Sioux Lookout First Nations Health Authority (SLFNHA) The Anishinabe Health Plan July 31, 2006 Table of Contents Acknowledgements Prologue ................................................................................................................................................. i The Gifts of Amik (Beaver) and the Anishinabe Health Plan........................................................................................... i EXECUTIVE SUMMARY ....................................................................................................................... iii CHAPTER 1 – Background................................................................................................................... 1 Key Ideas ...........................................................................................................................................................1 Introduction ........................................................................................................................................................1 Using Our Health Traditions...............................................................................................................................4 The Current System and Its Services and Funding............................................................................................4 Continued Poor Health Creates Need for Change.............................................................................................7 The NAN Chiefs Model ......................................................................................................................................7 Primary Health Care...........................................................................................................................................8 Building On Our Culture.....................................................................................................................................8 Protecting Our Treaties......................................................................................................................................8 Our Anishinabe Health Plan...............................................................................................................................9 CHAPTER 2 – How We Did Our Work................................................................................................ 10 Key Ideas .........................................................................................................................................................10 A Large and Varied Contribution......................................................................................................................10 Communities Staying in Touch ........................................................................................................................13 Project Phases.................................................................................................................................................14 Anishinabe Health Plan is Approved................................................................................................................14 Creating the Reinvestment Plan.......................................................................................................................15 CHAPTER 3 – Community Health Needs Assessment..................................................................... 16 Key Ideas .........................................................................................................................................................16 Introduction ......................................................................................................................................................16 Health Status....................................................................................................................................................16 Needs Assessment Methodology.....................................................................................................................28 Major Health Problems.....................................................................................................................................29 Causes of Poor Health.....................................................................................................................................30 Community Strengths.......................................................................................................................................31 The Current Health Care System.....................................................................................................................32 The New Health System ..................................................................................................................................33 Improving Health Status...................................................................................................................................34 Conclusion .......................................................................................................................................................35 CHAPTER 4 – The Anishinabe Health Plan....................................................................................... 37 Key Ideas .........................................................................................................................................................37 The NAN Chief’s Model....................................................................................................................... 37 Some Definitions..............................................................................................................................................38 Re-Powering Anishinabe Ways........................................................................................................................39 What is different in our ways of being healthy?............................................................................................................ 41 What is different in our health services with re-powering? ........................................................................................... 41 Shifting to an Anishinabe Foundation........................................................................................................................... 42 The Anishinabe Health Plan.............................................................................................................................43 Our Vision..................................................................................................................................................................... 43 Our Mission .................................................................................................................................................................. 43 Our Principles............................................................................................................................................................... 43 Rebalancing the System..................................................................................................................... 46 Community Primary Health Care......................................................................................................................46 Community Participation............................................................................................................................................... 46 Access to Community PHC .......................................................................................................................................... 47 Scope of Community Primary Health Care Services........................................................................................47 Primary Health Care Teams......................................................................................................................................... 48 Ooweechiwaywin or Traditional Specialists.................................................................................................................. 48 Allied Health Services................................................................................................................................................... 49 Other PHC Team Supports .......................................................................................................................................... 49 Helping PHC Team Relationships Flourish .................................................................................................................. 49 Our Anishinawbe Primary Health Care Service in Action.................................................................................50 Preventing and Managing Diabetes: A Case Example................................................................................................. 50 Work in the Five Areas of the NAN Chief’s Model............................................................................ 53 Supportive........................................................................................................................................................53 Community Development ............................................................................................................................................. 53 Community Healing Support........................................................................................................................................