1. SUMMARY OF OUTPUTS FROM YESTERDAY & CONSENSUS-BUILDING

2. Mental Health and Addictions
Areas of common interest
Common histories in many countries impacting on mental health and addiction in the population
Alcoholism – underlying causes, treatment approaches, family and gender-based violence
Mental health – Suicide – leading to an interest in suicide prevention activities
Youth – self-esteem, addiction, suicide, & marginalization
Interest to deal with inclusion and exclusion as precursors to these problems

3. What might we like to accomplish together?
Knowledge management – ability to make international data & stats available in one place, in multiple languages, accessible to all
Meetings and conferences that integrate stories of resilience
Need local solutions
Built on principles that speak to needs – community based, community driven
Need culturally sensitive policies & processes
Importance of indigenous involvement

4. What’s possible? Information exchange – Alcohol related actions
Forums, meetings & conferences
What works, what doesn’t
E-portals
Alcohol related actions
Restriction of accessibility
Prevention, education to youth
Use of technology to bring services to the community
Development of databases – financing, infrastructure,

5. Primary Health Care Delivery
Common interests
Care Delivery
E-health strategies
Access to specialized care, promotional activities
Adapting services to cultural context and needs
Recruitment & retention of health professional
Incentives
Credentials – across borders, creep
Ethical guidelines
Best practices

6. What might we like to accomplish together?
Knowledge exchange
On-going forum
Dialogue re. R&R strategies
E-health
Survey of what is currently being done relative to e-health
Transferring of responsibility to the community
Common shared view of primary health
Collaborative activities, multilateral projects

7. What’s possible?
Sharing of best practices in recruitment and retention of health professionals.
Development of guidelines for ethical recruitment
Incentives and initiatives
Training models
Increased use of e-health
Adapt WHO guidelines in PHC to local community situations
Role for the NDPHS – PHC working Group?

8. Communicable Diseases
Areas of Common Interest TB
HIV (Prisons, link with alcohol, Drug use)
Prevention Strategies – culturally appropriate, literacy levels, language
Surveillance &data collection
Social determinants –housing, employment &education
Research – more or to much already?
Education – health professionals

9. What might we like to accomplish together?
Knowledge exchange
Link surveillance activities & technology
Working group to look at research/surveillance, then educational tools
Community based research
Pilot programs in communities ten change policies
NDPHS encourage more action

10. What’s possible?
Link NDPHS working group on HIV/AIDS with Prison Health group & tie in an indigenous component
Establish a forum for information sharing – best practices, successes
Develop evaluation tools, international standards for diagnosis
Include indigenous people

11. Nutrition Areas of common interest: Accessibility/availability
Geography, food safety, country foods – climate change
Affordability
Price, policies, % of income
Choice
Traditional vs. store bought or both, quantity, variety, education,
Data
Common indicators across jurisdictions

12. What might we like to accomplish together?
Lifestyle reorientation – less TV and videogames, increased physical activity, parents as role models!
Knowledge exchange – food guides, best practices
Develop common indicators
Targeted government initiatives
Food subsidies
Regulation/de-regulation
Monitoring programs

13. What is possible Forum to make a plan of action for proper outcomes
Create a sub-group of SILWA
Regulate prices, subsidize means of hunting and food transportation
Research
Education

14. Consensus Building Select one of the four focus group topics
Choose a facilitator & recorder
Working with others interested in that topic, answer the following
Questions:
What will we undertake together over the next 18 months?
Who will take responsibility to initiate the required action?
Next Steps
Report back

15. NEXT STEPS & CLOSURE

16. Travel Safely !!