HEALTH SECRETARIAT 

The Health Secretariat staff perform a variety of duties that include: 

  • Policy Analysis 
  • Fetal Alcohol Spectrum Disorder (FASD) Education 
  • HIV Education 
  • Community Wellness Coordination 
  • Healthy Babies Health Children Coordination 
  • Gambling Prevention 
  • Diabetes Education 
  • Jordan’s Principle 
  • Health Transformation 
  • Mental Health and Addictions Coordination 
  • Administration, reporting, and overseeing programs that provide funding to Anishinabek First Nations 

The Federal and Provincial Policy Analysts analyze health issues that address the health needs of the Anishinabek First Nations. They serve as policy advisors and provide strategic direction to the Anishinabek Nation. 

The Health Secretariat provides administrative support to the Anishinabek Advisory Council on Health, the Anishinabek Chiefs Committee on Health, and the Chiefs of Ontario Chiefs Committee on Health. Their goals and objectives are to: 

  • Provide technical and coordination support; 
  • Support analytical requirements of the Anishinabek Advisory Council on Health and the Chiefs Committee on Health as determined by the Health Director; 
  • Perform duties assigned to the Health Secretariat; 
  • Deliver pre-determined services as mandated periodically; 
  • Improve the mental, spiritual, emotional, physical and environmental well-being of the membership in consultation with First Nations; 
  • Promote improvement in health care services available to the people of the Anishinabek Nation territory; 
  • Promote self-government in health within the Anishinabek Nation territory; 
  • Ensure respect and dignity is upheld through the provision of culturally sensitive health service delivery and personnel; and 
  • Provide a forum to discuss, review, collaborate and share advice to the Anishinabek Nation Councils and leadership. 

HEALTH SECRETARIAT OVERVIEW

INDIGENOUS HEALING AND WELLNESS STRATEGY (IHWS)

The Indigenous Healing and Wellness Strategy (IHWS), is a policy and service initiative that brings together Indigenous people and the Government of Ontario in a unique partnership to promote health and healing among Indigenous people.  In 1994, Indigenous organizations and the government ministries that developed this strategy expressed a commitment to combat the alarming conditions of poor health and family violence that Indigenous people in Ontario have endured. 

The IHWS program promotes health and wellness in First Nation  communities.  IHWS combines traditional culturally appropriate programs and services, along with mainstream programming  and services to help improve healing, health and wellness to reduce family violence and violence against Indigenous women and children. 

IHWS PROGRAMS 

The Anishinabek Nation (AN) is one of 15 partners within the Indigenous Healing and Wellness Strategy.  The AN administers programs funded by IHWS, which include: Anishinabek Advisory Committee on Health; Chiefs Committee on Health; Policy Analyst; Community Development Workers; Community Wellness Workers; Healthy Babies, Healthy Children; Responsible Gambling and the Annual Health Conference. 

The Anishinabek Nation respects the autonomy of each First Nation and each program is governed by the First Nation while meeting the program and service requirements as established by IHWS and overseen by the Anishinabek Nation through the Health Department Director.  In addition to the programs and services, often there are one-time grant opportunities that arise and the Union of Ontario Indians Health Secretariat strives to ensure that our First Nations have access to and participate in these initiatives. 

Indigenous Healing and Wellness Strategy Indigenous Partners: 

  • Association of Iroquois and Allied Indians 
  • Grand Council Treaty #3 
  • Métis Nation of Ontario 
  • Nishnawbe Aski Nation 
  • Ontario Federation of Indigenous Friendship Centres 
  • Ontario Native Women’s Association 
  • Anishinabek Nation 
  • Bkejwanong Territory (Ojibways of Walpole First Nation) 
  • Chippewas of Nawash First Nation 
  • Chippewas of Saugeen First Nation 
  • Garden River First Nation 
  • Mohawk Council of Akwesasne 
  • Shawanaga First Nation 
  • Six Nations of the Grand River 
  • Temagami First Nation 

OPIOID PROGRAM 

The Opioid program began in 2022.  This program meets with the First Nations front-line workers, leadership, and management to get an in-depth look at the opioid crisis to discuss current issues and to identify their needs through planned community sessions.  The program also provides an opportunity for individuals with lived experience of opioid addiction to have a voice in planning and implementing a strategy.   

Workshops held include grief and loss, opioid effects on the body and mental health, family healing plans, mental health and addiction summit and continue to look at ways to decrease the stigma surrounding mental health and addictions.  Anishinabek Nation First Nations can reach out to the Opioid program if interested in having a workshop in your community. 

In addition, the Opioid  Strategy Program has organized an Opioid Advisory Committee and Working Group based on the Anishinabek Nation Long-Term Healing Strategy. 

JORDAN’S PRINCIPLE 

What is Jordan’s Principle and what is its goal? 

Jordan’s Principle is a child-first and needs-based legal requirement born from the tragedy of Jordan River Anderson. Its goal is to make sure First Nations children from ages newborn to 18 can access all public services without experiencing any service denials, delays, or disruptions related to their status as First Nations citizens. 

It means if a child needs health, social, and educational care and assistance, they will receive it and it will be paid for by the first government contacted under Jordan’s Principle. The issue of who will pay for it will be for later discussion. 

Historically, government and department disputes have resulted in delays or denials of services to First Nations children. Jordan’s Principle ensures that if a child has a need, it will be met, and any disputes will be dealt with afterward. 

Anishinabek Nation and Jordan’s Principle Navigators 

The Anishinabek Nation began development of its own Jordan’s Principle initiative in February 2018 through its newly appointed Jordan’s Principle Navigators. The Navigators main premise is twofold: first, the Navigators promote Jordan’s Principle to families, communities, and service providers, encouraging children with unmet needs and their families to secure access to needed services and supports, and second, to submit requests for assistance either with, or on behalf of these children and families. 

Jordan’s Principle Navigators can also assist by connecting children and families to service providers, to work with community Jordan’s Principle workers and to assist them with identified children and families in their communities, and to facilitate or “navigate” the application process for all parties involved, ensuring the child’s needs are always prioritized

COMMUNITY DEVELOPMENT SUPPORT PROGRAM

The Anishinabek Nation (AN) Health Secretariat provides assistance to its member First Nations and their respective Indigenous Health and Wellness Strategy (IHWS) programs. The IHWS Community Development Support Worker (CDWS) works with First Nations to help implement and manage their IHWS programs and projects which are  funded under the IHWSThe CDWS manages the files of the Community Wellness Worker, and the Mental Health Demonstration Project files. 

COMMUNITY WELLNESS WORKERS

The Community Wellness Workers work with individuals and families within their respective First Nation providing  services or access to services, including:  family violence services, referrals, support and case management to clients to address and/or respond to existing and emerging health, healing and wellness issues, or violent situations.  There is one CWW in each First Nation within the AN territory. 

In addition to providing support for the IHWS funded programs, the AN Health Secretariat also provides the same service for other programs administered by the AN including the Diabetes Education Program funded by the Ministry of Health and Long-term Care and the Aboriginal Responsible Gambling Program funded by the Ministry of Health Promotion. 

Aboriginal Healthy Babies/Healthy Children (AHBHC) 

The Aboriginal Healthy Babies/Healthy Children (AHBHC) Program supports families in celebrating and honoring new and young life in Indigenous communities.  The objectives are:  

  • To foster healing and support healthy child development, maternal health; 
  • To improve access to services that reduce health inequities for Indigenous families;  
  • Assist Indigenous families to provide the best opportunities for healthy development using a wholistic, culturally responsive and strengths-based approach; and 
  • Connect Indigenous families with resources, referrals and/or services to address their needs, such as family violence services.  

The ANHBHC Program provides culturally responsive prevention and early intervention supports and services to Indigenous families with children from prenatal to 6 years.  The program is voluntary and open to any Indigenous family that requests the service.  

The AHBHC community workers are a valuable asset to families and communities as they have knowledge of child growth and development, are aware of the resources available in the community and are able to connect families with services and supports to address their needs.  

Each First Nation within the Anishinabek Nation participates in and/or offers the AHBHC program.  There are projects sites including Dilico Child and Family Services and Mnaamodzawin Health Services. 

Community Development Support Workers (CDSW)  

The CDSW provide services and supports to member communities to enhance their skills and capacity to design, implement and report on IHWS programs: 

  • Support the design, implementation and/or management of IHWS-funded programs and projects, including the maintenance of required program, service and financial reporting, which may include performance measurement and program evaluation initiatives; 
  • Support the development and coordination of community development initiatives; 
  • Communicate key program-related information; 
  • Provide community development assistance, resources and training to improve operations; and 
  • Oversees the file of Community Wellness Worker 

Community Wellness Workers provide wholistic strengths-based and trauma- informed services, referrals, support, case management and cultural programming to Indigenous individuals, families and communities to address and respond to existing and emerging family violence, health, healing and wellness issues, including intergenerational trauma.  The Community Wellness Worker service objectives include: 

  • Reduce family, sexual and gender-based violence; and  
  • Improve the healing, health and wellness of Indigenous individuals, families, and communities.

Responsible Gambling 

The goal of the Anishinabek Nation Responsible Gambling Program is:  “To build the capacity of First Nation communities to address issues related to problem gambling.” 

Problem gambling prevention programs must be linked with the provincial prevention goals and objectives.  These goals and objectives are: 

  • Increase awareness of the risks associated with gambling. 
  • Increase public awareness of services available for the treatment of problem gambling and how to access them. 
  • Prevention programs provide effective, evidence-based services that are culturally, linguistically, age and gender appropriate. 
  • Decrease negative attitudes towards problem gamblers. 

HEALING LODGES

These facilities offer Traditional Aboriginal healing and contemporary approaches to treatment of sexual assault, addictions and family dysfunction, etc.  Options include both residential and outpatient programming.

UOI works in partnership with Kii Kee Wan Nii Kaan (Southwest Regional Healing Lodge), which is located on Munsee Delaware Nation in southern Ontario.  More detailed information regarding their services can be found at www.swrhl.ca

HEALTHY BABIES HEALTHY CHILDREN PROGRAM

The objective of Aboriginal Healthy Babies/Healthy Children (AHBHC) Program is to improve the long-term health prospects of children aged 0 – 6 years.  The program includes pre-and post-natal screening and assessment, home visiting, service co-ordination and support for service integration.

AHBHC program is voluntary and open to any Aboriginal family that requests the service. Aboriginal families may also access the provincial program via the local public health unit.

Each First Nation within the Anishinabek Nation participates in and/or offers the AHBHC program.  There are projects sites including Dilico Child and Family Services and Mnaamodzawin Health Services.

HIV PROGRAM 

The Anishinabek Nation HIV program offers: 

  • HIV Capacity development for frontline workers 
  • Advocacy for Anishinabek Nation citizens who are living with or affected by HIV 
  • HIV, Hepatitis C, education and resources 
  • Harm Reduction resources-condoms,lube, internal, dental dam for member communities 
  • Information booths, Health Fairs 
  • Skill-building sessions for positive people using Greater Involvement of People Living with HIV and/or Aids/Meaningful Engagement of People Living with HIV and/or Aids principles (GEPA/MIPA) 
  • Traditional teaching sessions relevant to healthy relationships 
  • Culture as prevention, HIV Education combined with cultural practices, moccasins, mitts, mukluks, medicine bags, beadwork, tiikanaagans 

Human Immunodeficiency Virus (HIV) is a virus that can be contracted from having unprotected sex, injection drug use, or during  vaginal births. For those with a new diagnosis of HIV, it is important to know that it is not a death sentence. People taking medication regularly can suppress the virus to undetectable levels and greatly reduce the risk of transmission. With medical advancements people with HIV are now living happy, normal lives. 

If you or someone you know is positive and would like to become involved in advocacy, and learn new skills, reach out to our program. 

Niichiiwak Friends Group – Are You Positive? 

The Anishinabek Nation HIV program invites Anishinabek members living positively with HIV to join a group called the ‘Niichiiwak’.  Niichiiwak, which loosely translates to ‘friends’ is built around the art of Nbwochwewag ‘they are visiting’.  The aim is to provide support while taking part in culturally themed activities such as mitt and moccasin making, beading, etc., in an informal, safe environment. 

The Niichiiwak group aims to fight stigma and empower people living with HIV by providing opportunities to learn employable skills, and share their talents and skills with communities. 

The Anishinabek Nation HIV program invites First Nations people living with or affected by HIV from Anishinabek territory to join the Niichiiwak (Friends) Group. 

  • Receive HIV training, improve presentation skills 
  • Participate in self-care sessions and cultural activities 
  • Contribute to conference planning 
  • Assist with hosting HIV interactive booths 
  • Participate in Prevention/Awareness Campaigns 
  • Provide input on new resources 
  • Assist with harm reduction distribution 

HIV ANTI-STIGMA CAMPAIGN

This program aims to reduce the harmful effects of discrimination towards individuals living with HIVVideos produced focus on de-stigmatizing HIV by sharing the stories of real people and their experiences.  

Nipissing First Nation End the Stigma Campaign

HIV Anti-Stigma Poster Campaign

2SLGBTQ+ Resources:

Harm Reduction:

DIABETES PROGRAM 

The goal of the Anishinabek Nation Diabetes Education program is:  “To decrease the incidence of diabetes in the Anishinabek Nation.” 

Program funds are to be utilized to undertake activities that assist in reaching the following goals:  

Prevention 

  • Goal: Decrease cross-generational incidence of type 2 diabetes by addressing the unique needs of Indigenous people and the diverse circumstances of Ontario’s Indigenous communities. 

Care and Treatment 

  • Goal: Establish holistic, community-based, Indigenous-specific diabetes programs and services that will help Indigenous people to manage their diabetes, prevent complications and promote good health and well-being. 

Education 

  • Goal: Establish holistic, community-based Indigenous diabetes education models that reflect Indigenous culture, are designed by Indigenous people to meet their communities’ needs. 

Research 

  • Goal: Support and promote research that increase Indigenous peoples’ knowledge of diabetes as well as the impact of diabetes prevention, care and treatment on health outcomes. 

Coordination 

  • Goal: Improve integration, collaboration and partnerships in Indigenous diabetes policy, programs and services and enhance Ontario’s capacity to delivery comprehensive, quality programs and services for Indigenous people and communities. 

Objectives we aim to achieve are: 

  • Increased access to diabetes education services; 
  • Increased knowledge of skills to manage own diabetes care; 
  • Increased knowledge of risk factors for developing diabetes; 
  • Increased knowledge of behaviours to reduce risk of developing diabetes;  and 
  • Increased activities to support people to minimize their risk of developing diabetes. 

Diabetic Retinal Screening 

We have been trained to offer Diabetic Retinal Screening. This screening will help detect early diabetic retinopathy. This checks your eyes for problems, often before you notice any changes in your sight. Finding and treating diabetic retinopathy early can reduce and prevent damage to your eyes and sight loss. 

 

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HEALTH TRANSFORMATION 

The current state of First Nations health services does not meet the needs of citizens. Indigenous Peoples suffer significant health disparities when compared to the non-Indigenous population. 

First Nations have been advocating for greater control over their health and wellness, consistent with the inherent right to self-determination. Health Transformation will give First Nations a high-quality, culturally-driven health system that is tailored to community needs and is designed and controlled by First Nations. Health Transformation is not devolution; it is First Nations taking control of their health. 

We need a system that:  

  • respects and reflects traditional approaches to healing, our medicines and our cultural values; 
  • treats the whole person, not just the illness; 
  • integrates all services more effectively and efficiently under First Nation governance; 
  • has approaches developed with direct input of Anishinabek citizens; 
  • meets community needs as close to home as possible; 
  • collective effort and collaboration amongst First Nations while respecting individual First Nations autonomy; 
  • recognizes the differences between self-governance over health and self-administration of health; and, 
  • has flexibility in the system to design and deliver programs to meet community needs. 

Background 

In June 2016, the Anishinabek Nation Chiefs-in-Assembly passed a resolution directing the Health Secretariat to begin the process of engaging levels of government to progress with First Nation control of health. 

Ongoing meetings between the Anishinabek Nation, federal, and provincial partners have resulted in the development of a joint Memorandum of Understanding. This agreement was signed in the Spring of 2018. In June 2019, an updated Resolution was passed by Chiefs-in-Assembly that supports the ongoing work towards Health Transformation. 

Where are we now? 

In Fall 2023, the Chiefs-in-Assembly endorsed a resolution to direct the Anishinabek Nation Health Secretariat to prepare a business case to secure funding for the next level of engagement and to explore feasibility of an Anishinabek Health Authority to strengthen the engagement process by conducting community meetings for each of the 39 Anishinabek member First Nations, as well as regional meetings.  

Engagement Sessions are on-going throughout the Anishinabek Nation territory to bring Anishinabek First Nations together to discuss a comprehensive system change based on the determinants of health.  

The Health Transformation Team also formed a Working Group comprised of health directors and health professionals who meet every three months. Meetings are on-going and communities are encouraged to send representatives to participate. 



FETAL ALCOHOL SPECTRUM DISORDER (FASD)

Our Message Debwewin – Truth 

As Anishinabe people, we believe that our children are the heart of our nations and the carriers of our dreams and aspirations for the future.  Every child has a gift and is considered sacred.  It is our responsibility to nurture and protect them so that they may fulfill the path laid out for them by the Creator. 

Anishinabek people living with FASD have a right to be treated with Zaagidwin (love) and Mnaadendomowin (respect).  

The Role of the FASD Team Aakedhewin – Bravery 

  • To increase the general level of awareness and knowledge of community members and to foster community ownership and action around FASD. 
  • To equip front-line workers with the necessary tools to holistically address the issue of FASD at the community level. 

To access the FASD resource order form, click here

What is FASD? Nbwaakaawin – Wisdom 

  • Fetal Alcohol Spectrum Disorder is a lifelong disability that affects the brain and body of people who were exposed to alcohol in the womb. Each person with FASD has both strengths and challenges and will need special supports to help them succeed with many different parts of their daily lives. (CanFASD) 

What do I need to know? Dbaadendiziwin – Humility 

  • FASD is one of the leading neurodevelopment disabilities in Canada 4% of Canadians are diagnosed with FASD.  May individuals go undiagnosed and do not receive supports. 
  • 50% of pregnancies are unplanned, and many do not know they are pregnant for up to 12 weeks. 
  • Alcohol can affect the development of an unborn baby as early as the first week of pregnancy. 
  • There is no safe type or amount of alcohol to drink, at any time during pregnancy. 

What do we offer? Mnaadendomowin – Respect 

Our unique and culturally based programs and workshops are designed to help the Anishinabek Nation communities to meet the needs of people whose lives are affected by FASD.  This is done through: 

Gwekwaadziwin – Honesty 

  • Capacity Building:  We provide specialized training and resources to caregivers, correctional officers, social service workers, educators, community members and those with living experience. 
  • Community Outreach:  We provide workshops, resources and supports around FASD awareness and the link to other neurodivergent exceptionalities. There is a focus on strengths of those with living experience.  
  • Political Advocacy: Cooperate with political and community partners to broaden the scope of services for the First Nations.  This includes research projects, political awareness, and prevention strategies.  

The Future of the Program  Zaagidwin – Love 

The vision of the program is to enhance the needed resources, capacity training and supports for frontline workers, caregivers, and those with living experience around all neurodevelopmental exceptionalities.  In doing this, we will help to reduce the stigma associated with FASD.