Top 10 things Chiefs and Leaders need to know:
- What is the Wellness 2025 Strategy?
The Wellness 2025 Strategy is a First Nations Health Council led conversation with BC First Nations about the development of a 10 year wellness strategy to continue our work to achieve our vision of “Healthy, Self-Determining, and Vibrant BC First Nations Children, Families and Communities.” The work is just beginning, and a regional community engagement process is being proposed. Through this process First Nations in each region will determine and inform the priorities of the Wellness 2025 Strategy.
- What is meant by social determinants of health?
Social determinants of health are underlying factors that influence our quality of life and have also been called ‘areas of community wellness’. There are many factors that impact the health of First Nations such as:
- Health services
- Income and social status
- Employment/working conditions
- Social support networks
- Social environments
- Personal health practices and coping skills
- Biology and genetic endowment
- Physical environments
- Healthy child development
BC First Nations have already given direction to achieve progress on one of the social determinants of health – health services delivery. In order to continue improving the health and wellness of First Nations, we also need to work to improve the other social determinants of health.
- How is the social determinants connected to health?
This short video shows how improving social determinants of health (areas of community wellness) can result in improved health and wellness for First Nations individuals: Watch it here.
- Where and when did FNHC get direction from Chiefs to look at social determinants of health?
BC First Nations Chiefs endorsed Resolution 2011-01 and Resolution 2012-01 that established a mandate for the FNHC. Part of the mandate included Health Advocacy and Relationships.
- To achieve progress in the social determinants of health
- Develop relationships and alliances with other First Nations organizations, government ministries and departments.
BC Chiefs also adopted the BC Tripartite Framework Agreement on First Nations Health Governance (BC Tripartite Framework Agreement.) In Section 8 of this agreement, it called for annual meetings between Canada (Aboriginal Affairs and Northern Development Canada) and the FNHC to discuss health and issues related to the social determinants of health.
- How will the Wellness 2025 Strategy priorities be determined?
The health and wellness priorities identified within the proposed Wellness 2025 engagement process, as well as the Regional Health and Wellness Plans will inform and guide the focus of the Wellness 2025 Strategy.
- Does the Wellness 2025 Strategy include transferring child and family services programs to FNHC?
The FNHC supports First Nations aspirations for recognition of their Aboriginal Title and Inherent Rights including jurisdiction for children and families. In adopting governance standard Directive 6: Be Without Prejudice to First Nations Interests, BC Chiefs made it very clear that FNHC must avoid jurisdiction matters. FNHC is not advocating for jurisdiction and the transfer of children and family services programs to the FNHC.
The FNHC is advocating for healthy partnerships to change policies, increase resources for communities, and improve services for vulnerable First Nations children and youth as part of the proposed Wellness 2025 Strategy.
- What will be achieved through this strategy?
The goal is to improve the lives of First Nations community members through ongoing support, services and initiatives in a number of areas within health and wellness. . Achieving progress in the areas of community wellness (social determinants of health) will result in improved health and wellness outcomes for children, families and communities. We will do this by:
- Liberating policy to establish a shared decision-making arrangement to increase First Nations decision-making and control
- Increasing investments in First Nations communities
- Improving services
- What does the term “policy liberation” or “liberate policies” mean?
Policy liberation is the ability to change policies that federal and provincial governments use to administer program resources. While the existing legal framework does not change, the policies are changed and improved for the betterment of First Nations.
- Where is the funding coming from?
The FNHC is advocating for new funding from the federal and provincial governments partners to assist us to undertake the governance and community engagement work within the regions necessary to build consensus amongst First Nations leadership. The Wellness 2025 Strategy will create space for the federal and provincial government to consider partnerships with BC First Nations to continue improving the health of First Nations by achieving progress on the social determinants of health.
- What will this community engagement process look like?
Rather than reinvent the wheel, the idea is to build on the success of the existing Engagement and Approvals Pathway used to guide our work to transform health services. To better understand the opportunities and challenges of community wellness priorities within the regions, the Wellness 2025 engagement process will use a Workbook tool to gather feedback, and development of a provincial Consensus Paper to confirm the direction of BC Chiefs and Leaders.
Read more about the Wellness 2025 strategy here (PDF 1.33 MB)