First Nations and Inuit Health Branch Health Canada

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First Nations and Inuit Health Branch
Health Canada
Improving health outcomes
Supporting greater First Nations and Inuit
control of the health system
Ensuring availability and accessibility
of quality health services
Kathy Langlois Director General Community
Programs Directorate First Nations Inuit Health
Branch January 2008
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History of FN/I Health Services


Policy evolution

• Indian Health Policy
• Improved health must be build on
• Socio-economic, cultural, and spiritual
  development
• Traditional relationship of Indian people and
  the Federal Government
• Active participation of Indian peoples in the
  health system
• 1979

As a matter policy, Government of Canada has been
delivering health services to Aboriginals 1900
Indian Health Transfer Policy approved 1988
1970s on Transfer of service delivery and
hospitals to provinces


Service delivery
1962 Medical Services Branch created to provide
direct services to Indians
1960s MSB grew to a large health service delivery
organization with 22 hospitals, 2172 beds, 30
clinics and 37 nursing stations
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FNIHB Eligible Client Population (Mar 2007)
7,862
24,034
27,581
123,026
99,278
123,638
124,990
56.350
32,780
170,111
Total approximately 790,000 Population
figures do not include beneficiaries of the
Nunatsiavut Land Claim Agreement or James Bay Cree
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Consider the demographics
Rate of population growth compared to rest of
Canada
2 X
First Nations - 14 years Inuit - 17 years
Median Age difference with non-Aboriginal
population
gt 40
Population under 20 years of age
Live outside of urban areas
First Nations 57 Inuit 73
First Nations communities with 1000 inhabitants
or less
77
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First Nations Inuit Health Status
Gap in life expectancy
6.3 years
of all AIDS cases in Canada
7.2
10 X
Rate of Tuberculosis
Rate of Heart Disease and Diabetes
3 X
Leading cause of deaths for children youth
Injury and Suicide
Higher incidence of health problems among
Aboriginal people, compared to the general
population
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Delivering Health Care is a Shared Responsibility
FederalGovernment
First Nations Inuit
Provincial Territorial Governments
Through collaboration, we will eliminate gaps and
redundancies leading to higher quality services
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Provincial / Territorial Responsibilities

• Universal hospital and physician services to all
  residents including Aboriginal people
• Community and public health programs for all
  residents off-reserve, including Aboriginal
  people
• Supplementary insurance (drugs, dental, vision,
  etc.) for targeted populations
• Long term, nursing homes and home and community
  care off reserve
• Regulation of health professions and health
  services

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FNIHB Responsibilities

• Public health and community health programs on
  all reserves
• Primary care in remote and isolated communities
• Insurance coverage of drug, dental, vision and
  medical transportation for all Status Indians and
  Inuit
• Targeted programs for all Aboriginal people,
  regardless of residency (Aboriginal Diabetes
  Initiative, Indian Residential Schools mental
  health support)

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FNIHB Program Responsibilities
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Health Programming Focus 3 Major Areas

Providing access to availability of quality
health services and programs
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FNIHB Branch Organization

Non-Insured Health Benefits
Business Planning Management
Strategic Policy, Planning Analysis
Community Programs
Primary Health Care Public Health
Regional Offices
British Columbia Alberta Saskatchewan
Northern Region covering Yukon, Northwest
Territories, and Nunavut
Manitoba Ontario Quebec
Atlantic Region covering Nova Scotia, New
Brunswick and Newfoundland Labrador
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Comprehensive health services and programming
PRIMARY CARE 76 Nursing Stations 225 Health
Centres 670 Community Health Nurses
COMMUNICABLE DISEASE Communicable Disease
Control HIV/AIDs Strategy Tuberculosis
Elimination Strategy
ADDICTIONS National Native Alcohol and Drug Abuse
Program Solvent Abuse Program
ADMIN
NON-INSURED HEALTH BENEFITS
COMMUNITY HEALTH PROGRAMS
COMMUNITY HEALTH SERVICES Brighter Futures
Building Healthy Communities Dental/Oral Health
Strategy FNI Home and Community Care National
Aboriginal Youth Suicide Prevention Strategy
ENVIRONMENTAL HEALTH Environmental Health
Program Environmental Contaminants Program
PROGRAM COMPONENTS Dental Health Medical
Transportation Drugs Medical Supplies
Equipment Vision Care Mental Health
CHILDREN Aboriginal Head Start On-Reserve Canada
Prenatal Nutrition Program FAS /FAE Fetal
Alcohol Syndrome /Effects Initiative Maternal
and Child Health
CHRONIC DISEASE Aboriginal Diabetes Initiative
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Actual 2006-07
Total Expenditures - 1,895.1 M Community Health
Programs - 917.2 M Non-Insured Health Benefits
- 871.7 M Hospitals - 29.5 M Program Delivery
Administration - 48.1M NIHB Benefits
Management - 28.5 M
Program Delivery Administration 4
NIHB Benefits Mgt. 2
Hospitals 2
Community Health Programs 47
NIHB 46
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Building the future collaboratively with
Stakeholder Organizations