The TCFNH was established in 2011 as part of the B.C. Tripartite Framework Agreement on First Nation Health Governance (the Framework Agreement). As Committee members, senior leaders of First Nations, federal and provincial governments fulfill a collective mandate to improve planning, delivery and evaluation of health services for First Nations in British Columbia.
The latest TCFNH Annual Report covers an extended period from November 2017 to March 2019. It describes and celebrates the remarkable achievements of regional and community partners who have been instrumental in driving these TCFNH strategic priorities:
• Cultural Safety and Humility• Mental Health and Wellness• First Nations Primary Health Care• Implementation of the Indigenous Cancer Strategy • Maternal-Child Health Services and Infant Mortality
• Cultural Safety and Humility
• Mental Health and Wellness
• First Nations Primary Health Care
• Implementation of the Indigenous Cancer Strategy
• Maternal-Child Health Services and Infant Mortality
Support for the Declaration of Commitment to Cultural Safety and Humility in Health Services continued to gain momentum. New signatories included the Doctors of BC, the Ministry of Mental Health and Addictions (MMHA), First Nations Health Council (FNHC) and First Nations Health Directors Association (FNHDA).
The FNHC, First Nations Health Authority (FNHA), and provincial and federal governments signed a Memorandum of Understanding to transform mental health and wellness services to support community-led approaches to addressing social determinants of health.
The Government of British Columbia collaborated with TCFNH members to enable a new provincial primary health care strategy to help bring care closer to home, particularly in rural and remote First Nations communities.
The Office of the Provincial Health Officer (OPHO) and Office of the FNHA Chief Medical Officer (OCMO) released an update on seven core First Nations population health indicators. Access to reliable and timely population health data continues to be a barrier. Based on community consultation and engagement, the OCMO and OPHO agreed to expand the number of indicators from seven to 22 and strengthen data collection and governance to enable more accurate reporting.
Guided by the Framework Agreement, TCFNH members and partners made significant progress during the reporting period, but acknowledge that more work needs to be done. An evaluation of the Framework Agreement is planned for release in early 2020 and will provide evidence-based information to help guide and influence TCFNH’s work over the next five years.