Canada Announces $8.2 Billion Funding Agreement with FNHA Click Here

Our why

The First Nations health structure belongs to First Nations in BC. The FNHC has been steering the transformation of health and wellness of our people for over 15 years.

Our History

Our journey began in 2007 following the signing of the Transformative Change Accord by First Nations, the Province of BC and the Government of Canada to address health disparities between First Nations and other BC residents.


Along with implementing the Tripartite agreements, part of the FNHC's original mandate was to oversee the transition to a new FNHA in 2013. With approval by BC Chiefs and leaders of a new 10-Year Strategy on the Social Determinants of Health in March 2023, the FNHC is now seeking input and guidance from Chiefs and leaders on how to evolve its mandate and role.


Work of the FNHC and its pillar partners, the FNHA and FNHDA, is rooted in a shared vision: Healthy, Self-Determining and Vibrant BC First Nations Children, Families and Communities.

Our Seven Directives

The FNHA, FNHC and FNHDA receive direction from First Nation Chiefs and leaders through community engagement across BC's five regions. First Nations in BC developed these directives to describe the fundamental standards and instructions for our new health governance relationship.

  1. Directive #1: Community-Driven, Nation-Based
  2. Directive #2: Increase First Nations Decision-Making and Control
  3. Directive #3: Improve Services
  4. Directive #4: Foster Meaningful Collaboration and Partnership
  5. Directive #5: Develop Human and Economic Capacity
  6. Directive #6: Be Without Prejudice to First Nations Interests
  7. Directive #7: Function at a High Operational Standard

Governance Structure

We have produced two diagrams to illustrate the key health governance documents and perspectives of this structure created by BC First Nations, for First Nations.