1. Creating Partnerships for Health Promotion in Aboriginal Communities SMARTRISK Learning Series November 22, 2007 SMARTRISK Learning Series November 22, 2007

2. Why Are we Here?  OHPRS 2004 Needs Assessment  Aboriginal Awareness Raising

3. Key Aspects of Report  Aboriginal People  Aboriginal World View  Aboriginal Health Priorities  Health Promotion Material  Building an Effective Aboriginal Network

4. Aboriginal Peoples in Ontario Who make up the Aboriginal People in Ontario?

5. First Nation  60 Distinct Nations in Canada  14 Distinct Nations In Ontario  133 First Nations  First Nation Population: 131,500 in Ontario

6. How many First Nation cultures can you identify?

7. First Nation Political Structure  134 First Nation’s in Ontario  5 Regional Political Territorial Organizations  1 Regional Coordination Organization  1 National Coordination Organization

8. Chiefs of Ontario Independent First Nations Assoc. of Iroquois & Allied Indians Nishnawbe Aski Nation Grand Council Treaty #3 Union of Ontario Indians First Nation Political Structure

10. Inuit  45,000 Inuit People in Canada  1,375 in Ontario

11. Inuit Political Structure  Primarily located in northern Canada north of the 60th parallel  Presence primarily in Ottawa  No Provincial Inuit Organization  1 National Coordination Office

12. Métis  48,350 in Ontario

13. Métis Political Structure  Twenty-four Community Councils  Nine Ontario Regional Offices  Métis Nation of Ontario  Métis National Council

14. MNO Governance Overview

15. Urban Aboriginal People  Estimated 40- 60% of the Aboriginal population reside in urban centres  Serviced by the National Association of Friendship Centres  1 Regional Coordinating Friendship Centre  Twenty-seven Friendship Centres

16. Map of Friendship Centres

17. Health Status Royal Commission on Aboriginal People (1996) Regional Health Survey (2002)

18. Report Considerations  Inuit – population in Ontario does not provide sufficient information to be included in this summary  Métis - share similar socio- economic and health profile as other Aboriginal peoples. There has not been a comprehensive health study for the Métis People.

19. Aboriginal Health Status “Factors contributing to ill health of Aboriginal peoples stem not from bio-medical factors, but from social economic and political factors” RCAP

20. Aboriginal Health Status The Deeper Issue

21. Aboriginal Health Key Highlight “Non-Aboriginal service agencies and institutions …., undertake a systematic examination to determine how they can encourage and support development of Aboriginal health & improve appropriateness and effectiveness of mainstream services to Aboriginal peoples and engage Aboriginal communities in such an examination” RCAP

22. Aboriginal Health Key Highlight  Holism  Equity  Control  Cultural Competency

23. Aboriginal Health Promotions Where/How do Aboriginal peoples currently access health promotion resources?

24. Aboriginal Health Promotions Can the current process be improved upon?

25. Aboriginal Health Promotions Currently, there are three approaches being utilized

26. Aboriginal Health Promotions An external process based on a set of goals and objectives

27. Aboriginal Health Promotions

28. The Second: A collaborative approach

29. Aboriginal Health Promotions

30. A Third Approach

31. Adaptation

32. Aboriginal Health Promotions Is there even an interest in the Aboriginal community for support by Ontario Public Health?

33. Building a Supportive Aboriginal Network “It is a great deal easier to reject the ideas and aspirations of people (agencies) with whom we have never shaken hands, with whom we have never laughed together over a joke, or with whom we have never sat down to a shared meal.” Mayor of Kamloops, BC “It is a great deal easier to reject the ideas and aspirations of people (agencies) with whom we have never shaken hands, with whom we have never laughed together over a joke, or with whom we have never sat down to a shared meal.” Mayor of Kamloops, BC

34. Next Steps A System Level Strategy

35. Goals To increase OHPRS capacity to effectively serve Aboriginal populations, given the system’s resources and capacity

36. To recommend strategies to encourage train-the-trainer programs, the engagement of volunteers and health promoters from Aboriginal communities, and the development of effective methods and approaches for outreach and service delivery Goals

37. Objective #1 To increase awareness of Aboriginal culture and health issues

38. Objective #2 To increase OHPRS capacity to effectively serve Aboriginal populations, given the system’s resources and capacity.

39. Objective #3 To promote effective methods and approaches for outreach and service delivery

40. A Strategy The Two Row Wampum

41. A Strategy Education & Awareness Building

42. A Strategy Training

43. A Strategy Linkages

44. A Strategy Promotional Strategy

45. Nya:weh “Never doubt that a small group of thoughtful committed citizens can change the world. Indeed, it is the only thing that ever has.” Margaret Meade “Never doubt that a small group of thoughtful committed citizens can change the world. Indeed, it is the only thing that ever has.” Margaret Meade