Pathways to Health Equity for Aboriginal Peoples Pathways
Pathways to Health Equity for Aboriginal Peoples (Pathways) Alberta & Saskatchewan June 10, 2014 La Loche/Clearwater
• “Pathways” is a CIHR Signature (Strategic) Initiative with an overall goal to develop a better understanding of how to implement and scale up interventions and programs that will improve Aboriginal health in four priority areas: suicide, diabetes, tuberculosis and oral health • While direct action on the determinants of health is not a priority focus of Pathways, this initiative will involve interventions that take the social, economic and cultural determinants of health and the broader structural and policy context into consideration.
The Charter makes the relationship with health care providers a mutually beneficial one Patients’ Rights Patients’ Responsibilities You have the right to: You have the responsibility to: 1. Care 1. Share information 2. Dignity 2. Follow treatment 3. Information 3. Contribute to Community Health 4. Choice 4. Show solidarity 5. Confidence 6. Justice 7. Organization 8. Security
We are particularly interested in the rights under “Organization” The right to join, or to establish organizations of people with or affected by tuberculosis and to seek support for the development of these clubs and community-based associations through the health providers, authorities, and civil society. The right to participate as “stakeholders” in the development, implementation, monitoring, and evaluation of tuberculosis policies and programs with local, national and international health authorities.
“An enhanced role for communities does not equate to marginally expanded representation of selected civil-society voices in decision making or conference fora. Although such representation is important and indeed essential, intensified and sustained efforts to build up the capacity of patients and civil society to understand the technical and policy aspects of tuberculosis management are crucial. The success of the HIVactivist movement was founded on a thorough grasp of the science at grassroots level. ” LANCET 2010; 375: 2059 -61
FIGURE 2: FREQUENCY DISTRIBUTION OF ON-RESERVE FIRST NATIONS PULMONARY TB CASES ON THE PRAIRIES BY SPUTUM SMEAR STATUS AND PROVINCES (2007 -2008) Can Respir J 2013; 20(4): 223 -30
Fort Mc. Kay La Loche Clearwater Turnor Lake Janvier/Chard https: //maps. google. ca/maps? q=alberta+and+saskatchewan+map&hl=en&ie=UTF-8
Communities with Persistent Tuberculosis Community Engagement • Health Director • CHN • CHR • Elders x 2 • FNIHB • Province • Service Provider Compulsive Application of Good Programming TB Control Surveillance Education Stable Staffing Addictions and Mental Health
TB Control Committee of High Incidence Community X or Y: possible memberships – to be determined in consultation Internal Formal - CHN - CHR - Health Director - Addictions Councilor (mental health worker) - Possibly Education Director (resource guide) External Formal Informal - Elder - Traditional Healer - 2 Former Patients -FNIHB REP Honoraria funded from project -Province REP - Local Provider REP - DTT Facilitator (possibly HIV REP Funded from project
Potential Partners (Team) • • Communities RHA (SK); Zone (AB) NITHA FNIHB (SK, AB) Provincial TB Control (SK, AB) Scientific Team ? Other
- Slides: 12