instill them in her<br />
children, Kyle and Robyn, and her grandson, Sincere.<br />
In 1996, she received a History degree from the University<br />
of Regina, and then earned a Bachelor of Education –<br />
Elementary (Indian Education) from the Saskatchewan<br />
Indian Federated College in 1999. Her previous work<br />
includes representing Aboriginal students at the postsecondary<br />
level, as well as teaching.<br />
Heather has worked for both the Aboriginal Education<br />
Enhancements Branch Ministry of Education and the<br />
Ministry of Aboriginal Relations as a Senior Policy Advisor.<br />
To her current role at the Health Council Heather brings<br />
a love of data and research to ensure that <strong>First</strong> <strong>Nations</strong><br />
are well equipped with the knowledge they need to move<br />
forward in a healthy way.<br />
and the <strong>First</strong> <strong>Nations</strong> Leadership Council can<br />
share, develop and promote culturally appropriate<br />
usage of the data required for the<br />
monitoring of <strong>First</strong> <strong>Nations</strong> health.<br />
Once established, this protocol will provide<br />
an essential foundation for the development<br />
of <strong>First</strong> <strong>Nations</strong> health information.<br />
The implementation of this agreement will<br />
be based on principles outlined in the Tripartite<br />
<strong>First</strong> <strong>Nations</strong> Health Plan:<br />
(1) respect and recognition;<br />
(2) commitment to action;<br />
(3) nurture the relationship; and<br />
(4) transparency.<br />
The Tripartite Data Quality and Sharing<br />
Agreement (TDQSA) is currently undergoing<br />
a final legal review.<br />
Heather Morin was hired in December of<br />
2008 in the position of Research Analyst.<br />
The research analyst is currently assisting<br />
the RHS team with recruiting the New<br />
Sample of <strong>First</strong> <strong>Nations</strong> communities to<br />
participate in the RHS for 2008/09. The<br />
Research Analyst is working on correlating<br />
the 2002/03 Ecological data with the<br />
For more information on Research and Data please contact:<br />
David Clellamin, BSW<br />
FN RHS Coordinator<br />
dclellamin@fnhc.ca<br />
Amanda Williams<br />
Assistant RHS Coordinator<br />
awilliams@fnhc.ca<br />
Heather Morin<br />
Research Analyst<br />
hmorin@fnhc.ca
<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 10<br />
Technology & Data Management<br />
INFORMATION MANAGEMENT<br />
In the last Bulletin we explored how information<br />
management is a central function of<br />
e-Health. That is, that e-Health is ultimately<br />
about improving health through enabling<br />
improved information management and<br />
communications in health services. Ideally,<br />
e-Health can assist <strong>First</strong> Nation Health Centres<br />
in their effort to provide quality service<br />
to their members and service population.<br />
What are the information management<br />
needs of <strong>First</strong> <strong>Nations</strong> Health Centres across<br />
the province? Who defines or gives voice to<br />
these requirements?<br />
HUMAN RESOURCES<br />
Readers of this Bulletin may be involved<br />
either directly or indirectly in the delivery,<br />
management or governance of <strong>First</strong><br />
<strong>Nations</strong> community health services, and<br />
will therefore know that one of the biggest<br />
challenges is simply not having the human<br />
resource capacity to answer these questions<br />
fully let alone develop strategies to meet<br />
these needs. How many health centres have<br />
staff devoted to information management<br />
for their organizations? Not very many.<br />
REPORTING CHALLENGES<br />
The other challenge is that currently<br />
most information management needs at<br />
the health centre level are driven by the<br />
funder’s reporting requirements. Reporting<br />
requirements, both to community and<br />
to funders, is an important aspect of the<br />
information management needs of a health<br />
centre. However, the danger lies in the<br />
historical tendency where reporting requirements<br />
blur the distinction between information<br />
needed for accountability and health<br />
information needed for quality service and<br />
planning.<br />
COLLABORATION<br />
Collective work and collaboration has to be<br />
undertaken to better understand and map<br />
Photo courtesy Seabird Island Health Services<br />
What are the information management<br />
needs of <strong>First</strong> <strong>Nations</strong> Health Centres<br />
across the province? Who defines or gives<br />
voice to these requirements?<br />
out the range of information management<br />
needs of Health Centres in <strong>First</strong> <strong>Nations</strong><br />
across the province. As these requirements<br />
become better understood and documented,<br />
the potential of e-Health to provide<br />
meaningful solutions in this respect will<br />
greatly increase.<br />
The <strong>First</strong> <strong>Nations</strong> Health Council is committed<br />
to leveraging <strong>First</strong> <strong>Nations</strong>, provincial<br />
and federal capacity and expertise to<br />
advance this agenda. Together we can<br />
more effectively meet our shared interest<br />
in ensuring Health Centres have access to<br />
information management tools that meet<br />
their unique needs.<br />
Foundational steps in this effort are the<br />
creation of a Tripartite Strategy Council for<br />
<strong>First</strong> <strong>Nations</strong> e-Health, a Tripartite Technical<br />
Working Group for <strong>First</strong> <strong>Nations</strong> e-Health,<br />
and a <strong>First</strong> <strong>Nations</strong> e-Health Centre of Excellence.<br />
While all three are in the very early<br />
stages of formation, ultimately the processes<br />
and forums they enable will greatly assist<br />
Health Centres in having access to tools that<br />
will work for them.<br />
For more information on e-Health contact:<br />
Mark Sommerfeld - msommerfeld@fnhc.ca
<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 11<br />
III<br />
9<br />
MAY 19-21, <strong>2009</strong> | 9 A.M. - 5 P.M. | MARRIOTT PINNACLE DOWNTOWN<br />
Registration information will be sent<br />
soon, so please save these dates!<br />
By attending Gathering Wisdom III, you will have<br />
the chance to:<br />
• Participate in a continued conversation<br />
among <strong>First</strong> <strong>Nations</strong> and stakeholders to<br />
ensure that the Tripartite <strong>First</strong> <strong>Nations</strong><br />
Health Plan is responsive to changing needs.<br />
• Recieve Tripartite updates on Health Actions<br />
from <strong>First</strong> <strong>Nations</strong> Health Council, Health<br />
Canada (FNIH), Ministry of Health Services,<br />
and Ministry of Healthy Living and Sport.<br />
• Participate in Health Governance discussions.<br />
• Network, liaise and contribute to the<br />
creation of a BC <strong>First</strong> <strong>Nations</strong> Health<br />
Directors Association.<br />
DAY 1- Health Governance<br />
BC <strong>First</strong> <strong>Nations</strong> Health<br />
Governance discussion.<br />
DAY 2- Health Actions<br />
Tripartite updates on Health<br />
Initiatives under the Tripartite<br />
Health Plan.<br />
DAY 3 - Health Directors<br />
BC <strong>First</strong> <strong>Nations</strong> Health<br />
Directors and managers will<br />
come together to continue<br />
work on the creation of a<br />
BC <strong>First</strong> <strong>Nations</strong> Health<br />
Directors Association.<br />
Contact: info@fnhc.ca | Website: www.fnhc.ca<br />
This three-day forum will be informative and engaging. We hope you take the<br />
opportunity to attend. Additional information about the forum can be found on<br />
the <strong>First</strong> <strong>Nations</strong> Health Council website at: www.fnhc.ca
F i r s t N a t i o n s H e a lt h C o u n c i l<br />
| Spring <strong>2009</strong> Update |<br />
Community Engagement<br />
Community Developer Liaison- Interior Health<br />
The Community Developer Liaison position<br />
with Interior Health Authority was established<br />
in September 2008. The purpose of<br />
this position is to provide a wide range of<br />
community and organizational development<br />
skills to assist <strong>First</strong> <strong>Nations</strong> either independent<br />
or in a community engagement hub<br />
to plan, collaborate and communicate with<br />
<strong>FNHC</strong>. As well the Community Developer<br />
will assist <strong>First</strong> Nation communities in the<br />
development of community health plans<br />
and work plans.<br />
The Community Developer Liaison will also<br />
act as a liaison between Interior Health, <strong>First</strong><br />
<strong>Nations</strong> and <strong>First</strong> <strong>Nations</strong> Health Council.<br />
UPDATE<br />
In five short months, the Community Developer<br />
Liaision (CDL) has been engaged in the<br />
following work:<br />
• Present to communities regarding the<br />
<strong>First</strong> <strong>Nations</strong> Health Council’s roles and<br />
responsibilities in respect to the TCA:<br />
<strong>First</strong> <strong>Nations</strong> Health Plan, and Tripartite<br />
<strong>First</strong> <strong>Nations</strong> Health Plan. Also provide<br />
information, encourage and support<br />
the development of Community Engagement<br />
Hubs.<br />
• Worked with developing Community<br />
Engagement Hubs by presenting at<br />
strategic sessions and assisting in the<br />
creation of their work plans.<br />
• Participated in Interior Health’s development<br />
of a Rural Health Plan. Since<br />
<strong>First</strong> <strong>Nations</strong> communities represent<br />
a large portion of the rural populations<br />
the CDL will ensure that they are<br />
engaged appropriately.<br />
• Met with <strong>First</strong> <strong>Nations</strong> Inuit Health<br />
regarding community health plans and<br />
where the CDL can assist communities.<br />
Other Activities<br />
• Participated in Interior Health Aboriginal<br />
Health Network staff meetings<br />
• Represented the <strong>FNHC</strong> locally in various<br />
community groups - Providing basic<br />
information and contacts<br />
• Forwarded <strong>First</strong> <strong>Nations</strong> concerns and<br />
issues to the <strong>First</strong> <strong>Nations</strong> Health Council<br />
or Interior Health.<br />
Community Developer Liaision<br />
Interior Health Region<br />
Mark Matthew<br />
mmatthew@fnhc.ca<br />
Upcoming Events<br />
<strong>March</strong><br />
UVIC Aboriginal Career Fair<br />
<strong>March</strong> 6, <strong>2009</strong>, Victoria<br />
BC Aboriginal Youth Conference<br />
<strong>March</strong> 17-20, <strong>2009</strong>, Kelowna<br />
April<br />
Interior Region Caucus Meeting<br />
April 8-9, 2008, Williams Lake<br />
Heritage Woods Secondary Health<br />
Career Presentation<br />
April 2, <strong>2009</strong>, Port Moody<br />
May<br />
Gathering Wisdom III<br />
May 19-21st, <strong>2009</strong><br />
Marriott Pinnacle<br />
Visit us online at: www.fnhc.ca<br />
Interested in becoming a Community Engagement hub?<br />
How do we get involved?<br />
> Step 1: Submit your letter of intent to<br />
become a hub, include a list of communities<br />
who will be a part of your hub.<br />
> Step 2: Attend a training session with<br />
the <strong>First</strong> <strong>Nations</strong> Health Council. Receive<br />
development dollars for your work<br />
planning process.<br />
> Step 3: Submit your work plan to the<br />
<strong>First</strong> <strong>Nations</strong> Health Council for approval.<br />
> Step 4: Receive funds to carry out work plan.<br />
To find out more about Community<br />
Engagement hubs connect with our<br />
regional representatives:<br />
Interior > Mark Matthew<br />
mmatthew@fnhc.ca<br />
Northern > Victoria Russell<br />
vrussell@fnhc.ca<br />
Vancouver, Vancouver Island &<br />
Fraser > Marilyn Ota<br />
mota@fnhc.ca<br />
Or visit our website: www.fnhc.ca<br />
Contact Us<br />
This infobulletin is a publication of the <strong>First</strong><br />
<strong>Nations</strong> Health Council. All rights reserved.<br />
<strong>First</strong> <strong>Nations</strong> Health Council<br />
1205-100 Park Royal South<br />
WEst VAncouver, BC<br />
V7t 1a2<br />
telephone: (604) 913.2080<br />
info@fnhc.ca<br />
http://www.fnhc.ca