Untitled - Phoenix Sinclair Inquiry

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Dr. Rachel Eni, Ph.D. | ASSISTANT PROFESSOR Dept Family Social Sciences, Faculty of Human Ecology Dept Community Health Sciences, Faculty of Medicine Research Director Indigenous Health and Social Justice Working Group UNIVERSITY OF MANITOBA (204) 480 - 1464 eni@cc.umanitoba.ca
EXECUTIVE SUMMARY Strengthening Families Maternal Child Health (SF-MCH) is the Manitoba regional component of the Canadian First Nation Maternal Child Health Program. The SF-MCH framework for programming and evaluation consists of a regional and a unique community cultural perspective on health and health programming. The goal of the evaluation of the 2006-2010 SF-MCH pilot project was to begin to express a process of community-driven programming and the priorities for maternal and child health programming. A comprehensive approach to maternal and child health that includes programming for ‘strengthening families’ within First Nation communities is built on community strengths and existing services and encompasses linkages between a wide-range of services and programs at the community and regional levels. SF-MCH programming includes: pre- and post-natal screening and assessment; early child development assessments; health promotion, education and intervention programming for individuals and families. At the core, SF-MCH is a nurse-facilitated home visitation program. Peer-support home visitors and nurses provide on-going home visitation supports to women and their families from the prenatal period up to first 6 years of a child’s life. The current report is a description of the 2006-2010 evaluation of the SF-MCH Pilot Project. Described is a developmental process evaluation that captures the process of developing a community-driven and consultative process of joint programming and evaluation between: Manitoba First Nation communities; the Manitoba Region Maternal Child Health Advisory Committee; the Assembly of Manitoba Chiefs; The Indigenous Health and Social Justice Research Group of the University of Manitoba; and Manitoba Region First Nation Inuit Health, Health Canada. Described in the report are: the process of developing communitybased and regional evaluation frameworks; the development of the health and socio-economic information system, quality assurance program and program standards; health priorities for the region; and 2 program impact surveys. Finally, recommendations and the way forward are discussed. RECOMMENDATIONS EMERGING FROM THE EVALUATION ARE: Continued support and expansion of SF-MCH programming to all First Nation communities in the Province of Manitoba is recommended. Central management through the Assembly of Manitoba Chiefs has been invaluable to raising SF-MCH programming standards to a level of excellence. The 2010-2011 evaluation should begin to design a longitudinal cost-benefit analysis for SF-MCH focusing on prevention and intervention effects on community health and wellness throughout the lifespan. Capacity building efforts that include education and training on all areas of programming and evaluation should be continued. These efforts should include face-to-face (individual and group-based), on-line, and on-the-job practical education opportunities). In terms of the potential for capacity development in the communities, the role of the Manitoba Maternal Child Health Advisory Committee should be expanded. Government should keep in mind that the continuing support of community-based programs is essential in maintaining trust between participants and programmers. Trust is an underlying and essential determinant of health. Manitoba First Nation Strengthening Families Maternal Child Health Pilot Project | 1
Page 4 and 5: SF-MCH is counteracting the effects
Page 6 and 7: Visitor, Peguis), Geraldine Stevens
Page 8 and 9: Executive Summary 1 Recommendations
Page 10 and 11: Home Visitation 82 Training and Edu
Page 13: Nelson House Program family graduat
Page 16 and 17: These responsibilities of governmen
Page 18 and 19: The issue at the centre of all thes
Page 20 and 21: Nursing Services Nutrition and Phys
Page 22 and 23: DESCRIPTION OF THE MANITOBA FIRST N
Page 24 and 25: MANITOBA FIRST NATION STRENGTHENING
Page 26 and 27: MANITOBA INITIAL 16 SF-MCH COMMUNIT
Page 28: Goals and objectives of each of the
Page 33 and 34: The Maternal Child Health Program a
Page 35 and 36: Overtime, the desired outcomes for
Page 37 and 38: The following diagram was developed
Page 39 and 40: population in the North American ma
Page 41 and 42: of prenatal counselling. The 2002-0
Page 43 and 44: The dynamics of health are signific
Page 45 and 46: The goal of our work in interventio
Page 47: would be filtered into the program
Page 51 and 52: DEVELOPING A CULTURAL PRACTICE FRAM
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FAMILY LEVEL INDICATORS Relationshi
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UNDERSTANDING PARENTING IN MANITOBA
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Topic areas, i.e., interpersonal su
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care. Implementing strategies of su
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Within an Indigenous perspective, t
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DEVELOPMENT OF THE SF-MCH INFORMATI
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Manitoba First Nation Strengthening
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Manitoba First Nation Strengthening
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TECHNICAL ASPECTS The information s
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QUALITY ASSURANCE PROGRAM DESCRIPTI
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for intercommunity, regional and na
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CONTEXTUALIZATION OF SF-MCH WITHIN
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and community volunteers. Qualifica
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has laid substantial ground-work fo
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Standard #2 - determination and ext
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that have full caseloads, this equa
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Working with high-risk families Par
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(Planning was comprehensive. It beg
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B. Setting of thresholds - threshol
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STEP SEVEN - CHOSE TEAMS The SF-MCH
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Opaskwayak Cree Nation Family Fun D
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Long Plain MCH Program Activity Opa
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consistency of staffing of the SF-M
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The average time per week spent on
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Program staff shared that the major
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LEVEL OF ABILITY In order to unders
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SF-MCH Program staff were asked whi
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STRENGTHS OF THE COMMUNITY Communit
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FAMILY CHALLENGES Community members
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Participants were then asked to sha
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Overall non-participants who comple
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“We like to try get to the famili
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PERSPECTIVES OF PROGRAM IMPACT SF-M
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Respondents to the community survey
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In comparison with the effects of t
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To the statement I feel connected t
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The strength of the pilot run of SF
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COMMUNICATION STRATEGIES Key to suc
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KEY QUESTION 5: WHAT NEEDS TO BE DO
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AWARENESS More program awareness. L
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Have support to couples who have no
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In the time period of the SF-MCH pi
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epresents maternal and child health
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The NPPA has been invited as well t
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BIBLIOGRAPHY Anand, S, SS., Davis,
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Hart, M. (2007). Cree ways of helpi
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Stone, K.E., Burrell, L., Higman, S
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