A Holistic Approach to Pandemic Readiness

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					A Holistic Approach to
Pandemic Readiness

          An AFN Pilot Project
             Presented by
        Sucker Creek First Nation
              Health Team
Administration office
Project Goals
 To determine if a holistic approach is
  a more effective way for First Nations
  communities to approach pandemic
 Plan must work in partnership with
  current community disaster plan
 Measure community knowledge of
  pandemic and influenza
   Six members of the Health Team
    were core working group
      • Includes community health, home care,
        administration staff and Disaster Services
   Input from elder’s society
    coordinator, community elders, and
    band staff
METHOD - Questionnaires
   Pre-questionnaires for community
    members via telephone.
      • 18 questions specific to influenza, self-care,
        pandemic knowledge, and holistic health
        (Appendix A)
      • 207 households in community
      • Each household was invited to upcoming
        community meetings
METHOD – post-questionnaires

   Post-questionnaires completed via
    telephone, home visit & after
    community meeting
      • Clearly shows increase in knowledge &
        level of confidence in readiness.
      • Identified more community assets than
        initially known
      • Increased understanding in self-care
METHOD - community
   Community meetings specific to
    target groups:
    – Youth
    – Elders
    – Band Staff
    – Health Centre Staff
    – Chief & Council
    – General Community meetings
METHOD – medicine wheel
   Created community medicine wheel
    to explain holistic health before,
    during and after pandemic
      • Ideas from staff & elders for each quadrant
      • Input from community members at meetings
        (brainstorming sessions)
      • Identified assets & strengths
      • Identified areas of concern (unbalance in
   There is an increased awareness
    and understanding regarding
    influenza and pandemic
   There is an increase in community
    members wanting to learn traditional
    ways and values.
   People understand that it will be a
    personal responsibility to provide for
    self and family.
   Although not measurable, we have
    perceived a change in the community
    mindset and see members beginning
    to work together despite past
    differences. There is also a sense of
    self-empowerment at the individual
Highlights of Project
   Elders from community willing to teach
    others about traditional herbs
    – What to pick, where to pick, mixing, protocols
    – Teachings will begin spring 2007

   Spin-off projects
    – Partner with local museum to identify and
      protect traditional land use areas
    – Recording elder’s stories regarding pandemic
      and/or traditional ways
Highlights of Project (cont.)
   Measured increase in understanding &
    – What is a pandemic, seasonal vs. pandemic
      flu, self-care methods, etc.

 More people interested in learning about
  traditional ways and values
 Teaching self-sufficiency skills that can be
  used regardless of pandemic (canning,
  hunting, etc.)
Gaps and Solutions
GAP 1:                   SOLUTION:
                         a) Request ongoing
This is a short-term        funding from INAC,
   project – what will      FNIHB
   we do once funding    b) Partner more with
   runs out?                others (FN, RHAs,
                            MD, Town of HP)
                         c) Use strategic
                            funding again
                         d) Other pilots?
Gaps and Solutions
GAP 2:                     SOLUTION:
                           a) Meet with new Chief
There is a need for more      & Council – discuss
   political support for      current readiness
   emergency/disaster         status; request
   planning and               support
   pandemic readiness      b) Meet with Treaty 8
                              Chiefs & Alberta
Gaps and Solutions
GAP 3:                SOLUTION:
                      a) Start social marketing
There is a lack of       campaign to change
   knowledge and         people’s minds about
   understanding         pandemic; inform &
   regarding pandemic    involve
   influenza          b) Create booklet on self
                         care & flu basics
                      c) Increase flu clinic turnout
Gaps and Solutions
GAP 4:                   SOLUTION:
                         a) Must look at long
Lack of ownership of        term solutions
   self care and self-   b) Teach traditional
   sufficiency              ways of self-
                         c) Look at mental and
                            emotional barriers –
                            find balance
Gaps and Solutions
GAP 5:                 SOLUTION:
                       a) Forgive each other –
Community Separation      find balance
                       b) Bringing people
                          together to plan –
                          involving everyone
 Delay in funding
 Short time frame
 Lack of volunteers
 Factors Beyond
  Our Control
 Promote a holistic approach in all aspects
  of health planning in First Nations
 Fund Pandemic readiness as part of
  Contribution Agreements
    – Fund for position on reserve
 Offer support, but respect community
 Make pandemic readiness a political
 Dr. Kim Barker, Public Health
  Advisor -AFN
 Cindy Halcrow & Sucker Creek
  Elders’ Society
 Elder John D. Moostoos
 Elder Joe Willier
 Ruth Richardson CDC Nurse
  Manager – FNIHB AB Region
    Pandemic Readiness Team

   Janice Willier-Scott, Director of Health Services
   Tanis Willier, Administration Assistant
   Judy Capot, Home Care Aide
   Jeanette Willier, Family Support Worker
   Gloria Comeau, Family Support Worker
   Patsy Calliou, NNADAP/Disaster Services

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