NCC Knowledge Exchange Forum: Towards TB Elimination in Northern Indigenous Communities

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 (Weblink)

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

AgendaResources
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

AgendaResources
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)