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Inuit Wellness Programs in 2004-2005

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Munarhiliqiyikkut Inuuhiriknirmullu

Department of Health and Social Services

First Nations and Ministère de la Santé et des Services Sociaux Health Branch

Health Santé Canada Canada , NU September 2005 Picture courtesy of Melanie Houde Inuit Wellness Programs in Nunavut 2004-2005

Report prepared by:

Tracy Thomas Gogi Greeley Territorial Coordinator Wellness Programs Territorial HCC Coordinator

Melissa Guyot Kelly Loubert Territorial ADI/CPNP Coordinator Territorial TCS Coordinator

Winnie Banfield Territorial FASD Coordinator

© 2006 Department of Health and Social Services, Government of Nunavut ISBN 1-55325-104-0

P.O. Box 1000, Station 1000 Iqaluit, NU X0A 0H0 Tel: (867) 975-5700

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Munarhiliqiyikkut Inuuhiriknirmullu

Department of Health and Social Services First Nations and Inuit Health Branch Ministère de la Santé et des Services Sociaux

Health Santé Canada Canada Inuit Wellness Programs in Nunavut Inuit Wellness Programs in Nunavut



www.gov.nu.ca/finance/bp/2004. www.gov.nu.ca/finance/bp/2004. ᑕᕝᕚᑭᒥᒃ ᐊᐅᓚᑦᑎᓂᕐᒧᑦ ᖃᓄᐃᓕᐅᖅᑕᐅᕙᓪᓕᐊᔪᒪᔪᑦ, ᐊᒻᒪᓗ ᑕᕝᕚᑭᒥᒃ ᐊᐅᓚᑦᑎᓂᕐᒧᑦ ᖃᓄᐃᓕᐅᖅᑕᐅᕙᓪᓕᐊᔪᒪᔪᑦ, ᐋᖓᔮᕐᓇᖅᑐᓄᓪᓗ ᐊᑐᐃᓐᓇᕈᒪᓕᖅᐸᖕᓂᖏᓐᓄᑦ. ᑲᓇᑕᓕᒫᒥ ᖃᓪᓗᓈᖑᙱᑦᑐᑦ ᐃᒥᐊᓗᖕᒧᑦ ᖑᓂᕋᖅᑕᐅᒋᓪᓗᓂ) (FASD-ᖑᓂᕋᖅᑕᐅᒋᓪᓗᓂ) ᓯᖓᐃᒋᔭᐅᔪᑦ ᐃᒥᐊᓗᖕᒧᑦ ᐊᒃᑐᖕᓂᕐᓗᒃᑕᐅᕈᓘᔭᖅᐸᖕᓂᖏᓐᓄᑦ ᐋᖅᑭᒃᓱᐃᓂᖅ ᖃᓄᐃᙱᑦᑎᐊᖅᑐᓂᒃ ᓄᓇᓕᖕᓂᒃ / ᐃᓱᒪᒃᑯᑦ ᖃᓄᐃᙱᑦᑎᐊᖅᑎᑦᑎᓂᖅ (BHC-MH- ᐋᖅᑭᒃᓱᐃᓂᖅ ᖃᓄᐃᙱᑦᑎᐊᖅᑐᓂᒃ ᓄᓇᓕᖕᓂᒃ ᖑᓂᕋᖅᑕᐅᒋᓪᓗᓂ) / ᓂᐅᖅᓯᑳᖅᓂᕐᒥ ᐊᑐᕐᓂᕐᓗᒃᓯᕙᖕᓂᕐᒧᑦ ᐱᓕᕆᐊᖑᔪᖅ ᐋᖅᑭᒃᓱᐃᓂᖅ ᖃᓄᐃᙱᑦᑎᐊᖅᑐᓂᒃ ᓄᓇᓕᖕᓂᒃ (BHC-SAP-ᖑᓂᕋᖅᑕᐅᒋᓪᓗᓂ) ᓂᕿᑦᑎᐊᕙᖕᓂᒃ ᐱᓕᕆᓂᖅ (CPNP-ᖑᓂᕋᖅᑕᐅᒋᓪᓗᓂ) ᑲᓇᑕᒥ ᓯᖓᐃᓂᕐᒧᑦ ᓂᕆᑦᑎᐊᖅᐸᖕᓂᕐᒧᑦ ᐊᖏᕐᕋᖏᓐᓂ ᓄᓇᓕᖏᓐᓂᓗ ᑲᒪᒋᔭᐅᓗᑎᒃ (HCC- ᓄᓇᖃᖅᑳᖅᑐᑦ ᐃᓄᐃᓪᓗ ᖃᓄᐃᙱᑦᑎᐊᕈᓐᓇᕐᓂᕐᒧᑦ ᓄᓇᖃᖅᑳᖅᑐᓄᑦ ᑎᒥᒃᑯᑦ ᓱᑲᖃᓗᐊᕐᓂᕐᒧᑦ ᐱᓕᕆᐊᖑᓯᒋᐊᖅᓯᒪᔪᖅ (ADI-ᖑᓂᕋᖅᑕᐅᒋᓪᓗᓂ) ᓄᓇᖃᖅᑳᖅᑐᓄᑦ ᑎᒥᒃᑯᑦ ᓱᑲᖃᓗᐊᕐᓂᕐᒧᑦ (BF-ᖑᓂᕋᖅᑕᐅᒋᓪᓗᓂ) ᓯᕗᓂᒃᓴᖃᑦᑎᐊᕐᓂᕐᒧᑦ ᐱᓕᕆᐊᖑᕙᒃᑐᑦ • • • • • • • • • ᖑᓚᐅᖅᑐᓂᑦ. ᖑᓚᐅᖅᑐᓂᑦ. ᐃᓗᓕᕆᒃᑲᓐᓂᖅᑕᖏᑦ ᐱᔾᔪᑎᖃᕐᓗᑎᒃ ᖃᓄᐃᓕᐅᖅᓯᒪᓂᖏᑕ ᑕᒪᐃᑕ ᖃᓄᐃᙱᑦᑎᐊᕈᓐᓇᕐᓂᕐᒧᑦ ᐃᓄᓕᕆᔨᒃᑯᓪᓗ ᖃᐅᔨᒋᐊᕐᕕᒋᓗᒋᑦ ᐋᓐᓂᐊᖃᕐᓇᙱᑦᑐᓕᕆᔨᒃᑯᑦ ᐱᓕᕆᐊᖑᑎᑕᐅᕙᒃᑐᑦ ᓄᓇᕗᒻᒥ, ᖃᕆᑕᐅᔭᒃᑯᑦ ᑖᒃᑯᐊ ᒪᓂᒪᑎᑕᐅᕗᑦ ᖃᓄᐃᓕᐅᖅᐸᓪᓕᐊᔪᒪᓂᕐᒧᑦ ᑎᑎᕋᖅᓯᒪᔪᖁᑎᒋᔭᖏᓐᓂ 2004-05-ᒧᑦ. ᐅᐸᒃᑕᐅᔪᓐᓇᖅᑐᒥ ᐅᕙᓂ ᖃᔅᓯᓪᓚᑦᑖᖑᓂᖏᑦ ᑮᓇᐅᔭᐃᑦ ᐊᑐᖅᑕᐅᔪᕕᓃᑦ ᑲᓇᑕᓕᒫᒥ ᖃᓄᐃᙱᑦᑎᐊᕐᓂᕐᒧᑦ ᐱᓕᕆᐊᖑᔪᓄᑦ 2004-05-ᖑᑎᓪᓗᒍ ᑲᓇᑕᓕᒫᒥ ᖃᓄᐃᙱᑦᑎᐊᕐᓂᕐᒧᑦ ᐱᓕᕆᐊᖑᔪᓄᑦ 2004-05-ᖑᑎᓪᓗᒍ ᖃᔅᓯᓪᓚᑦᑖᖑᓂᖏᑦ ᑮᓇᐅᔭᐃᑦ ᐊᑐᖅᑕᐅᔪᕕᓃᑦ 2003-04-ᒥ ᑮᓇᐅᔭᕆᔭᐅᓚᐅᖅᑐᓂᑦ $9,764,353- ᐅᓄᖅᓯᒋᐊᖅᓯᒪᓪᓗᑎᒃ 12-ᐳᓴᒥᒃ $11,131,048-ᖑᓚᐅᖅᐳᑦ, ᑖᓐᓇ ᐅᓂᒃᑲᐅᓯᖅ ᓴᖅᑭᑎᑦᑎᕗᖅ ᓇᐃᒡᓕᒋᐊᖅᓯᒪᓪᓗᑎᒃ ᐱᓕᕆᐊᖑᕙᒃᑐᓂᒃ ᐱᓕᕆᐊᖑᕙᒃᖢᑎᒃ ᑖᒃᑯᓇᓂ ᐊᑐᓂᑦ ᑖᓐᓇ ᐅᓂᒃᑲᐅᓯᖅ ᓴᖅᑭᑎᑦᑎᕗᖅ ᓇᐃᒡᓕᒋᐊᖅᓯᒪᓪᓗᑎᒃ ᐱᓕᕆᐊᒃᓴᐃᑦ ᐱᓕᕆᐊᖑᔪᕕᓃᑦ ᒥᒃᓵᓄᑦ ᑕᒫᓂ ᐊᕕᒃᓯᒪᓂᕆᔭᐅᔪᒥ: ᑐᓴᖅᑎᑦᑎᔾᔪᑎᒃᓴᓂᒡᓗᑦᑕᐅᖅ ᐱᓕᕆᐊᖑᕙᒃᑐᓂ, ᑖᓐᓇ ᐅᓂᒃᑲᐅᓯᐊᕆᔭᐅᓯᒪᔪᖅ ᓇᓗᓇᕈᓐᓃᖅᑎᑦᑎᕗᖅ ᖃᔅᓯᓂᒃ ᐊᑐᖅᑐᖃᓚᐅᕐᒪᖔᑦ ᐊᑐᓂᑦ ᓄᓇᓕᖕᓂᑦ ᐅᑯᓄᖓ ᐊᑐᖅᑐᖃᓚᐅᕐᒪᖔᑦ ᐊᑐᓂᑦ ᓄᓇᓕᖕᓂᑦ ᓇᓗᓇᕈᓐᓃᖅᑎᑦᑎᕗᖅ ᖃᔅᓯᓂᒃ ᑖᓐᓇ ᐅᓂᒃᑲᐅᓯᐊᕆᔭᐅᓯᒪᔪᖅ ᐱᓕᕆᐊᒃᓴᓄᑦ: ᑮᓇᐅᔭᖃᖅᑎᑕᐅᓪᓗᑎᒃ ᒐᕙᒪᑐᖃᒃᑯᓐᓂᑦ ᐱᓕᕆᐊᖑᔪᒃᓴᐅᑎᑕᐅᓪᓗᑎᒃ ᓄᓇᕗᒻᒥ ᐊᕐᕌᒍᒋᔭᐅᔪᒧᑦ 2004-05-ᒧᑦ. ᒐᕙᒪᑐᖃᒃᑯᓐᓂᑦ ᐱᓕᕆᐊᖑᔪᒃᓴᐅᑎᑕᐅᓪᓗᑎᒃ ᑮᓇᐅᔭᖃᖅᑎᑕᐅᓪᓗᑎᒃ ᖃᐅᔨᒪᑦᑎᐊᕈᒪᒧᑦ ᓄᓇᓖᑦ ᐃᓚᐅᓂᖏᓐᓄᑦ ᐊᑐᖅᐸᒃᐳᑦ ᐊᖏᓂᖅᓴᒃᑯᑦ ᒥᑭᓐᓂᖅᓴᒃᑯᓪᓘᓐᓃᑦ ᑕᒪᒃᑯᐊ ᐱᓕᕆᐊᖑᕙᒃᑐᑦ ᓯᕗᓪᓕᖅᐸᐅᑦᑎᐅᑎᓯᒪᔭᖏᓐᓄᑦ ᐊᓐᓂᕆᔭᖏᓐᓄᓪᓗ. ᐊᒃᑐᐊᓂᖃᑦᑎᐊᕋᓗᐊᕐᒪᖔᑕ ᓄᓇᓖᑦ ᑕᒪᒃᑯᐊ ᐱᓕᕆᐊᖑᕙᒃᑐᑦ ᓄᓇᓕᖕᓂ ᐋᓐᓂᐊᕕᒃᑎᒍᑦ, ᒪᑯᑎᒎᓇᖅ, ᒪᓂᒪᑎᑕᐅᖃᑦᑕᖅᑐᓂᒃ ᐃᑲᔪᕈᑕᐅᕙᒃᐳᑦ ᐱᔨᑦᑎᕋᕐᓂᕆᔭᐅᕙᒃᑐᓂᒃ ᑐᑦᑕᕐᕕᒋᔭᐅᔪᓄᑦ. ᐃᓄᓕᕆᔨᒃᑯᓐᓄᑦ ᖃᓄᐃᙱᑦᑎᐊᕈᓐᓇᕐᓂᕐᒧᓪᓗ ᐃᓂᓄᑦ, ᑭᒃᑯᑐᐃᓐᓇᓄᑦ ᖃᓄᐃᙱᑦᑎᐊᕈᓐᓇᕐᓂᕐᒧᑦ ᓯᕗᓕᖅᑎᓄᑦ ᐅᓂᒃᑳᖅᓯᒪᔪᑦ ᓇᐃᖦᖢᑎᒃ ᐅᓂᒃᑳᖅᓯᒪᔪᑦ ᓯᕗᓕᖅᑎᓄᑦ ᖃᓄᐃᙱᑦᑎᐊᕈᓐᓇᕐᓂᕐᒧᑦ ᐱᓕᕆᐊᒃᓴᕆᔭᐅᕙᒃᑐᓂᒃ ᓇᐃᑦᑐᓂᒃ ᐃᓄᖕᓄᑦ ᑐᕌᖓᓪᓗᑎᒃ ᐅᑯᐊ ᐅᓂᒃᑲᐅᓰᑦ ᓴᖅᑭᑎᑦᑎᕗᑦ Inuit Wellness Programs in Nunavut Social Services BusinessPlanfor 2004-05.Social Services This isavailable onlineat For more detailsaboutallthehealthprograms offered inNunavut, pleaserefer ofHealthand totheDepartment over the2003-04level of$9,764,353. The actualamountspentonfederal wellness programs in2004-05was$11,131,048, anincrease oftwelve percent about theprograms delivered attheterritorial level: This reportprovides oftheactivitiesundertaken by eachoftheseprograms, asummary aswell asinformation This reportsetsouttheamountspentineachcommunity for thefollowing programs: health units, officesandwellness centres. socialservices community prioritiesandvalues. offeredThey complementservices through community healthcentres, public The programs rely toagreater orlesserextentoncommunity involvement toensure theprograms reflect inNunavutdelivery for thefiscalyear 2004-05. This reportprovides oftheInuit-specific wellness asummary programs fundedby thefederal government for Executive Summary

• • • • • • • • • National Native Alcohol andDrug Addiction. Tobacco Control Strategy, and Fetal Alcohol Spectrum Disorder (FASD) First NationsandInuit HealthHomeandCommunity Care (HCC) Canada Prenatal NutritionProgram (CPNP) Building Healthy Communities /Solvent Abuse Program (BHC-SAP) Building Healthy Communities /MentalHealth(BHC-MH) Brighter Futures (BF) Aboriginal DiabetesInitiative (ADI)

 www.gov.nu.ca/finance/bp/2004.

Inuit Wellness Programs in Nunavut

 Najjitaqtilluni Aangayaaqattarnirmut Aanniarut (NAA) Aanniarut Aangayaaqattarnirmut Najjitaqtilluni unalu Atuqpallaarnaittumik Qanuriliurut, Tipaakurnik Ayuqhautigiyait. Higaarlukkullu Taanngakkut Kanatami Nunaqaqqaaqhimayut Nunallaaqattiariami Aanniaqtailinirmut Hananiq / Ihumaliqiniq (BHC-MH) Aanniaqtailinirmut Nunallaaqattiariami (BHC-SAP) Ayuqhautiqaliqiniq Hananiq / Hupluurnikkut Aanniaqtailinirmut Nunallaaqattiariami Nirittiarniq (CPNP) Kanatami Hingaiyunut Angilrarvingmini Nunallaaminilu Munaqhiyauniq (HCC) Aanniaqtailinirmut Inuinnaillu Nunaqaqqaaqhimayut Nunaqaqqaaqhimayut Aungagut Sukarlungnirmut Hanaqijjutikhaq (ADI) Aungagut Sukarlungnirmut Nunaqaqqaaqhimayut IliharviatInuhaat (II) • • • • • • • • •

Qanuq anginia atuqtauhimayut akikhanik Kanatami inuuttiarnirmut autqtukhat imaa 2004-05mi $11,131,048 taalaq, taalaq, autqtukhat imaa 2004-05mi $11,131,048 Kanatami inuuttiarnirmut akikhanik anginia atuqtauhimayut Qanuq 2003-04mi $9,764,353 taalauyuugaluaq. anglivalliania 12 pusanmik ukiumi uvannga Munaqhiliqiyitkut qinijjavat atuqtukhat piyaulaaqtut Nunavunmi, Kangiqhittiarumagupkit aanniaqtailinirmut uvani qaritauyami Takulaaqtallu Pinahuaqtatik 2004-05mi. Havaariyaminut Inuuhiringnirmullu www.gov.nu.ca/finance/bp/2004. kangiqhijjutikhaniglu atuqtukhanik tunihimayainnik aviktuqhimayuni nunani kavamaita: kavamaita: nunani aviktuqhimayuni kangiqhijjutikhaniglu atuqtukhanik tunihimayainnik Uvani titiraqhimayumi naittunik illirihimayuq qanuriliurutainnik atuqhimayut hapkunani atuqutkhani, atuqutkhani, hapkunani atuqhimayut qanuriliurutainnik naittunik illirihimayuq Uvani titiraqhimayumi havakviillu. havakviillu. hapkununnga: qaffitaalat atuqtauvaktut atuni nunallaami naunaiqhimayait Uvani titiraqhimayumi Una titiraqhimayuq naittumik turaaqhimayunik Inuinnarnut inuuttiarnirmut atuqtukhanik akiliqtauhimayut Kanatam akiliqtauhimayut atuqtukhanik inuuttiarnirmut Inuinnarnut turaaqhimayunik naittumik Una titiraqhimayuq maniliqiniup uuma 2004-05. ukiungani atuqtauyukhat Nunavunmi kavamainnit hivulliuyukhanut atuqtukhat ihuariangita nunallaami taimaa ilaunianut nunallaam Atuqtukhat ihuaqhihimayut inuuttiarnirmut inuliqiyillu munaqhiqarviit, nunallaami piyauvaktut Ilagiyait ikayuutikhat inuqatigiittarnirmullu. Atan’nguyap Titiraqhimayaa Atan’nguyap Inuit Wellness Programs in Nunavut www.gov.nu.ca/finance/bp/2004. plan dedéveloppement sociauxpour2004-2005disponibleà duministère delaSantéetdesServices Pour obtenirdeplusamplesrenseignements surlesprogrammes auNunavut, de santé offerts veuillez consulterle auniveauaugmentation de12pourcentparrapport de2003-2004quis’élevait à9764353$. Les sommesdépenséessurlesprogrammes demieux-être fédéraux en 2004-2005s’élevaient à11131048$, une informations surlesprogrammes auniveau offerts duterritoire : présenteégalement unrésumédesactivitésmenéesparchacundecesprogrammesCe rapport demêmequedes présentelessommesdépenséesdanschaquecommunautéCe rapport pourlesprogrammes suivants: communautaires, lesunitésdesantépublique, sociauxetlescentres lesbureaux demieux-être. deservices les prioritésetvaleursdelacommunauté. danslescentres offerts desanté Ilscomplètentlesservices Les programmes dépendentplusoumoinsdel’engagementlacommunauté afind’assurer qu’ilsreflètent auNunavutfédéral etofferts durantl’exercice financier2004-2005. présenteunrésumédesprogrammesCe rapport demieux-être destinésauxInuit financésparlegouvernement Sommaire exécutif • • • • • • • • • Programme nationaldeluttecontre l’abusdel’alcooletdesdrogues chez lesautochtones Stratégie deluttecontre letabagisme Ensemble destroubles causésparl’alcoolisationfoetale (ETCAF) Programme dessoinsàdomicileetenmilieucommunautaire desPremières nationsetdesInuit Programme canadiendenutrition prénatale(PCNP) Des communautés ensanté/Programme nationaldeluttecontre l’abusdesolvants(DCS-PNLCAS) Des communautés ensanté/Santémentale(DCS-SM) Grandir ensemble(GE) Initiative autochtonesurlediabète(IAD) 

Inuit Wellness Programs in Nunavut  Inuit. These programs help individuals, families and communities flourish in communities families and help individuals, programs These Inuit. and external cultural challenges. the face of environmental organizations and individuals who helped to thank the many like I would the supportWithout of community 2004-05. over these programs deliver could not be programs school breakfast like worthwhile projects groups, offered. Wellness is important to all Nunavummiut. The Government of Nunavut of Nunavut The Government is important to all Nunavummiut. Wellness physical, each enjoy when we communities of healthy its goal will achieve of disease or infirmity not just the absence mental and social well-being, the Department allows Health Canada funding of Health and Social among wellness that promote programs different Services many to offer

The Honourable Leona Aglukkaq The Honourable Leona Minister of Health and Social Services Wellness programs in Nunavut are one way the Government of Nunavut gives practical effect to the principle of practical effect gives of Nunavut the Government one way are in Nunavut programs Wellness partnership Our on-going with Health Canada brings others. people and respecting – caring for inuuqatigiitsiarniq and to Canada as a whole. Nunavummiut, benefits for many develop creative approaches and initiatives has had a forward momentum which continues to prevail. to prevail. momentum which continues forward has had a and initiatives approaches creative develop Community programming. support their to be commended for Brighter Futures for Hamlet leaders and staff are and the federal Recognition is also needed for programs. the success of these critical for support are and direction serve. they and the communities and support both the programs staff who develop territorial The success of these programs can be seen in the increase in the type of quality programming developed at the developed in the type of quality programming seen in the increase can be The success of these programs to of Nunavummiut The capacity first introduced. were since the programs level and territorial regional community,

Message from the Minister from Message Inuit Wellness Programs in Nunavut  Inuit Wellness Programs in Nunavut 7 8 0 1 2 3 4 5 6 7 8 9 0 1 4 5 6 7 8 9 0 1 4 5 6 9 3 3 3 4 5 7 2 4 7 5 5 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 1 5 8 10 11 1 1 1 1 20 2 2 2 ...... 5 ......  ...... Whale Cove Iqaluit Inlet Pond Lake Baker Harbour Coral Repulse Bay Bay Cape Dorset Clyde River Hall Beach National Native Alcohol and Drug Abuse Program (NNADAP) Abuse Program and Drug Alcohol National Native Strategy Control Tobacco Qikiqtani (Baffin) Region Brighter Futures (BF) Brighter Futures – Mental Health Communities Building Healthy Abuse Program – Solvent Communities Building Healthy (CPNP) Nutrition Program Canada Prenatal Spectrum Disorder Alcohol Fetal Home First Nations and Inuit Aboriginal Diabetes Initiative (ADI) Initiative Aboriginal Diabetes Inuit Specific Community Wellness Initiatives in Nunavut 2004-200 in Nunavut Initiatives Wellness Specific Community Inuit Executive Summary Executive the Minister Message from in Nunavut Programs Wellness to Introduction TABLE OF CONTENT TABLE Inuit Wellness Programs in Nunavut All monetary totals in this report refer 2004-2005. toactualamountsspentduring totalsinthisreport All monetary related totheseprograms appear inthecommunity sectionofthisreport. Programs are territorial programs. Becausethesedonotincur “community based”expenses, noexpenditures Fetal Alcohol Spectrum Disorder, Tobacco Control andtheNationalNative Strategy Alcohol andDrug Addiction of60. Canada north through Secretariat. theNorthern SecretariatThe Northern wascreated tohelpaddress theuniqueneedsof programs are Inuit specificandare fundedby theFirstNationsandInuit HealthBranch(FNIHB)ofCanada have beenaround inexcessof10years, others, suchasthe Tobacco Control Strategy, are stillnew. All ofthese These programs allhave different goals, objectives andcriteria. Someoftheseprograms, suchasBrighterFutures, The programs: available. provides andleadershipinorderand SocialServices toachieve support thebestresults withthefundsthatare Population andPublicHealthsectionof ofHealthandSocialServices.The Department ofHealth The Department This publicreportonInuit wellness isfocused ontheHealthCanadaPrograms thatare delivered inNunavut by the in Nunavut Introduction to Wellness Programs • • • • • • • • • Tobacco Control (TCS) Strategy National Native Alcohol andDrug Addiction Program (NNADAP) First NationsandInuit HealthHomeandCommunity Care (HCC) Fetal Alcohol Spectrum Disorder Program (FASD) Canada Prenatal NutritionProgram (CPNP) Building Healthy Communities /Solvent Abuse Program (BHC-SAP) Building Healthy Communities /MentalHealth(BHC-MH) Brighter Futures (BF) Aboriginal DiabetesInitiative (ADI)  Inuit Wellness Programs in Nunavut

$117,382.00 Mental Health $1,095,804.88 $531,622.90 Solvent Abuse ProgramAbuse Solvent Building Healthy Communities Communities Building Healthy Communities Building Healthy Aboriginal Diabetes Initiative $2,039,815.74 Brighter Futures

 $417,076.00 Nunavut Wide Nunavut $796,995.16 Drug Addiction ProgramDrug National Native Alcohol and National Native In Nunavut 2004-2005 In Nunavut

Canada Prenatal Nutrition Program $504,360.00 Disorder Program Fetal Alcohol Spectrum Fetal Inuit Specific Community Wellness Initiatives Initiatives Wellness Specific Community Inuit $207,265.60 Tobacco Control Strategy Tobacco $4,906,250.00 Home and Community Care Home and Community Aboriginal Diabetes Initiative (ADI)

The Nunavut Aboriginal Diabetes Initiative has several focuses. From participation in an on-line nutrition course to prevention and promotion projects to training opportunities for medical professionals, the ADI program in Nunavut attempts to provide a range of services that centre around community-based projects.

Nunavut ADI projects occurred in 12 communities during fiscal year 2004-05: Cape Dorset, Clyde River, Iqaluit, Pangnirtung, , Grise Fjord, Kugluktuk, Arviat, , , Cambridge Bay, Gjoa Haven and Kugaaruk. Communities design and implemented their own diabetes prevention projects that met the specific needs of residents.

Territory-wide activities were successful this past year in providing training to medical professionals in the regions: holding a foot-care workshop for home and community care nurses; developing promotional material to encourage physical activity; partnering with an online nutrition course offered by McGill University; and conducting a Drop-the-Pop campaign for nutrition month to help students choose healthier beverages instead of pop. The number of schools participating in Drop the Pop 2005, nearly doubled with 27 of the 41 schools in Nunavut (66%) participating in 2005, compared to 14 schools in 2004.

A flipchart teaching tool was developed to help health professionals provide education on diabetes. During this year the continuation and expansion of community-based projects was made a priority as was the development of educational materials for diabetes patients (produced in all four languages of Nunavut), and the development of a strategic model for preventing and treating diabetes in Nunavut. Plans for future years include expanding human resources and increasing the access to dietician services, as well as participating in the development of a cross- regional diabetes cookbook for all Inuit in Canada.

The Nunavut Aboriginal Diabetes Initiative is guided by a territorial advisory committee comprised of representatives from the three regional Inuit associations, Nunavut Tunngavik Incorporated, , regional representation from the Department of Health and Social Services, the regional and territorial nutritionists, and the ADI program coordinator.

If you have any questions about ADI please contact: ADI Coordinator at (867) 975-5762 Aboriginal Diabetes Initiative (ADI) Diabetes Initiative Aboriginal

10 Inuit Wellness Programs in Nunavut 11

Wellness Coordinator Wellness your community. your Active Living (sports)Active meetings) (workshops, Training needs wellness Other community Summer camps for children Summer camps for connect) skills (helping Elders and youth Traditional Teaching schools and Daycares for Programs Breakfast Assistant or a Community hamlets such as Special Needs staff at schools or wellness funding for Provide Inuit associations / organizations Inuit associations) organizations (churches, volunteer Community-based organizations (NGOs) non-government Inuit Schools Individuals To provide a population health approach to care, promotion and prevention. promotion to care, a population health approach provide To activities and partners in the community. bring together all wellness To Hamlets and Hamlet Councils To make Inuit children, families and communities healthier. families and communities children, Inuit make To and needs in built on information are priorities that health and wellness based – addressing be community To in planning and action. of residents involvement paced – encouraging active be community To • • • • • • • • • • • • • • • • • •

What kind of projects can Brighter Futures Fund? Futures canWhat kind of Brighter projects Who Can Apply to Brighter Futures? Who Can Apply to Brighter wellbeing of the individual, their family and their their family of the individual, wellbeing were projects Brighter Futures community. in in Nunavut community in every delivered a world can make Futures Brighter 2004-2005. in the community. of difference Program aims: Futures The Brighter Brighter Futures is a Health Canada program is a Health Canada program Brighter Futures children. on aboriginal and Inuit that focuses with the coordinated It was developed and government assistance of the communities and social mental the physical, to improve Brighter Futures (BF) Futures Brighter Inuit Wellness Programs in Nunavut Kitikmeot (Cambridge Bay): Inlet): Kivalliq (Rankin (Iqaluit): Baffin Review Committee. approval beforeOfficewhere they beingsenttotheRegionalHealthandSocialServices are reviewed by aRegional A proposal templatecanbeobtainedthrough thelocalHamletorMunicipaloffice. All proposals require Council How interested forfunding? can apply candidates

(867) 983-4068 (867) 645-2171 (867) 473-2689 12

Inuit Wellness Programs in Nunavut

13 (867) 473-2689 (867) 983-4068 (867) 645-2171

Coordinator needs wellness Other community critical gaps in mental health services.critical gaps Community Wellness Radio Wellness Community meetings and conferences) (workshops, Training Health Awareness groups (Youth Drop In or Drug and Alcohol support groups) In or Drug and Drop (Youth groups Awareness Health skills Traditional Teaching On the Land Healing projects Wellness Assistant or a Community staff at schools or hamlets such as Special Needs Funding wellness Community-based volunteer organizations (churches, associations) organizations (churches, volunteer Community-based organizations (NGOs) Non-government Schools Individuals Hamlets and Hamlet Councils associations / organizations Inuit Aid in the intervention in problems of depression and suicide by community based projects that address that address based projects community and suicide by of depression Aid in the intervention in problems • • • • • • • • • • • • • • Building Healthy Communities – Communities Healthy Building

Kivalliq (Rankin Inlet): Bay): Kitikmeot (Cambridge A proposal template can be obtained through the local Hamlet or Municipal office. All proposals require Council require All proposals office. the local Hamlet or Municipal template can be obtained through A proposal a Regional by reviewed are being sent to the Regional Health and Social Services they before Office where approval Committee. Review Baffin (Iqaluit): How can interested candidates apply can for funding?How interested What kind of projects canWhat kind of Fund? Building Healthy Communities projects Who Can Apply to Building Healthy Communities? year: Embrace Life Council and ASSIST Training. ASSIST and Council Embrace Life year: Communities - The Building Healthy Mental Health program aims to: Building Healthy Communities (BHC-MH) is a (BHC-MH) Communities Building Healthy on the Mental that focuses Health Canada program were BHC projects and Inuit. Health of aboriginals in 2004- in Nunavut community in every delivered projects, driven to the community In addition 2005. during this wide initiatives territorial two were there Health Mental Inuit Wellness Programs in Nunavut Kitikmeot (Cambridge Bay): Inlet): Kivalliq (Rankin (Iqaluit): Baffin A proposal Offices. templatecanbeobtainedthrough theRegional HealthandSocialServices forfunding? How interested apply can applicants projects BuildingHealthyCommunitiesfund? What kindof can toBuildingHealthyCommunities–Solvent AbuseProgram? Apply Who Can to: program aims The BuildingHealthyCommunitiesSAP Kitikmeot Region. Igloolik, RankinInletandinevery community ofthe SAP projects were delivered inCape Dorset, problems ofsubstanceabuseinNunavut. BHC- a HealthCanadaprogram thatfocuses onthe Building Healthy Communities (BHC-SAP)is Solvent Abuse Program Building HealthyCommunities–

• • • • • • • • • • • • • • • • •

thecommunities ofNunavutSupport toreduce Provide toindividuals andfamiliesinposttreatment. support treatment programs Strengthen linksbetween thecommunity-based programs andBHC–MH, BF, NNADAP andresidential lifestyles Increase awareness andunderstandingaboutsolvent addiction aswell aspromoting alternative healthier the level ofsolvent addiction Support for individualsthathaveSupport justcompletedtreatment Provide community educationandawareness Groups thatidentifyissuessurrounding solvent abuseinorder toreduce themisuse ofsolvents Projects thataimtoidentifyindividualsare highrisk Training for Wellness Workers Organizing aregional HealthPromotion Tour dealingwithSolvent Abuse Funding wellness staffatschoolsorhamletssuchasSpecialNeeds Assistant Individuals Schools Inuit non-government organizations(NGOs) Community-based volunteer organizations(churches, associations) Inuit associations/organizations Hamlets andHamletCouncils

(867) 645-2171 (867) 983-4068 (867) 473-2689 14

Inuit Wellness Programs in Nunavut 15 well, a promotional poster and “breastfeeding bag” campaign were developed. The breastfeeding bags The breastfeeding developed. bag” campaign were “breastfeeding poster and a promotional well, bag with the diaper small disposable camera in a sturdy fact sheet, a breastfeeding t-shirts, included baby through women distributed to prenatal The bags were babies and moms!”. is best for “Breastfeeding logo Health Centers. and the McGill Online Nutrition Training. Training. and the McGill Online Nutrition t-shirt including story writing contests, activities in October 2004, Week CPNP supported Breastfeeding initiatives These two competitions’. ‘breastfeeding and community baby”) distribution (“I am a breastfed placed first in Canada in a national Nunavut in October. Week launched during Breastfeeding were As the 2003 competition. than doubled from more Participation in Nunavut competition. breastfeeding Canada staff, a contract nutritionist, Regional Wellness Coordinators, Regional Health Promotion Officers, Officers, Promotion Regional Health Coordinators, Wellness Regional a contract nutritionist, Canada staff, (CHRs) and Elders. Representatives Healthy Community Health Nurses, Community supports CPNP projects. education & promotion community for Objective 2 - Provide campaign, promotion a breastfeeding to accomplish this objective: undertaken main activities were Two During 2004-2005, two regional training workshops were carried out in Nunavut to provide CPNP to provide in Nunavut out carried were training workshops regional two During 2004-2005, infant breastfeeding, health and nutrition, of prenatal with the opportunity to gain skills in the area workers trained were Almost 40 workers screening. and nutrition foods, shopping for cooking classes, feeding, Health nutritionists, Nunavut out by was organized and carried The workshop during these sessions. skills and knowledge. skills and knowledge. Coordination and Activity Coordination the 2004-2005 fiscal year: and activity component of CPNP during of the coordination objectives three were There opportunity staff to enhance their and skills-development project to all CPNP community a knowledge- Objective 1 - Provide women, providing nutrition education and screening, and education and screening, nutrition providing women, breastfeeding. supporting and promoting of main areas two operates through The CPNP in Nunavut Based Activity and Community & Coordination programming: Programming. Overview Prenatal the Canadian delivers of Nunavut The Government (CPNP) with the purpose of improving Nutrition Program and their babies (up and post natal women the health of pre augment to the CPNP strives As well, of age). to one year to pregnant food healthy existing services providing by Canada Prenatal Nutrition Nutrition Prenatal Canada (CPNP) Program Inuit Wellness Programs in Nunavut Territorial CPNPCoordinator at(867)975-5762 If you have any questionsaboutCPNPpleasecontact: two mainobjectives thatwere metduring2004-2005 Community-based andactivitiesdelivered programming includedservices inandwithcommunities. There were Community-based Programming representatives from Inuit Organizations, RegionalNutritionists’andstafffrom HealthPromotion. provide guidancetotheprogram andsetdirection for future work plans. group included The advisory The CPNP Group inNunavutAdvisory heldthree teleconferences and group members communication withadvisory Objective 3-Support prevention, breastfeeding, budgetingfor food, teenpregnancy, andpreschool nutrition. community healthworkers inNunavut. Topics thatwere covered includedbasicnutrition, diabetes The McGillOnlineNutrition Training coursewasoffered to35CPNPworkers, alongwithother Nutritionists. in thesummerof2005toallCPNPprojects, Community HealthRepresentatives (CHRs)andRegional Bingo. trainingwilltake Further placeduringnutrition community visits. The 65kitswillbedistributed Vitamins, bonedemonstrationtools, measuringcupsandspoons, dicefor games, andNunavut Food Guide as well asteaching toolssuchas: food models(plasticfake food), food photocards, Vitamin D, Prenatal The kitsincludeateachingbooklet(developed by Nunavut nutritionists) withafocus onprenatal issues, Nutrition Kits(called “ throughout Nunavut toCPNPprograms, healthcentres, CHR’s andschools. the discussionofnutrition withpregnant andbreastfeeding women. Factsheetbookswillbedistributed also includedthedevelopment ofnew factsheetson Vitamin DandFolate, two key nutrients usedin Funds were puttoward therevision ofthe in . summer 2005. Nunavut translatedthemanual intoInuktitut, nextyear there are planstoprintthemanual development oftheInuit Nunavut nutrition staffworked withHealthCanadaandPauktuutitInuit Women’s Association onthe Objective 2-Improve foods. information andnutritious access tonutrition process. H&SSalsoprovided to6projects nutrition support fundeddirectly by HealthCanada. In 2004-2005, 15communities inNunavut received FNIHBCPNPfundingthrough aproposal driven practices Objectives 1-Improve the healthofpregnant womenandinfants through improved andbreastfeeding nutrition The BlueNutritionKit Building Healthy Babies Nutrition FactSheetSeries ”) were alsodeveloped withfundingfrom CPNPand ADI. 16 manual. This manual wasexpectedtogo toprintin for Inuit Traditional Foods. This exchanged numerous emailsto Inuit Wellness Programs in Nunavut 17

relevant communities to FASD multidisciplinary approach the prevention, intervention, care and support care intervention, the prevention, FASD by of individuals affected Share expertise and resources expertiseShare and resources Nunavut practices for Evaluate outcomes and determine best culturally to determine supports in the communities and solutions that are and knowledge Build on strength Create partnerships towards a comprehensive range of services to address the needs of children, families and of children, range of services the needs to address a comprehensive partnershipsCreate towards a coordinated towards in the communities building training and capacity community-based Provide to FASD issues related and acceptance for awareness Increase Develop and promote a Territorial approach for for approach Territorial a and promote Develop • • • • • • •

Banners developed earlier by Health Canada were translated into Inuktitut and Inuinnaqtun and 4-language versions and 4-language versions and Inuinnaqtun translated into Inuktitut Health Canada were earlier by Banners developed and in each community area in a prominent will be displayed These banners each community. for purchased were events. also used at community 25 copies (one for each community) of AGES and STAGES, an assessment tool, were purchased. This tool is available available is tool This purchased. were tool, assessment an STAGES, and AGES of community) each for (one copies 25 begin and be at risk of FASD who may This tool will help identify children as in English. as well version in Inuktitut with families about further investigations. conversations 2004. Come First” in November “Children trained to facilitate Pauktuutit’s were Nunavut individuals from Three in Nunavut. a general training workshop the ability to facilitate have These facilitators now Health promotion and Prevention Health promotion part were T-shirts The the languages. and translated into all developed posters and t-shirts were relevant Culturally material at high used as promotional been continually but have Campaign, Feeding Breast Territorial of the CPNP is training and discussion about FASD there when ever and events, community school presentations, Activities for 2004-05 The goals of the FASD Initiative for Nunavut are to: are Nunavut for Initiative of the FASD The goals of the FASD Steering Committee. The Steering The Committee. Steering of the FASD the from representatives Committee includes Tunngavik Nunavut Associations, Regional Inuit Health and Social Services, Incorporated (NTI), (Public Health) Department of Education, Status of Qulliit Nunavut Department of Justice, members. and community Council, Women Introduction the Department by is delivered Initiative The FASD Servicesof Health and Social under the direction Fetal Alcohol Spectrum Disorder Disorder Spectrum Alcohol Fetal 2004-05 Nunavut FASD– Initiative Inuit Wellness Programs in Nunavut 2005. Preparation wasalsooccurring withinthecommunity. videoconferencesFurther andtelehealthsessionswere group plannedwiththeCADEC priortoSeptember19th Demonstration Clinicscheduledfor March 2005didnotgo aheadandwasrescheduled for September19th2005. teamvisitedthecommunity ofKugluktukthe CADEC for atrainingsessionfrom 7-9, February 2005. The teamshouldtakethe CADEC placeinKugluktuk, asthecommunity wasthemost prepared. Inpreparation, The SteeringCommitteedecidedthatacommunity visitandthediagnosticclinicplannedfor Nunavut by of FASD. Demonstration Clinic. These sessionshelpedidentifywhatwasrequired inNunavut for anddiagnoses intervention todeliver trainingviavideo/teleconferences,A contractwassignedwithCADEC community visits, anda Nunavut Wide Initiatives community andgroups whowishtobeginaproject intheircommunity. A brochure abouttheKugluktuk Pilotproject wastranslatedintoInuinnaqtun andInuktitut tobeshared with communities, groups, andotherorganizations. “Youth SpeakOut”and “Be Free” theseCDwere translatedintofour languagesandwillbedistributedtoother FASD andwell being. The FASD PilotProject Team inthecompletionof3DVD’s hasparticipated “Wellness Fair”, community members, create publicawareness, share information, andincrease accesstoresources related to successful A very Wellness Fairwasheldinthecommunity ofKugluktuk. The goal oftheevent wastoengage knowledge aboutFASD andhow itaffects people. build capacity for theyouthincommunity events, toparticipate understandwellness, anddevelop empathy and comprisedof100youthparticipants and40community representatives intheworkshops, participated helpingto On November 15and16, 2004, theFASD PilotProject hostedayouth workshop withDonBurnstick. 140 workshop 2005, inRankinInletFebruary where the Youth Coordinator wasoneofthefacilitators. night, movie night, and drama groups. Two youth from Kugluktuk in Pauktuutit’s participated “Children Come First” groups engagingtheminvariousactivitiesdealingwithFASD andotherhealthy life stylechoicessuchassports The Youth Coordinator worked organizations, closely withthesports schoolgroups andothercommunity youth committee metregularly throughout theyear andworked through theiractionplan. community approach toFASD prevention, intervention, education, capacity buildingandtraining. The advisory all groups in the community. group was formedAn advisory and developed an action plan which uses a coordinated training inthecommunity inMay 2004. Twenty four representatives from thecommunity ofKugluktuk represented In April 2004two community membersfrom Kugluktuk in participated Asset Mapping Training anddelivered this community alsohelpedwiththetransitionperiodfor thenew coordinator. being unabletofillthepositionfrom thecommunity, wascontinued untilMarch 31, 2005. The presence inthe A PilotProject Coordinator washired inKugluktuk. position,This wasinitially atemporary however dueto Kugluktuk Pilot Project prevention ofFASD. andintervention and activitiesintheinteractive CDpromote healthy life stylechoicesandinafunway give information about the CDwillbedistributedthroughout theschoolsandyouth centres inNunavut for youth toutilize. The games skills andabilitiesinallaspectsofthecreative andtechnicaldevelopment oftheCD. When thisiscompleted, was hired towork ontheCDwhilebeingmentored by theFASD PilotCoordinator andITcoordinator todevelop Kitikmeot SchoolOperations, theKugluktuk PilotProject andColdMountainComputing. A Youth Coordinator An Interactive EducationalCD-ROM wasstill in development. with This wasbeingcompletedinpartnership

18 Inuit Wellness Programs in Nunavut 19

If any questions please contact you have (867) 975-5758 Coordinator FASD Nunavut continued to participate in the Canada North West FASD Partnership. There was one face to face There Partnership. FASD West to participate continued Canada North in the Nunavut intervention, research, place discussing FASD also take teleconferences and regular meeting in December 200, on a national level. prevention Kugluktuk. Kagak from is Rosie of directors board on the Network’s representative Nunavut’s approximately 60 individuals who have basic training in FASD as well as some facilitation skills on presenting this as some facilitation skills on presenting as well basic training in FASD 60 individuals who have approximately in their community. who wish to present to these individuals Support is offered to their community. information Health and Social Services from participated in an online professionals health care of 2004 eleven June and In May the participants was excellent. from Feedback BC. Caledonia, New College of through course about FASD In November 2004 Pauktuutit offered training for 2 individuals from Nunavut to be trained as Facilitators for their to be trained as Facilitators for Nunavut 2 individuals from training for 2004 Pauktuutit offered In November A youth workshop. individual to attend this a 3rd sponsored Initiative The FASD Come First” workshop. “Children facilitators. trained has three Nunavut this training and now took Kugluktuk from At this in Rankin Inlet. a workshop in FebruaryThese 3 facilitators completed their training offering 2005 by has 2005 Nunavut 31, As of March trained. were Nunavut across 20 individuals from training session approximately deal with the sensitive issues around FASD and the effects on families. on families. and the effects FASD issues around deal with the sensitive and Human Resources Nunavut’s of Government was advertised through coordinator The position of FASD/ECD 15th 2004. on November working The successful candidate began response. a good received in Nunavut for Professionals Training Asset Mapping occurred in late January 2005, now that we have approximately 40 people trained across Nunavut Nunavut across 40 people trained approximately have that we now in late January 2005, occurred Asset Mapping region. within each pilot communities more developing can look at we the Fifteen participants from Bay. in Cambridge Workshop” Kids “Great partially funded a Initiative The FASD to and skills the knowledge need to have line workers These front participated in the workshop. Kitikmeot region Inuit Wellness Programs in Nunavut (867) 975-5928 Territorial Home&Community Care Manager For more information, pleasecontact: Association and andHospitallerOrder intoInuktitut andInuinnaqtun.The Military D. (2004). A Caregiver’s Guide: A handbookaboutend-of-life care. Ottawa: Canadian HospicePalliative Care Working withthePalliumProject hasledtothetranslationofMacmillan, K., Hopkinson, J., Peden, j., Hycha, care through leadership, awareness andknowledge toshape strategicdirections. provides the Territory tohave withanopportunity input intoanationalvoice whichpromotes excellenceinhome Nunavut isamemberoftheCanadian HomeCare board.Association (CHCA) This liaisonwiththeCHCA the Program inregions ofCanadawhere Inuit reside. from ITK, two regional coordinators attendedanInuit specificfocus group designedtoexamineimplementationof andCoordinators meetregularilyRegional Partners ongoing toensure thatInuit issuesare presented. Oninvitation program homecarestaff. tocertify support is associatedwithstaffretention. Dialogueisongoing withNunavut Arctic Collegetodevelop aneducational toensureOngoing staffsdeliver educationisnecessary safe care. Literature alsorecognizes thatongoing education experienced growth inthenumber ofclientsaccessingservices, withatotalof1098clientsutilizingservices. the infrastructure inplaceaswell asthehumanandfinancialresources available. In2004-2005theProgram again services. for eachclient. HCCusesneedsassessmenttodetermineservices These canbelimiteddependingon HCC addedtoitsprogram rehabilitation ofacutecare, services chronic care, palliative care, andrespite care allocating resources wisely. reliance by strengthening family involvement incare delivery, developing andtrainingstaff, andplanning effective, equitableandresponsive toindividualneedsandprioritieswithinthecommunities. HCCbuildsself- preserve andmaximizeanindividual’s abilitytoremain independentathomethrough care thatisaccessible, that are holisticrecognize thatone’s needsare social, emotional, physical, andspiritualinnature. HCCaimsto The Nunavut Home&Community Care (HCC)Program provides culturally andappropriate homecare services they needintheirhome communities. The program aimstoenablepeoplewithdisabilities, chronic oracuteillnessandtheelderly toreceive thecare effective andequitabletothatofotherCanadians andwhichrespond totheuniquehealthandsocialneedsofInuit. Goal Community Care First Nations andInuitHome : toprovide basicandcommunitythatare care comprehensive, services culturally sensitive, accessible,

20 Inuit Wellness Programs in Nunavut 9% 18% 19% 54% 2004-2005 2003-2004 2003 -04 Home Making Care Personal Nursing Care Repsite 0 0 0 0 R 6 E H 0 T 0 O 0 0 5 L 0 A P 0 0 0 4 0 M 0 D 0 C 0 21 3 6% 21% 20% 53% 0 R 0 C Number of Hours Client Type 0 T 2004- 05 L 0 2 2003-04 and 2004-05 0 by Client Type 2004 - 05 Client Type by 0 R 0 C 0 A 1 0 Number/Type of Service Hours Provided of Provided Number/Type Hours Service C Comparison: Hours of Hours Service for Fiscal Years Comparison: H P PHC – Post Hospital Care PHC – Post Acute Care Replacement – ACR Care Replacement Term – Long LTCR CDM – Chronic Disease Management Care – Palliative PAL categories under the above – Clients who do not fit OTHER Total Respite 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 0 5 0

2 2 1 1 Nursing Care Personal Care Personal Home Making

Service Hours of Service of Hours Service Percent Utilization of Utilization and Services for 2003-04 2004-05 Percent Respite Care Personal Nursing Care Home Making Inuit Wellness Programs in Nunavut The funds wereThe funds budgetedfor: In 2004-2005 NNADAP is NNADAP to: aims training aswell treatment. training. These dollarsare dividedupby region andare usedtofundNNADAP workers and Wellness Worker Health Canadaprovided asmallamountoffundingtoNunavut through theNNADAP stream for treatment and Abuse Program (NNADAP) National Native Alcohol andDrug

• • • • • • • • • 33 patientswere referred totreatment in2004-05. Cambridge Bay Treatment Program Training Travel expensesandtreatment centercosts: For projects, proposals are submittedtothe Territorial Coordinator of Wellness review by acommittee For treatment, fundsare accessedthrough areferral process thatinvolves multiple stepsofapproval, by Strengthen linksbetween community basedprograms andresidential treatment. Build thecapacity withinthecommunities ofNunavut todevelop anddeliver culturally appropriate community communitytoreduce efforts Support thehighlevel ofalcoholandothersubstanceabuse wellness andmedicalstaff: based addiction services community/region theproject isaimedat. to determineiftheproposal fitsthemandatesofprogram andwillhave apositive impactuponthe physician reviews andmayapprove thereferral for treatmenttoaresidentialcenter. i.e. recommendstreatmentfor apatient, awellnessworker thepatientagrees togofor treatment, thenurse/ accessed Total for Kitikmeot: Total for Kivalliq: Total for Baffin:

National Native Native National intwo ways:

Alcohol and Drug Drug and Alcohol $100,000 $63,000 $50,000 $75,000 $90,000

22

Abuse Program Abuse

Inuit Wellness Programs in Nunavut 23

3 participants 9 participants 7 participants. Kitikmeot Kivalliq Baffin materials can now be utilized for future treatment programs. Of the12 women who started the program, 9 who started women the program, Of the12 programs. treatment future be utilized for materials can now cycle. completed the entire Four program spaces of the 12 were taken by women from the other Kitikmeot communities, the other 8 were the other 8 were the other Kitikmeot communities, from women by taken spaces of the 12 were program Four Cambridge Bay. from filled with women to It was found the community. and for Centre Wellness the experience for positive was the program Overall These developed etc needed to be developed. protocols, and all of the forms, of work amount be a tremendous realistic follow up planning and resource searches back at home. searches up planning and resource follow realistic the past 1 for healing/workshops week had been running one and two Centre Wellness Because the Cambridge Bay in to 12 women program a treatment at this time to offer prepared ideally was that this centre it was felt ½ years, which served the use of a beautiful facility as the residential offered of Cambridge Bay The Hamlet Cambridge Bay. the facilitators as well for housing The Hamlet provided night staff. space for as residential as well clients, for area work. the group space for as classroom Cambridge Bay 28-Day Treatment Program Cambridge Bay 28-Day Treatment The practice community. occasions in the many individuals was identified on for programs treatment The need for the to address to not be the best way seems either one at a time or in groups River of sending clients to Hay enable participants and does not to set up is foreign The environment facing. alcohol and drug issues people are Social Services Program, entitled “ Assessment and Referral”. All participants were eligible for a college credit by by a college credit for eligible participantsAll were and Referral”. Assessment “ entitled Social Services Program, the end of the course.passing the exam at regions: all three The nineteen participants came from Drug and Alcohol Worker Training Alcohol Worker Drug and Department the Services Health and Social of a training sponsored 4th, Februaryuntil March 22nd From The abusers. substance and referring of assessing responsibility who had the in Nunavut opportunity workers for entry the hamlets, by employed Workers Drug Alcohol and included: The workers College Arctic held in Rankin Inlet. course was the Nunavut from module week was a two The course Workers. Wellness and Workers, Social level Inuit Wellness Programs in Nunavut have requested information. in Nunavut, every CHRinNunavut, CPNPprograms aswell asallthemembersofMYATT andmany schoolsthat (posters, pamphlets, etc). Fullpackagesofpamphlets, posters andotherresources were senttoevery healthcentre distributed variousresources ofHealthandSocialServices andotherinformationThe Department tocommunities materials Distribution of interest inreducing theirtobaccointake. techniques.intervention This traininggave theyouth thetoolstospeakwithfriends andloved oneswhoexpress of HealthandSocialServices, aswell aswithahired consultant, whotrainedtheyouth inminimalcontact tobacco The MYATT annual conference washeldinIqaluitNovember 11th-16th, 2004. Workshops were heldby thestaff doing presentations intheirschools. representatives toundertake variousprojects intheircommunities suchasradiointerviews, makingposters, and with theirlocalCommunity HealthRepresentatives (CHR’s), teachers, community principalsandothersupporting During NationalNonSmoking Week and (January) World No Tobacco Day (May 31), theMYATT youth teamed youth ontheirhard work anddedicationtoreducing tobaccoinNunavut. took agreat dealofleadershipandmotivationfrom theyouth. The Tobacco control program congratulatesthe each MYATT memberdeveloped andimplementedatobaccoreduction project intheircommunity. This initiative were heldtoshare ideasandinformation aswell asplanevents for eachoftheyouth’s communities. New thisyear: The Minister’s Youth Action Team on Tobacco (MYATT)MYATT productive was very in 2004-2005. anddevelopcapacity andfacilitation youth support activities Monthly teleconferences PREVENTION ActivityReport:Annual Program Reduction Strategy theNunavutTobaccoGoals of Tobacco Control Strategy • • • • • Increase accesstocessationprograms and Reduce thesmokingrateamong Reduce thenumber ofcigarettes soldin Reduce exposure toenvironmental tobacco Provide leadershipandco-ordination across aids inthecommunity 50% in5years Nunavummiut youth andpregnant women by Nunavut by 50%in5years smoke amongNunavummiut the territory.

24

Inuit Wellness Programs in Nunavut

25

tobacco program logo and were given out to the various taxi companies in Nunavut. These items were given given These items were to the various taxi companies in Nunavut. out given and were logo tobacco program special events. and other such as trade shows out at events Stickers: “Kissing a smoker is like kissing an ashtray” and “Be an individual, be smoke free”. These stickers were were These stickers free”. be smoke “Be an individual, and an ashtray” kissing is like “Kissing a smoker Stickers: to youth. to appeal developed Nunavut the new display air fresheners These car”. free smoke to my “Welcome cars: for Air fresheners

• •

The tobacco control initiative has also been working with other divisions within the Department has also been working of Health and initiative The tobacco control when possible. opportunities training staff, and share for projects, collaborate on Social Services costs, to share The program has been working on increasing partnership with the Inuit organizations in Nunavut. The goal is to The goal partnership organizations in Nunavut. on increasing with the Inuit has been working The program These partners make open. communications our organizations and to keep collaboration between more have culturally providing by and sustainability of various aspects of the program valuable contributions to the evolution This partnership the various encourages further cooperation and interaction between information. relevant in tandem. projects on tobacco reduction to work organizations to continue A position was created for a Tobacco Control Facilitator to work in partnership with the Tobacco Reduction Tobacco in partnership Facilitator to work with the Control Tobacco a for A position was created cooperation and an enhanced a sounding board, positions compliment each other and provide The two Specialist. has expanded its able to be completed and the program were projects More together. enthusiasm while working vision and focus. building and distribution ofPartnership Nunavut throughout resources providers. Minimal contact intervention only takes three to five minutes and all participants felt they would be able would and all participants minutes they felt to five three Minimal contact intervention takes only providers. with the client. knowledge new their the time to share and willing to take PROTECTION Facilitator Control Tobacco This workshop was delivered in Rankin Inlet, NU in February, 2005. Three participants in the Three per community 2005. NU in February, in Rankin Inlet, was delivered This workshop Canadian (CHR’s), Health Representatives of Community This multidisciplinary group selected. were Kivalliq region Tobacco Minimal Contact learned (HC) workers (CPNP) and Home Care workers Nutrition Program Prenatal of tobacco cooperation and repetition a unified understanding, to ensure was The goal Intervention techniques. This type of multidisciplinary intervention technique and disciplines. communities cessation messages between health care their with no intervention from compared to double quitting rates among smokers has been proven viewers to think critically about the decision to smoke or chew tobacco. This tool is an easy to use educational This tool is an easy to use tobacco. or chew about the decision to smoke to think critically viewers back in screening want smoke 100% of teachers stated they year the second consecutive For teachers use. tool for 2005-2006. Screening Smoke for underway Plans are their schools next year. Intervention Training Minimal Contact Tobacco Smoke Screening 2 Screening Smoke the involving initiative a pan territorial of January), week (third Week Non-Smoking help celebrate National To and Territories the Northwest DepartmentsServices of Nunavut, of Health and Social of the Governments 6-12 the students in Grades gives This project Screening”. “Smoke the videos and guides titled joined to create is feel and then select the one they the world, around 12 of the best tobacco education ads from chance to view the issue toward a variety of approaches video take Screening the Smoke The ads selected for the most effective. encourage consequences of tobacco-use and to some of the negative attention is to draw The goal of tobacco. CESSATION Promotional items created Promotional Inuit Wellness Programs in Nunavut (867) 9755767 Tobacco ReductionSpecialist If you have any questionspleasecontact created inEnglish, French, Inuktitut andInuinnaqtun andhasbeensenttoevery retailer inNunavut. A Tobacco Toolkit wasproduced toassistretailers andtheiremployers tocomply withthe Act. The toolkitwas theTobaccoDistribution of Toolkit forRetailers options willbeassistednextfiscalyear. be assistinginenforcing ouract. The RCMPhasagreed torespond tocomplaintsrelated totheact. Otherfunding Discussions have taken placewiththeCityofIqaluitandGN’s liquorenforcement division; todatethey willnot Enforcement was translatedintothefour languages. retailers’Four signswere mandatory developed thetobaccocontrol tosupport act. Eachsignhadamessagethat Legislation Signs draft regulations for the Tobacco Control Act andwillbeready for approval in2006. ofJusticeThe Department hasbeenofgreat legaldocumentsto assistanceinadvisingand preparing allnecessary Regulations Tobacco Control Act aswell astheeducationofNunavummiut onNunavut’s Tobacco ReductionStrategy The following initiatives have beenundertaken thisfiscalyear toassistinthepromotion andoperationofthe indevelopingLeadership smoke-free tobaccocontrols inNunavut spacesandfurther well assomematerialsintoInuinnaqtun andFrench. for thegeneralpublicandakitfor pregnant parents. These kitshave theinformation translatedintoInuktitut as toassistNunavummiutterritory toquitusingtobaccoproducts. Two seriesofthequitkitswere developed; akit cessation quitkit. These self-helpkitswere designedtobearesource for healthcare andCPNPworkers inthe Various promotional materialsandtobaccocessationinformation were developed andincorporatedintoatobacco Tobacco CessationQuitKits was represented by thefacilitatorand3MYATT representatives. presented attheNationalConference for Youth and Young 2005.Adults inFebruary Nunavut’s tobaccoprogram and theNationalNetwork ofQuitlinesSteeringcommittee. The Tobacco Control Facilitatorattendedand The Tobacco asamemberofthenational ReductionSpecialisthasparticipated Tobacco Control LiaisonCommittee

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Inuit Wellness Programs in Nunavut

27 Initiatives in Nunavut 2004-2005 in Nunavut Initiatives Inuit Specific Community Wellness Wellness Community Inuit Specific Qikiqtani (Baffin) Region

28 Qikiqtani (Baffin) Region

Brighter Futures

Building Healthy Communities – Mental Health

Building Healthy Communities – Solvent Abuse Program

Aboriginal Diabetes Initiative

Canadian Prenatal Nutrition Program

Home and Community Care Qikiqtani (Baffin) Region

Brighter Futures Home and $993,330.69 Community Care $1,843,357.22

Building Healthy Communities Mental Health $544,330.11

Building Healthy Communities Solvent Abuse Program Canada Prenatal $59,619.89 Nutrition Program Aboriginal Diabetes $287,082.53 Initiative $125,986.52

29

Brighter Futures Arctic Bay • Community Wellness Coordinator • Arctic Bay 2004 Summer Camp Building Healthy Communities • Community Wellness Coordinator • Dream Catcher North of 60 Tour • Friendship Centre • HIV/AIDS Education Program • New Year’s Nirivikjuaq 2005 • Pangaggijjiq Nunavut Quest Canada Prenatal Nutrition Program

Home and Community Care

Home and Community Care $11,651.36

Brighter Futures Qikiqtani (Baffin) Region $50,565.36

Canada Prenatal Nutrition Program $39,180.00

Building Healthy Communities $25,434.88

30 Cape Dorset

Brighter Futures • Bantam Hockey Tournament • Mini Soccer Program • Coral Harbour Bible Conference • Saipaaqivik Daycare Society • Sam Pudlat and Peter Pitseolak Breakfast Programs cape dorset Building Healthy Communities • Wellness Project Building Healthy Communities – Solvent Abuse Program

Aboriginal Diabetes Initiative • Diabetes Education and Awareness Initiative Qikiqtani (Baffin) Region Canada Prenatal Nutrition Program

Home and Community Care

Brighter Futures $107,344.25

Building Healthy Communities Mental Health Home and $39,742.94 Community Care $229,561.32

Building Healthy Communities Solvent Abuse Program $23,876.89

Aboriginal Diabetes Canada Prenatal Initiative Nutrition Program $32,692.94 $63,252.63

31 Clyde River

Brighter Futures Clyde river • Resource Technician • Breakfast Program • Archive Council Nunavummi Inaugural • Community Wellness Coordinator • Easter Feast • Community Wellness Coordinator Building Healthy Communities • Suqqakkut Society • CASP Conference • Ataata Ammalu Irniq Nunami Aboriginal Diabetes Initiative • Ilisaqsivik Society Fitness Program • Nunavut Quest Home and Community Care

Home and Brighter Futures Qikiqtani (Baffin) Region Community Care $70,501.65 $76,443.40

Aboriginal Diabetes Initiative Building Healthy Communities $58,792.44 $71,668.48

32 Grise Fiord

Grise fjord Brighter Futures • Snack Program (Daycare) • School Snack Program Building Healthy Communities • Christmas Celebrations Aboriginal Diabetes Initiative Qikiqtani (Baffin) Region

Aboriginal Diabetes Initiative $4,719.75

Building Healthy Communities $5,795.87

Brighter Futures $28,963.79

33 Hall Beach

Brighter Futures • Community Enhancement Project • School Breakfast Program • Tutoring Assistant • Caribou and Fishing Project Hall beach Building Healthy Communities • Job Placement Program • Community Clean Up Project • Elder’s Centre Co-ordinator • Nunavut Quest • Embrace Life Conference Home and Community Care

Home and Community Care $6,658.32 Qikiqtani (Baffin) Region

Brighter Futures Building Healthy $41,994.57 Communities $20,470.25

34 Igloolik

Brighter Futures • Community Wellness Coordinator • Breakfast Program Igloolik • Student Support Counsellor • Special Needs Support Workers Building Healthy Communities • Community Wellness Coordinator BHC (Solvent Abuse Program)

Canada Prenatal Nutrition Program

Home and Community Care Qikiqtani (Baffin) Region

Brighter Futures $88,788.07 Building Healthy Communities Mental Health $29,471.38

Building Healthy Communities Solvent Abuse Program Home and $12,335.32 Community Care $499,556.74 Canada Prenatal Nutrition Program $48,084.78

35 Iqaluit

Brighter Futures • Community Wellness Coordinator • DEA Breakfast Program • Earth Day Canada • Atii Fitness Centre Iqaluit • Read to Succeed • Greenlandic Kayaking Championship • Iqaluit Youth Land Programs • Sprouts – Growing up Healthy • Music Camp • Learn to Skate – Learn to Excel • Youth Committee Sewing Program • Violence Intervention Program for Youth Aboriginal Diabetes Initiative • Iqaluit-Pickering Ontario School Exchange Trip • Judo – John Howard Society • Healthy Snack Program – Nanook School • Public Health • Gordon Robertson Education Centre High School • Inuksuk Volleyball Trip Home and Community Care • Iqaluit Youth Soccer • Yoga for Teens • Safe Homes for Children • Iqaluit Music Society • Canadian Power Lifting Championships

Arctic bay Arctic • Abe Okpik Healthy Snack Program Home and • Makkuttkkuvik Cooking Club and Snack Community Care • Hip Hop Teens Issues Focused Workshop $382,834.67 Brighter Futures $312,550.48 Qikiqtani (Baffin) Region Building Healthy Communities • Qaqqiq Theatre Company • Elder’s Gathering 2004-Kangirsujuaq • Qayuqtuvik • Nunavut Stars Summer Hockey Camp • Student Tutor/Counsellor – Student Assistance Room • Nunavut Breast Cancer Educational Kit Launch • Yoga in the Schools/Yoga in the City • Christmas Games • Toonik Tyme Building Healthy • Youth Inner Healing Conference Aboriginal Diabetes Communities Initiative $199,904.00 $10,135.20

36 Kimmirut

Brighter Futures • Itsutiit Camp Project • Tutoring Project • Breakfast for Healthy Learners • Summer Day Camp Building Healthy Communities Kimmirut • Building Support between Generations Canadian Prenatal Nutrition Program Qikiqtani (Baffin) Region

Canadian Prenatal Nutrition Program $13,257.19

Brighter Futures $29,987.36

Building Healthy Communities $9,927.31

37 Pangnirtung

Brighter Futures • Alookie School Breakfast Program • A Healthy Start • Precious Children’s Daycare pangnirtung • Youth Program • Elder’s Tea Program Building Healthy Communities • Suicide Prevention Coordinator • Summer Land Program • Youth Outings • Easter Festivities Aboriginal Diabetes Initiative

Canada Prenatal Nutrition Program

Home and Community Care

Brighter Futures $94,418.08 Home and Qikiqtani (Baffin) Region Community Care $241,815.13 Building Healthy Communities $44,231.73

Aboriginal Diabetes Initiative $7,501.20

Canada Prenatal Nutrition Program $51,331.35

38 Pond Inlet

Brighter Futures pond inlet • Ulaajuk School Breakfast Program • Community Wellness Coordinator Building Healthy Communities • Nassivik High Reading Room • Community Wellness Coordinator Canada Prenatal Nutrition Program

Aboriginal Diabetes Initiative

Home and Community Care Qikiqtani (Baffin) Region

Brighter Futures $83,938.77

Home and Building Healthy Communities Community Care $43,789.31 $249,875.44 Aboriginal Diabetes Initiative $17,187.91

Canada Prenatal Nutrition Program $32,852.00

39 Qikiqtarjuaq

Brighter Futures • Tutoring Assistance • Piqitataarvik Daycare Lunch Program Qikiqtarjuaq • Land Skills Training • Annual Bible Conference • Cultural Inclusion Program • School Breakfast Program Building Healthy Communities • Cultural Inclusion Program Canadian Prenatal Nutrition Program

Home and Community Care

Brighter Futures Home and $37,735.16

Qikiqtani (Baffin) Region Community Care $80,506.77

Building Healthy Communities $18,722.73

Canada Prenatal Nutrition Program $16,406.00

40 Resolute Bay

Brighter Futures Resolute Bay • Jewelery Making Workshop • Bible Conference • Cultural Fair 2005 Building Healthy Communities • Qamartalik School Snack Program • Easter and Game Feast Canada Prenatal Nutrition Program Qikiqtani (Baffin) Region

Brighter Futures $22,043.15 Canada Prenatal Nutrition Program $22,718.58

Building Healthy Communities $10,621.23

41 Kivalliq Region

42 Kivalliq Region

Brighter Futures

Building Healthy Communities – Mental Health

Building Healthy Communities – Solvent Abuse Program

Aboriginal Diabetes Initiative

Canadian Prenatal Nutrition Program

Home and Community Care Kivalliq Region

Brighter Futures $524,645.46

Building Healthy Communities Mental Health $274,295.23

Home and Building Healthy Communities Community Care Solvent Abuse Program $1,855,433.17 $8,600.00

Aboriginal Diabetes Initiative $54,321.07

Canada Prenatal Nutrition Program $158,947.28

43 Arviat

Brighter Futures • Small Steps Intervention Program • Healthy Moms/Healthy Babies Program • Qitikliq Breakfast/Snack Program • Levi Angmak Soup and Breakfast Program • 1st Arviat Girl Guides Unit • Arviat Youth Piliriaqitgiit Building Healthy Communities Arviat • Science Fair • Science Club • AYP-Suicide Prevention Hike 2004 Aboriginal Diabetes Initiative

Home and Community Care

Kivalliq Region Brighter Futures $105,649.69 Home and Community Care $210,353.73

Building Healthy Communities $62,189.30

Aboriginal Diabetes Initiative $45,000.00

44 Baker Lake

Brighter Futures • Pilot Project Mentoring • Nutrition Program • Pangnaqtit Building Healthy Communities • Drop In Center • Pilot Project Mentoring Baker Lake Aboriginal Diabetes Initiative

Home and Community Care Kivalliq Region

Brighter Futures $98,191.37

Home and Community Care $192,926.47

Building Healthy Communities $50,316.94

Aboriginal Diabetes Initiative $9,321.07

45 Chesterfield Inlet

Brighter Futures • Community Drop In Center • School Breakfast/Snack Program Building Healthy Communities • Drop In Center Canadian Prenatal Nutrition Program Chesterfield inlet Home and Community Care

Brighter Futures $25,603.84 Kivalliq Region

Home and Building Healthy Communities Community Care $15,600.27 $85,736.93

Canada Prenatal Nutrition Program $19,397,48

46 Coral Harbour

Brighter Futures • Spring Camp • Sivuniksavut Day Care • Snack Program - Sakku School • Katitapaat Wellness Committee • Caribou Hunting Program • Bearded Seal Hunting • Elders and Youth 2004 Coral Harbour • Bring Community TV • Fox Skin Cleaning Building Healthy Communities Canada Prenatal Nutrition Program • Knitting Instruction Program • Sewing Instruction Program Home and Community Care • Tom Jackson Suicide Prevention Aboriginal Diabetes Initiative Kivalliq Region • Diabetes Awareness Enhancement Program

Brighter Futures $53,195,04

Building Healthy Communities $27,333.25

Home and Aboriginal Diabetes Initiative Community Care $15,297.01 $296,072.27 Canada Prenatal Nutrition Program $45,002.51

47 Rankin Inlet

Brighter Futures • Breakfast Program • Summer Breakfast and Snack Program • Drop in Center Building Healthy Communities • DARE Canada • Drop In Centre Rankin Inlet • Fishing Derby 2005 • Drum Dance Festival • Ikajutit • CBC National News • Girl Guides of Canada Aboriginal Diabetes Initiative • Winner of the Territorial “Drop the Pop” Contest Home and Community Care

Brighter Futures $120,315.02 Kivalliq Region

Building Healthy Communities Home and $79,983.26 Community Care $545,196.56

48 Repulse Bay

Brighter Futures • Breakfast Program • Stay in School Recognition • Sewing Instruction Repulse bay Building Healthy Communities • Anglican Youth • Traditional Drum Dance • Traditional Sewing Canada Prenatal Nutrition Program

Home and Community Care Kivalliq Region

Brighter Futures $51,942.70

Building Healthy Communities $5,162.93 Home and Community Care $258,598.42 Canada Prenatal Nutrition Program $45,436.29

49 Sanikiluaq

Brighter Futures • Breakfast Program Building Healthy Communities • High Risk Kids Canadian Prenatal Nutrition Program

Home and Community Care Sanikiluaq

Brighter Futures $53,825.80 Kivalliq Region

Home and Building Healthy Community Care Communities $151,224.26 $25,812.14

Canada Prenatal Nutrition Program $29,503.00

50 Whale Cove

Brighter Futures • Moms and Tots • Girl Guides Camp • 4 Day Caribou/Calf Hunting • Breakfast Program • Community Feast • Elders Recording Building Healthy Communities Whale cove • Drop In Centre Canadian Prenatal Nutrition Program

Home and Community Care Kivalliq Region

Brighter Futures $15,922.00 Building Healthy Communities $7,897.14

Canada Prenatal Home and Nutrition Program Community Care $19,608.00 $115,324.53

51 Kitikmeot Region

52 Kitikmeot Region

Brighter Future • Regional Great Kids Workshop Building Healthy Communities – Mental Health

Building Healthy Communities – Solvent Abuse Program • Region Wide Kitikmeot Tour Aboriginal Diabetes Initiative

Canadian Prenatal Nutrition Program

Home and Community Care Kitikmeot Region

Brighter Futures $451,124.84 Home and Community Care $665,125.18

Building Healthy Communities Mental Health $159,743.28

Building Healthy Communities Canada Prenatal Solvent Abuse Program Nutrition Program $51,668.10 $128,026.23 Aboriginal Diabetes Initiative $64,303.42

53 Cambridge Bay

Brighter Futures cambridge • Community Wellness Coordinator Bay • Community Events Building Healthy Communities • Elder’s Honoraria • Community Events • Family Counselling and Training • On the Land • Youth Development Activities Aboriginal Diabetes Initiative • Healthy Stores • Elder’s Lunch • 28 Day Program Home and Community Care

Brighter Futures $80,185.57 Kitikmeot Region

Building Healthy Home and Communities Community Care $36,908.01 $313,199.56

Aboriginal Diabetes Initiative $25,789.70

54 Gjoa Haven

Brighter Futures • Community Radio • Gjoa Haven Food Project • Ublakulaak School Building Healthy Communities Gjoa Haven • Tungatiit Committee • Community Food Bank • Family Violence Workshop • First Aid Course Canadian Prenatal Nutrition Program

Aboriginal Diabetes Initiative

Home and Community Care Kitikmeot Region

Brighter Futures Home and $76,051.37 Community Care $132,814.52

Building Healthy Communities $33,576.28

Aboriginal Diabetes Canada Prenatal Initiative Nutrition Program $20,268.75 $24,791.52

55 Kugluktuk

Brighter Futures • Wellness Coordinator • Child Development Kugluktuk Building Healthy Communities • Training Workshops • Elder’s Committee Evenings • Youth and Elders Canada Prenatal Nutrition Program

Aboriginal Diabetes Initiative

Home and Community Care Kitikmeot Region Brighter Futures Home and $85,014.82 Community Care $92,782.13

Building Healthy Communities Canada Prenatal $40,904.18 Nutrition Program $58,234.71 Aboriginal Diabetes Initiative $18,244.97

56 Kugaaruk

Brighter Futures • Community Wellness Coordinator • Community Events • Workshops and Training • Wellness Committee Kugaaruk Building Healthy Communities • Workshops and Training • Elder’s Program • Community Events • Youth Program Canada Prenatal Nutrition Program Aboriginal Diabetes Initiative • Kugaaruk Mentorship Program Home and Community Care Kitikmeot Region

Brighter Futures Home and $54,888.29 Community Care $63,776.45

Building Healthy Communities $20,422.71 Canada Prenatal Nutrition Program $45,000.00 Aboriginal Diabetes Initiative $50,163.19

57 Taloyoak

Brighter Futures • Food Bank • Traditional Cooking Building Healthy Communities Taloyoak • Family Skills Program • Traditional Culture Home and Community Care Kitikmeot Region Home and Brighter Futures Community Care $61,059.85 $52,960.55

Building Healthy Communities $27,932.10

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