Evaluation at the FNHA
Evaluations support telling stories of change over time, celebrating our successes and identifying areas for improvement that contribute to the information that guides the journey forward.
The FNHA conducts evaluations according to a Five-Year Evaluation Plan (FY 2022/23 to 2026/27). This plan reflects the organization's mandatory requirements and strategic priorities identified through feedback from First Nations in BC and FNHA leadership, Multi-Year Health Plan goals and priorities and coverage of FNHA programs and services. The five-year cycle aligns with the 10-year Canada Funding Agreement cycles and the FNHA's five-year health and wellness plan cycles.
2025/26
Evaluation of the BC Tripartite Framework Agreement 2018/19 – 2023/24
This evaluation tells the story of progress made by the Tripartite health partnership and the BC First Nations Health Governance Structure in advancing their shared efforts to transform the health system for First Nations in BC between fiscal years 2018/19 and 2023/24.
A series of reports were developed following engagements with community leadership in June 2025, informing the work of the FNHA and BC Tripartite Framework Agreement evaluations.
Evaluation of the FNHA 2019/20 – 2023/24
This evaluation examines the FNHA's progress against its goals and strategies in alignment with its mission and Shared Vision of healthy, self-determining and vibrant BC First Nations children, families and communities between fiscal years 2019/20 and 2023/24.
2024/25
Indigenous Treatment and Land-Based Healing Fund 2018/19 – 2022/23
The Indigenous Treatment and Land-Based Healing Fund supports strengths-based, holistic and client-driven substance use treatment and healing programming that addresses aftercare and reflects family and community contexts.
Community-Based Testing Program
The Community-Based Testing program was developed in 2020 by the FNHA and external provincial and federal partners to address the need for improved access and faster turnaround time for COVID-19 testing in rural and remote First Nations communities in BC. This evaluation aimed to capture the story of the program's implementation and gather lessons learned and wise practices for its continued growth and evolution.
Connecting to Culture: Sustaining our Wellness
This series of regional reports recognize the remarkable achievements and wisdom gained by First Nations in BC during the COVID-19 pandemic. The reports share the stories of communities' good work across all five regions.
Pay Transparency Report 2024
In alignment with the BC Pay Transparency Act, FNHA has published its first preliminary Pay Transparency Report . Because gender identity information is collected on a voluntary basis there is a significant portion of employees (61%) whose gender could not be determined and are reflected in the unknown category.
The FNHA expects there will be an increase in consent to disclose aggregated data in the next year as Human Resources has been exploring ways to enhance employee data collection. FNHA will publish an updated report as the sample size increases.
2023/24
Healing Our Spirit Worldwide Ninth Gathering
The Ninth Gathering of Health Our Spirit Worldwide took place between Sept. 11 and 15, 2023 in Vancouver, BC. This report shares the learnings and impacts of this important gathering and helps future hosts plan and share the messages of the gathering and to sustain and grow the Healing Our Spirit Worldwide movement.
2022/23
Journeying Together: Implementation of the Mental Health and Wellness Memorandum of Understanding
This report shares findings from an evaluation of the $30 million investment in community-driven, Nation-based programming funded through the Mental Health and Wellness Memorandum of Understanding (between the FNHA, Canada and BC).
Medical Transportation Transformation Engagement
The Medical Transportation Transformation Project undertook a comprehensive program review of the Medical Transportation program. This report is a compilation of the key themes, insights and feedback received from health leads and other administrators who support the program, which provides the FNHA a strong foundation for program improvements and ultimately, transformation.
2021/22
Kwakwaka'wakw Collaborative Project
The Kwakwaka'wakw Primary Maternal, Child and Family Health Collaborative Project, funded by the Joint Project Board, aims to improve maternal care and family health services in Northern Vancouver Island. The evaluation report assesses the projects implementation, delivery and performance and identifies opportunities for improvement.
2020/21
Evaluation of the FNHA 2013/14 – 2019/20
This evaluation tells the story of the change resulting from the creation of the FNHA, describing the progress that the FNHA has made against its mandate and strategic plan from fiscal years 2013/14 to 2019/20.
Evaluation of the BC Tripartite Framework Agreement 2013/14 – 2019/20
The key purpose of first five-year evaluation of the BC Tripartite Framework Agreement is to tell the story of change amongst the Tripartite Partners and within the broader health system through evaluating the implementation of the framework.
Evaluation of the FNHA Board
The Evaluation of the FNHA Board of Directors highlighted its current strengths and identified areas where there may be opportunities to improve FNHA's governance practices.
Regional Partnership Accords
Partnership Accords support collaboration and shared decision-making between the regional caucuses, the FNHA, and the regional health authorities. Evaluations of these agreements is part of a commitment to monitor and report on progress and support the growth of the partnerships.
2019/20
Pharmacy Benefit Program
This evaluation examines the FNHA's Pharmacy Program for BC First Nations with a primary focus on the transfer of the drug benefits to PharmaCare Plan W in 2017. The report addresses a range of topics related to effectiveness, efficiency, governance structure, risk management and controls, and implementation of Plan W.
Joint Project Board
Joint Project Board Annual Reports
The following reports examine the 27 primary health care, mental health and wellness, substance use and maternal child health projects funded by the Joint Project Board across the province. Joint Project Board projects were developed based on local priorities and are aimed at increasing access to health services and regulated health professionals for First Nations individuals.
