Transforming First Nations’ health governance in British Columbia

John O’Neil · Lloy Wylie · Brittany Bingham · Josée Gabrielle Lavoie · Danielle Alcock · Harmony Johnson

29 citations0/0 files storedInternational Journal of Health Governance

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Indigenous Health, Education, and Rights Indigenous Cultures and History Indigenous Peoples' Rights and Law

Abstract

Purpose The purpose of this paper is to present a study of the transformation of First Nations’ health governance, describing the development of partnerships between First Nations and provincial and federal governments for co-creating solutions to address First Nations’ health inequities in British Columbia (BC). The paper frames this transformation in the context of a Canada-wide reconciliation initiative stimulated by the Truth and Reconciliation Commission. Design/methodology/approach This qualitative case study was a joint initiative between Simon Fraser University and the BC First Nations Health Authority (FNHA), involving interviews with senior leaders within the BC health system, FNHA and First Nations communities. In addition, a policy roundtable was held in February 2015 which gathered 60 participants for further dialogue on the process. Findings Key themes included: partnership and relationships, governance and reciprocal accountability, First Nations perspectives on health and wellness, and quality and cultural safety. Findings indicate that significant transformational changes have happened in the relationship between First Nations and the mainstream health system. The creation of the FNHA has led to more representation for First Nations people at all levels of governance and health service planning, which will ultimately lead to more culturally safe health services that incorporate a First Nations perspective of wellness. Social implications The transformation of First Nations health governance in BC can serve as an example in other indigenous health settings both within Canada and internationally. Originality/value This paper describes a transformative health governance process in First Nations communities that is an historical first in Canada.

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References

2005The Embodiment of Inequity: Health Disparities in Aboriginal Canada 2015Research as Cultural Renewal: Applying Two-Eyed Seeing in a Research Project about Cultural Interventions in First Nations Addictions Treatment 2011Addressing the persistence of Tuberculosis Among the Canadian Inuit Population: The need for a social determinants of health framework 2010Caught at the crossroad: First Nations, health care, and the legacy of the Indian Act.

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