1. Working together in harmony
Special Assembly on Health and Social Services
Waswanipi
April

2. The relationship Two wings Ground up CHB support if requested
Community self-knowledge
Community-driven
CHB support if requested
ACKNOWLEDGE MIYUPIMAATISIIUN CTEE PROGRESS
NOTE most communities focus on needs and objectives relating to strengthening emotional and cultural supports – but wanting to go beyond talking and to take action
Miyupimaatisiiun is everyone’s business
MUST HAVE community ownership, leadership and responsibility
IAMP offers a process and continuing support

3. Meet with groups, reps Communities/Organizations to be aware of IAMP.
Develop a picture of the communities: CHB reviewed strengths, weaknesses, stats, services, needs of the community
~Plans to be developed using the holistic approach to include all aspects of Miyupimaatisiiun.
Development process currently been evaluated
Collection of Data
Maamuu Nakaaihehtau
Mobilize people/partners (educate them about IAMP)
Create inter sectoral teams (establish partnerships)
Analyze Community Needs and Services
Strategic planning
Operational Planning
Evaluate/follow up
Meet with groups, reps Communities/Organizations to be aware of IAMP.
To set up: strong leadership (through BCR at Community level), established management (Miyupimaatisiiun Committees), trained facilitators (This part is ongoing for new) members
Process of Iiyuu Attawin Planning Development
Concrete resources
Concrete tasks
timelines to get the work done
Subjective Information: What are community members saying
Group Discussions
Asset Map
Identify Social & Health Priorities
Develop their Analysis Report
Objective Information: what is the research saying
Community Profile
Vision of the future
long term goals
big picture planning

4. Support a local structure
CHALLENGES
Policies/rules
/laws
Trauma
Dependency
System issues
Awareness of effects colonialism
Communicating
Awareness of
importance of intersectoral work
Working together
Loss of collectivism
Adapting for culture
Leading
Healing
IAMP AIMS
Filling system
mandates
Break Silos
Raising awareness
17 key informants (very brief description of who) were interviewed on how they perceived the challenges to health planning and the objectives of the Iiyuu Aahtawiin Planning Initiative: (I could use a pointer to properly identify parts of the figure)
-there is a top part: percevied CHALLENGES, and a bottom: THE OBJECTIVES FOR IAMP and ways forward for addressing the challenges
-there is also a center to the figure, in green, the commonly recognized and agreed upon health planning challenges and aims for IAMP; these include: communicating and working better together, making sure culture is taken into consideration—in services and policies but also in the planning and management processees; finally, finding ways of leading in a collaborative way; the key informants perceive that the goals for IAMP are 1) to break silos, 2) to support a local community structure (miyupimaatisiiun committees) and to keep cultural safety at the forefront by having the communities closely involved in health planning.
-there is a left hand side to the figure that represents perspectives on challenges facing the Cree and impacting Cree engagement in health planning: the persistent experience of trauma—and « being in survival mode » as one informant put it, a high level of dependency (on structures, on authority figures-doctor), lack of awareness among the Cree of the persistent effects of colonialism and the loss of the traditional sense of collectivism and responsibility to the collectivity. Consequently, key informants express hope that community involvement in health planning will be a healing process, a consciousness-raising process about the effects of coloniaslism and a way forward for inceasing personal and collective responsibility; the Cree perspectives are grounded in concerns about identity and adressing root causes of health problems.
-the figure’s right-hand side represents concerns related to important governance challenges: working within the framework of the law, rules and various streams of accountability; as a healthcare delivery system, many challenges also relate to ensuring its functioning (staffing, information technology, infrastructure) all the while finding ways to reflect and work with other sectors impacting health; the governance perspective on goals for IAMP include filling its different mandates and developing the mechanisms to connect better with community level departments and organizations as well as with other entities; a longer term goal for IAMP is to address social determinants through improved structuring of collaboration;
The Elder Council of Nishiiyuu was presented with these understandings that came from the research; important responses on the part of the Council included the importance of balancing the two levels of challenges for moving forward, and, more specifically, the need to make better known the concerns raised predominantly by Cree key informants, and the Cree values and identity that are at stake.
*many key informants expressed their hope and optimism, in the current context and CHB leadership that these health planning challenges could be adressed
Support a local structure
Connecting
Increasing responsibility
Addressing social determinants
Cultural Safety
Being a collective

5. Moving to action Next steps Community-driven goals Need partnerships?
Have resources already?
Need partnerships?
Community lead
Partnership agreements
Objectives, roles, resources
CMC/Nishiiyuu Miyupimaatisiiun Committee/Chief&Council
Next steps
Develop a plan that identifies and describes priority goals
Necessary resources already in the community? – develop shared plans
Necessary resources not yet in community? Need partnership(s)?
CHB / Cree Nation (+?) partnership agreement
Objectives, roles, resources
CHB local resources  mandated and equipped to help (e.g., new Nishiiyuu PPRO positions)
Next steps – depends on where community is at
start with asset mapping
go to strategic planning
action plan (if resources present in community)
Partnership agreement (if external partner resources required)
The process (always seeking improvement) is on-going while early priorities are being addressed

6. MEEGWETCH!