January 31 & February 1, 2018, Winnipeg, MB
With direction and guidance from the Assembly of First Nations, the Inuit Tapiriit Kanatami, and the Métis National Council, the National Collaborating Centres for Infectious Diseases, Aboriginal Health, Healthy Public Policy, and Determinants of Health hosted a multi-sector knowledge exchange forum to highlight and discuss public health strategies and approaches to eliminate TB in northern Indigenous communities in Canada. Please see below for more information regarding the meeting’s objectives, participants, and an interactive agenda with links to speaker presentations and other meeting materials.
NCCPH Event Story (view)
Purpose
1) To provide a forum for knowledge exchange and discussion on community-informed, innovative, and integrative public health strategies with demonstrated or promising effectiveness;
2) To bring together public health specialists, researchers, community representatives and government and non-government stakeholders from different regions to exchange ideas and share promising practices that address program gaps and focus on adapting public health strategies to local contexts.
The specific objectives of the meeting were to:
- Share the history, lived experience, contexts and current state of TB in northern Indigenous communities, highlighting what we know about the burden and its effects on individuals, families and communities.
- Share evidence-based, practice-based, and client-centered knowledge that can contribute to improved and integrated public health interventions.
- Consider multi-sectoral approaches to better tailor public health responses and inform public health strategies to eliminate TB.
- Create opportunities to collaborate or coordinate efforts to adapt promising and innovative public health actions to local contexts.
Forum Participants – Regions, Roles, and Affiliations (Interactive Map)
Forum Agenda – NCCID TB Forum Agenda (PDF)
Forum Discussions – Overarching Themes and Priorities (PDF)
Event Program Day 1
| Agenda | Resources |
|---|---|
| Registration and Breakfast (9:00 am – 9:45 am) | |
| Opening Prayer (9:45 am – 10:00 am) Elder Harry Bone, Keeseekoowenin First Nation Elder Annie Bowker, Manitoba Inuit Association Elder John Lee, Manitoba Métis Federation | |
| Introductions and Objectives (10:00 am – 10:20 am) Margaret Haworth-Brockman, NCCID Shivoan Balakumar, NCCID | Speaker Contacts Margaret Haworth-Brockman Shivoan Balakumar |
| Setting the National Context (10:20 am – 10:50 am) Addie Pryce, Assembly of First Nations, AFN Linette McElroy, Inuit Tapiriit Kanatami, ITK Eduardo Vides, Métis National Council, MNC Tom Wong, First Nations and Inuit Health Branch, FNIHB Howard Njoo, Public Health Agency of Canada, PHAC | |
| Straight to the Source: Centering Indigenous Perspectives on Tuberculosis (10:50 am – 12:00pm) Facilitated by Margo Greenwood, NCCAH Presentation: TB Lived Experiences: Ron Gerard, Boas Mitsuk, William Tagoona Presentation: A History of Indian Hospitals, Laurie Meijer Drees Activity: Small Group Discussions |   Speaker Contacts Laurie Meijer Drees Margo Greenwood |
| Lunch (12:00 pm – 12:45 pm) | |
| TB Epidemiology and Elimination Efforts in High Incidence Northern Indigenous Communities (12:45 pm – 2:50 pm) Facilitated by Kathi Avery-Kinew Presentation: TB Elimination in Northern Manitoba – Josiane Nast, Carla Loeppky, Michael Isaac, Brent Roussin Presentation: TB Elimination in Northern Saskatchewan – Neal Kewistep, Jennifer Cushon, Kris Stewart Presentation: TB Elimination in Inuit Nunangat – Linette McElroy Activity: Roundtable Compare and Contrast | Speaker Contacts Communicable Disease Control MB and WRHA ITBS TB Prevention and Control SK Inuit Tapiriit Kanatami |
| Break (2:50 pm – 3:10 pm) | |
| Exploring Multi-sector Approaches to TB Elimination (3:10 pm – 4:30 pm) Facilitated by Val Morrison, NCCHPP and Dianne Oickle, NCCDH Activity: Small Group Discussion Exercise - Who are the key stakeholders whose work, involvement or cooperation would impact the success of TB elimination programs and policies in Canada? | Key TB Stakeholders Discussion Summary (PDF) Speaker Contacts Val Morrison Dianne Oickle |
| Reflection - Malcolm King (4:30 pm – 4:40 pm) | Speaker Contacts Malcolm King |
Event Program Day 2
| Agenda | Resources |
|---|---|
| Registration and Breakfast (8:00 am – 8:30 am) | |
| Recap of Day 1 (8:30 am – 8:40 am) Margaret Haworth-Brockman, NCCID Shivoan Balakumar, NCCID | |
| TB Elimination – Promising Initiatives in the North (8:40 am – 10:05 am) Facilitated by Linette McElroy Presentation: Saskatchewan Northern Inter-Tribal Health Authority (NITHA) TB High Incidence Strategy: Promising Findings and Lessons Learned – Nnambdi Ndubuka, Gilbert Benjamin Presentation: Implementing the “Patient’s Charter for Tuberculosis Care” in High Incidence Indigenous Communities and across Jurisdictional Borders: A CIHR Pathways Initiative – Richard Long, Stephanie Doucet, Sherry Clarke, Rita Janvier Presentation: Engaging Younger Populations and Incorporating Harm Reduction Approaches into TB Elimination Efforts in Nunatsiavut and Nunavik – Sylvia Doody, Tina Buckle, Jean-François Proulx Presentation: Transforming TB Services at BC First Nations Health Authority (FNHA) – Isa Wolf | Please Contact Speakers Directly to Access Content from the presentation: “Engaging Younger Populations and Incorporating Harm Reduction Approaches into TB Elimination Efforts in Nunatsiavut and Nunavik” Please Contact Speaker Directly to Access Content from the presentation: “Transforming TB Services at BC First Nations Health Authority (FNHA)” Speaker Contacts Saskatchewan Northern Inter-Tribal Health Authority University of Alberta Tuberculosis Program Evaluation and Research Unit Richard Long Slyvia Doody Tina Buckle Jean-François Proulx TB Services – BC First Nations Health Authority Isa Wolf |
| Break (10:05 am – 10:20 am) | |
| Small Group Discussion Exercise – Forum Reflections (10:20 am – 11:20 am) Given what you have seen and heard in forum presentations, and through your own personal experiences, what are the elements needed for success in TB elimination for northern Indigenous communities? | Overarching Themes and Priorities Arising from Forum Discussions (PDF) |
| Report Back From Small Group Discussion Exercise (11:20 am – 12:10 pm) | |
| Lunch (12:10 pm – 1:00 pm) | |
| TB Surveillance, Reporting, and Information Management (1:00 pm – 2:00 pm) Facilitated by Margaret Haworth-Brockman Presentation: Development, Implementation and Use of an Innovative TB Database and Information Management Tool in Nunavik – Jean-François Proulx Presentation: A Collaborative Process for Surveillance and Reporting of TB Among Indigenous Peoples in BC – Jannie Leung OR TB Education, Training, and Human Resources (1:00 pm – 2:00 pm) Facilitated by Shivoan Balakumar Presentation: Integrating Cultural Safety and Community Self Determination into TB Education and Training at FNHA – Isa Wolf Presentation: Learnings from a Virtual TB Clinic and Public Health Nursing Network Model: Implications for Training and Human Resources – Richard Long, Andrea Warman | Please Contact Speaker Directly to Access Content from the presentation: “Development, Implementation and Use of an Innovative TB Database and Information Management Tool in Nunavik” Please Contact Speaker Directly to Access Content from the presentation: “A Collaborative Process for Surveillance and Reporting of TB Among Indigenous Peoples in BC” Please Contact Speaker Directly to Access Content from the presentation: “Integrating Cultural Safety and Community Self Determination into TB Education and Training at FNHA” Speaker Contacts Jean-François Proulx TB Services – BC First Nations Health Authority Jannie Leung University of Alberta Tuberculosis Program Evaluation and Research Unit Richard Long TB Services – BC First Nations Health Authority Isa Wolf |
| Break (2:00 pm – 2:10 pm) | |
| Report Back From Concurrent Sessions (2:10 pm – 2:30 pm) | |
| Regional Group Discussions – Priorities and Opportunities for Concrete Actions and Collaboration (2:30 pm – 3:30 pm) Referring to the Compiled Stakeholder Map and the List of Elements Contributing to Program Success, please indicate: 1) What are the highest priorities for your region? 2) What concrete actions would need to be taken? 3) What stakeholders would need to be involved? | |
| Final Forum Discussion, Reflections and Wrap-up (3:30 pm – 4:15 pm) | |
| Closing Prayer (4:15 pm) |