Sioux Lookout First Nations Health Authority Health Care in Partnership with First Nations

Annual Report 2011-2012

Sioux Lookout First Nations Health Authority

Table of Contents

2

3

Board of Directors

4

Dedication to Josias Fiddler

6

Message from the Chair of the Board

10

Report from the Executive Director

14

Health Services

36

Nodin Child & Family Intervention Services

44

Client Services Department

54

Sioux Lookout Regional Physicians Services Inc.

58

Chiefs Committee on Health

63

Our Partners and Funders

Board of Directors The Board of Directors governs the Sioux Lookout First Nations Health Authority. There are nine (9) board members, representing five (5) Tribal Councils, the Independent First Nations and Lac Seul, and one Elder. There is also a non-voting board member, Dr. Terri Farrell, who acts as a medical representative. The board sets the Health Authority’s directions and ensures these directions are implemented and board policies are followed. The strategic plan sets the overall direction for the organization. The executive director is accountable to the board for delivering the strategic plan and for stewardship of resources.

John Cutfeet Board Chair

Joe Kakegamic Board Member

Kitchenuhmaykoosib Inninuwug

Sandy Lake

Bertha Bottle Board Secretary/ Treasurer Lac Seul

NO PHOTO AVAILABLE

Solomon Mamakwa Board Member

Innes Sakchekapo Board Member

Robert Thomas Board Member

Kingfisher Lake

North Caribou Lake

Fort Severn

Mary Ann Panacheese Board Member

Don Sofea Board Member

Mishkeegogamang

Nibinamik

Dr. Terri Farrell Non-Voting Board Member 3

We Remember... Josias Fiddler 1949 - 2012

With heavy hearts, we remember the life of Josias Fiddler who passed away May 30, 2012 in Thunder Bay. For many years, Josias was a traditional healer for the Sioux Lookout First Nations Health Authority, helping to guide the organization in our quest to improve the health and well being of the communities we serve. Tireless and relentless, Josias was known for taking part in a fast with his fellow Sandy Lake community members to protest the poor health services for First Nations people in the Sioux Lookout area. That action prompted the Scott McKay Bain Health Panel report, which ultimately led to the creation of the Sioux Lookout Meno Ya Win Health Centre and SLFNHA. A respected leader and Elder, Josias will be missed. But his work and legacy will carry on through his children and grandchildren. Josias mentored and passed on many traditional teachings to his children. Today, each proudly displays their deep respect for the exceptional knowledge they received from their father: Thomas, as the NAN traditional drum carrier and keeper of ceremonial lodges, Touchan with his talent for making traditional pipes, and Josias Jr., his oldest son, is a grass dancer and participates in traditional powwows who also taught his daughters about how to prepare traditional medicines.

4

5

Message from the Chair of the Board The key to improving the health status of the Anishinabe people living in the Sioux Lookout Zone is in the implementation of the Anishinabe Health Plan. The reason for that was understood many years ago when studies reported the best way for First Nations people to improve their health status is to take over the governance and management of their own health programs.

John Cutfeet Board Chair

In doing this, the planning process was largely accomplished when the Chiefs adopted the Anishinabe Health Plan in 2006. This is our road map to better health care for our people. From here on, it is implementation – putting the management systems in place to turn planning into reality. And it is the Health Authority that has been tasked with the mandate of implementing the Anishinabe Health Plan. In running an organization to do these things, there are five main areas of management with which you need to be clear: authority, communications, productivity, morale and change. The last area – change – requires a close eye on the environment you are working in. You need to know what is happening at the community level and to also keep an eye on changes happening in government, and in society in general, that may affect the lives of the people for whom you work. When we look at our environment, we have known for a long time the health status in our communities has been lower than other people in Canada. That was one of the reasons why the late Josias Fiddler and four of his community members conducted a fast in what is now the old Zone hospital – to protest the low health status of his people. As we now know, it was that action that prompted the Scott McKay Bain Health Panel report, which led to the creation of the SLFNHA (which together with the participation of the Tribal Councils ultimately led to the Anishinabe Health Plan). Other results of that action include the new Sioux Lookout Meno Ya Win Health Centre, the new Jeremiah McKay Kabayshewekamik (Hostel), and ultimately the transition of health services to First Nation control and management. There has not been a study on the health status of our communities since 2006, but at that time, the five leading health problems were diabetes, diseases of the respiratory system such as asthma, a variety of addictions such as alcohol, drugs, solvents and gambling, mental health issues ranging from suicidal ideation to psychiatric disorders, and heart disease. The next five major health problems identified were arthritis and musculoskeletal disease, cancer, kidney disease, skin disorders, and dental problems. At that time, the causes of this poor community health were attributed to lifestyle factors such as poor dietary habits and the change in diet, lack of exercise and the sedentary lifestyle, and the loss of the traditional lifestyle. The second leading cause of poor health was described as environmental factors ranging from pollutants to poor air quality, mould and housing conditions. The third leading cause of poor health was insufficient prevention programs and poor access to services, and the fourth leading cause was described as destructive behaviour such as excessive alcohol intake, prescription drug abuse and illegal drug use. We also know the suicide epidemic that has plagued our communities for the

6

past 25 years, resulting in 453 suicides in the Sioux Lookout Zone, remains largely unabated to this day. We know the homicide rate has been going up during the last five years. And we know our communities’ struggle with the ravages of prescription drug abuse has intensified during the last five years. In the NAN Chiefs Primary Health Care Model (NAN Resolution 90/10), there are five areas of action: support, promotion, prevention, curative treatment and rehabilitation. Right now, the current health care system is largely focused on the curative; that is, we treat you only after you get sick. The Anishinabe Health Plan proposes that we shift from the current model, which is focused on acute care, to a model that will deal with the needs of the communities. We have to focus more attention and resources on keeping our people healthy. That means dealing with diet, dealing with exercise, and dealing with destructive behaviors such as excessive drinking of alcohol, smoking cigarettes, drug abuse and sexual assaults. And if we don’t start doing that soon, we never will. We will be so locked into doing acute care with the limited resources that are available, we will never be able to do anything in prevention and healthy living. This is the same phenomenon that has occurred to us in dealing with crisis. Nodin has been locked into a crisis mode for 20 years. As a result, Nodin still has a hard time doing long term counselling properly, knowing that one of the best solutions to the suicide crisis lies in doing long term counselling with the clients. Through this process, clients are helped to heal from their trauma and learn to live well-balanced and productive lives, but the reality is that there is crisis in our communities and that is what keeps the Nodin organization in the crisis mode. What we have learned from this experience is that when you realize something has to be done, then you just have to get on with it. In this case, the Nodin counsellors are making an effort to focus on long term counseling. And while we are making every effort to respond to the crisis in the communities, we try not to let that work distract them from completing their long-term counselling processes. We have to do the same thing with acute care. Communities will continue to receive urgent/ emergent/acute care services, but we have to make a concerted effort to do public and population health programs (health promotion and disease prevention). We have to make a conscious decision to do prevention programming. This is why we want to take control of our own health care system, so that we can decide what needs to be done. It is our intention to implement the Anishinabe Health Plan as expeditiously as possible. Recognizing there are certain things that only the communities can do, we sincerely hope we can work closely together to implement our health plan. We believe this will ultimately improve the health status of our people. Financial statements are available from Sioux Lookout First Nations Health Authority on request.

7

ᐅᐃᐧᐣᑕᒪᑫᐃᐧᐣ ᑲᐅᑎᑲᐧᓂᐡᑲᐠ ᐊᐱᑕᒪᑫᐃᐧᐣ ᐃᐁᐧ ᑫᑐᒋᑲᑌᐠ ᒋᑭ ᒥᓄᓭᑭᐸᐣ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᐊᓂᔑᓂᓂᐊᐧᐠ ᑌᑎᐸᐦᐃ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᑲᐯᔑᐊᐧᐨ ᐃᐁᐧ ᒋᐅᓇᒋᑲᑌᐠ ᐊᓂᔑᓇᐯ ᒪᐡᑭᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ. ᐅᐁᐧ ᑲᑭ ᐃᔑ ᓂᓯᑐᒋᑲᑌᑭᐸᐣ ᒥᔑᓄᔭᐦᑭ ᐅᑕᓇᐣᐠ ᒣᑲᐧᐨ ᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑫᐃᐧᓇᐣ ᑲᑭ ᑎᐸᒋᒧᓇᓂᐊᐧᑭᐸᐣ ᐊᓂᐣ ᑫᑭᔑ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐸᐣ ᐊᓂᔑᓂᓂᐊᐧᐠ ᒋᑭ ᒥᓄᓭᓂᑲᐧᐸᐣ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᐃᐁᐧ ᐱᑯ ᒋᑭ ᐅᓇᔓᐊᐧᑌᑭᐸᐣ ᒥᓇ ᒋᑭ ᐱᒥᐃᐧᒋᑲᑌᑭᐸᐣ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ.

ᒐᐧᐣ ᑲᐟᐱᐟ

ᐅᐁᐧ ᑕᐡ ᑐᒋᑲᑌᐠ, ᐃᐁᐧ ᑲᑭ ᐅᓇᒋᑲᓂᐊᐧᐠ ᒥᐢᑕᐦᐃ ᑭᐃᐧᒋᐦᐃᐁᐧᓭᐸᐣ ᒣᑲᐧᐨ ᐅᑭᒪᑲᓇᐠ ᑲᑭ ᐅᓇᑐᐊᐧᐸᐣ ᐊᓂᔑᓇᐯᐃᐧ ᒪᐡᑭᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᒣᑲᐧᐨ 2006. ᐅᐁᐧ ᑫᐅᐣᒋ ᑲᐧᔭᑯᔑᓂᔭᐠ ᐃᒪ ᒋᑭ ᐊᓄᐣᒋ ᒥᓄᓭᑭᐸᐣ ᐊᓂᔑᓂᓂᐊᐧᐠ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ. ᐅᒪ ᑕᐡ ᐅᐣᒋ ᒪᒋ, ᒥᐦᐅᒪ ᐁᑲᐧ ᑫᐊᓄᑲᑌᐠ -ᐃᑫᐧᓂᐊᐧᐠ ᑲᓂᑲᓂ ᐱᒧᒋᑫᐊᐧᐨ ᒋᐅᓇᓴᑲᓄᐊᐧᐨ ᐃᐁᐧ ᐅᓇᒋᑫᐃᐧᓇᐣ ᒋᑭ ᐊᓂ ᐊᓄᑭᓭᑲᐧᐸᐣ. ᒥᐦᐅᐁᐧᓂ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᑲᑭ ᐃᓇᑲᓄᐊᐧᐸᐣ ᒋᐊᓄᑲᑕᒧᐊᐧᐨ ᐃᐁᐧᓂ ᒋᐊᓄᑲᑕᒧᐊᐧᐨ ᐊᓂᔑᓇᐯ ᒪᐡᑭᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ. ᐃᐁᐧ ᑕᐡ ᑲᐱᒥᐃᐧᒋᑲᑌᐠ ᒪᒋᑕᐃᐧᐣ ᐅᑫᐧᓂᐊᐧᐣ ᑲᐊᓄᑲᑌᑭᐣ, ᐊᔭᐊᐧᐣ ᓂᔭᓇᐣ ᑫᑭᔑ ᐱᒧᒋᑲᑌᑭᐣ ᐃᒪ ᒋᐸᔭᑌ ᓂᓯᑐᒋᑲᑌᑭᐣ: ᐸᑭᑕᔓᐊᐧᒋᑫᐃᐧᐣ, ᐃᐧᑕᓄᑭᒥᑎᐃᐧᐣ, ᑲᑲᐡᑭᒋᑲᑌᐠ ᒋᑭ ᐱᒥᐃᐧᒋᑲᑌᐠ ᐊᓄᑭᐃᐧᐣ, ᒥᓇ ᐊᐣᑕᒋᑫᐃᐧᐣ. ᐃᐡᑲᐧᔭᐨ ᑕᐡ ᐃᐁᐧ – ᐊᐣᑕᒋᑫᐃᐧᐣ – ᓇᐣᑕᐁᐧᐣᑕᑲᐧᐣ ᑲᐧᔭᐠ ᒋᑭ ᑲᓇᐊᐧᐸᐣᒋᑲᑌᑭᐸᐣ ᐃᒪ ᑲᑕᓇᓄᑭᔭᐣ. ᑲᓇᐣᑕᐁᐧᐣᑕᑯᐢ ᒋᑭᑫᐣᑕᒪᐣ ᐊᓄᓯᓭᑭᐣ ᑫᑯᓇᐣ ᑭᑕᔑᑫᐃᐧᓂᐠ ᒥᓇ ᒋᓇᓇᑲᒋᑐᔭᐣ ᑲᐊᓂ ᐊᔭᐣᒋᓭᑭᐣ ᑫᑯᓇᐣ ᐅᑭᒪᐃᐧᓂᐣᐠ ᐃᓀᑫ, ᒥᓇ ᐱᑯ ᐃᒪ ᒥᓯᐁᐧ, ᐃᑫᐧᓂᐊᐧᐠ ᐊᐧᐃᔭᐠ ᑲᐊᓄᑲᐊᐧᑕᐧ ᐅᐱᒪᑎᓯᐃᐧᓂᐊᐧ ᑲᑐᑭᓂᑯᐊᐧᐨ ᑫᑯᓇᐣ. ᐃᒪ ᐁᑲᓇᐊᐧᐸᐣᒋᑲᑌᐠ ᑲᑕᓇᑎᓯᔭᐣᐠ ᐊᐦᑭᑲᐠ, ᐁᐧᐡᑲᐨ ᐊᔕ ᑭᑐᐣᒋ ᑭᑫᐣᑕᒥᐣ ᐃᐁᐧ ᑭᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᓇᐣ ᐁᑲ ᓇᐱᐨ ᐁᑭᒋᓀᐣᑕᑲᐧ ᐊᐱᒋᐃᐧᐣ ᑯᑕᑭᔭᐠ ᐅᒪ ᑲᓇᑕ ᑲᔭᐊᐧᐨ. ᒥᐦᐅᐁᐧ ᐯᔑᐠ ᑫᑯᐣ ᐊᐁᐧ ᒍᓴᔭᐢ ᐱᐟᓫᐃᕑ ᑲᑭ ᐃᓇᑲᓄᐨ ᒥᓇ ᓂᐃᐧᐣ ᑯᑕᐠ ᐊᐃᐧᔭᐠ ᑲᑭ ᐅᐣᒋ ᑐᑕᒧᐊᐧᐸᐣ ᐁᐡᐧᑲᐨ ᐁᑲ ᒋᐃᐧᓯᓂᐊᐧᐨ ᐃᒪ ᑫᑌ ᒪᐡᑭᑭᐃᐧᑲᒥᐠ ᑲᐃᔑᔭᑭᐸᐣ – ᐁᑭ ᐅᐣᒋ ᐊᐧᐸᐣᑕᐦᐃᐁᐧᐊᐧᐨ ᒪᐊᐧᐨ ᐁᑕᐸᓭᐣᒋᑲᑌᑭᐣ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᐃᑫᐧᓂᐊᐧᐣ ᐅᑕᓂᔑᓂᓂᒪᐣ. ᐃᐁᐧ ᑲᐃᔑ ᑭᑫᐣᑕᒪᐠ, ᒥᐦᐃᐁᐧᓂ ᑲᑭ ᑐᑕᒧᐊᐧᐨ ᐊᐸᐣ ᑲᑭ ᐊᓄᑲᑕᒧᐊᐧᐨ ᐢᑲᐟ ᒪᑫ ᐯᔾᐣ ᒪᐡᑭᑭᐃᐧ ᐊᐱᑕᒪᑫᐃᐧᐣ, ᒥᑕᐡ ᐊᐸᐣ ᐃᒪ ᑲᑭ ᐊᓄᐣᒋ ᐅᔑᒋᑲᑌᐠ SLFNHA (ᑲᑭ ᐊᓂ ᒪᒪᐃᐧᓂᑐᐊᐧᐨ ᑲᐱᑭᔕᑭᓱᐊᐧᐨ ᐅᑭᒪᑲᓇᐠ ᒋᐃᐧᒋᑕᐧᐊᐧᐨ ᐱᓂᐡ ᐊᐸᐣ ᑲᑭ ᐊᓂ ᐅᓇᑐᐊᐧᐨ ᐊᓂᔑᓇᐯ ᒪᐡᑭᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ.) ᒥᐦᐃᒪ ᑲᔦ ᑲᑭ ᐊᓄᐣᒋ ᒪᒋᒋᑲᑌᐠ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒥᓄᔭᐃᐧᐣ ᒪᐡᑭᑭᐃᐧᑲᒥᐠ, ᐅᐡᑭ ᒉᓂᒪᔭ ᒪᑫ ᑲᐯᔑᐃᐧᑲᒥᐠ, ᒥᓇ ᑲᑭ ᐊᓂ ᐊᐣᒋ ᐸᑭᑎᓂᑲᑌᐠ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐊᓂᔑᓂᓂᐊᐧᐠ ᐃᐧᓇᐊᐧ ᒋᐊᓂ ᐱᒧᑐᐊᐧᐨ. ᑲᐃᐧᐣ ᑫᑯᐣ ᐊᔭᓯᓄᐣ ᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑫᐃᐧᐣ ᐃᒪ ᒪᐡᑭᑭᐃᐧ ᓇᓇᑲᒋᒋᑫᐃᐧᐣ ᐃᒪ ᑭᑕᔑᑫᐃᐧᓂᓇᐣ ᐃᐡᑲᐧᔭᐨ ᑲᑭ ᑐᒋᑲᑌᑭᐸᐣ 2006, ᔕᑯᐨ ᑕᐡ ᒥᐁᐧ ᐊᐦᐱ, ᓂᔭᓇᐣ ᑲᓂᑲᓂᓭᑭᐣ ᐊᑯᓯᐃᐧᓇᐣ ᑭᐊᔭᐊᐧᐣ, ᔓᑲᐊᐧᐱᓀᐃᐧᐣ, ᐸᑭᑕᓇᒧᐊᐧᐸᐱᓀᐃᐧᓇᐣ, ᑲᓴᑭᓂᐁᐧᒪᑲᑭᐣ ᐊᑯᓯᐃᐧᓇᐣ ᑐᑲᐣ ᒥᓂᑫᐧᐃᐧᐣ, ᒪᒋᒪᐡᑭᑭᑫᐃᐧᐣ, ᒥᓇᐣᒋᑫᐃᐧᐣ ᒥᓇ ᔓᓂᔭᐊᐧᐦᑕᑲᓂᐊᐧᐠ, ᒪᒥᑎᓀᐣᒋᑲᓇᐱᓀᐃᐧᓇᐣ ᑐᑲᐣ ᑲᑲᑫᐧ ᓂᓯᑎᓱᓇᓂᐊᐧᐠ ᒥᓇ ᑲᔦ ᓇᓇᐣᑐᐠ ᒪᒥᑎᓀᐣᒋᑲᓇᐱᓀᐃᐧᓇᐣ, ᒥᓇ ᐅᑌᐦᐃᐊᐧᐱᓀᐃᐧᐣ. ᑯᑕᑭᔭᐣ ᓂᔭᓇᐣ ᐊᑯᓯᐃᐧᓇᐣ ᑲᑭ ᒥᑭᑲᑌᑭᐣ ᐃᐁᐧ ᐅᑲᓇᐱᓀᐃᐧᐣ ᒥᓇ ᐱᑯ ᐅᑲᓂᐣᐠ ᐊᐃᐧᔭ ᑲᐃᔑ ᐊᑯᓯᐨ, ᑲᐊᒧᐁᐧᒪᑲᐠ ᐊᑯᓯᐃᐧᐣ, ᐅᑎᑎᑲᐧᓂᓯᐊᐧᐱᓀᐃᐧᐣ, ᐊᐧᔑᑲᔭᐣᐠ ᑲᔑ ᐊᑯᓯᓇᓂᐊᐧᐠ, ᒥᓇ ᐃᐧᐱᑎᐣᐠ ᑲᔑ ᐊᑯᓯᓇᓂᐊᐧᐠ. ᐃᐁᐧ ᐊᐦᐱ, ᐃᐁᐧ ᑲᑭ ᐅᐣᒋ ᐊᔦᓇᐱᓇᓂᐊᐧᐠ ᑲᐃᔑ ᐸᒥᒋᑲᑌᑭᐣ ᐱᒪᑎᓯᐃᐧᓇᐣ ᑐᑲᐣ ᐁᑲ ᑲᐧᔭᐠ ᑲᐃᓇᐣᒋᑲᓂᐊᐧᐠ ᒥᓇ ᐸᑲᐣ ᑫᑯᓇᐣ ᑲᒥᒋᑲᑌᑭᐣ, ᐁᑲ ᑲᐊᐧᐊᐧᑲᐃᐧᓇᓂᐊᐧᐠ ᒥᓇ ᑲᒧᐦᒋ ᐊᔭᐱᓇᓂᐊᐧᐠ, ᒥᓇ ᐁᑲ ᐊᐦᑭᑲᐣᐠ ᑲᐅᐣᑕᒋᐦᐅᓇᓂᐊᐧᐠ. ᐃᐁᐧ ᑯᑕᐠ ᓂᔑᐣ ᑫᑯᐣ ᑲᔑ ᑭᑫᐣᑕᑲᐧᐠ ᐅᐁᐧ ᑲᐅᐣᒋ ᐊᑯᓯᓇᓂᐊᐧᐠ ᑲᐱᒋᐳᐃᐧᓂᐊᐧᐠ ᐃᒪ ᑲᐅᐣᒋ ᐸᑭᑎᓇᒧᓇᓂᐊᐧᐠ, ᑲᒪᑲᑌ ᐊᑲᐧᑯᔑᐊᐧᑭᐣ ᐊᐧᑲᐦᐃᑲᓇᐣ. ᒥᓇ ᓂᓯᐣ ᑫᑯᐣ ᑲᒪᒋᑐᑕᑫᒪᑲᐠ ᐁᑲ ᑲᐊᔭᑭᐣ ᓇᑕᒪᑫᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ ᒥᓇ ᐁᑲ ᑲᐊᔭᑭᐣ ᓇᐦᐱᐨ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ, ᒥᓇ ᓂᐃᐧᐣ ᑫᑯᐣ ᐊᐃᐧᔭ ᒥᐢᑕᐦᐃ ᒥᓂᑫᐧᐃᐧᐣ ᑲᐊᐸᒋᑐᐨ, ᒪᒋᒪᐡᑭᑭᑫᐃᐧᐣ ᒥᓇ ᐱᑯ ᑲᐧᐣᑕ ᒪᐡᑭᑭᐣ ᑲᐊᐸᒋᒋᑲᑌᑭᐣ. ᐊᒥᐦᐃ ᑲᔦ ᐁᔑ ᑭᑫᐣᑕᒪᐣᐠ ᐃᐁᐧ ᑲᐊᐧᐅᑕᐱᓇᒧᐊᐧᐨ ᐅᐱᒪᑎᓯᐃᐧᓂᐊᐧ ᒥᔑᐣ ᑕᔑᑫᐃᐧᓇᐣ ᐁᑲᑲᐧᑕᑭᐦᐃᑯᐊᐧᐨ

8

ᑭᑕᔑᑫᐃᐧᓂᓇᐣ ᐅᑕᓇᐣᐠ 25 ᐊᐦᑭ, ᒥᑕᐡ ᑲᐃᓯᓭᐠ 453 ᓂᓯᑎᓱᐃᐧᓇᐣ ᐁᑭ ᐊᔭᑭᐣ ᐃᒪ ᐊᐧᓂᓇᐊᑲᐧᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᑭᐣ ᑕᔑᑫᐃᐧᓇᐣ, ᒥᑕᔑᑯ ᑭᔭᐸᐨ ᐁᐃᓯᓭᐠ ᓄᑯᑦ ᑲᑭᔑᑲᐠ. ᒥᓇ ᑭᑭᑫᐣᑕ̇ᒥᐣ ᓂᐸᑕᑫᐃᐧᓇᐣ ᐁᐊᓂ ᐱᒥ ᐃᐡᐱᓭᑭᐣ ᐅᑕᓇᐣᐠ ᓂᔭᓄᐊᐦᑭ. ᒥᓇ ᑭᑭᑫᐣᑕᒥᐣ ᑭᑕᔑᑫᐃᐧᓂᓇᐣ ᐁᐱᒥ ᒪᒋᐱᓂᑯᐊᐧᒋᐣ ᑲᓂᔑᐊᐧᓇᒋᐦᐃᐁᐧᒪᑲᐠ ᒪᒋᒪᐡᑭᑭᑫᐃᐧᐣ ᐊᐊᐧᔑᒣ ᑲᐊᓂᓯᓭᐠ ᐅᑕᓇᐣᐠ ᓂᔭᓄᐊᐦᑭ. ᐃᒪ ᐊᓂᔑᓇᐯ ᐊᐢᑭ ᐅᑭᒪᑲᓇᐠ ᐅᑕᑯᓯᐠ ᐅᒪᐡᑭᑭᐃᐧ ᐸᒥᐦᐃᑯᐃᐧᓂᐊᐧ ᒪᓯᓇᐦᐃᑲᐣ (ᐊᓂᔑᓇᐯ ᐊᐢᑭ ᐅᓇᒋᑫᐃᐧᐣ 90/10), ᐊᔭᐊᐧᐣ ᓂᔭᓇᐧᔦᐠ ᑫᑭᔑ ᐊᓄᑲᑌᑭᐸᐣ: ᐃᐧᒋᑲᐸᐃᐧᑕᑫᐃᐧᐣ, ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ, ᓇᑕᒪᑫᐃᐧᐣ, ᓇᐣᑕᐃᐧᐦᐃᐁᐧᐃᐧᓇᐣ ᒥᓇ ᑲᐸᓴᐧᑲᓄᐊᐧᐨ ᐊᐃᐧᔭᐠ. ᓄᑯᑦ ᑕᐡ, ᐃᐁᐧ ᒣᑲᐧᐨ ᑲᔑ ᐱᒧᒋᑲᑌᐠ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐁᐊᓄᑲᑕᐠ ᐃᐁᐧ ᐊᐣᑕᐧᐦᐃᐁᐧᐃᐧᓇᐣ; ᑲᐃᑭᑐᒪᑲᐠ, ᐸᓂᒪ ᑲᓇᐣᑕᐃᐧᐦᐃᑯ ᐊᑯᓯᔭᐣ. ᐃᐁᐧ ᐊᓂᔑᓇᐯ ᒪᐡᑭᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᐃᑭᑐᒪᑲᐣ ᒋᑭ ᐊᐣᑕᑐᔭᑭᐸᐣ ᐃᐁᐧ ᒣᑲᐧᐨ ᑲᐱᒥᓂᔕᐦᐃᑲᑌᐠ ᒪᓯᓇᐦᐃᑲᐣ, ᐊᑯᓯᐃᐧᑲᒥᑯᐠ ᑲᔭᐊᐧᐨ ᑲᓇᓇᑲᒋᐦᐃᐣᑕᐧ, ᐃᐁᐧ ᑕᐡ ᒋᐃᓇᑌᐠ ᑲᔑ ᓇᐣᑕᐁᐧᐣᑕᒧᒪᑲᑭᐣ ᑕᔑᑫᐃᐧᓇᐣ. ᑭᓇᐣᑕᐁᐧᐣᑕᑯᓯᒥᐣ ᐊᓂᐣ ᑫᑭᔑ ᒥᓀᐧᔭᐊᐧᐸᐣ ᑭᑕᓂᔑᓂᓂᒥᓇᐣ. ᑐᑲᐣ ᐃᓇᐣᒋᑫᐃᐧᐣ, ᒋᑭᑭᓄᐦᐊᒪᑲᓂᐊᐧᐠ ᒋᐊᐧᑲᐃᐧᓇᓂᐊᐧᐠ, ᒥᓇ ᒋᒥᑲᒋᑲᑌᑭᐣ ᒥᓂᑫᐧᐃᐧᐣ ᑲᐊᐸᑕᐠ, ᓴᑲᓭᐧᐃᐧᐣ, ᒪᒋᒪᐡᑭᑭᑫᐃᐧᐣ ᒥᓇ ᐱᔑᑲᐧᒋᑐᑕᑫᐃᐧᓇᐣ. ᐁᑲᐧ ᑕᐡ ᑭᐡᐱᐣ ᐁᑲ ᐃᐧᐸᐨ ᓇᐣᑕ ᑐᑕᒪᐣᐠ, ᒥᔕ ᑲᐃᐧᐣ ᐃᐧᑲ ᑲᑭ ᐅᐣᒋ ᑲᐡᑭᑐᓯᒥᐣ. ᒥᐦᐃᒪ ᐊᔕ ᐁᐧᐡᑲᐨ ᐁᐅᐣᒋ ᐊᒋᔑᓇᐣᐠ ᑐᑲᐣ ᐊᑯᓯᐃᐧᑲᒥᑯᐠ ᐁᐦᑕ ᑲᑕᔑ ᓇᐣᑕᐃᐧᐦᐊᑲᓄᐨ ᐊᐃᐧᔭ ᐁᑐᑕᒪᐣᐠ ᐃᑫᐧᓂᐊᐧᐣ ᐸᐣᑭ ᑲᐊᔭᔭᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ, ᑲᐃᐧᐣ ᐃᐧᑲ ᑲᐅᐣᒋ ᑲᐡᑭᑐᓯᒥᐣ ᒋᑐᑕᒪᑭᐣ ᓇᑕᒪᑫᐃᐧᓇᐣ ᒥᓇ ᐊᐃᐧᔭ ᑫᑭ ᐅᐣᒋ ᒥᓄᔭᒪᑲᓂᐠ ᐅᐱᒪᑎᓯᐃᐧᐣ. ᒥᐦᐅᐁᐧ ᐯᔑᑲᐧᐣ ᐁᐃᓯᓭᔭᐠ ᑲᓇᑭᐡᑲᒪᐠ ᑭᒋ ᐊᓂᒥᓭᐃᐧᓇᐣ. ᓄᑎᐣ ᐯᔑᑲᐧᐣ ᐃᒪ ᐃᔑ ᐊᒋᔑᓄᐠ 20 ᐊᐦᑭᐃᐧᐣ. ᒥᑕᐡ ᐁᐃᓯᓭᐠ, ᓄᑎᐣ ᑭᔭᐸᐨ ᐁᐊᓂᒥᐃᐧᑐᐨ ᑭᓇᐧᑲᐡ ᐊᐃᐧᔭᐣ ᒋᑭ ᐱᒥ ᓇᓇᑲᒋᐦᐊᐨ, ᐊᓇᐃᐧᓂᑯ ᐁᑭᑫᐣᑕᑲᐧᐠ ᐊᐃᐧᔭ ᑭᓇᐧᑲᐡ ᒋᑭ ᐱᒥ ᓇᓇᑲᒋᐦᐊᑲᓄᐸᐣ ᐃᐁᐧ ᓂᓯᑎᓱᐃᐧᐣ ᒥᐢᑕᐦᐃ ᑲᐊᓂᒥᐦᐃᑯᐊᐧᐨ ᐅᑕᑯᓯᐠ. ᐅᐁᐧ ᑕᐡ ᑐᒋᑲᑌᐠ, ᐅᑕᑯᓯᐠ ᐅᐣᒋ ᐃᐧᒋᐦᐊᐊᐧᐠ ᒋᑭ ᐊᓂ ᒥᓄᔭᐊᐧᐸᐣ ᑲᑭᔑ ᒪᑭᐦᐃᑎᓱᐊᐧᐨ ᒥᓇ ᐁᐦᐊᓂ ᑭᑫᐣᑕᒧᐊᐧᐨ ᑲᐧᔭᐠ ᒋᐊᓂᔑ ᐱᒪᑎᓯᐊᐧᐨ, ᔕᑯᐨ ᑕᐡ ᑲᔑ ᑭᑫᐣᑕᑲᐧᐠ ᑭᒋᒪᒋᓭᐃᐧᓇᐣ ᐁᐦᐊᔭᒪᑲᑭᐣ ᑭᑕᔑᑫᐃᐧᓇᐣ ᒥᓇ ᑕᐡ ᐅᐁᐧᓂ ᓄᑎᐣ ᐱᒧᒋᑫᐃᐧᐣ ᑲᐅᐣᒋ ᓇᔑᓀ ᑭᒋ ᒪᒋᓭᐊᐧᐨ ᑲᐃᔑ ᐱᒧᒋᑫᐊᐧᐨ ᐅᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐊᐧ. ᐅᐁᐧ ᑕᐡ ᑲᑭ ᐃᔑᑫᐣᑕᒪᐣᐠ ᐅᑫᐧᓂᐊᐧᐣ ᑲᐃᓯᓭᑭᐣ ᐃᐁᐧ ᐁᑭᑫᐣᑕᒪᐣ ᐊᔕ ᑫᑯᐣ ᒋᑭ ᑐᒋᑲᑌᑭᐸᐣ, ᒥᔕᐱᑯ ᐁᔑᓇᑲᐧᐠ ᒋᐊᓄᑲᑕᒪᐣ. ᐃᐁᐧ ᑕᐡ ᑲᐃᑕᒪᐣ, ᐃᑫᐧᓂᐊᐧᐠ ᓄᑎᐣ ᑲᒪᒥᓄᒥᐁᐧᐊᐧᐨ ᒥᐢᑕᐦᐃ ᐁᐊᓄᑲᑕᒧᐊᐧᐨ ᑭᓇᑲᐧᐡ ᐊᐃᐧᔭᐣ ᒋᑭ ᐊᐧᐸᒪᐊᐧᐸᐣ ᐃᒪ ᒥᓄᒥᐁᐧᐃᐧᓂᐠ. ᐁᑲᐧ ᑕᐡ ᐃᐁᐧ ᑲᑐᑕᒧᐊᐧᐨ ᑲᑲᑫᐧ ᐃᐧᒋᑕᐧᐊᐧᐨ ᐃᒪ ᑲᔑ ᑭᒋ ᐊᓂᒥᓭᑭᐣ ᑕᔑᑫᐃᐧᓇᐣ, ᑲᐃᐧᐣ ᓂᑐᑕᓯᒥᐣ ᒋᑲᑫᐧ ᐊᐧᓇᐦᐊᔭᐣᐠ ᑲᔑ ᑲᑫᐧ ᑭᔑᑐᐊᐧᐨ ᑭᓇᐧᑲᐡ ᐊᐃᐧᔭᐣ ᑲᐱᒥ ᓇᓇᑲᒋᐦᐊᐊᐧᐨ. ᒥᐦᐃ ᐯᔑᑲᐧᐣ ᐁᐃᓯᓭᐠ ᒋᑐᒋᑲᑌᐠ ᐃᒪ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐠ. ᑕᔑᑫᐃᐧᓇᐣ ᒥᐱᑯ ᑫᔑ ᐱᒥ ᒥᓇᑲᓄᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓇᐣ ᑲᐸᐸᔑᓭᑭᐣ ᒥᓇ ᐱᑯ ᓇᓇᐣᑐᐠ ᑲᐊᐱᒋᐡᑲᒪᑲᑭᐣ ᓇᐣᑕᐧᐦᐃᐁᐧᐃᐧᓇᐣ, ᔕᑯᐨ ᑕᐡ ᑭᓇᐣᑕᐁᐧᐣᑕᑯᓯᒥᐣ ᑫᑭᓇᐃᐧᐣᐟ ᑲᐧᔭᐠ ᒋᐅᓇᒋᑲᑌᑭᐣ ᑲᑭᓇ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ (ᐊᐊᐧᔑᒣ ᒋᑭ ᐊᔭᑲᐧᐸᐣ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᒥᓇ ᐊᑯᓯᐃᐧ ᓇᑕᒪᑫᐃᐧᓇᐣ). ᑭᓇᐣᑕᐁᐧᐣᑕᑯᓯᒥᐣ ᑲᐧᔭᐠ ᒋᑭ ᐅᓀᐣᑕᒪᑭᐸᐣ ᐊᓂᐣ ᑫᔑ ᒪᒋᑐᔭᐠ ᓇᑕᒪᑫᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ. ᒥᔕ ᑲᐅᐣᒋᓯᓭᐠ ᑭᓇᐃᐧᐣᐟ ᒋᑭ ᐱᒧᑕᒪᓯᔭᐣᑭᐸᐣ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ, ᑭᓇᐃᐧᐣᐟ ᒋᑭ ᐅᓀᐣᑕᒪᑭᐸᐣ ᐊᓂᐣ ᑫᑯᓇᐣ ᑫᒋᑐᑲᑌᑭᐣ. ᒥᐦᐃ ᑲᐃᐧ ᑐᑕᒪᐣᐠ ᒋᒪᒋᑐᔭᐣ ᐊᓂᔑᓇᐯ ᒪᐡᑭᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᐃᐧᐸᐨ ᓇᐊᐧᐨ ᒋᑭ ᐃᓯᓭᑭᐸᐣ. ᐃᐁᐧ ᑲᓂᓯᑕᐃᐧᓂᑲᑌᐠ ᐊᑎᐟ ᑕᔑᑫᐃᐧᓇᐣ ᐁᐦᑕ ᐁᑭ ᑐᑕᒧᐊᐧᐨ ᑫᑯᓇᐣ, ᒥᑕᐡ ᐁᔑ ᐸᑯᓭᐣᑕᒪᐣᐟ ᑲᐧᔭᐠ ᒋᑭ ᐃᐧᑕᓄᑭᒥᑎᔭᑭᐸᐣ ᒋᑭ ᐊᓄᑲᑕᒪᐣᐠ ᑭᒪᐡᑭᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᓂᓇᐣ. ᓂᑌᐯᐧᑕᒥᐣ ᒋᑭ ᐅᐣᒋ ᒥᓄᓭᐊᐧᐸᐣ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᑭᑕᓂᔑᓂᓂᒥᓇᐣ.

9

Report from the Executive Director There was a time when I could not say that the Sioux Lookout First Nations Health Authority is the regional health authority for the Sioux Lookout area. But now, I think I can, and that has been a big step. This past year has been another step in the long journey that began in 1989 when the Chiefs adopted one recommendation from the Scott McKay Bain Health Panel report – to establish an aboriginal health authority. This recommendation was based on the belief that Anishinabe people have the right to determine their own health needs and to control the health delivery system by which their needs are met. James Morris

Today, we provide non-medical health services to 31 First Nations communities. The authority is governed by a Board of Directors consisting of seven directors who represent the five Tribal Councils, the Independent First Nations, and one of our Medical Directors. Two Elders were also appointed to the Board this year. The programs of the Health Authority fall into four main areas: • • • •

Administration Health Services Nodin Child & Family Intervention Services Client Services

The administration section consists of the Executive Director, an Executive Assistant, five Human Resources staff and two IT staff. The Finance Department consists of eight staff, and, in addition to performing all the regular daily tasks of a finance department, a major function is to arrange travel for the organization and physician services. The Health Services section consists of the Primary Health Care Unit (PHCU), which administers the management agreement we have with the Sioux Lookout Regional Physician Services Inc. (SLPRSI). Through this agreement, we provide support services to the doctors who work in the Sioux Lookout Zone. This unit consists of 39 staff of whom 25 work under the management agreement with SLRPSI. Additionally, health services include the Tuberculosis (TB) Control Program with two TB nurses, a TB Educator and two support staff. One staff member works in the Health Information System program, two people work with the Youth Transition Program, and finally, there is the Telemedicine Coordinator. The Client Services Department operates accommodations and transportation, and of course, includes the new Jeremiah McKay Kabayshewekamik, the 100-bed hostel that opened in early 2011. At any given time, there are usually 60 to 70 full-time and part-time staff working in the hostel and the transportation program. Nodin Child and Family Intervention Services employ 84 staff, including nine community-based staff, of which only five are currently filled. These staff consists mostly of Mental Health Counsellors, Child and Family Intervention workers, three Clinical Supervisors, Intake workers, Special Needs Case Managers, Traditional Healers, casual and relief workers, and the support staff. There are also 23 staff at the Mikinakoos Short-Term Assessment and Treatment Unit. Taken together, SLFNHA employs 218 people of whom only five are community based. When you look at the health authority like that, it is apparent more staff need to work in the communities, especially in Nodin and other areas where it 10

would be feasible to do so. Currently, finding people who are willing to make the commitment, take the required training and work in the communities for the long term is a challenge, but one that we have begun to address. We will not stop until all communities have trained health staff working with them, not only as a job, but as a career. This is also in keeping with another recommendation from the Scott McKay Bain Health Panel report, which stated that the Health Authority should aggressively encourage Anishinabe people to train as health professionals. This can be done by offering career development/counselling programs in elementary and secondary schools, offering scholarships to Anishinabe students who want to pursue a health career and agree to return to the region to work for a certain length of time, budgeting and creating opportunities for students to have summer or parttime jobs in health care, negotiating supportive programming on Wawatay Radio Network, and working with universities and colleges to develop appropriate training programs. Some of these things have been done or are being done now, but we need to step up our efforts. By this method, we hope to produce Anishinabe doctors, nurses, dentists, physiotherapists - in short, all the professions that are listed in the Anishinabe Health Plan. This would not be a complete report if I didn’t address the challenges that we experienced with the new hostel this year. Although we had a brand new state-ofthe-art facility, we received many complaints about the quality of service that our clients encountered when they entered the new hostel. I want to focus on what we did to address those complaints. We began by interviewing each complainant that we could find and documenting their stories personally. Then we analyzed their statements to see where the gaps in service were and we used that information in the customer service training that we provided to all the hostel staff. We believe that this process will result in improved care for the clients who use the hostel and that we will achieve our goal of making the new hostel a home away from home.

11

ᐅᑎᐸᒋᒧᐃᐧᐣ ᑲᐅᑭᒪᐅᐨ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᓂᐠ

ᒉᒥᐢ ᐧᒪᕑᐃᐢ

ᐯᔑᑲᐧ ᒣᑲᐧᐨ ᐁᑲ ᑲᑭ ᐃᓯᓭᑭᐸᐣ ᒋᐃᑭᑐᔭᐣ ᐃᐁᐧ ᐊᐧᓂᓇᐊᐧᑲᐠ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᒥᐦᐅᐁᐧ ᑲᓂᑲᓂᑕᒪᑫᒪᑲᐠ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐅᒪ ᑌᑎᐸᐦᐃ ᐊᐧᓇᓂᐊᐧᑲᐠ. ᔕᑯᐨ ᑕᐡ ᓄᑯᑦ, ᓂᑕ̇ ᑲᐡᑭᑐᐣ ᑫᒋᐣ, ᐁᑲᐧ ᑕᐡ ᒪᐊᐧᐨ ᒥᐢᑕᐦᐃ ᐁᑭ ᐊᓄᑭ̇ᓇᓂᐊᐧᐠ. ᐅᑕᓇᐣᐠ ᑲᑭ ᐊᐦᑭᐊᐧᐠ ᒥᐦᐃᒪ ᒥᓇ ᑲᑭ ᐅᐣᒋ ᒪᒋᐡᑲᓂᐊᐧᐠ ᐅᐁᐧ ᑲᐱᒥᔭᔭᐠ ᑲᑭ ᒪᒋᒋᑲᑌᑭᐸᐣ 1989 ᐅᑭᒪᑲᓇᐠ ᑲᑭ ᐅᑕᐱᓇᒧᐊᐧᐸᐣ ᐯᔑᐠ ᐸᑯᓭᓂᒧᐃᐧᐣ ᐃᒪ ᐢᑲᐧᐟ ᒪᑫ ᐯᔾᐣ ᒥᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐊᐱᑕᒧᐊᐧᐨ ᑎᐸᒋᒧᐃᐧᐣ - ᒋᐅᓇᑐᐊᐧᐨ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ. ᐅᐁᐧ ᑲᑭ ᐃᑭᑐᓇᓂᐊᐧᐠ ᐃᒪ ᑭᐅᐣᒍᑕᐱᓂᑲᑌᐸᐣ ᐁᑭᔑ ᑌᐯᐧᒋᑲᑌᐠ ᐊᓂᔑᓂᓂᐊᐧᐠ ᐁᐦᐊᔭᐊᐧᐨ ᒪᐡᑲᐃᐧᓯᐃᐧᐣ ᒋᐅᓀᐣᑕᒪᓱᐊᐧᐨ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᒥᓇ ᐃᐧᓇᐊᐧ ᒋᐱᒧᑐᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐃᒪ ᒋᐅᐣᒋ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᓇ̇ᐣᐠ. ᓄᑯᑦ ᑲᑭᔑᑲᐠ, ᓂᐱᒧᑐᒥᐣ ᐁᑲ̇ ᐃᒪ ᑲᐅᐣᒋ ᑎᐸᐦᐃᑲᑌᐠ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐃᒪ 31 ᐊᓂᔑᓂᓂᐃᐧ ᑕᔑᑫᐃᐧᓇᐣ. ᐅᐁᐧ ᐅᑭᒪᐃᐧᐣ ᐅᐣᒋ ᐅᓇᔓᐊᐧᑌ ᐊᐱᑕᒪᑫᐃᐧᓂᐣᐠ ᑲᓂᓴᐧᓯᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᓂᑲᓂ ᑲᓇᐊᐧᐸᐣᑕᒧᐊᐧᐨ ᐃᒪ ᓂᔭᓇᐣ ᑲᐃᔑ ᐸᐱᑭᔕᑭᓱᐊᐧᐨ ᐅᑭᒪᑲᓇᐠ, ᑲᑎᐯᓂᒧ ᐱᒧᓂᑎᓱᐊᐧᐨ ᐅᑭᒪᑲᓇᐠ, ᒥᓇ ᐯᔑᐠ ᑲᓂᑲᓂᐡᑲᐠ ᒪᐡᑭᑭᐃᐧ ᓂᑲᓂᑕᒪᑫᐃᐧᐣ. ᓂᔑᐣ ᑭᒋᔭᐦᐊᐠ ᑭᐅᓇᑭᒪᑲᓄᐊᐧᐠ ᐊᐱᑕᒪᑫᐃᐧᓂᐠ ᓄᑯᑦ ᑲᐊᐦᑭᐊᐧᐠ. ᐅᑫᐧᓂᐊᐧᐣ ᐱᒧᒋᑫᐃᐧᓇᐣ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᑲᐱᒧᑐᐊᐧᐨ ᓂᐃᐧᐣ ᑲᔭᑭᐣ: • ᒪᓯᓇᐦᐃᑫᐃᐧᑲᒥᐠ • ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ • ᓄᑎᐣ ᐊᐊᐧᔑᐡ & ᑎᐯᐣᒋᑫᐃᐧ ᓇᑕᒪᑫᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ • ᐅᑕᑯᓯᐠ ᐅᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᒪᓯᓇᐦᐃᑫᐃᐧᑲᒥᐠ ᑲᐃᔑ ᐊᓄᑭᐊᐧᐨ ᐅᑫᐧᓂᐊᐧᐠ ᑲᐅᑭᒪᐃᐧᐨ, ᑲᐊᓂᑫᐡᑲᐊᐧᐨ ᐅᑭᒪᐣ, ᓂᔭᓇᐣ ᐊᓄᑭᐃᐧᓇᐣ ᑲᐅᐣᒋ ᓇᓇᑲᒋᑐᐊᐧᐨ ᐊᓄᑭᓇᑲᓇᐠ ᒥᓇ ᓂᔑᐣ ᐅᐡᑭ ᐊᐸᒋᑕᑲᓇᐣ ᑲᐅᐣᒋ ᐊᓄᑲᑕᒧᐊᐧᐨ. ᐃᒪ ᔓᓂᔭᐃᐧ ᐱᒧᒋᑫᐃᐧᓂᐠ ᐊᐃᓇᓀᐃᐧᐊᐧᐠ ᐊᓄᑭᓇᑲᓇᐠ, ᒥᓇ, ᑕᑯ ᑲᔦ ᐁᐱᒥᐃᐧᑐᐊᐧᐨ ᑕᓱᑭᔑᑲ ᑲᐃᓯᓭᑭᐣ ᐃᒪ ᔓᓂᔭᐃᐧ ᐱᒧᒋᑫᐃᐧᓂᐣᐠ, ᐃᐁᐧ ᒪᐊᐧᐨ ᑭᒋ ᐱᒧᒋᑫᐃᐧᐣ ᑲᐅᓇᑐᐊᐧᐨ ᐱᒥᔭᐃᐧᓇᐣ ᐃᒪ ᒪᒋᑕᐃᐧᓂᐣᐠ ᒥᓇ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐣᐠ. ᐃᐁᐧ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐃᔑ ᐱᒥᐃᐧᒋᑲᑌᐠ ᐃᐁᐧ ᒪᔭᑦ ᑲᐅᐣᒋ ᐱᒥᐃᐧᑌᐠ ᒪᐡᑭᑭᐃᐧ ᐸᒥᐦᐃᐁᐧᐃᐧᐣ (PHCU), ᑲᐱᒧᑐᐊᐧᐨ ᐱᒧᒋᑫᐃᐧ ᓇᑯᒥᑎᐃᐧᐣ ᐃᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑯᓯᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᓂ ᐃᐧᒋᐦᐃᐁᐧᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ (SLPRSI). ᐅᒪ ᓇᑯᒥᑎᐃᐧᓂᐣᐠ, ᓂᐸᑭᑎᓇ̇ᒥᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐃᑫᐧᓂᐊᐧᐠ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᑲᐱ ᐊᓄᑭ̇ᑕᒪᑫᐊᐧᐨ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᑭᐣ ᑕᔑᑫᐃᐧᓇᐣ. ᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐊᔭᐊᐧᐠ 39 ᐊᓄᑭᓇᑲᓇᐠ ᐃᑫᐧᓂᐊᐧᐠ 25 ᑲᐅᐣᒋ ᑲᓇᐊᐧᐸᒥᑯᐊᐧᐨ ᑲᐱᒧᑐᐊᐧᐨ ᐱᒧᒋᑫᐃᐧ ᓇᑯᒥᑎᐃᐧᐣ ᐃᒪ SLRPSI. ᑕᑯ ᑲᔦ, ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑕᑲᐧᑌᐊᐧᐣ ᒥᓂ̇ᐊᐧᐱᓀᐃᐧᐣ (TB) ᑭᐱᑎᓂᑫᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐊᓄᑭᐊᐧᐨ ᓂᔑᐣ TB ᒪᐡᑭᑭᐃᐧᑫᐧᐠ, ᐊᐁᐧ TB ᑲᑭᑭᓄᐦᐊᒪᑫᐨ ᒥᓇ ᓂᔑᐣ ᐊᓄᑭᓇᑲᓇᐠ ᑲᐅᐣᒋ ᐃᐧᒋᐦᐊᐊᐧᐨ. ᐯᔑᐠ ᐊᓄᑭᓇᑲᐣ ᐃᔑ ᐊᓄᑭ ᐃᒪ ᒪᐡᑭᑭᐃᐧ ᑎᐸᒋᒥᑯᐃᐧᓇᐣ ᑲᐃᔑ ᒪᐊᐧᐣᑐᐱᐦᐃᑲᑌᑭᐣ, ᒥᓇ, ᓂᑕᔭᐊᐧᒥᐣ ᑌᓫᐃ ᒪᐡᑭᑭ ᑲᓂᑲᓂ ᐊᓄᑲᑕᐠ. ᐃᐁᐧ ᐅᑕᑯᓯᐠ ᐅᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐃᐧᓇᐊᐧ ᐅᐱᒥᐸᓂᑕᐧᓇᐊᐧ ᑲᐯᔑᐦᐃᐁᐧᐃᐧᐣ ᒥᓇ ᐱᒥᔭᐃᐧᐣ, ᑕᑯ ᑲᔦ ᐃᐁᐧ ᐅᐡᑭ ᒉᓂᒪᔭ ᒪᑫ ᑲᐯᔑᐃᐧᑲᒥᐠ, 100 ᓂᐯᐃᐧᓇᐣ ᑲᔭᑭᐣ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ ᑲᑭ ᐸᑭᑎᓂᑲᑌᑭᐸᐣ ᑲᐊᓂ ᒪᑕᑭᐣᑌᐠ 2011 ᐊᐦᑭ. ᐱᑯ ᐊᓇᐱ, ᓇᐣᑕ ᐱᑯ 60 ᐊᑯᓇᐠ 70 ᑲᑲᐯᓭᓂᐠ ᐅᑕᓄᑭᐃᐧᓂᐊᐧ ᒥᓇ ᐁᑲ ᑲᑲᐯᓭᓂᐠ ᐅᑕᓄᑭᐃᐧᓂᐊᐧ ᐊᓄᑭᐊᐧᐠ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ ᒥᓇ ᐱᒧᒋᑫᐃᐧᐣ ᑲᐃᔑ ᐊᓄᑲᑌᐠ.

12

ᓄᑎᐣ ᐊᐊᐧᔑᐡ ᒥᓇ ᑎᐯᐣᒋᑫᐃᐧ ᓇᑕᒪᑫᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ 84 ᐊᓄᑭᓇᑲᓇᐠ ᐃᒪ ᐊᓄᑭᐦᐊ̇ᐊᐧᐠ, ᑕᑯ ᑲᔦ ᓴᐣᑲᓯ ᑕᔑᑫᐃᐧᓂᐠ ᑲᑕᓇᓄᑭ̇ᐊᐧᐨ ᐊᓄᑭᓇᑲᓇᐠ, ᒣᑲᐧᐨ ᓂᔭᓇᐣ ᑲᐊᓄᑭᐊᐧᐨ. ᐅᑫᐧᓂᐊᐧᐠ ᐊᓄᑭᓇᑲᓇᐠ ᑲᐃᓇᓄᑭᐊᐧᐨ ᒪᒥᑐᓀᐣᒋᑲᓇᐱᓀᐃᐧᐣ ᐅᒪᒥᓄᒧᐁᐧᐠ, ᐊᐊᐧᔑᐡ ᒥᓇ ᑎᐯᐣᒋᑫᐃᐧ ᓇᑕᒪᑫᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ, ᓂᐦᓯᐣ ᑲᐅᐣᒋ ᓇᓇᑲᒋᑐᐊᐧᐨ ᐅᑫᐧᓂᐊᐧᐣ ᐊᓄᑭᐃᐧᓇᐣ, ᑲᐱᐣᑎᑫᓯᓇᐦᐊᐊᐧᐨ ᐅᑕᑯᓯᐣ, ᑲᒪᑲᑎᓱᐊᐧᐨ ᐅᐸᒥᓂᑯᐃᐧᓂᐊᐧ ᑲᓂᑲᓂᐡᑲᐠ, ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ, ᓇᑲᐁᐧᐡ ᑲᐅᐣᒋ ᐊᓄᑭᐊᐧᐨ ᒥᓇ ᑲᓇᐱᐡᑲᒪᑫᐊᐧᐨ ᐊᓄᑭᓇᑲᓇᐠ, ᒥᓇ ᐅᐃᐧᒋᐦᐃᐁᐧᐠ. ᐊᔭᐊᐧᐠ ᑲᔦ 23 ᐊᓄᑭᓇᑲᓇᐠ ᐃᒪ ᒥᑭᓇᑯᐢ ᐊᒋᓇ ᑲᐃᔑ ᓇᓇᐣᑕᐃᐧ ᑭᑫᓂᒪᑲᓄᐊᐧᐨ ᒥᓇ ᑲᐃᔑ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐨ ᐅᑕᑯᓯᐠ ᐱᒧᒋᑫᐃᐧᐣ. ᒪᒪᐤ, SLFNHA ᐅᑕᓄᑭᐦᐊᐣ 218 ᐊᐃᐧᔭᐣ ᓂᔭᓇᐣ ᐁᐦᑕ ᑕᔑᑫᐃᐧᓂᐣᐠ ᑲᑕᓇᓄᑭᐊᐧᐨ. ᐃᐁᐧ ᑕᐡ ᐁᑲᓇᐊᐧᐸᐣᑕᒪ̇ᐣ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᐅᐁᐧ ᑐᑲᐣ, ᐁᓂᓯᑕᐃᐧᓇᑲᐧᐠ ᑭᔭᐸᐨ ᐅᑕᓄᑭᐠ ᐁᓇᐣᑕᐁᐧᐣᑕᑯᓯᐊᐧᐨ ᑕᔑᑫᐃᐧᓂᐣᐠ, ᐃᒪ ᒪᐊᐧᐨ ᓄᑎᐣ ᒥᓇ ᑯᑕᑭᑲᐣᐠ ᑲᐃᔑ ᓇᐦᐃᓭᐠ ᒋᑭ ᑐᒋᑲᑌᑭᐸᐣ. ᒣᑲᐧᐨ ᐃᐧᓂᑯ ᓄᑯᑦ, ᑲᓇᓇᐣᑐᓇᐊᐧᑲᓄᐊᐧᐨ ᐊᐃᐧᔭᐠ ᒋᑭ ᐸᑭᑎᓂᑎᓱᐊᐧᐸᐣ ᒋᐊᓄᑭᑕᒪᑫᐊᐧᐨ, ᒋᐅᑕᐱᓇᒧᐊᐧᐨ ᑭᑭᓄᐦᐊᒪᑯᓯᐃᐧᐣ ᒥᓇ ᒋᐊᓄᑭᐊᐧᐨ ᑕᔑᑫᐃᐧᓂᐠ ᑭᓇᐧᑲᐡ ᓇᐱᐨ ᐁᐊᓂᒪᐠ, ᔕᑯᐨ ᑕᐡ ᐊᔕ ᓂᒪᒋ̇ ᐊᓂᒧᑕᒥᐣ. ᑲᐃᐧᐣ ᓂᑲ ᐅᐣᒋ ᐸᑭᒋ̇ᓯ̇ᒥᐣ ᐸᓂᒪ ᑲᑭᓇ ᑕᔑᑫᐃᐧᓇᐣ ᐊᔕ ᑲᑭ ᑭᑭᓄᐦᐊᒪᐊᐧᑲᓄᓂᐨ ᐊᓄᑭᓇᑲᓇᐣ ᐃᐧᑕᓄᑭᒥᑯᐊᐧᐨ, ᑲᐃᐧᐣ ᐁᐦᑕ ᐃᒪ ᐊᓄᑭᐃᐧᓂᐠ, ᐁᓇᐣᑕᐁᐧᐣᑕᑲᐧᐠ ᑲᐯᐦᐃ ᐃᒪ ᒋᑕᓇᓄᑭ̇ᑕᒪᑫᐨ. ᐅᐁᐧ ᑲᔦ ᐯᐦᑭᐡ ᑲᐅᐣᒋ ᑐᒋᑲᑌᐠ ᑲᑭ ᐃᑭᑐᐊᐧᐸᐣ ᐢᑲᐧᐟ ᒪᑫ ᐯᔾᐣ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐊᐱᑕᒧᐊᐧᐨ ᑲᑭ ᑎᐸᒋᒧᐊᐧᐸᐣ, ᑲᐃᑭᑐᒪᑲᐠ ᐃᐁᐧ ᒪᐡᑭᑭᐃᐧᑭᐃᐧᐣ ᒋᑭᒋ ᔕᔑ̇ᐣᑭᒪᐊᐧᐨ ᐊᓂᔑᓂᓂᐊᐧᐣ ᒋᑭᑭᓄᐦᐊᒪᑯᓯᓂᐣᐨ ᒪᐡᑭᑭᐃᐧᓂᓇ̇ᐣᐠ ᐃᓀᑫ. ᐃᒪ ᑫᑭ ᐅᐣᒋ ᑲᐡᑭᒋᑲᑌᑭᐸᐣ ᒋᐸᑭᑎᓂᑲᑌᑭᐣ ᒪᐡᑭᑭᐃᐧ ᐊᓄᑭᐃᐧᓂᐣᐠ/ᒪᒥᓂᒧᐁᐧᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ ᐃᒪ ᐊᐊᐧᔑᔕᐠ ᑲᐃᔑᐡᑯᓄᐊᐧᐨ ᒥᓇ ᑭᒋ ᐃᐡᑯᓄᑲᒥᑯᐠ, ᒋᐸᑭᑎᓂᑲᑌᑭᐣ ᔓᓂᔭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓇᐣ ᐃᑫᐧᓂᐊᐧᐠ ᐊᓂᔑᓂᓂᐃᐧ ᐅᑎᐡᑯᓂᐠ ᑲᒥᓴᐁᐧᐣᑕᒧᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐊᓄᑭᐃᐧᓂᐠ ᐁᐃᐧᔑ ᒪ̇ᒐ̇ᐊᐧᐨ ᒥᓇ ᒋᓇᑯᒧᐊᐧᐨ ᒋᐊᓄᑭᑕᒪᑫᐊᐧᐨ ᓄᒪᑫ, ᒋᐅᓇᓴᑲᓄᐨ ᔓᓂᔭ ᒥᓇ ᒋᐅᐣᒋ̇ᑕᒪᐊᐧᑲᓄᐊᐧᐨ ᐅᑎᐡᑯᓂᐠ ᑲᓂᐱᐠ ᓇᐣᑕ ᐊᐦᒋᓇ ᒋᑭ ᐊᓄᑭᐊᐧᐸᐣ ᐃᒪ ᒪᐡᑭᑭᐃᐧ ᐸᒥᐦᐃᐁᐧᐃᐧᓂᐣᐠ, ᒋᐃᐧᑕᓄᑭᒪᑲᓄᐊᐧᐨ ᐃᒪ ᑫᐅᐣᒋ ᑭᑭᓄᐦᐊᒪᑲᓂᐊᐧᐠ ᐊᐧᐊᐧᑌ ᓇᑐᑕᒧᐃᐧᓂᐣᐠ, ᒥᓇ ᒋᐃᐧᑕᓄᑭᒪᑲᓄᐊᐧᐨ ᑲᐃᐡᐸᐠ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᑲᒥᑯᐣ ᒥᓇ ᑲᐧᓫᐃᒐᐣ ᒋᐅᓇᑐᐊᐧᐨ ᑲᓇᐣᑕᐁᐧᐣᑕᑲᐧᑭᐣ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ. ᐅᑫᐧᓂᐊᐧᐣ ᐊᑎᐟ ᐊᔕ ᑲᐊᓄᑲᑌᑭᐣ ᓇᐣᑕ ᑲᔦ ᒣᑲᐧᐨ ᑲᑐᒋᑲᑌᑭᐣ ᓄᑯᑦ, ᔕᑯᐨ ᑕᐡ ᑭᓇᐣᑕᐁᐧᐣᑕᑯᓯᒥᐣ ᑭᔭᐸᐨ ᒋᑭ ᐊᓄᑲᑕᒪᐣᑭᐣ. ᐅᐁᐧ ᑕᐡ ᑐᒋᑲᑌᐠ, ᓂᐸᑯᓭᓂᒧᒥᐣ ᒋᐊᓂᔭᐊᐧᐸᐣ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ, ᒪᐡᑭᑭᐃᐧᑫᐧᐠ, ᐃᐧᐱᑎᒪᐡᑭᑭᐃᐧᓂᐊᐧᐠ, ᐅᔕᔑᐱᑭᐱᒋᑫᐠ - ᐃᐁᐧ ᒪᔭᑦ ᑲᐃᑕᒪ̇ᐣᐠ, ᑲᑭᓇ ᐅᑫᐧᓂᐊᐧᐣ ᑲᑭ ᐃᐧᐣᑕᒪ̇ᓇᐣ ᐁᓂᐱᑌᐱᐦᐃᑲᑌᑭᐣ ᐃᒪ ᐊᓂᔑᓇᐯᐃᐧ ᒪᐡᑭᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᓂᐠ. ᑲᐃᐧᐣ ᒪᔑ ᓂᑕ̇ᑭᔑᑐᓯᐣ ᐅᐁᐧ ᑎᐸᒋᒧᐃᐧᐣ ᑭᐡᐱᐣ ᐁᑲ ᐊᓂᒧᑕᒪ̇ᓇᐣ ᑲᓇ̇ᓇᑭᐡᑲᒪᐣᑭᐣ ᐃᒪ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ ᓄᑯᑦ ᑲᐊᐦᑭᐊᐧᐠ. ᐊᓇ ᐃᐧᓂᑯ ᐁᐦᐊᔭᔭᐠ ᐅᐡᑭ ᐊᐸᒋᑕᑲᓇᐣ ᐃᒪ ᐊᓄᑭᐃᐧᑲᒥᑯᐠ, ᒥᔑᐣ ᓂᐃᐧᐣᑕᒪᑯᒥᐣ ᐁᒪᒋᓭᐊᐧᐨ ᑲᐃᔑᐱᒧᒋᑲᑌᑭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐅᑕᑯᓯᐠ ᑲᓇᑭᐡᑲᒧᐊᐧᐨ ᐊᐱ ᐃᒪ ᑲᐱᐣᑎᑫᐊᐧᐨ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ. ᓂᐃᐧ ᐊᓂᒧᑕ̇ᐣ ᐁᑭ ᐊᓂᒧᑕᒪᐣᑭᐣ ᐅᑫᐧᓂᐊᐧᐣ ᑲᒪᒋᓭᐦᐃᑯᐊᐧᐨ. ᐊᒥᑕᐡ ᑲᑭᔑ ᒪᒋ ᐊᓄᑲᑕᒪᐣᑭᐣ ᑲᑕᓱᐸᐯᔑᑲᐧᑭᐣ ᒪᒋᓭᐃᐧᓇᐣ ᐁᑭ ᓇᓇᐣᑐᓇᒪᐣᐠ ᒥᓇ ᐁᑭ ᒪᓯᓇᐦᐊᒪᐣᐠ ᐅᑎᐸᒋᒧᐃᐧᓂᐊᐧ. ᒥᓇ ᑕᐡ ᓂᑭ ᓇᓇᑲᒋᑐᒥᐣ ᐅᑎᑭᑐᐃᐧᓂᐊᐧ ᑭᐡᐱᐣ ᐊᐧᐸᐣᑕᒪᐣᐠ ᐊᐣᑎ ᐁᑲ ᑲᐃᔑ ᑎᐱ ᑐᒋᑲᑌᑭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᒥᓇ ᐁᑭ ᐊᐸᒋᑐᔭᐣᐠ ᐃᑫᐧᓂᐊᐧᐣ ᐃᐧᐣᑕᒪᑫᐃᐧᓇᐣ ᐃᒪ ᑲᐃᔑ ᑭᑭᓄᐦᐊᒪᐊᐧᑲᓄᐊᐧᐨ ᐅᑕᓄᑭᐠ ᑲᑭᓇ ᑲᓇᐣᑕᐁᐧᐣᑕᑯᓯᐊᐧᐨ ᒋᐅᑕᐱᓇᒧᐊᐧᐨ ᑲᑭᓇ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ. ᐊᒥᐦᐃ ᐁᔑ ᑌᐯᐧᑕᒪᐣᐠ ᐅᐁᐧ ᑲᑐᑕᒪᐣᐠ ᓇᐊᐧᐨ ᒋᑭ ᐅᐣᒋ ᒥᓄᓭᑭᐸᐣ ᐅᑕᑯᓯᐠ ᐅᐸᒥᐦᐃᑯᐃᐧᓂᐊᐧ ᑲᐊᐸᒋᑐᐊᐧᐨ ᑲᐯᔑᐃᐧᑲᒥᐠ ᒥᓇ ᓂᑲᑐᑕᒥᐣ ᐃᐁᐧ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ ᒋᐃᓀᐣᑕᑲᐧᐠ ᑲᐯᔑᐃᐧᐣ ᒣᑲᐧᐨ ᑲᓇᑲᒋᑲᑌᐠ ᒪᔭᑦ ᑲᐯᔑᐃᐧᐣ. 13

Health Services Implementation of the AHP In 2006, the Sioux Lookout Area Chiefs passed a resolution to accept the Anishinabe Health Plan (AHP) and gave SLFNHA the mandate to implement the plan. The AHP supports the development of a unified regional primary health care system under First Nation governance and management.

Janet Gordon

In the past six years SLFNHA has done work that supports the implementation of the AHP. This work includes: • Planning, negotiations and implementation of the long term agreement for physician services • Primary Care Integration Business Plan • Public Health Review (10 communities) • Mental Health Review • Dental Health Program Review • Primary Health Care Clinic Review • Client Coordination Review SLFNHA uses the AHP as a roadmap in developing health services and programs for First Nation communities.

Management of Physician Services • SLFNHA provides administration and financial services support to the SLRPSI Board and physician services • Manage physician contracts and process compensation as per Ontario Ministry of Health and Long-Term Care agreement • Employ and supervise staff in multiple areas • Oversee, schedule and coordinate physician service days for the northern communities and hospital as per physician services plan • Submission of billings and other reports as required by the Ontario Ministry of Health and Long-Term Care • Implementation of the Physician recruitment plan • Manage the Northern Primary Health Care Clinic

Service Provided

2009-2010 Community Days

2010-2011 Community Days

2011-2012 Community Days

1,244.5

1,802.5

2,221

EMR The Electronic Medical Record (EMR) software has been a goal for quite some time of the Sioux Lookout Regional Physicians Services Inc. (SLRPSI) for both our local and various northern First Nation communities. Planning for the EMR project commnenced two years ago, but it was launched March 19, 2012. OSCAR was the selected EMR of choice, based on its functionality required for the northern connection with low Internet connectivity. With its capability of managing patient information, prescribing and faxing direct to chosen pharmacy 14

(electronically – no paper), scheduling patient appointments, as well as billing for physician services, OSCAR proves to be a valuable tool for physicians and a benefit to patients, no matter their location. One of the advantages of this type of EMR is its capability of remote access from our northern communities (connectivity permitting), as well as visiting physicians updating patient information from their home cities. Phase I of the EMR implementation has been completed by installing and using OSCAR in Sioux Lookout at the Primary Health Care Clinic and the Hugh Allen Clinic. This had the advantage of serving our northern patients and those that live in and around Sioux Lookout. At the end of March 2012, the Primary Health Care Clinic as well as the Hugh Allen Clinic started using OSCAR in their day-to-day dealings with patients.

Clinic The Primary Health Care Clinic, also known as the Northern Appointment Clinic, continues to provide services from the old Zone Hospital site. The Clinic is now located on the main floor, which has improved access for patients and addresses safety issues that arose when the Clinic was in the lower floor. During this fiscal year, 3,721 clients were seen in the Clinic, which consisted of self referrals or referred for: • regular scheduled appointments; • urgent or follow up appointments from the community; • follow up from the emergency department and hospital discharge; • specialty visits for pediatrics and sports medicine. The Primary Health Care Clinic is not being utilized to its full potential and this is due to its current location, the current number of physicians with contracts and a delay in program development as identified in the clinic review. The Clinic Review Implementation Team has identified activities that will start the process of implementing the recommendations. SLFNHA continues to advocate and work with Health Canada to secure a new facility for our northern patients.

Clinic Review Recommendations • Provision of primary care for both the Sioux Lookout and Northern community clients • Enhanced role in the coordination of the referral system • Proactive in best practice planning and be positioned to respond to health issues such as infectious diseases such as HIV • Provide specific services in Mental Health and Addiction, Chronic Disease management, Visiting Specialists service 15

Health Services (continued) Recruitment and Retention The development of recruitment and retention services within the organization was possible with dedicated funding from SLRPSI and Health Canada. The following activities were completed: • A full time recruiter has been hired • A work plan has been developed to incorporate key marketing initiatives and recruitment efforts for SLRPSI’s Recruitment and Retention for the year • The development of new brand and marketing materials (displays, handouts, print and online advertising campaign, website updates) • Participation in various recruitment events (Society of Rural Physicians, Primary Care Today, PAIRO tour, Family Medicine Forum) • Physician appreciation initiatives • Monthly R&R meetings throughout the year with participation from the Municipality of Sioux Lookout, Health Force Ontario, Hugh Allen Clinic and other stakeholders

Moving forward Further develop social marketing and website, and attend key healthcare events for exposure and promotion. Identifying recruitment needs, tracking inquiries and monitoring website traffic statistics is also in progress along with continuing and developing relationships/partnerships with Northern Ontario School of Medicine and oher medical schools throughout Ontario.

Primary Health Care Facility The issue of the new Primary Health Care facility to be located near the hospital and hostel remains an outstanding issue. SLFNHA, SLRPSI and the Chiefs Committee on Health (CCOH) have stood firm with lobbying Health Canada to support the First Nations with providing capital resources for this facility. The CCOH have in the last year: • Made four separate requests to meet with the Federal Minister of Health to discuss health care issues that are affecting First Nations; • SLFNHA also met with Kenora MP Greg Rickford to discuss the meeting request and to support the Chiefs with this issue and to secure a meeting with the Minister. Health Canada has notified SLFNHA that as of October 31, 2012 the Primary Health Care Unit will need to vacate its current location at the 7th Avenue site. SLRPSI is aware of this situation and is exploring alternative options such as renting a facility in another location.

Client Coordination System The Primary Care Integration Business Plan report identified client coordination as an area of service that could be improved within the current health care system. SLFNHA invited representatives from First Nations and Inuit Health (NIHB, Zone Dental Program, Zone Nursing), Keewaytinook Okimakanak and the Shibogama First Nations Council to discuss the issue and determine the next steps. 16

The current system for client coordination is carried out in a very fragmented way, which leads to problems of: • missed appointments; • delayed specialist appointments and delayed treatment; • multiple trips for multiple appointments • unresolved or very lengthy NIHB grievance processes • concern with medical decisions being overridden. The Sioux Lookout Chiefs Committee on Health acknowledged the challenges of health care services in this area and approved to have an assessment done of the current services by allocating resources from their budget to do this work. The report for the assessment of current client coordination services is complete and the draft final document is available for review.

Findings and Recommendations • Publish a consolidated health service directory for the Sioux Lookout area • Clarify scope of health services that are covered by NIHB and the process for dealing with NIHB and share information • Incorporate Sioux Lookout community access to electronic medical records • Increase capacity of administrative support to increase efficiency of clinicians • Improve record keeping process • Increase public awareness and education to community members of importance of accessing health care • Review possibility of having communities manage NIHB • Develop a performance measurement that will track outcomes

Trends in Non-Insured Health Benefits Total Spend on Sioux Lookout Medical Appointment Travel from 2009-2012 $25,000,000 $19M

$

$20,000,000 $15,000,000

$21M $18M

$15M

$10,000,000 $5,000,000 $0

2008-2009

2009-2010

2010-2011

2011-2012

17

Health Services (continued) Trends in Non-Insured Health Benefits (continued) Number of Travel Bookings in Sioux Lookout Zone (2009-2012) 70,000 59,120

# of bookings

60,000 50,000

49,468

63,078

52,910

40,000 30,000 20,000 10,000 0

2008-2009

2009-2010

2010-2011

2011-2012

Moving Forward SLFNHA will move forward with the development of the client coordination system and establish the working group for this project.

Client Coordination System Model

18

Public Health In the fall of 2010 the Public Health Report was completed. Ten northern First Nation communities participated in this work. The Public Health System working group has been established with participants from Health Canada, Ontario Ministry of Health and Long-Term Care, Health Units from Thunder Bay and Kenora, and SLFNHA.

Moving Forward To develop the process/workplan and secure funding for the public health project.

Dental Research Project SLFNHA has partnered with the University of Toronto on the International Collaborative Indigenous Health Research Partnership Project. In the Sioux Lookout area, 15 communities were eligible to participate in this three-year project. Communities that were already involved with Health Canada’s Children’s Oral Health Initiative program are not eligible to participate. This study is part of an international collaborative effort to combat early childhood tooth decay among Indigenous children. Pregnant women who choose to take part will have the opportunity to receive dental care during their pregnancy and fluoride treatment and motivation for their child for up to age three. SLFNHA has hired a Community Research Assistant Coordinator that is working with communities and expectant mothers on this project. To date there are 147 participants.

Canada Prenatal Nutrition Program SLFNHA delivers the Canada Prenatal Nutrition Program (CPNP) to seven First Nations in the Sioux Lookout area. In 2011/12, the program served a total of 142 clients with two Prenatal Nutrition Workers in place. The workers provide education and support to clients and community members in Pikangikum, McDowell, Mishkeegogamang, Cat Lake, North Caribou Lake, Saugeen and Wawakapewin. By working directly with community-based Health Directors and communitybased Prenatal Nutrition Educators, the program seeks to improve maternal and infant nutritional health by providing greater depth of service to women earlier in their pregnancy and for a longer duration post-partum, with a focus to those at high-risk. SLFNHA staff also work with other community-based health programs such as Healthy Babies/Healthy Children programs, Maternal Child Health programs, Early Childhood Educator programs, Dental Services, Diabetes programs and the Northern Stores to increase awareness and education to clients and community. Elders are also involved in providing training in breastfeeding, parenting skills and preparing traditional foods. To support First Nations women in confinement in Sioux Lookout, the program delivered educational sessions in areas of nutrition, breastfeeding, dental health, labor and other related health topics. 19

Health Services (continued) Key Activities Education Sessions

Number of Activities

Number of Participants

Breastfeeding support and promotional activities

24

33

Community cultural activities

4

13

Alcohol, drugs and smoking education sessions

13

26

Nutrition activities, which included baby food making, community kitchens and nutrition screening

24

56

Food voucher program

142

Parenting education

9

23

Preconception health awareness

6

14

Fetal alcohol awareness

7

16

Store tours

9

23

Radio shows

9

Home visits

27

Health fairs

3

Moving Forward To support community-based governed and managed health services, SLFNHA decided that the CPNP would be best delivered at the community level. As of April 1, 2012, the program is now delivered by local community members.

Tuberculosis Control Program Sioux Lookout First Nations Health Authority has delivered the Tuberculosis (TB) Program since 1997. The mandate of the program is to decrease the incidence of tuberculosis in First Nation communities in the Sioux Lookout Zone through surveillance, case and contact management, education and awareness. Funding is through a yearly contribution agreement with First Nations and Inuit Health (FNIH).

Community and Partners Health Directors, Community Health Representatives, Community Health Nurses, community physicians, teachers and community members all work together to ensure that TB risks are minimized. Primary implementation depends upon this network of community health care providers who are supported by the TB Control Program staff.

Key Accomplishments For the first time since 1985, no cases of tuberculosis were diagnosed during the last year. TB screening and education are important components for keeping rates low. Trips to communities have involved finding challenges to screening. TB education is offered to all communities and targets community members, leaders, healthcare workers, Health Directors and students. 20

The TB program continues to provide information and links to TB resources through the SLFNHA website. To commemorate World TB Day, March 24, educational packages with community specific information were sent to all Health Directors and nursing station staff. The Jeremiah McKay Kabayshewekamik Hostel was the venue for a World TB Day open house featuring educational displays and refreshments.

Staff Education The Canadian TB Standards states that Public Health TB Control Programs need dedicated and trained staff, knowledgeable in specific aspects of TB. To help meet this standard, the TB Program continued to participate in web-based TB courses and presentations, and met with partners in the TB and communicable disease field.

Challenges This program is not part of the ongoing funding received from Ontario Region and Sioux Lookout Zone. Funding from FNIH continues at the same level since 1997. Because it is not considered permanent, funding is delayed to July/August. This program requires dedicated staff and resources to support and maintain screening at the community level.

Moving Forward Building on the success of our first TB-free year and in alignment with the principles of the Anishinabe Health Plan, the SLFNHA TB Program aims to continue a targeted approach towards health protection. Through community driven processes, we aim to: • Promote initiatives to improve determinants of Indigenous health • Educate individuals and communities about TB risk management • Support and promote enhanced TB surveillance in all communities

From left: Shannon Turtle, Susan Chapman, Paddy Dasno and Janine Arpin Missing: Ann Cleland

21

Health Services (continued) First Nations and Inuit Health Information System SLFNHA manages a centralized database for 28 First Nations communities in the Sioux Lookout Zone. This database is called the First Nations and Inuit Health Information System (FNIHIS). The FNIHIS program collects and enters immunizations, Mantoux (TB) tests, new client core information, and client mortality information. The FNIHIS Clerk inputs all the data received from the nursing stations/clinics, as well as from multiple health units and hospitals. The clerk creates monthly immunization schedule and yearly schedules for hepatitis B and Influenza, as well as Population Validation reports for the First Nations communities in the Sioux Lookout zone. Immunization/Mantoux (TB) records and specific client core or immunization/ Mantoux reports are available upon request for nursing stations, clinics, health units, hospitals and multiple children social service agencies. CLIENT CORE DATA New Clients

609

Changes to Client Core

519

Deaths

126

IMMUNIZATION DATA Immunization Entries Mantoux Testing Entries Immunization/Mantoux Records Requested

12,405 522 1,397

Telemedicine Program Sioux Lookout First Nations Health Authority (SLFNHA) in partnership with Keewaytinook Okimakanak Telemedicine (KOTM) offer various health and mental health services to 26 First Nations in the Sioux Lookout Zone. Telemedicine supports the health system at the community level by providing access to health care providers, resources, education and training in order to increase the well being of communities and to reduce the socio-health impacts of isolation.

Community and Partners Keewaytinook Okimakanak Telemedicine partners with Ontario Telemedicine Network, Health Canada and the Ontario First Nations. Most of Ontario’s hospitals, nursing stations, pharmacies, various health centres and service providers secure connections through the telemedicine network.

22

Key Accomplishments As of March 2012, a Nodin satellite office in Pikangikum and the Nodin office in Sioux Lookout have video conference units designated for telepsychiatry. The telepsychiatry program partners with the Sick Kids Hospital in Toronto to provide an objective assessment for youth aged 2 – 18. The program allows the client, case manager, family and other staff to have a one-time consult with a children’s psychiatrist. This approach to experienced and knowledgeable staff will enrich family members and service providers with recommendations based on the patient’s continued encounters with Nodin staff. There have been upgrades to existing resources in the Nodin boardroom and the Developmental Services office. Telemedicine is also in the process of initiating a new site for Art Therapy. Event Type

# of Sessions

Clinical

122

Administrative

23

Educational

22

Moving Forward The telemedicine program provides essential services when weather or other inabilities prevent face-to-face sessions with health care and other professionals. SLFNHA telemedicine services are still available to the communities through an Internet connection. We look forward to the next year in telemedicine.

Developmental Services The Community Outreach Program provides transitional support and specialized services to adults (18 years and older) that are living with developmental disabilities, co-existing mental health and challenging behaviors. The program and services are delivered in partnership with Sioux Lookout Community Living and Surrey Place.

Key Accomplishments The program is currently staffed with two workers who provide support to 102 clients and their families, act as a resource for health care providers/social workers, and promote the program to communities. • • • •

Conducted 14 community visits Completed 20 intakes for clinical assessments Completed 15 Developmental Services Ontario assessments Supported the completion of 31 assessments for Psychiatry, Psychological , and speech and language • Supported the delivery of 60 counselling sessions • Conducted two meetings with Parent Enhancement Program and eight Social Group sessions with 10 clients. • Passport funding program with 15 applicants. 23

Health Services (continued) Client Programs • The Social Group, formed in 2009 to provide adults who have developmental disabilities the opportunity to meet their peers who may have similar needs and interests, is ongoing. Eleven clients were screened for the group and meet on a monthly basis. A Christmas Party was held in December 2011. Participating sites include Weagamow, Sachigo Lake, Cat Lake, Frenchman’s Head, Atikokan, Kasabonika and Deer Lake. • Community Telehealth Coordinator: A safety protocol (i.e. health/risk) was sent to all Video conference sites (i.e. Nursing stations and Surrey Place) to provide contact numbers of MMW-KRR Group Coordinators (i.e. FNHA, SPC). Also emergency protocols (i.e. medical) for each participant will be made available to each site. • Parent Enhancement Program: basic behavioral strategies were used to help improve child care skills and promote more stimulating parent-child interactions. Two clients participated in this program. • Developmental Services Workshop was held September 12-16 with 17 clients and family escorts attending. Topics presented included: behavioral therapy, healthy lifestyles, team building, cooperative activities, memory books, hygiene, oral hygiene and hygiene collages.

Client Supports A total of 10 trips were supported for either the client to visit at home or have their family member visit them at their location such as Thunder Bay or Kenora.

Moving Forward • The working group with membership from SLFNHA, Sioux Lookout Community Living and Surrey Place developed a work plan to implement evaluation recommendations. • Continue to promote the program and services to all communities.

24

ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᑭᐅᔑᓯᒋᑲᑌᐠ ᐊᓂᔑᓇᐯ ᒪᐡᑭᑭᐃᐧ ᐱᒥᐃᐧᒋᑫᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᒣᑲᐧᐨ 2006, ᐊᐧᓂᓇᐊᐧᑲᐠ ᐅᑭᒪᑲᓇᐠ ᐅᑭ ᔓᐳᓇᓇᐊᐧᐸᐣ ᐅᑐᓇᔓᐁᐧᐃᐧᓂᐊᐧ ᒋᐅᑕᐱᓂᑲᑌᐠ ᐊᓂᔑᓇᐯ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ (AHP) ᐁᐧᑲ ᐅᑭ ᒥᓇᐊᐧᐣ SLFNHA ᐃᐧᓇᐊᐧ ᒋᐱᒧᑐᐊᐧᐨ ᐅᓇᒋᑫᐃᐧᐣ. ᐃᐁᐧ AHP ᐅᐃᐧᒋᑲᐸᐃᐧᑕᐣ ᑲᐅᓇᒋᑲᑌᐠ ᑲᐃᐧ ᒪᒪᐃᐧ ᐱᒧᒋᑲᑌᐠ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐊᓂᔑᓂᓂᐊᐧᐠ ᐧᐃᓇᐊᐧ ᒋᐅᓇᔓᐊᐧᑕᒧᐊᐧᐨ ᒥᓇ ᒋᐱᒧᑐᐊᐧᐨ. ᐅᑕᓇᐣᐠ ᓂᑯᑕᐧᓯ ᐊᐦᑭ SLFNHA ᐅᑭ ᐅᓄᑲᑕᓇᐣ ᑫᑯᓇᐣ ᑫᐅᐣᒋ ᐃᐧᒋᑲᐸᐃᐧᒋᑫᒪᑲᑭᐣ ᑲᐅᓇᒋᑲᑌᐠ AHP. ᐅᑫᐧᓂᐧᐊᐧᐣ ᑲᑭ ᐊᓄᑲᑌᑭᐣ: • ᐅᓇᒋᑫᐃᐧᓇᐣ, ᐊᓂᒧᒋᑫᐃᐧᓇᐣ ᒥᓇ ᑲᐅᓇᒋᑲᑌᑭᐣ ᐃᐁᐧ ᑭᓇᐧᑲᐡ ᑲᐱᒥᓭᐠ ᓇᑯᒥᑎᐃᐧᐣ ᐃᐁᐧ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ

ᒐᓀᐟ ᐧᑲᕑᑎᐣ

• ᒪᔭᑦ ᑲᐅᐣᒋ ᐱᒥᐃᐧᒋᑲᑌᐠ ᒪᐡᑭᑭᐃᐧ ᐸᒥᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᐃᐧ ᒪᒋᒋᑲᑌᐠ ᐱᒥᐃᐧᒋᑫᐃᐧ ᐅᓇᒋᑫᐃᐧᐣᐱᑯ ᐊᐊᐧᓀᓇᐠ ᐅᑭᑭᓄᐦᐊᒪᑯᐃᐧᓂᐊᐧ ᑫᔑ ᒥᓄᓭᐠ ᐱᒪᑎᓯᐃᐧᐣ ᑭᐁᐧ ᓇᓇᑲᒋᒋᑫᐃᐧᐣ (10 ᑕᔑᑫᐃᐧᓇᐣ • ᒪᒥᑎᓀᐣᒋᑲᓇᐱᓀᐃᐧ ᒥᓄᔭᐃᐧᐣ ᑭᐁᐧ ᓇᓇᑲᒋᒋᑫᐃᐧᐣ • ᐃᐧᐱᑎᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑭᐁᐧ ᓇᓇᑲᒋᒋᑫᐃᐧᐣ • ᐅᑕᑯᓯᐠ ᑲᔑ ᐊᐧᐸᒥᐣᑕᐧ ᑭᐁᐧ ᓇᓇᑲᒋᒋᑫᐃᐧᐣ • ᐅᑕᑯᓯ ᐅᐃᐧᒋᐦᐃᑯᐃᐧᐣ ᑲᐅᐣᒋ ᓇᓇᑲᒋᒋᑲᑌᐠ ᑭᐁᐧ ᓇᓇᑲᒋᒋᑫᐃᐧᐣ SLFNHA ᐅᑕᐸᒋᑐᓇᐊᐧ ᐃᐁᐧ AHP ᒋᐅᐣᒋ ᑲᐧᔭᑯᔑᓄᐊᐧᐨ ᑲᐅᓇᑐᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᒥᓇ ᐱᒧᒋᑫᐃᐧᓇᐣ ᐃᒪ ᐊᓂᔑᓂᓂᐃᐧ ᑕᔑᑫᐃᐧᓇᐣ ᑲᔑᔭᑭᐣ.

ᑲᐅᐣᒋ ᐱᒧᒋᑲᑌᐠ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ SLFNHA ᐅᐸᑭᑎᓇᓇᐊᐧ ᒪᓯᓇᐦᐃᑫᐃᐧᑲᒥᐠ ᒥᓇ ᔓᓂᔭᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ ᐃᒪ SLRPSI ᐅᑕᐱᑕᒪᑫᐠ ᒥᓇ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ: • ᐅᐱᒧᑐᓇᐊᐧ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐊᓄᑭᐃᐧ ᓇᑯᒥᑎᐃᐧᓇᐣ ᒥᓇ ᐅᑲᓇᐊᐧᐸᐣᑕᓇᐊᐧ ᐅᑎᐸᐦᐊᒪᑯᐃᐧᓂᐊᐧ ᐃᒪ ᓇᑯᒥᑎᐃᐧᓇᐣ ᑲᐃᓇᑌᐠ ᑲᑭ ᒪᓯᓇᐦᐊᒧᐊᐧᐨ • ᐅᑕᓄᑭᐦᐊᐊᐧᐣ ᒥᓇ ᐅᑐᐣᒋ ᓇᓇᑲᒋᐦᐊᐊᐧᐣ ᐊᓄᑭᓇᑲᓇᐣ • ᒥᓯᐁᐧ ᐅᑐᐣᒋ ᑲᓇᐊᐧᐸᐣᑕᓇᐊᐧ, ᐅᑐᓇᑐᓇᐊᐧ ᒥᓇ ᐅᑐᐣᒋ ᓇᓇᑲᒋᑐᓇᐊᐧ ᐊᓇᐱ ᑫᔭᐃᔕᓂᐨ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐣ ᑭᐁᐧᑎᓄᐠ ᑕᔑᑫᐃᐧᓂᐠ ᒥᓇ ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐠ ᐃᒪ ᑲᐃᓇᑌᐠ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐅᓇᒋᑫᐃᐧᐣ • ᑲᐸᑎᓇᒧᐊᐧᐨ ᑎᐸᐦᐃᑫᐃᐧᓇᐣ ᒥᓇ ᑯᑕᑭᔭᐣ ᑎᐸᒋᒧᐃᐧᓇᐣ ᑲᔑ ᓇᐣᑕᐁᐧᐣᑕᑲᐧᐠ ᐃᒪ • ᐅᐣᑌᕑᐃᔪ ᐅᑭᒪᐃᐧᐣ ᒥᓄᔭᐃᐧᐣ ᒥᓇ ᑭᓇᐧᑲᐡ ᑲᐱᒪᓄᑲᑌᐠ ᐊᑯᓯᐃᐧ ᐸᒥᐦᐃᑯᐃᐧᐣ • ᑲᐅᓇᒋᑲᑌᐠ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᑲᓇᓇᐣᑐᓇᐃᐧᐣᑕᐧ ᐅᓇᒋᑫᐃᐧᐣ • ᑲᐱᒧᒋᑲᑌᐠ ᑭᐁᐧᑎᓄᐠ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ

2009-2010

ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᑭ ᐸᑭᑎᓇᒧᐊᐧᐨ

2010-2011

2011-12

ᒥᓂᑯᐠ ᑭᔑᑲᐊᐧᐣ ᑲᑭ ᐊᓂᑭᐊᐧᐨ ᑕᔑᑫᐃᐧᓂᐠ

ᒥᓂᑯᐠ ᑭᔑᑲᐊᐧᐣ ᑲᑭ ᐊᓂᑭᐊᐧᐨ ᑕᔑᑫᐃᐧᓂᐠ

ᒥᓂᑯᐠ ᑭᔑᑲᐊᐧᐣ ᑲᑭ ᐊᓂᑭᐊᐧᐨ ᑕᔑᑫᐃᐧᓂᐠ

1,244.50

1802.5

2,221 25

ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ EMR ᐃᐁᐧ ᐱᐊᐧᐱᑯᐠ ᑲᔑ ᐊᒋᑲᑌᑭᐣ ᒪᐡᑭᑭᐃᐧ ᒪᓯᓇᐦᐅᑯᐃᐧᓇᐣ (EMR) ᒥᐦᐃᐁᐧ ᑲᑭ ᐅᓀᐣᑕᑲᐧᑭᐸᐣ ᒋᑲᑫᐧ ᑐᒋᑲᑌᐠ ᐃᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑯᓯᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᐱᒧᒋᑫᐃᐧᐣ (SLRPSI) ᐃᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒥᓇ ᐊᑎᐟ ᑭᐁᐧᑎᓄᐠ ᑕᔑᑫᐃᐧᓇᐣ. ᐅᐁᐧ EMR ᐊᓄᑭᐃᐧᐣ ᑭᒪᒋᒋᑲᑌᐸᐣ ᒥᔑᓄᔭᐦᑭ ᐅᑕᓇᐣᐠ, ᔕᑯᐨ ᑕᐡ ᐸᐢᑲᐣ ᓄᑯᑦ ᑲᐊᐦᑭᐊᐧᐠ ᑲᑭ ᒪᒋᓭᐠ. OSCAR ᑭᐅᓂᓇᑲᓄᐊᐧᐠ EMR ᑫᐅᐣᒋ ᐱᒧᒋᑲᑌᐠ, ᐃᒪ ᑕᐡ ᑲᑭ ᐅᐣᒋ ᐅᓀᐣᑕᑲᐧᐠ ᐁᑲ ᓇᐱᐨ ᑲᑭᔕᑕᐱᒪᑲᐠ ᐱᐊᐧᐱᑯᐣ ᑲᐅᐣᒋ ᒪᒋᓭᑭᐣ ᐁᐧᑎ ᑭᐁᐧᑎᓄᐠ. ᐃᒪ ᑲᐅᐣᒋ ᑲᓇᐁᐧᐣᑕᑲᐧᑭᐣ ᐅᑕᑯᓯ ᐅᒪᓯᓇᐦᐅᑯᐃᐧᓂᐊᐧ, ᑲᒥᑭᐊᐧᓂᐊᐧᐠ ᒪᐡᑭᑭᐣ ᒥᓇ ᑲᐸᑭᓯᐁᐧᐸᐦᐃᑲᑌᑭᐣ ᐃᒪ ᒪᐡᑭᑭᐃᐧ ᐊᑕᐃᐧᑲᒥᑯᐣᐠ (ᐱᐊᐧᐱᑯᐠ – ᐁᑲ ᐯᐸᐣ ᑲᐊᐸᑕᐠ), ᑲᐅᓇᒋᑲᑌᑭᐣ ᐅᑕᑯᓯᐠ ᑫᔑ ᐊᐧᐊᐧᐸᒥᐣᑕᐧ, ᑕᑯ ᑲᔦ ᐅᑎᐸᐦᐃᑫᐃᐧᓇᐣ ᐃᐁᐧ ᐅᐣᒋ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ, OSCAR ᐃᔑ ᓂᓯᑕᐃᐧᓇᑲᐧᐣ ᒪᐊᐧᐨ ᐁᒥᓄᓭᓂᐠ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐠ ᑲᐊᐸᒋᑐᐊᐧᐨ ᒥᓇ ᐁᐅᐣᒋ ᐃᐧᒋᐦᐃᑯᐊᐧᐨ ᐅᑕᑯᓯᐠ, ᐱᑯ ᐊᐣᑎ ᑲᔑ ᑲᐯᔑᐊᐧᐨ. ᐯᔑᐠ ᑫᑯᐣ ᑲᒥᓄᓭᐦᐃᐁᐧᒪᑲᐠ ᐅᐁᐧ EMR ᐃᒪ ᑲᐅᐣᒋ ᑲᐡᑭᒋᑲᑌᐠ ᑭᐁᐧᑎᓄᐠ ᒋᐅᐣᒋ ᐊᓄᑭᒪᑲᓇᐠ (ᑭᐡᐱᐣ ᐱᐊᐧᐱᐠ ᑲᐅᐣᒋ ᒪᒋᓭᐠ ᑲᒥᓄᓭᐠ), ᑕᑯ ᑲᔦ ᐃᑫᐧᓂᐊᐧᐠ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᑲᓇᓇᑲᒋᑐᐊᐧᐨ ᐅᑕᑯᓯᐣ ᐅᒪᓯᓇᐦᐅᑯᐃᐧᓂᐊᐧ ᐃᒪ ᑲᔑ ᑲᐯᔑᐊᐧᐨ ᑭᒋ ᐅᑌᓇᐣᐠ. ᐯᔑᐠ ᑲᐊᐱᒋᐡᑲᒪᑲᐠ ᐃᐁᐧ EMR ᑲᑭ ᒪᒋᒋᑲᑌᐠ ᑭᑭᔑᒋᑲᑌᐸᐣ ᐁᑭ ᐅᓇᒋᑲᑌᑭᐣ ᒥᓇ ᐁᐊᐸᑕᑭᐣ OSCAR ᐃᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᒥᓇ ᐃᒪ ᐦᐃᔪ ᐊᓫᐊᐣ ᑭᕑᐃᓂᐠ. ᐅᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑭᐅᐣᒋ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐠ ᑭᐁᐧᑎᓄᐠ ᑲᐅᐣᑐᓭᐊᐧᐨ ᐅᑕᑯᓯᐠ ᒥᓇ ᐅᒪ ᑲᑲᐯᔑᐊᐧᐨ ᒥᓇ ᑌᑎᐸᐦᐃ ᐊᐧᓂᓇᐊᑲᐧᐠ. ᑲᐊᓂ ᑭᔑᐸᑭᓱᐨ ᒥᑭᓯᐃᐧᐱᓯᑦ 2012, ᐃᒪ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᑕᑯ ᑲᔦ ᐦᐃᔪ ᐊᓫᐊᐣ ᑭᕑᐃᓂᐠ ᐅᑭ ᒪᒋ ᐊᐸᒋᑐᓇᐊᐧ OSCAR ᐃᒪ ᐁᐣᑕᓱᑭᔑᑲ ᑲᑕᔑ ᐊᐧᐸᒪᐊᐧᐨ ᐅᑕᑯᓯᐣ.

ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐃᐁᐧ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ, ᑲᔦ ᑲᐃᔑᓂᑲᑌᐠ ᑭᐁᐧᑎᓄᐠ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ, ᒥᐦᐃᒪ ᑭᔭᐸᐨ ᐁᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐅᑕᑯᓯᐠ ᑫᑌ ᐊᑯᓯᐃᐧᑲᒥᐠ. ᐃᒪ ᓄᑯᑦ ᐃᐡᐱᒥᐠ ᐃᔑ ᑕᑲᐧᐣ, ᓇᐊᐧᐨ ᑕᐡ ᐅᑐᐣᒋ ᐃᐧᒋᐦᐃᑯᓇᐊᐧ ᐅᑕᑯᓯᐠ ᐊᐧᑭᒋᔭᐦᐃ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐊᓇᒪᑲᒥᐠ ᑲᑭ ᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐸᐣ ᓇᐱᐨ ᐁᑭ ᓇᓂᓴᓀᐣᑕᑲᐧᑭᐸᐣ. ᒣᑲᐧᐨ ᔓᓂᔭᐊᐧᐦᑭ ᑲᑭ ᐱᒥᓭᐠ ᓄᑯᑦ ᑲᐊᐦᑭᐊᐧᐠ, 3,721 ᐅᑕᑯᓯᐠ ᑭᐊᐧᐸᒪᐊᐧᐠ ᐃᒪ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ, ᑕᑯ ᑲᔦ ᐃᐧᓇᐊᐧ ᑲᐊᐧᐅᓇᑕᒪᓱᐊᐧᐨ ᒋᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᓇᐣᑕ ᑲᔦ ᑲᑭ ᐃᓇᑲᓄᐊᐧᐨ ᒋᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐅᐁᐧ ᐅᐣᒋ: • ᑲᑭ ᐅᓇᒋᑲᑌᓂᐠ ᑫᔑ ᐊᐧᐸᒥᑯᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐣ; • ᑲᐸᐸᔐᐣᑕᑲᐧᐠ ᓇᐣᑕ ᑲᔦ ᒥᓇᐊᐧ ᒋᓇᐱ ᓇᓇᑲᒋᐦᐊᑲᓄᐊᐧᐨ ᐃᒪ ᐅᑕᔑᑫᐃᐧᓂᐊᐧ ᑲᐅᐣᑎᓭᐊᐧᐨ; • ᒥᓇᐊᐧ ᒋᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐃᒪ ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐠ ᑲᑭᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᒥᓇ ᑲᐃᐡᑲᐧ ᐸᑭᑎᓇᑲᓄᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐠ; • ᐊᐊᐧᔑᔑᐃᐧ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐣ ᑲᐱᐊᐧᐸᒪᐊᐧᐨ ᒥᓇ ᑐᑲᐣ ᑲᐃᐧᓴᑭᔑᓄᐊᐧᐨ ᑲᐱᒪᑕᐦᐁᐊᐧᐨ ᑲᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ. ᐃᐁᐧ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᑲᐃᐧᐣ ᒥᓯᐁᐧ ᒋᑭ ᐃᓇᓄᑭᒪᑲᐠ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᔑ ᓇᐣᑕᐁᐧᐣᑕᑲᐧᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐁᑲᐧ ᑕᐡ ᐅᐁᐧ ᑲᐅᐣᒋᓯᓭᐠ ᐃᒪ ᑲᔑ ᑕᑲᐧᐠ ᑫᑌ ᐊᑯᓯᐃᐧᑲᒥᐠ, ᒥᓇ ᑲᑕᓯᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᑲᐊᔭᐊᐧᐨ ᐊᓄᑭᐃᐧ ᓇᑯᒥᑎᐃᐧᓇᐣ ᒥᓇ ᑲᐊᐧ ᐅᐣᑕᒥᓭᑭᐣ ᐅᓇᒋᑫᐃᐧᓇᐣ ᑲᑭ ᑭᑭᓇᐊᐧᒋᒋᑲᑌᑭᐣ ᐃᒪ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᑭᐁᐧ ᓇᓇᑲᒋᒋᑫᐃᐧᐣ. ᐃᐁᐧ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᑭᐁᐧ ᓇᓇᑲᒋᒋᑫᐃᐧᐣ ᑲᐊᑲᑕᒧᐊᐧᐨ ᐅᑭ ᑭᑭᓇᐊᐧᒋᑐᓇᐊᐧᐸᐣ ᑫᐊᓂ ᑐᑕᒧᐊᐧᐨ ᐊᐱ ᒪᑕᓄᑲᑕᒧᐊᐧᐨ ᐃᑫᐧᓂᐊᐧᐣ ᑫᑭ ᐊᓂ ᑐᒋᑲᑌᑲᐧᐸᐣ.

26

ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᑭᐁᐧᓇᓇᑲᒋᒋᑫᐃᐧᓇᐣ ᑫᑭ ᑐᒋᑲᑌᑲᐧᐸᐣ • ᒋᐅᓇᒋᑲᑌᐠ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐃᑫᐧᓂᐊᐧᐠ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒥᓇ ᑭᐁᐧᑎᓄᐠ ᑕᔑᑫᐧᐃᓂᐠ ᑲᔭᐊᐧᐨ ᐅᑕᑯᓯᐠ • ᓇᐊᐧᐨ ᒋᑭ ᒥᓄᓇᑲᐧᑭᐸᐣ ᑲᔑ ᐱᒧᒋᑲᑌᐠ ᐅᑕᑯᓯᐠ ᑲᔑ ᐊᐧᐅᓇᓴᑲᓄᐊᐧᐨ ᑫᔑ ᐊᐧᐸᒥᑯᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐣ • ᒋᑐᒋᑲᑌᑭᐣ ᑫᔑ ᒥᓄᓭᑭᐣ ᐅᓇᒋᑫᐃᐧᓇᐣ ᒥᓇ ᒋᑲᐧᔭᐣᒋᓇᓂᐊᐧᐠ ᐊᐱ ᐊᓄᑲᑌᑭᐣ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧ ᐃᓯᓭᐃᐧᓇᐣ ᑐᑲᐣ ᒪᒐᐱᓀᐃᐧᐣ • ᒋᐸᑭᑎᓂᑲᑌᑭᐣ ᒪᒥᑐᓀᐣᒋᑲᓇᐱᓀᐃᐧ ᐃᐧᒋᐦᐃᐧᐁᐧᐃᐧᐣ ᒥᓇ ᑲᓴᑲᐱᓀᐦᐃᐁᐧᒪᑲᑭᐣ ᑫᑯᓇᐣ, ᑫᔑ ᑲᓇᐊᐧᐸᐣᒋᑲᑌᑭᐣ ᐊᑯᓯᐃᐧᓇᐣ ᑲᐱᒥ ᐃᐧᒋᐃᐧᑯᐊᐧᐨ ᐅᑕᑯᓯᐠ, ᐅᒪᐡᑭᑭᐊᐧᓄᑭ • ᑲᐱᑕᑯᔑᐠ ᑲᐱᐊᐧᐸᒪᒋᐣ ᐅᑕᑯᓯᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ

ᑲᓇᓇᐣᑐᓇᐃᐧᐣᑕᐧ ᒥᓇ ᑲᑭᒋᐃᐧᓂᐣᑕᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐃᐁᐧ ᑲᑭ ᐅᓇᒋᑲᑌᑭᐸᐣ ᑲᓇᓇᐣᑎᓇᐃᐧᐣᑕᐧ ᒥᓇ ᑲᑭᒋᐃᐧᓂᐣᑕᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐅᒪ ᐱᒧᒋᑫᐃᐧᓂᐠ ᑭᑲᐡᑭᒋᑲᑌᐸᐣ ᐁᑭ ᐸᑭᑎᓇᑲᓄᐨ ᔓᓂᔭ ᐃᒪ SLRPSI ᒥᓇ ᑭᒋ ᒪᐡᑭᑭᐃᐧᑭᒪ ᑲᐸᑎᓇᐨ. ᐅᑫᐧᓂᐊᐧᐣ ᑕᐡ ᑲᑭ ᑐᒋᑲᑌᑭᐣ: • ᑲᑲᐯᓭᓂᐠ ᐅᑕᓄᑭᐃᐧᐣ ᑲᓇᓇᐣᑐᓇᐊᐧᒋᐣ ᑫᐊᓄᑭᑕᒪᑫᓂᐨ ᑭᐅᑕᐱᓇᑲᓄ ᐊᓄᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᑭᐅᓇᒋᑲᑌᑭᐸᐣ ᑫᐅᐣᒋ ᒪᑕᓄᑲᑌᑭᐣ ᐃᑫᐧᓂᐊᐧᐣ ᑲᑭ ᐅᓇᒋᑲᑌᑲᐧᐸᐣ ᒥᓇ ᑲᐃᐧᔑ ᓇᓇᐣᑐᓇᐊᐧᑲᓄᐊᐧᐨ ᑫᐊᓄᑭᑕᒪᑫᐃᐧᐣ ᐃᒪ SLRPSI ᑲᓇᓇᐣᑐᓇᐃᐧᐣᑕᐧ ᒥᓇ ᑲᑭᒋᐃᐧᓂᐣᑕᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐃᐁᐧ ᒣᑲᐧᐨ ᑫᐱᒥᓭᐠ ᐊᐦᑭ. • ᑲᐅᓇᒋᑲᑌᐠ ᐅᐡᑭ ᐊᐸᒋᑕᑲᓇᐣ ᒥᓇ ᑯᑕᔭᑭᐣ ᑫᐊᐸᒋᒋᑲᑌᑭᐣ (ᐊᐧᐸᐣᑕᐦᐃᐁᐧᐃᐧᓇᐣ, ᐯᐸᓄᐣ ᒥᓇ ᐱᐊᐧᐱᑯᐠ ᐊᐧᐸᐣᑕᐦᐃᐁᐧᐃᐧᓇᐣ, ᐱᐊᐧᐱᑯᐠ ᐅᐡᑭ ᐃᐧᐣᑕᒪᑫᐃᐧᓇᐣ) • ᑭᑕᑭᐧᓇᓂᐊᐧᐠ ᓇᓇᐣᑐᐠ ᑲᔑ ᓇᓇᐣᑐᓇᐃᐧᐣᑕᐧ ᐊᓄᑭᓇᑲᓇᐠ ᑐᑲᐣ (ᑭᒋ ᑕᐃᐧᓂᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑯᓯᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐠ, ᑭᒋ ᒪᐡᑭᑭᐃᐧ ᒪᐊᐧᒋᐦᐃᑎᐃᐧᐣ, PAIRO ᐅᐡᑭ ᒪᐡᑭᑭᓂᐊᐧᐠ ᑲᑕᔑ ᑭᑭᓄᐦᐊᒪᐊᐧᑲᓄᐊᐧᐨ, ᑎᐯᐣᒋᑫᐃᐧ ᒪᐡᑭᑭ ᐊᓂᒧᒋᑫᐃᐧᐣ) • ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᑲᓇᓇᑯᒥᐣᑕᐧ ᐃᔑᒋᑫᐃᐧᓇᐣ • ᑕᓱᐱᓯᑦ R&R ᒪᐊᐧᒋᐦᐃᑎᐃᐧᓇᐣ ᑲᐱᒥᓭᐠ ᐊᐦᑭ.

ᑫᔭᓂᔑ ᐱᒋᓂᐡᑲᓄᐊᐧᐠ ᑭᔭᐸᐨ ᑕᐊᓂ ᐅᓇᒋᑲᑌᐊᐧᐣ ᐱᐊᐧᐱᑯᐠ ᑲᐅᐣᒋ ᐃᐧᐣᑕᒪᑲᓂᐊᐧᐠ ᑫᑯᓇᐣ, ᒥᓇ ᒋᑎᐸᒋᑌᑭᐣ ᒥᐡᑭᑭᐃᐧ ᐸᒥᓂᑫᐃᐧᐣ ᐃᔑᒋᑫᐃᐧᓇᐣ ᑲᑕᔑ ᑐᒋᑲᑌᑭᐣ. ᒋᑭᑭᓇᐊᐧᒋᒋᑲᑌᑭᐣ ᑲᓇᐣᑕᐁᐧᓂᒥᐣᑕᐧ ᐊᓄᑭᓇᑲᓇᐠ, ᒋᐊᓂ ᑲᓇᐁᐧᐣᑕᑲᐧᑭᐣ ᐊᐃᐧᔭᐠ ᑲᓇᓇᐣᑐᓇᐃᐧᐣᑕᐧ ᒥᓇ ᑭᓇᓇᑲᒋᒋᑲᑌᑭᐣ ᐱᐊᐧᐱᑯᐠ ᑲᔭᐃᓇᐱᓇᓂᐊᐧᐠ ᑕᑯ ᑲᔦ ᑲᐊᐱᒋᒋᑲᑌᑭᐣ ᑲᐱᒥ ᐅᓇᒋᑲᑌᑭᐣ ᐃᐧᑕᓄᑭᒥᑎᐃᐧᓇᐣ ᐃᒪ NOSM ᒥᓇ ᑯᑕᑭᔭᐣ ᒪᐡᑭᑭᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ ᒥᓯᐁᐧ ᐅᐣᑌᕑᐃᔪ.

ᑲᑕᔑ ᐊᐧᐸᒥᐣᑕᐧ ᐅᑕᑯᓯᐠ ᐊᓄᑭᐃᐧᑲᒥᐠ ᐃᐁᐧ ᑲᐃᓯᓭᐠ ᐅᐡᑭ ᐊᓄᑭᐃᐧᑲᒥᐠ ᑫᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐅᑕᑯᓯᐠ ᐯᔓᐣᐨ ᐃᒪ ᐅᑯᓯᐃᐧᑲᒥᐠ ᒥᓇ ᑲᐯᔑᐃᐧᑲᒥᐠ ᒣᑲᐧᐨ ᑭᔭᐸᐨ ᐁᐱᒥ ᓇᓇᑲᒋᒋᑲᑌᐠ. SLFNHA, SLRPSI ᒥᓇ ᐅᑭᒪᑲᓇᐠ ᑲᐊᐱᑕᒧᐊᐧᐨ ᒥᐡᑭᑭᐃᐧ ᑲᓇᐊᐧᐸᐣᒋᑫᐃᐧᐣ (CCOH) ᐁᔑ ᒪᐡᑲᐃᐧᑲᐸᐃᐧᐊᐧᐨ ᑲᐃᐧᑕᓄᑭᒪᐊᐧᐨ ᑲᓇᑕ ᑭᒋᒪᐡᑭᑭᐃᐧᑭᒪ ᒋᐃᐧᒋᑲᐸᐃᐧᑕᐃᐧᐣᑕᐧ ᐊᓂᔑᓂᓂᐊᐧᐠ ᒋᑭ ᐅᐣᒋ̇ᑕᒪᐊᐧᑲᓄᐊᐧᐸᐣ ᔓᓂᔭᓇᐣ ᐅᐁᐧ ᐊᓄᑭᐃᐧᑲᒥᐠ ᑲᐊᓂᒧᑌᐠ. 27

ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐃᐁᐧ CCOH ᑲᑭ ᐊᓄᑲᑕᒧᐊᐧᐨ ᐅᑕᓇᐣᐠ ᑲᐊᐦᑭᐊᐧᐠ: • ᓂᐃᐧᐣ ᐱᐦᑭᐡ ᑲᑫᐧᑌᐧᐃᐧᓇᐣ ᑫᒥᓇᑲᓄᐊᐧᐨ ᑲᓇᑕ ᑭᒋ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᒋᐊᓂᒧᒋᑲᑌᐠ ᒥᐡᑭᑭᐃᐧ ᐸᒥᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᐊᓂᒥᓭᐦᐃᑯᐊᐧᐨ ᐊᓂᔑᓂᓂᐊᐧᐠ; • SLFNHA ᐅᑭ ᓇᑭᐡᑲᐊᐧᐣ ᑭᓇᐧᕑᐊ ᑭᒋᐅᑭᒪᐅᓂ ᐊᓄᑭᓇᑲᓇᐣ ᑭᕑᐁᐠ ᕑᐃᐠᐸᐧᕑᐟ ᐁᑭ ᐊᓂᒧᑕᒪᐊᐧᐊᐧᐨ ᐁᐃᐧ ᐊᐧᐸᒪᐊᐧᐨ ᒥᓇ ᒋᐃᐧᒋᑲᐸᐃᐧᑕᐊᐧᒋᐣ ᐅᑭᒪᑲᐣ ᐅᐁᐧ ᐅᐣᒋ ᐃᓯᓭᐃᐧᐣ ᒥᓇ ᒋᐅᓇᑕᒪᐊᐧᐨ ᒪᐊᐧᒋᐦᐃᑎᐃᐧᐣ ᐃᑫᐧᓂᐊᐧᐣ ᐅᑭᒪᐃᐧᓇᐣ. ᑲᓇᑕ ᒪᐡᑭᑭᐃᐧᑭᒪ ᐅᑭ ᐃᐧᐣᑕᒪᐊᐧᐣ SLFNHA ᐃᐁᐧ ᐅᐣᒋ ᒪᒋ ᐅᐱᒪᐦᐊᒧᐃᐧᐱᓯᑦ 31, 2012 ᐃᒪ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᑲᐱᒧᑐᐊᐧᐨ ᐁᓇᐣᑕᐁᐧᐣᑕᑯᓯᐊᐧᐨ ᒋᓴᑲᐦᐊᒧᐊᐧᐨ ᐃᒪ ᑫᑌ ᐊᑯᓯᐃᐧᑲᒥᐠ ᒣᑲᐧᐨ ᑲᐃᔑ ᑕᑲᐧᐠ. ᐃᐁᐧ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᑭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᐱᒧᑐᐊᐧᐨ (SLRPSI) ᐅᑭᑫᐣᑕᐣ ᐅᐁᐧ ᑲᐃᓯᓭᐠ ᐁᑲᐧ ᑕᐡ ᐅᓇᓇᐣᑐᓇᓇᐊᐧ ᐊᐣᑎ ᑫᑭ ᐃᔑ ᐱᒥ ᐊᐃᐧᐦᐊᓱᓇᓂᐊᐧᑭᐸᐣ ᐊᐧᑲᐦᐃᑲᐣ ᐸᑲᐣ.

ᐅᑕᑯᓯᐠ ᑲᐅᐣᒋ ᐅᓇᑕᒪᐃᐧᐣᑕᐧ ᐅᐊᐧᐸᒥᑯᐃᐧᓂᐊᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐃᐁᐧ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᑲᐱᒧᑐᐊᐧᐨ ᐱᒧᒋᑫᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᑎᐸᒋᒧᐃᐧᐣ ᑲᑭ ᐸᑭᑎᓂᑲᑌᐠ ᑭᓂᓯᑕᐃᐧᓂᑲᑌ ᐅᑕᑯᓯᐣ ᑫᐅᐣᒋ ᐊᐧᐅᓇᑕᒪᐊᐧᐨ ᑫᐃᔑ ᐊᐧᐊᐧᐸᒪᑲᓄᓂᐨ ᐃᒪ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐠ ᐊᐊᐧᔑᒣ ᑫᑭᔑ ᒥᓄᓭᑭᐸᐣ ᒣᑲᐧᐨ ᑲᐃᔑ ᐱᒧᒋᑲᑌᑭᐣ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ. SLFNHA ᐅᑭ ᐊᐣᑐᒪᐣ ᐊᑎᐟ ᐊᐃᐧᔭᐣ ᐃᐡᑯᓂᑲᓂᐠ ᒥᓇ ᐃᓄᐃᐧᐟ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᓂᐠ (NIHB), ᐊᐧᓂᓇᐊᐧᑲᐠ ᐃᐧᐱᑎᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ, ᒪᐡᑭᑭᐃᐧᑫᐧᐣ ᑲᐅᐣᒋ ᓇᓇᑲᒋᐦᐊᐨ), ᑭᐁᐧᑎᓄᐠ ᐅᑭᒪᑲᓇᐠ ᒥᓇ ᔑᐸᐧᑲᒪ ᐃᐡᑯᓂᑲᓇᐣ ᐅᑭᒪᐃᐧᐣ ᐱᒧᒋᑫᐃᐧᐣ ᒋᐊᓂᒧᑕᒧᐊᐧᐨ ᐅᐁᐧ ᐃᓯᓭᐃᐧᐣ ᒥᓇ ᒋᓇᓇᑲᒋᒋᑲᑌᐠ ᐊᓂᐣ ᑫᐃᔑ ᐊᓂ ᑐᒋᑲᑌᑭᐸᐣ. ᒣᑲᐧᐨ ᑲᐃᔑ ᐱᒧᒋᑲᑌᐠ ᐅᑕᑯᓯ ᑲᐅᐣᒋ ᐅᓇᑕᒪᐃᐧᐣᑕᐧ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐣ ᑫᔑ ᐊᐧᐸᒥᑯᐊᐧᐨ ᓇᓇᐣᑐᐠ ᐃᔑ ᑲᓇᐊᐧᐸᐣᒋᑲᑌᐊᐧᐣ, ᒥᑕᐡ ᐅᐁᐧ ᐁᐊᓂᔑ ᒪᒋᓭᐠ: • ᐁᑲ ᑲᐃᔕᐨ ᑫᑭᔑ ᐊᐧᐸᒪᑲᓄᐸᐣ; • ᐁᑲ ᐃᐧᐸᐨ ᑲᑭ ᐃᓯᓭᐠ ᒋᑭ ᐊᐧᐸᒥᑯᐨ ᑭᒋ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐣ ᒥᓇ ᐁᑲ ᐃᐧᐸᐨ ᑲᑭ ᐃᓯᓭᐠ ᒋᑭ ᓇᐣᑕᐃᐧᐦᐊᑲᓄᐨ ᐊᐃᐧᔭ; • ᒥᔑᓇᐧ ᑲᒪ̇ᒪᒐᐨ ᑲᓇᒋ ᒪᐡᑭᑭᐃᐧᓂᐁᐧᐨ ᒥᔑᓇᐧᔦᐠ • ᐁᑲ ᑲᑭ ᒥᓇᐧᒋᑲᑌᐠ ᓇᐣᑕ ᑲᔦ ᑭᓇᐧᑲᐡ NIHB ᑲᐱᒥ ᐅᓇᑐᒋᐣ ᐱᒥᔭᐃᐧᓇᐣ • ᑲᒪᒥᑐᓀᐣᑕᑲᐧᑭᐣ ᒪᐡᑭᑭᐃᐧ ᐅᓀᐣᑕᒪᐃᐧᓇᐣ ᐁᑲ ᑲᐸᐱᐢᑫᐣᒋᑲᑌᑭᐣ. ᐃᑫᐧᓂᐊᐧᐠ ᐊᐧᓂᓇᐊᐧᑲᐠ ᐅᑭᒪᑲᓇᐠ ᑲᐊᐱᑕᒪᑫᐊᐧᐨ ᐃᒪ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᓂᐠ ᐅᓂᓯᑕᐃᐧᓇᓇᐊᐧ ᑲᓇᓇᑭᐡᑭᑲᑌᑭᐣ ᐃᒪ ᒪᐡᑭᑭᐃᐧ ᐸᒥᐦᐃᐁᐧᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐠ ᐅᒪ ᑲᐃᔑ ᐊᓂᒧᒋᑲᑌᑭᐣ ᐁᑲᐧ ᑕᐡ ᐅᑭ ᔕᐳᓇᓇᐊᐧ ᒋᓇᓇᑲᒋᒋᑲᑌᑭᐣ ᒣᑲᐧᐨ ᑲᐃᔑ ᐱᒧᒋᑲᓂᐊᐧᐠ ᒋᒪᒪᐃᐧᓇᐊᐧᐨ ᔓᓂᔭᓇᐣ ᐃᒪ ᑲᐅᐣᒋ ᐱᒧᒋᑫᐊᐧᐨ ᐅᐁᐧ ᒋᑐᒋᑲᑌᐠ. ᐃᐁᐧ ᑎᐸᒋᒧᐃᐧᐣ ᑲᓇᓇᑲᒋᒋᑲᑌᐠ ᒣᑲᐧᐨ ᑲᐃᔑ ᐱᒧᒋᑲᑌᐠ ᐅᑕᑯᓯᐠ ᐅᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᐊᔕ ᐁᑭ ᑭᔑᒋᑲᑌᐠ ᒥᓇ ᐃᐁᐧ ᓂᑕᑦ ᑲᑭᔑᒋᑲᑌᐠ ᒪᓯᓇᐦᐃᑲᐣ ᐊᔕ ᐊᔭ ᑲᐧᔭᐣᑕᐣ ᒋᑭᐁᐧ ᓇᓇᑲᒋᒋᑲᑌᐠ.

ᑲᑭᔑ ᒥᑭᑲᓂᐊᐧᐠ ᒥᓇ ᑫᑭ ᑐᒋᑲᑌᑲᐧᐸᐣ: • ᒋᐊᒋᑲᑌᐠ ᑲᒪᒪᐃᐧᓂᑲᑌᐠ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑫᐃᔑ ᑲᑭᑐᓇᓂᐊᐧᐠ ᐃᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑌᐱᐸᐦᐃ • ᒋᐸᔭᑌᑕᑲᐧᐠ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐃᒪ ᑲᐅᐣᒋ ᐃᐧᒋᐦᐃᐁᐧᐊᐧᐨ NIHB ᒥᓇ ᐊᓂᐣ ᑲᑐᒋᑲᑌᐠ ᑲᐃᐧᑕᓄᑭᒪᑲᓄᐊᐧᐨ NIHB ᒥᓇ ᐃᐧᐣᑕᒪᑫᐃᐧᓇᐣ ᑲᐅᐣᒋ ᐊᐧᐃᐧᐣᑕᒪᑎᓇᓂᐊᐧᐠ • ᒋᒪᒪᐃᐧᓂᑲᑌᑭᐣ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᑭᐣ ᒋᑭ ᐅᐣᒋ ᑌᐱᓇᒧᐊᐧᐸᐣ ᐱᐊᐧᐱᑯᐠ ᑲᐃᔑ ᑲᓇᐁᐧᐣᑕᑲᐧᑭᐣ ᒪᐡᑭᑭᐃᐧ ᒪᓯᓇᐦᐅᑯᐃᐧᓇᐣ • ᓇᐊᐧᐨ ᒋᓇᐣᑭᓂᑲᑌᐠ ᐃᒪ ᒪᓯᓇᐦᐃᑫᐃᐧᑲᒥᐠ ᑲᐅᐣᒋ ᐃᐧᒋᐦᐃᐁᐧᐊᐧᐨ ᓇᐊᐧᐨ ᒋᑭ ᒥᓄᓭᑭᐸᐣ 28

ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ • ᓇᐊᐧᐨ ᒋᒥᓇᐧᔑᐠ ᑲᐃᔑ ᑲᓇᐁᐧᐣᑕᑲᐧᑭᐣ ᒪᐡᑭᑭᐃᐧ ᒪᓯᓇᐦᐅᑯᐃᐧᓇᐣ ᑲᑐᒋᑲᑌᐠ • ᐊᐊᐧᔑᒣ ᒋᐃᐧᐣᒋᑲᑌᑭᐣ ᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᒥᓇ ᒋᑭᑭᓄᐦᐊᒪᐃᐧᐣᑕᐧ ᑕᔑᑫᐃᐧᓂᐠ ᑲᔭᐊᐧᐨ ᐊᐃᐧᔭᐠ ᒪᐊᐧᐨ ᑲᑭᒋᓀᐣᑕᑲᐧᐠ ᒋᑭ ᑌᐱᓂᑲᑌᐠ ᒪᐡᑭᑭᐃᐧ ᐸᒥᐦᐃᐁᐧᐃᐧᐣ • ᒋᑭᐁᐧ ᓇᓇᑲᒋᒋᑲᑌᐠ ᒋᑭ ᐊᓂ ᐱᒧᑐᐊᐧᐸᐣ ᑕᔑᑫᐃᐧᓇᐣ ᐃᐁᐧ NIHB • ᒋᐅᓇᒋᑲᑌᐠ ᑲᐊᓄᐣᒋ ᑭᑫᐣᑕᑲᐧᐠ ᑲᐊᐱᑕᓄᑲᑌᑭᐣ ᑫᑯᓇᐣ

ᑲᐊᐱᒋᐡᑲᒪᑲᑭᐣ ᐃᒪ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ Total Spend on Sioux Lookout Medical Appointment Travel from 2009-2012 $25,000,000 $19M

$

$20,000,000 $15,000,000

$21M $18M

$15M

$10,000,000 $5,000,000 $0

2008-2009

2009-2010

2010-2011

2011-2012

Number of Travel Bookings in Sioux Lookout Zone (2009-2012) 70,000 59,120

# of bookings

60,000 50,000

49,468

63,078

52,910

40,000 30,000 20,000 10,000 0

2008-2009

2009-2010

2010-2011

2011-2012

SLFNHA ᐅᑲ ᐊᓂ ᐅᓇᑐᓇᐊᐧ ᐅᑕᑯᓯᐠ ᐅᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᑲᐃᔑ ᐱᒧᒋᑲᑌᐠ ᒥᓇ ᒋᐅᓇᑐᐊᐧᐨ ᑫᐅᐣᒋ ᐊᓄᑲᑕᒧᐊᐧᐨ ᐅᐁᐧ ᐊᓄᑭᐃᐧᐣ. 29

ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐅᑕᑯᓯᐠ ᐅᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᑲᐃᔑ ᐱᒧᒋᑲᑌᐠ ᒪᓯᓇᐦᐃᑲᐣ

ᑲᑭᓇ ᐊᐃᐧᔭᐠ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᑲᑕᑲᐧᑭᐠ 2010 ᐃᐁᐧ ᑲᑭᓇ ᐊᐃᐧᔭᐠ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᑎᐸᒋᒧᐃᐧᐣ ᑭᑭᔑᒋᑲᑌ. ᒥᑕᓱ ᑭᐁᐧᑎᓄᐠ ᐊᓂᔑᓂᓂᐃᐧ ᑕᔑᑫᐃᐧᓇᐣ ᑭᐃᐧᒋᑕᐧᐊᐧᐠ ᐅᐁᐧ ᐊᓄᑭᐃᐧᐣ. ᐃᑫᐧᓂᐊᐧᐠ ᑲᑭᓇ ᐊᐃᐧᔭᐠ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᑲᐅᐣᒋ ᐊᓄᑲᑕᒧᐊᐧᐨ ᑭᐅᓇᒋᑲᑌᐸᐣ ᐃᒪ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑯᓯᐊᐧᐨ ᑲᓇᑕ ᑭᒋᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ, ᐅᐣᑌᕑᐃᔪ ᒥᓄᔭᐃᐧᐣ ᒥᓇ ᑭᓇᐧᑲᐡ ᑲᐱᒪᓄᑲᑌᐠ ᐊᑯᓯᐃᐧ ᐸᒥᐦᐃᑯᐃᐧᐣ, ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ ᐃᒪ ᑕᐣᑐᕑ ᐯ ᒥᓇ ᑭᓇᐧᕑᐊ, ᒥᓇ SLFNHA.

ᑫᐊᓂᔑ ᐱᒋᓂᐡᑲᓂᐊᐧᐠ ᒋᐅᓇᒋᑲᑌᐠ ᑫᐊᓂ ᑐᒋᑲᑌᐠ /ᐊᓄᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᒥᓇ ᒋᐅᓇᓴᑲᓄᐨ ᔓᓂᔭ ᑫᐊᐸᑎᓯᐨ ᐃᒪ ᑲᑭᓇ ᐊᐃᐧᔭ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᐊᓄᑭᐃᐧᐣ.

ᐃᐧᐱᑎᒪᐡᑭᑭᐃᐧ ᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑫᐃᐧᐣ ᐊᓄᑭᐃᐧᐣ SLFNHA ᐅᑭ ᐃᐧᑕᓄᑭᒪᐣ ᑭᒋ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᑲᒥᐠ ᐃᒪ ᑐᕑᐅᐣᑐ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᐠ ᐃᐁᐧ ᐅᐣᒋ ᒥᓯᐁᐧᑲᒥᐠ ᐃᐧᑕᓄᑭᒥᑎᐃᐧᐣ ᐃᐁᐧ ᐅᐣᒋ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧ ᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑫᐃᐧᐣ ᐃᐧᑕᓄᑭᒥᑎᐃᐧ ᐊᓄᑭᐃᐧᐣ. ᐃᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑌᑎᐸᐦᐃ, 15 ᑕᔑᑫᐃᐧᓇᐣ ᑭᐃᓯᓭᓂ ᒋᑕᑭᐧᐊᐧᐨ ᐅᒪ ᓂᐦᓱᐊᐦᑭ ᑲᐃᐧ ᐱᒥᑐᒋᑲᑌᐠ ᐊᓄᑭᐃᐧᐣ. ᑕᔑᑫᐃᐧᓇᐣ ᒣᑲᐧᐨ ᑲᐱᒥᐃᐧᑐᐊᐧᐨ ᐃᐁᐧ ᑲᓇᑕ ᒥᓄᔭᐃᐧᐣ ᐊᐊᐧᔑᔕᐠ ᐅᐃᐧᐱᑎᐊᐧ ᐊᓄᑭᐃᐧᐣ ᐱᒧᒋᑫᐃᐧᐣ ᑲᐃᐧᐣ ᐃᑫᐧᓂᐊᐧᐣ ᒥᓇᐊᐧ ᑕᑭ ᑕᑭᐧᓯᐊᐧᐠ. ᐅᒪ ᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑫᐃᐧᐣ ᒥᐦᐃᐁ ᐯᔑᐠ ᒥᓯᐁᐧᑲᒥᑯᐃᐧ ᒪᒪᐤ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᑲᑫᐧ ᐊᓄᑲᓇᑲᓄᐊᐧᐨ ᐊᐊᐧᔑᔕᐠ ᐁᑲ ᒋᒪᒐᐱᑌᐊᐧᐨ ᒣᑲᐧᐨ ᑲᐊᐊᐧᔑᔑᐃᐧᐊᐧᐨ ᐊᓂᔑᓂᓂᐃᐧ ᐊᐊᐧᔑᔕᐠ. ᑲᑭᑭᐡᑲᐊᐧᐊᐧᓱᐊᐧᐨ ᑲᐃᓀᐣᑕᒧᐊᐧᐨ ᑫᐃᐧᓂᐊᐧ ᒋᐅᐣᒋ ᓇᓇᑲᒋᐦᐊᑲᓄᐊᐧᐨ ᐃᒪ ᐃᐧᐱᑎᒪᐡᑭᑭᑫᐃᐧ ᐸᒥᐦᐃᑯᐃᐧᓂᐠ ᒣᑲᐧᐨ ᑲᑭᑭᐡᑲᐊᐧᐊᐧᓱᐊᐧᐨ ᒥᓇ ᒋᒥᓇᑲᓄᐊᐧᐨ ᐃᐧᐱᑎᑲᐣᐠ ᑲᑭᓯᑯᓀᐦᐊᐧᓂᐊᐧᐨ ᒥᓇ ᐅᓂᒐᓂᔑᐊᐧᐣ ᑫᐃᐧᓂᐊᐧ ᒋᑭ ᐅᐣᒋ ᐃᐧᒋᐃᐧᑯᐊᐧᐸᐣ ᐃᑫᐧᓂᐊᐧᐠ ᐊᐊᐧᔑᔕᐠ ᐊᑯᓇᐠ ᑲᓂᓱᔭᑭᐃᐧᓀᐊᐧᐨ. SLFNHA ᐅᑭ ᐅᑕᐱᓇᐊᐧᐣ ᑕᔑᑫᐃᐧᐣ ᑲᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᑕᑭᐣ ᑲᐊᓂᑫᐡᑲᐊᐧᐨ ᒪᔭᑦ ᐃᐁᐧ ᑲᐃᓇᓄᑭᓂᐨ ᒥᓇ ᐃᑫᐧᓂᐊᐧᐣ ᑲᑭᑭᐡᑲᐊᐧᐊᓱᓂᐨ ᐃᑫᐧᐊᐧᐣ. ᒣᑲᐧᐨ ᐃᐧᓂᑯ ᐊᔭᐊᐧᐠ 147 ᑲᐃᐧᒋᑕᐧᐊᐧᐨ ᐅᐁᐧ ᐃᔑᒋᑫᐃᐧᐣ. 30

ᑭᑭᐡᑲᐊᐧᐊᐧᓱᐃᐧᐣ ᐃᓇᐣᒋᑫᐃᐧᓂᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ SLFNHA ᐅᐱᒥᐃᐧᑐᓇᐊᐧ ᑲᓇᑕ ᑭᑭᐡᑲᐊᐧᐊᐧᓱᐃᐧᐣ ᐃᓇᐣᒋᑫᐃᐧᓂᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ (CPNP) ᐃᒪ ᓂᓴᐧᓱ ᐃᐡᑯᓂᑲᓇᐣ ᑌᑎᐸᐦᐃ ᑲᔭᑭᐣ. ᒣᑲᐧᐨ 2011/12, ᐅᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐅᑭ ᐊᐧᐸᒪᐊᐧᐣ ᒪᒪᐤ 142 ᐅᑕᑯᓯᐠ ᓂᔑᐣ ᑭᑭᐡᑲᐊᐧᐊᐧᓱᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ ᐁᑭ ᐊᓄᑲᑕᒧᐊᐧᐨ. ᐅᑫᐧᓂᐊᐧᐠ ᐊᓄᑭᓇᑲᓇᐠ ᑭ ᑭᑭᓄᐦᐊᒪᑫᐊᐧᐠ ᒥᓇ ᐅᑭ ᐅᐣᒋ ᐃᐧᒋᑲᐸᐃᐧᑕᐊᐧᐊᐧᐣ ᐅᑕᑯᓯᐣ ᒥᓇ ᑕᔑᑫᐃᐧᓂᐠ ᑲᑲᐯᔑᐊᐧᐨ ᐃᒪ ᐱᑲᐣᒋᑲᒥᐣᐠ, ᒥᔑᓴᑲᐦᐃᑲᓂᐠ, ᒣᐡᑭᑲᐧᑲᒪᐣᐠ. ᐱᔑᐃᐧᓴᑲᐦᐃᑲᓂᐠ, ᐊᐧᐃᐧᔦᑲᒪᐣᐠ, ᓴᑭᐣᐠ ᒥᓇ ᐊᐧᐊᐧᑲᐱᐃᐧᐣ. ᐃᐁᐧ ᑕᐡ ᑲᑭ ᐃᐧᑕᓄᑭᒪᑲᓄᐊᐧᐨ ᑕᔑᑫᐃᐧᓂᐠ ᑲᓂᑲᓂᐡᑲᒧᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ ᒥᓇ ᑕᔑᑫᐃᐧᓂᐠ ᑲᑭᑭᐡᑲᐊᐧᐊᐧᓱᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐊᐧᐨ, ᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐅᓇᓇᐣᑐᓇᓇᐊᐧ ᐊᓂᐣ ᐊᐊᐧᔑᒣ ᑫᑭᔑ ᒥᓄᐧᔭᐊᐧᐸᐣ ᑲᑭᑭᐡᑲᐊᐧᐊᓱᐊᐧᐨ ᒥᓇ ᐊᐊᐧᔑᔕᐠ ᑲᐊᑲᔐᔑᐊᐧᐨ ᑲᐧᔭᐠ ᒋᐃᓇᐣᒋᑫᐊᐧᐨ ᐃᐁᐧ ᑕᐡ ᐁᑭ ᑐᑕᒧᐊᐧᐨ ᐊᐊᐧᔑᒣ ᐁᑭ ᑲᑫᐧ ᐃᐧᒋᐦᐊᐊᐧᐨ ᐃᑫᐧᐊᐧᐣ ᑲᐅᐡᑲᒋ ᑭᑭᐡᑲᐊᐧᐊᐧᓱᓂᐨ ᒥᓇ ᓄᒪᑫ ᑲᐃᐡᑲᐧ ᑕᑯᐱᑕᐊᐧᓱᓂᐨ, ᐃᑫᐧᓂᐊᐧᐠ ᑕᐡ ᒪᐊᐧᐨ ᐁᑭ ᓇᓇᑲᒋᐦᐊᑲᓄᐊᐧᐨ ᑲᓇᓂᓴᓂᓭᐊᐧᐨ. SLFNHA ᐊᓄᑭᓇᑲᓇᐠ ᑲᔦ ᐅᐃᐧᑕᓄᑭᒪᐊᐧᐣ ᑯᑕᑭᔭᐣ ᑕᔑᑫᐃᐧᓂᐠ ᑲᔭᑭᐣ ᐊᑯᓯᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ ᑐᑲᐣ ᐅᐡᑭᐊᐊᐧᔑᔕᐠ ᒥᓄᔭᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ, ᐅᒪᒪᒥᒪᐣᐠ ᐅᓂᒐᓂᔑᐊᐧᐣ ᒥᓄᔭᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ, ᐊᐊᐧᔑᓭᓴᐠ ᑲᐅᐡᑲᒋ ᒪᒋ ᑭᑭᓄᐦᐊᒪᐃᐧᐣᑕᐧ, ᐃᐧᐱᑎ ᒪᐡᑭᑭᐃᐧᐣ, ᔓᑲᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ ᒥᓇ ᑲᑦᐸᓂᐃᐧ ᐊᑕᐃᐧᑲᒥᑯᐣ ᐊᐊᐧᔑᒣ ᒋᑭ ᑲᑫᐧ ᐃᐧᐣᑕᒪᑫᐊᐧᐸᐣ ᔓᑲᐊᐧᐱᓀᐃᐧᐣ ᐃᒪ ᑕᔑᑫᐧᐃᓂᐣᐠ. ᑭᒋᔭᐦᐊᐠ ᑫᐃᐧᓇᐊᐧ ᑭᑭᓄᐦᐊᒪᑫᐊᐧᐠ ᑲᓄᓂᐦᐊᐊᐧᓱᓇᓂᐊᐧᐠ, ᐅᑦᐱᑭᐦᐊᐊᐧᓱᐃᐧᐣ ᒥᓇ ᐊᓂᔑᓇᐯᐃᐧ ᒥᒋᒪᐣ ᑲᐅᔑᒋᑲᑌᑭᐣ. ᐃᐁᐧ ᑕᐡ ᑫᐃᔑ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐨ ᐊᓂᔑᓂᓂᐃᐧ ᐃᑫᐧᓂᐊᐧᐠ ᑲᐱ ᐊᐣᑕᐃᐧ ᐊᐧᐸᒪᐊᐧᓱᐊᐧᐨ ᐊᐧᓂᓇᐊᐧᑲᐠ, ᐅᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑭᑭᓄᐦᐊᒪᑫᐊᐧᐠ ᑫᐃᓇᐣᒋᑫᐊᐧᐨ, ᓄᓂᐦᐊᐊᐧᓱᐃᐧᐣ, ᐃᐧᐱᑎ ᒥᓄᔭᐃᐧᐣ, ᑲᐊᑯᓯᓇᓂᐊᐧᐠ ᑲᐃᐧ ᓂᑕᐃᐧᑭᐨ ᐊᐊᐧᔑᐡ ᒥᓇ ᑯᑕᑭᔭᐣ ᒪᐡᑭᑭᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ.

ᑲᑭ ᑐᒋᑲᑌᑭᐣ ᑕᓯᐣᓇᐧ ᑲᑭᑐᒋᑲᑌᐠ

ᑕᓯᐣ ᐊᐃᐧᔭᐠ ᑲᑭᐃᐧᒋᑕᐧᐊᐧᐨ

ᓄᓂᐦᐊᐊᐧᓱᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ

24

33

ᐊᓂᔑᓇᐯᐃᐧ ᐃᔑᒋᑫᐃᐧᓇᐣ

4

13

ᒥᓂᑫᐃᐧᐣ, ᒪᒋᒪᐢᑭᑭᑫᐃᐧᐣ ᒥᓇ ᓴᑲᓭᐧᐃᐧᐣ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ

13

26

ᐃᓇᒋᑫᐃᐧᐣ, ᐊᐊᐧᔑᔑᐤ ᒥᒋᑦ ᑲᐅᔑᒋᑲᑌᐠ, ᑭᔑᑌᐳᐃᐧᐣ ᒥᓇ ᐃᓇᐣᒋᑫᐃᐧᐣ ᑲᐊᔭᐱᒋᐢᑲᒪᑲᐠ ᒥᒋᒪᐣ

24

56

ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ

142

ᑲᐃᐧᒋᐦᐊᑲᓄᐨ ᐊᐃᐧᔭ ᒥᒋᒥᓂ ᐅᓂᑭᐦᐃᑯᒪᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ

9

23

ᑫᐃᔑ ᓇᓂᒋ̇ᐨ ᐊᐃᐧᔭ ᐁᑲ ᒋᑭᐢᑲᐊᐧᐊᐧᓯᐨ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ

6

14

ᑲᐃᓂᐢᑲᑯᐨ ᒥᓂᑫᐧᐃᐧᐣ ᐅᐢᑭᐊᐊᐧᔑᐢ ᐅᒪᒪᒪᐣ ᒣᑲᐧᐨ ᑲᑭᑭᐢᑲᑯᐨ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ

7

16

ᐊᑕᐃᐧᑲᒥᑯᐠ ᑲᓇᓇᑲᒋᒋᑲᑌᑭᐣ ᐃᓇᑭᐣᒋᑫᐃᐧᓇᐣ

9

23

ᐊᐣᑎᑕᒧᐃᐧᑲᒥᐠ ᑲᐅᐣᒋ ᑭᑭᓄᐦᐊᒪᑲᓂᐊᐧᐠ

9

ᑭᐅᑌᐃᐧᐣ

27

ᒪᒪᐃᐧᐢᑲᐃᐧᐣ ᑲᐃᐧᐣᑕᒪᑲᓂᐊᐧᐠ ᐊᑯᓯᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ

3

31

ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑫᔭᓂᔑ ᐱᒋᓂᐢᑲᓄᐊᐧᐠ ᒋᐃᐧᒋᑲᐸᐃᐧᒋᑲᑌᑭᐣ ᑕᔑᑫᐃᐧᓂᐠ ᑲᐅᐣᒋᐅᓇᔓᐊᐧᑌᑭᐣ ᒥᓇ ᑲᐅᐣᒋ ᐱᒥᐃᐧᒋᑲᑌᑭᐣ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ, SLFNHA ᐅᑭ ᐅᓀᐣᑕᓇᐊᐧ ᐃᐁᐧ SLFNHA ᐃᒪ ᒋᑭᑕᔑ ᐱᒥᐃᐧᒋᑲᑌᑭᐸᐣ ᐅᐁᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ ᐃᒪ ᑕᔑᑫᐃᐧᓂᐠ. ᐅᐣᒋ ᒪᒋ ᓂᑭᐱᓯᑦ 1, 2012, ᐅᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐊᔕ ᐅᑐᐣᒋ ᐱᒥᐃᐧᑐᓇᐊᐧ ᑕᔑᑫᐃᐧᓂᐠ ᑲᑲᐯᔑᐊᐧᐨ ᐊᐃᐧᔭᐠ.

ᒥᓂᐊᐧᐱᓀᐃᐧᐣ ᑭᐱᑎᓂᑫᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᐅᐱᒥᐃᐧᑐᓇᐊᐧ ᒥᓂᐊᐧᐱᓀᐃᐧ (TB) ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ 1997 ᐅᐣᒋ ᒪᒋ. ᐃᐁᐧ ᑲᑭ ᐃᔑᐅᓇᒋᑲᑌᑭᐸᐣ ᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᓇᐊᐧᐨ ᒋᑭ ᐅᐣᒋ ᑕᐸᓯᓭᑭᐸᐣ ᒥᓂᐊᐧᐱᓀᐃᐧᓇᐣ ᐃᒪ ᐊᓂᔑᓇᐯᐃᐧ ᑕᔑᑫᐃᐧᓇᐣ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᑭᐣ ᐁᑭ ᐱᒥ ᓇᓇᑲᒋᒋᑲᑌᑭᐣ, ᐁᑲ ᑲᓇᐁᐧᐣᑕᑲᐧᑭᐣ ᐅᑫᐧᓂᐊᐧᐣ ᐊᑯᓯᐃᐧᓇᐣ ᒥᓇ ᐁᑲ ᐊᐃᐧᔭ ᒋᐅᐣᒋ ᓴᑲᐱᓀᐨ, ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ ᒥᓇ ᐁᑭ ᐃᐧᐣᑕᒪᑲᓂᐊᐧᐠ ᐅᐁᐧ ᐅᐣᒋ ᐊᑯᓯᐃᐧᐣ. ᐃᒪ ᑕᐡ ᔓᓂᔭ ᑲᐅᐣᒋᓭᐨ ᑕᓱᐊᐦᑭ ᑲᐸᑭᑎᓇᐊᐧᐨ ᐊᓂᔑᓂᓂ ᒥᓇ ᐃᓄᐃᐧᐟ ᒥᓄᔭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ (FNIH). ᑕᔑᑫᐃᐧᐣ ᒥᓇ ᑲᐃᐧᑕᓄᑭᒥᐁᐧᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᐅᐣᒋ ᓂᑲᓂᐡᑲᒧᐊᐧᐨ, ᑕᔑᑫᐃᐧᓂᐠ ᒧᐃᐧᑭᒪᐠ ᑲᐃᓇᓄᑭᐊᐧᐨ, ᑕᔑᑫᐃᐧᓂᐠ ᑲᑕᓇᓄᑭᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᑫᐧᐠ, ᑕᔑᑫᐃᐧᓂᐠ ᑲᐅᐣᒋ ᓇᓇᑲᒋᑐᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ, ᐅᑎᐡᑯᓂᐦᐃᐁᐧᐠ ᒥᓇ ᑕᔑᑫᐃᐧᓂᐠ ᑲᔭᐊᐧᐨ ᐊᓂᔑᓂᓂᐊᐧᐠ ᑲᑭᓇ ᐃᐧᑕᓄᑭᒥᑎᐊᐧᐠ ᐃᐁᐧ ᒥᓂᐊᐧᐱᓀᐃᐧᐣ TB ᑲᓇᓂᓴᓂᐦᐃᐁᐧᒪᑲᐠ ᒋᑭ ᑕᐸᓯᐡᑲᑭᐸᐣ. ᐃᐁᐧ ᓂᑕᑦ ᐊᓄᑭᐃᐧᐣ ᑲᑭ ᒪᒋᒋᑲᑌᑭᐸᐣ ᐅᐣᒋ ᐱᒥᐃᐧᒋᑲᑌ ᐅᒪ ᑕᔑᑫᐃᐧᓂᐠ ᒪᐡᑭᑭᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ ᐅᐱᒧᒋᑫᐃᐧᓂᐊᐧ ᑲᐃᐧᒋᑲᐸᐃᐧᑕᑯᐊᐧᐨ TB ᑭᐱᑎᓂᑫᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ. ᑲᑭ ᑭᒋ ᐊᓄᑲᑌᑭᐣ ᐊᐱ ᑲᑭ ᒪᒋᓭᑭᐸᐣ 1985 ᒥᐦᐅᐁᐧ ᓂᑕᑦ ᐁᐃᓯᓭᐠ, ᐁᑲ ᑫᑯᐣ ᒥᓂᐊᐧᐱᓀᐃᐧᐣ ᐁᑭ ᐅᐣᒋ ᒥᑲᒪᐊᐧᑲᓄᐨ ᐊᐧᐃᐧᔭ ᐅᑕᓇᐣᐠ ᑲᑭ ᐊᐦᑭᐊᐧᐠ. TB ᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑫᐃᐧᐣ ᒥᓇ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ ᒪᐊᐧᐨ ᐁᑭ ᑭᒋᓀᐣᑕᑲᐧᑭᐣ ᐁᑲ ᒋᑭ ᒥᓯᑌᐡᑲᑭᐸᐣ ᒥᓂᐊᐧᐱᓀᐃᐧᐣ. ᐃᒪ ᑕᐡ ᑲᓇᓇᑭᐡᑭᑲᑌᑭᐣ ᑕᔑᑫᐃᐧᓇᐣ ᑲᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑲᑌᑭᐣ ᒥᓂᐊᐧᐱᓀᐃᐧ ᒪᐊᐧᐨ ᐁᐊᓂᒥᐃᐧᑐᐊᐧᐨ ᐅᐁᐧ ᒋᑭ ᑐᑕᒧᐊᐧᐨ. TB ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ ᐸᑭᑎᓂᑲᑌᐊᐧᐣ ᑲᑭᓇ ᑕᔑᑫᐃᐧᓇᐣ ᑲᐃᔑᔭᑭᐣ ᒥᓇ ᐁᓇᐣᑕᐁᐧᐣᑕᑯᓯᐊᐧᐨ ᐃᒪ ᑕᔑᑫᐃᐧᓂᐠ ᑲᑲᐯᔑᐊᐧᐨ ᒋᑭ ᑭᑫᐣᑕᒧᐊᐧᐸᐣ, ᑲᔦ ᐅᓂᑲᓂᑕᒪᑫᐠ, ᒪᐡᑭᑭᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ, ᑲᓂᑲᓂᐡᑲᒧᐊᐧᐨ ᐊᑯᓯᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ ᒥᓇ ᐅᑎᐡᑯᓂᐠ. ᐃᐁᐧ TB ᐱᒧᒋᑫᐃᐧᐣ ᐅᐱᒥ ᐸᑭᑎᓇᓇᐊᐧ ᐃᐧᐣᑕᒪᑫᐃᐧᓇᐣ ᒥᓇ ᐱᐊᐧᐱᑯᐠ ᑫᐃᓇᐱᓇᓂᐊᐧᐠ ᐃᐁᐧ TB ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐃᒪ ᑲᐃᔑ ᐊᑌᐠ SLFNHA ᐱᐊᐧᐱᑯᐠ. ᑲᐃᐧ ᒥᑲᐃᐧᐣᒋᑲᑌᐠ ᒥᓯᐁᐧᑲᒥᐠ TB ᑭᔑᑲ, ᒥᑭᓯᐃᐧᐱᓯᑦ 24, ᒪᓯᓇᐦᐃᑲᓇᐣ ᑲᑭᑭᓄᐦᐊᒪᑫᒪᑲᑭᐣ ᐃᒪ ᑫᐅᐣᒋ ᑭᑫᐣᑕᒧᐊᐧᐨ ᑕᔑᑫᐃᐧᓂᐠ ᑲᔭᐊᐧᐨ ᐊᐃᐧᔭᐠ ᑭᐃᔑᓂᔕᐦᐊᒪᐊᐧᐊᐧᐠ ᑲᓂᑲᓂᐡᑲᒧᐊᐧᐨ ᐊᑯᓯᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᒥᓇ ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ. ᐃᐁᐧ ᒉᓂᒪᔭ ᒪᑫ ᑲᐯᔑᐃᐧᑲᒥᐠ ᒥᐦᐃᒪ ᑲᑭ ᑕᔑ ᑐᒋᑲᑌᐠ ᒥᓯᐁᐧᑲᒥᐠ TB ᑭᔑᑲ ᐊᐧᐸᐣᑕᐦᐃᐁᐧᐃᐧᐣ ᑲᑭ ᓇᑯᑐᐊᐧᐨ ᑭᑭᓄᐦᐊᒪᑫᐃᐧ ᐃᐧᐣᑕᒪᑫᐃᐧᓇᐣ ᒥᓇ ᑲᔦ ᔕᐦᑲᒧᓇᐣ ᐁᑭ ᐸᑭᑎᓇᒧᐊᐧᐨ. ᐊᓄᑭᓇᑲᓇᐠ ᑲᑭᑭᓄᐦᐊᒪᐃᐧᐣᑕᐧ ᐃᐁᐧ ᑲᓇᑕ TB ᑲᐃᓇᑌᐠ ᐃᑭᑐᒪᑲᐣ ᐃᐁᐧ ᑲᑭᓇ ᐊᐃᐧᔭ ᑲᐅᐣᒋ ᐃᐧᐣᑕᒪᐊᐧᑲᓄᐨ TB ᑭᐱᑎᓂᑫᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ ᐁᓇᐣᑕᐁᐧᐣᑕᑯᓯᐊᐧᐨ ᑫᐊᓄᑲᑕᒧᐊᐧᐨ ᒥᓇ ᑲᑭ ᑭᑭᓄᐦᐊᒪᐃᐧᐣᑕᐧ ᐊᓄᑭᓇᑲᓇᐠ, ᑲᐅᑭᑫᐣᑕᒪᐃᐧᓂᐊᐧᐨ ᐃᐁᐧ ᐅᐣᒋ TB. ᐅᐁᐧ ᑕᐡ ᑫᑐᒋᑲᑌᐠ ᑲᐃᔑᓇᐣᑕᐁᐧᐣᑕᑲᐧᐠ, ᐃᐁᐧ TB ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ ᐱᒥ ᐃᐧᒋᑕᐧ ᐃᒪ ᐱᐊᐧᐱᑯᐠ ᑲᐅᐣᒋ ᑭᑭᓄᐦᐊᒪᑲᓂᐊᐧᐠ TB ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ ᒥᓇ ᐃᐧᐣᑕᒪᑫᐃᐧᓇᐣ, ᒥᓇ ᐁᑭ ᓇᑭᐡᑲᐊᐧᐊᐧᐨ ᑲᐅᐣᒋ ᐃᐧᑕᓄᑭᒪᐊᐧᐨ ᐃᒪ TB ᒥᓇ ᑲᐅᐣᒋ ᓴᑲᐱᓀᐦᐃᐁᐧᒪᑲᑭᐣ ᐊᑯᓯᐃᐧᓇᐣ ᑲᐃᔑ ᐊᓄᑲᑌᑭᐣ. ᑲᓇ̇ᓇᑭᐡᑭᑲᑌᑭᐣ 32

ᐅᒪ ᐱᒧᒋᑫᐃᐧᐣ ᑲᐃᐧᐣ ᐃᒪ ᐅᐣᒋ ᐱᒥᐸᑭᑎᓇᑲᓄᓯᐣ ᔓᓂᔭ ᐅᐣᑌᕑᐃᔪ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᑭᐣ ᒥᓇ

ᐊᐧᓂᓇᐊᐧᑲᐠ ᑌᑎᐸᐦᐃ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᑭᐣ ᑕᔑᑫᐃᐧᓇᐣ. ᐃᒪ ᐅᐣᒋ ᐸᑭᑎᓇᑲᓄ ᔓᓂᔭ FNIH ᒥᐱᑯ ᐯᔑᑲᐧᐣ ᒥᓂᑯᐠ ᐁᔑ ᐸᑭᑎᓇᑲᓄᐨ ᔓᓂᔭ ᐊᐱ ᑲᑭ ᒪᒋᓭᑭᐸᐣ 1997. ᐃᐁᐧ ᑕᐡ ᑲᐅᐣᒋᓯᓭᐠ ᐁᑲ ᐁᐃᓀᐣᑕᑲᐧᐠ ᒋᑲᐯᓭᐠ ᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ, ᔓᓂᔭ ᑕᐸᐧᑕᐃᐧᓭ ᐸᓂᒪ ᒍᓇᔾ/ᐊᑲᐢᐟ ᐱᓯᑦ. ᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᓇᐣᑕᐁᐧᐣᑕᑯᓯᐊᐧᐠ ᑲᐧᔭᐟ ᑫᐱᒧᑐᐊᐧᐨ ᐊᓄᑭᓇᑲᓇᐠ ᒥᓇ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑫᐅᐣᒋ ᐃᐧᒋᒋᑲᑌᐠ ᒥᓇ ᒋᐱᒥ ᓇᓇᑲᒋᒋᑲᑌᑭᐣ ᑕᔑᑫᐃᐧᓇᐣ. ᑫᐊᓂᔑ ᐱᒋᓂᐡᑲᓂᐊᐧᐠ ᐃᐁᐧ ᑕᐡ ᑫᐅᐣᒋ ᒥᓄᓭᒪᑲᐠ ᐅᐁᐧ ᓂᑕᑦ TB ᐁᑲ ᑲᒥᑭᑲᑌᐠ ᓄᑯᑦ ᑲᐊᐦᑭᐊᐧᐠ ᒥᓇ ᐃᒪ ᒋᐅᐣᒋ ᐱᒥᐃᐧᒋᑲᑌᐠ ᑲᐃᓇᑌᐠ ᐃᒪ ᐊᓂᔑᓇᐯ ᒪᐡᑭᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ, ᐃᐁᐧ SLFNHA TB ᐱᒧᒋᑫᐃᐧᐣ ᐅᐱᒥ ᐊᓄᑲᑕᓇᐊᐧ ᒋᑭ ᐅᐣᒋ ᑲᓇᐁᐧᐣᑕᑲᐧᑭᐸᐣ ᒥᓄᔭᐃᐧᓇᐣ. ᐃᒪ ᑕᐡ ᑕᔑᑫᐃᐧᓂᐠ ᑲᐅᐣᒋ ᐃᐧᒋᒋᑲᑌᑭᐣ, ᐅᐁᐧ ᓂᑲ ᑐᑕᒥᐣ: • ᒋᒪᒋᑐᔭᐣᐠ ᐅᓇᒋᑫᐃᐧᓇᐣ ᑫᑯᓀᐣ ᑫᐃᔑ ᐃᐧᒋᒋᑲᑌᑭᐣ ᐊᓂᔑᓂᓂᐊᐧᐠ ᑲᐅᐣᒋ ᐊᑯᓯᐊᐧᐨ • ᒋᑭᑭᓄᐦᐊᒪᐊᐧᑲᓄᐊᐧᐨ ᐁᐣᑕᓱᐸᐯᔑᑯᐨ ᐊᐃᐧᔭ ᒥᓇ ᑕᔑᑫᐃᐧᓇᐣ ᐃᐁᐧ ᐅᐣᒋ TB ᑫᐃᔑ ᓇᓂᓴᓂᑲᐣᒋᑲᑌᐠ • ᒋᐃᐧᒋᑲᐸᐃᐧᒋᑲᑌᑭᐣ ᒥᓇ ᒋᑭᑭᓄᐦᐊᒪᑲᓂᐊᐧᐠ TB ᓇᓇᑲᒋᒋᑫᐃᐧᓇᐣ ᐃᒪ ᑲᑭᓇ ᑕᔑᑫᐃᐧᓇᐣ ᑲᐃᔑᔭᑭᐣ

ᐊᓂᔑᓂᓂ ᒥᓇ ᐃᓄᐃᐧᐟ ᒪᐡᑭᑭᐃᐧ ᐃᐧᐣᑕᒪᑫᐃᐧᐣ ᑲᐅᐣᒋ ᐱᒧᒋᑲᑌᐠ SLFNHA ᐅᐱᒧᑐᓇᐣ ᑲᒪᒪᐃᐧᓂᑲᑌᑭᐣ ᒪᐊᐧᐣᑐᐱᐦᐃᑲᓇᐣ ᐃᒪ 28 ᐊᓂᔑᓂᓂᐃᐧ ᑕᔑᑫᐃᐧᓇᐣ ᐃᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᐊᑯᓯᐃᐧᑲᒥᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᑭᐣ. ᐅᐁᐧ ᒪᐊᐧᐣᑐᐱᐦᐃᑫᐃᐧᐣ ᐃᔑᓂᑲᑌ ᐊᓂᔑᓂᓂ ᒥᓇ ᐃᓄᐃᐧᐟ ᒪᐡᑭᑭᐃᐧ ᐃᐧᐣᑕᒪᑫᐃᐧᐣ ᑲᐅᐣᒋ ᐱᒧᒋᑲᑌᐠ (FNIHIS). ᐃᐁᐧ FNIHIS ᐱᒧᒋᑫᐃᐧᐣ ᐅᒪᐊᐧᐣᑐᓇᓇᐊᐧ ᒥᓇ ᐅᐱᐣᑎᑫᓯᓇᐦᐊᓇᐊᐧ ᑲᒋ̇ᑕᐦᐅᑎᓇᓂᐊᐧᐠ, ᒥᓂᐊᐧᐱᓀᐃᐧᐣ (TB) ᑲᓇᓇᑲᒋᒋᑲᑌᑭᐣ, ᐅᐡᑭ ᐅᑕᑯᓯ ᐅᑎᐸᒋᒥᑯᐃᐧᓇᐣ, ᒥᓇ ᐅᑕᑯᓯᐠ ᑲᐃᐡᑲᐧᐱᒪᑎᓯᐊᐧᐨ ᐃᐧᐣᑕᒪᑫᐃᐧᐣ. ᐊᐁᐧ FNIHIS ᐅᒪᓯᓇᐦᐃᑫᔑᐡ ᑲᐊᑐᒋᐣ ᑲᑭᓇ ᒪᐊᐧᐣᑐᐱᐦᐃᑲᓇᐣ ᑲᐱᒋᓂᔕᐦᐊᒧᐊᐧᐨ ᐃᒪ ᑭᐁᐧᑎᓄᐠ ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐣ ᑲᔭᑭᐣ, ᐊᔑᐨ ᑲᔦ ᓇᓇᐣᑐᐠ ᒥᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ ᒥᓇ ᐊᑯᓯᐃᐧᑲᒥᑯᐣ. ᐊᐁᐧ ᐅᒪᓯᓇᐦᐃᑫᔑᐡ ᐅᑐᓇᑐᓇᐣ ᑕᓱᐱᓯᑦ ᑫᔑ ᒐᒋ̇ᑕᐦᐅᑎᓇᓂᐊᐧᐠ ᒥᓇ ᑕᓱᐊᐦᑭ ᑫᔑ ᒐᒋ̇ᑕᐦᐅᑎᓇᓂᐊᐧᐠ ᐅᐸᓂᐣᐠ ᑲᔑ ᐊᑯᓯᓇᓂᐊᐧᐠ B ᒥᓇ ᐅᑕᑭᑯᒪᐱᓀᐃᐧᐣ, ᐊᔑᐨ ᑲᔦ ᑲᑭᓇ ᐊᐃᐧᔭ ᑲᔑ ᒪᓯᓇᐦᐊᐧᑲᓄᐨ ᐅᒋᑕᐦᐅᑯᐃᐧᓇᐣ ᐃᒪ ᐊᓂᔑᓂᓂᐃᐧ ᑕᔑᑫᐃᐧᓇᐣ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒪᐡᑭᑭᐃᐧᑲᒥᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᑭᐣ. ᒋ̇ᑕᐦᐅᑎᐃᐧᐣ/ᒥᓂᐊᐧᐱᓀᐃᐧᐣ (TB) ᑲᒪᓯᓇᐦᐃᑲᑌᑭᐣ ᒥᓇ ᐅᑕᑯᓯ ᐅᑎᐸᒋᒥᑯᐃᐧᓇᐣ ᐊᔭᐊᐧᐣ ᑭᐡᐱᐣ ᑲᓇᐣᑕᐁᐧᐣᑕᒧᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐣ ᑭᐁᐧᑎᓄᐠ ᑲᔭᑭᐣ, ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒥᐣᑕᐧ, ᒥᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ, ᐊᑯᓯᐃᐧᑲᒥᑯᐣ ᒥᓇ ᓇᓇᐣᑐᐠ ᐊᐊᐧᔑᔑᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ.

ᒋᑕᐦᐃᑫᐃᐧ ᒪᐊᐧᐣᑐᐱᐦᐃᑫᐃᐧᐣ ᒋᑕᐦᐅᑎᐃᐧᐣ ᑲᒪᓯᓇᐦᐃᑲᑌᑭᐣ

12,405

ᒪᐣᑐ ᓇᓇᑲᒋᒋᑫᐃᐧᐣ

522

ᒋᑕᐦᐅᑎᐃᐧᐣ/ ᒪᐣᑐ ᓴᑲᑭᐱᐦᐃᑫᐃᐧᐣ ᑲᑭᐊᐣᑐᑕᒪᓂᐊᐧᐠ

1,397

ᐅᑕᑯᓯᐠ ᐅᒪᓯᓇᐦᐅᑯᐃᐧᓂᐊᐧ ᐅᐢᑭ ᐅᑕᑯᓯᐠ

609

ᑲᐊᐣᒋᓭᓂᐠ ᐅᑕᑯᓯ ᐅᒪᓯᓇᐦᐅᑯᐃᐧᐣ

519

ᑲᐃᐢᑲᐧᐱᒪᑎᓯᐨ ᐅᑕᑯᓯ

126

33

ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑌᓫᐊᒪᐢᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐊᐧᓇᓇᐊᐧᑲᐠ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐢᑭᑭᐃᐧᑭᒪᐃᐧᐣ (SLFNHA) ᑲᐃᐧᑕᓄᑭᒪᐨ ᑭᐁᐧᑎᓄᐠ ᐅᑭᒪᑲᓇᐠ ᑌᓫᐊᒪᐢᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ (KOTM) ᐅᐱᒧᑐᓇᐊᐧ ᒪᐢᑭᑭᐃᐧ ᒥᓇ ᒪᒥᑐᓀᐣᒋᑫᓇᐱᓀᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐃᐃᒪ 26 ᐃᐡᑯᓂᑲᓇᐣ ᐃᐃᒪ ᑲᐊᔭᒪᑲᑭᐣ ᑭᑕᐃᐧᔭᐦᐃ ᐊᐧᓇᓇᐊᐧᑲᐠ. ᑌᓫᐃ ᒪᐢᑭᑭ ᐅᐃᐧᒋᑲᐸᐃᐧᑕᐣ ᒪᐢᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ ᐃᐃᒪ ᑕᔑᑫᐃᐧᓂᐠ ᒋᐅᐣᒋ ᐃᐧᒋᐦᐃᑯᐊᐧᐨ ᒪᐢᑭᑭᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ, ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ, ᐃᐢᑯᓄᐃᐧᐣ ᒥᓇ ᑭᑭᓄᐦᐊᒪᑐᐃᐧᐣ ᒋᐊᔭᒪᑲᐠ ᒋᐅᐣᒋ ᒥᓄᓭᑭᐣ ᑕᔑᑫᐃᐧᓇᐣ ᐁᑲᐧ ᒥᓇ ᐁᑲ ᐊᐊᐧᔑᒣ ᒋᑭᒋ ᒪᒋᓭᑭᐣ ᐱᒪᑎᓯᐃᐧᓇᐣ ᐃᐁᐧᑎ ᑭᐁᐧᑎᓄᐠ. ᑕᔑᑫᐃᐧᐣ ᒥᓇ ᑲᐃᐧᑕᓄᑭᒪᐨ ᑭᐁᐧᑎᓄᐠ ᐅᑭᒪᑲᓇᐠ ᑌᓫᐃ ᒪᐢᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐅᐃᐧᑕᓄᑭᒪᐊᐧᐣ ᐅᐣᑌᕑᐃᔪ ᑌᓫᐃ ᒪᐢᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ, ᑲᓇᑕ ᐊᑯᓯᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᒥᓇ ᐅᐣᑌᕑᐃᔪ ᐃᐢᑯᓂᑲᓇᐣ. ᒥᔑᐣ ᐅᐣᑌᕑᐃᔪ ᑭᒋ ᐊᑯᓯᐃᐧᑲᒥᑯᐣ, ᒪᐢᑭᑭᐃᐧᑲᒥᑯᐣ, ᒪᐢᑭᑭᐃᐧ ᐊᑕᐁᐧᐃᐧᑲᒥᑯᐣ, ᑯᑕᑭᔭᐣ ᒪᐢᑭᑭᐃᐧᑲᒥᑯᐣ ᒥᓇ ᐃᐧᒋᐃᐁᐧᐃᐧᓂ ᑲᐱᒧᑐᐊᐧᐨ ᐅᑐᐣᒋ ᐃᐧᑕᓄᑭᒪᐊᐧᐣ ᑌᓫᐃ ᒪᐢᑭᑭᐃᐧᓂ ᑲᐱᒧᑐᓂᐨ. ᒪᔭᑦ ᑲᑭ ᑭᒋᐊᓄᑲᑌᑭᐣ ᐃᐦᐃᐁᐧ ᒣᑲᐧᐨ ᒥᑭᓯᐃᐧᐱᓯᑦ 2012, ᓄᑎᐣ ᐱᐊᐧᐱᑯᐠ ᑲᐅᐣᒋ ᐃᐧᒋᐦᐃᑎᓇᓄᐠ ᐃᐦᐃᒪ ᐯᑲᐣᒋᑲᒥᐠ ᒥᓇ ᓄᑎᐣ ᐊᐧᓇᓇᐊᐧᑲᐠ ᑲᐊᔭᒪᑲᐠ ᐅᑕᔭᓇᐊᐧ ᒪᓯᓇᑌᓯᒋᑲᐣ ᐊᐃᐧᔭ ᑲᐅᒋ ᒪᒥᓄᒪᑲᓄᐨ. ᐱᐊᐧᐱᑯᐃᐧ ᒪᒥᓂᒧᐁᐧᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐅᐃᐧᑕᓄᑭᒪᐣ ᐊᐱᓄᐣᒋᐢ ᐊᑯᓯᐃᐧᑲᒥᐠ ᐃᐦᐃᒪ ᑐᕑᐊᐧᐣᑐ ᑲᐊᔭᒪᑲᐠ ᑲᐅᐣᒋ ᓇᓇᑲᒋᐃᐣᑕᐧ ᐅᐢᑲᑎᓴᐠ 2 ᐊᑯᓇᐠ–18 ᑲᑕᓱᐱᐳᓀᐊᐧᐨ. ᐅᐦᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐅᑐᐣᒋ ᐃᐧᒋᐃᑯᐣ ᐊᐃᐧᔭ, ᐃᓯᓭᐃᐧᓂᓂ ᑲᐊᓄᑲᑕᐠ, ᐅᑎᓇᐁᐧᒪᑲᓇᐣ ᒥᓇ ᑯᑕᐠ ᐅᑕᓄᑭ ᒪᒪᐤ ᒋᑭ ᑲᑲᓄᓇᐊᐧᐨ ᐅᑫᐧᓂᐊᐧᐣ ᐊᐊᐧᔑᐡ ᐅᒪᐢᑭᑭᐃᐧᓂᓂᒪᐣ. ᐅᐦᐅᐁᐧ ᒪᒪᐤᒋᑫᐃᐧᐣ ᐅᑭᒍᑕᓄᑭᐠ ᒋᑭ ᐅᐣᒋ ᐃᐧᒋᐦᐃᑎᐊᐧᐨ ᑎᐯᐣᒋᑫᐃᐧᓇᐣ ᒥᓇ ᑲᐱᒧᑐᓂᐨ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᐃᑭᑐᓂᐨ ᑲᐃᔑᐱᐦᐃᑲᓱᓂᐨ ᐅᑕᑯᓯᐣ ᑫᑭ ᐃᔑ ᐱᒥᐃᐧᑕᓄᑭᒪᐊᐧᐨ ᓄᑎᐣ ᐅᑕᓄᑭᐣ. ᑭᐅᐢᑭᒋᑲᑌᐊᐧᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᐱᒥᔭᒪᑲᑭᐣ ᐃᐦᐃᒪ ᓄᑎᐣ ᒪᓯᓇᐃᑫᐃᐧᑲᒥᑯᐠ ᐁᑲᐧ ᒥᓇ ᑲᒪᑭᔭᐊᐧᐨ ᑲᐅᐣᒋ ᐃᐧᒋᐃᐣᑕᐧ ᒪᓯᓇᐃᑫᐃᐧᑲᒥᑯᐠ. ᑌᓫᐃ ᒪᐢᑭᑭ ᐅᑕᓄᑲᑕᐣ ᑯᑕᑭᓂ ᒋᐅᐣᒋ ᑎᐸᒋᒧᓂᐨ ᐅᑕᑯᓯᐣ ᐅᑎᓯᓭᐃᐧᓂᓂᐣ. ᐃᔑᒋᑫᐃᐧᐣ

ᑕᓴᐧ ᑲᑭ ᒪᐊᐧᒋᐦᐃᑎᓇᓂᐊᐧᐠ

ᒪᐢᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ

122

ᒪᐊᐧᒋᐦᐃᑎᐃᐧᐣ

23

ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ

22

ᑫᐊᓂᔑ ᐱᒋᓂᐢᑲᓂᐊᐧᐠ ᑌᓫᐃ ᒪᐢᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐅᑐᐣᒋ ᐃᐧᒋᐃᑯᐣ ᑲᒪᒋᑭᓯᑲᓂᐠ ᒥᓇ ᐁᑲ ᑯᑕᑭᔭᐣ ᑲᐃᓯᓭᑭᐣ ᒋᑭ ᐅᐣᒋ ᑲᑲᓄᓇᐊᐧᐨ ᐅᒪᐡᑭᑭᐊᐧᓄᑭᐣ ᒥᓇ ᑯᑕᑭᔭᐣ ᐅᑭᒍᑕᓄᑭᐣ. SLFNHA ᑌᓫᐃ ᒪᐢᑭᑭ ᐃᐧᒋᐁᐧᐃᐧᓇᐣ ᑭᔭᐱᐨ ᐊᔭᒪᑲᓄᐣ ᐃᐦᐃᒪ ᑕᔑᑫᐃᐧᓂᐠ ᐁᔭᐸᑕᐠ ᒪᒪᐣᑕᐤᐱᐊᐧᐱᐠ. ᓂᑲᐣ ᑲᐃᓇᐱᒥᐣ ᒥᓇᐊᐧᐨ ᐊᐦᑭᐊᐧᐠ ᐅᐦᐅᐁᐧ ᐅᐣᒋ ᑌᓫᐃ ᒪᐢᑭᑭ.

ᑲᒪᑲᑎᓯᐊᐧᐨ ᑲᐃᐧᒋᐦᐃᐣᑕᐧ

34

ᑕᔑᑫᐃᐧᐣ ᐃᐧᒋᐦᐁᐧᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐅᐱᒧᑐᐣ ᑫᓄᒋᐊᐣᒋᐢᑲᐊᐧᐨ ᒥᓇ ᑫᐅᐣᒋᐃᐧᒋᐦᐣᑕᐧ ᑲᒪᑭᔭᐊᐧᐨ ᑭᒋᔭᐦᐊᐠ (18 ᑲᑕᓱᔭᑭᐃᐧᓀᐊᐧᐨ ᒥᓇ ᐃᐡᐱᒥᐠ) ᑲᒪᑲᑎᓯᐊᐧᐨ, ᒪᒥᑐᓀᐣᒋᑲᓂᐠ ᑲᐊᑯᓯᐊᐧᐨ ᐁᑲᐧ ᒥᓇ ᑲᐊᓂᒪᑎᓯᐊᐧᐨ. ᐅᐦᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᒥᓇ ᐃᐧᒋᐁᐧᐃᐧᐣ ᐅᐱᒧᑐᐣ ᒥᓇ ᐅᐃᐧᑕᓄᑭᒪᐣ ᐊᐧᓇᓇᐊᐧᑲᐣᐠ ᐅᒪᑲᑎᓴᐠ ᑲᐃᔑ ᑲᓇᐁᐧᐣᑕᑯᓯᐊᐧᐨ ᒥᓇ ᓱᕑᐃ ᐱᓫᐁᐢ.

ᒪᔭᑦ ᑲᑭ ᑭᒋᐊᓄᑲᑌᑭᐣ ᐅᐦᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐅᑕᔭᐊᐧᐣ ᓂᔑᐣ ᐅᑕᓄᑭᐣ ᐁᐅᐣᒋ ᐃᐧᒋᐦᐊᐨ 102 ᐅᑕᑯᓯᐣ ᒥᓇ ᐅᑎᓇᐁᐧᒪᑲᓂᓂᐣ, ᐁᐃᓇᓄᑭᐊᐧᐨ ᐁᐅᐣᒋ ᐃᐧᒋᐦᐊᐨ ᐅᒪᐢᑭᑭᐊᐧᓄᑭᐣ/ᐱᒪᑎᓯᐃᐧᐣ ᑲᐊᓄᑲᑕᒧᐊᐧᐨ, ᒥᓇ ᒋᐅᐣᒋ ᑭᑫᐣᑕᑲᐧᐠ ᐅᐦᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐸᐸᑲᐣ ᑕᓇᐳᐃᐧᓇᐣ. • ᑭᐃᔑᒋᑲᓄᐊᐧᐣ 14 ᑕᓇᐃᐧᓇᐣ ᐁᑭᐃᔕᓄᐊᐧᐠ • ᑭ ᑭᔑᒋᑲᑌᐊᐧᐣ 20 ᐊᐃᐧᔭᐠ ᐁᑭ ᒪᐡᐢᑭᑭᐃᐧ ᓇᓇᑲᒋᐦᐃᐣᑕᐧ • ᑭ ᑭᔑᒋᑲᑌᐊᐧᐣ 15 ᐅᐣᑌᕑᐃᔪ ᑲᐃᐧᒋᐊᐨ ᑲᒪᑭᓯᓂᐨ ᑲ ᓇᓇᑲᒋᐦᐃᒥᐨ • ᑭᐃᐧᒋᑲᐸᐃᐧᒋᑲᑌ ᑲᑭᔑᒋᑲᑌᐠ 31 ᑲᐊᐧᐁᐧᓇᒋᑲᑌᑭᐣ ᐃᐦᐃᒪ ᐸᐸᑲᐣ ᒪᒥᑐᓀᐣᒋᑲᓇᐱᓀᐃᐧᓇᐣ, ᒥᓇ ᑲᑭᑐᐃᐧᓂᐠ ᐁᑲᐧ ᒥᓇ ᐃᔑᑭᔐᐧᐃᐧᓂᐠ • ᑭᐃᐧᒋᑲᐸᐃᐧᒋᑲᑌᐊᐧᐣ ᑲᑭᐱᒧᒋᑲᑌᑭᐣ 60 ᑕᓴᐧ ᒪᒥᓄᒧᐁᐧᐃᐧᓇᐣ • ᑭᐃᔑᒋᑲᓄᐊᐧᐣ ᓂᔕᐧ ᐁᑭ ᒪᒪᐊᐧᐱᓇᓄᐠ ᐅᐦᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐅᐣᒋ ᑫᐅᐣᒋ ᒥᓄᓭᐨ ᐅᓂᑭᐦᐃᑯᒪ ᒥᓇ ᐊᐃᓇᓀᐊᐧ ᐁᑭ ᒪᒪᐤ ᐊᔭᒥᐦᐃᑎᐊᐧᐨ ᐊᔑᐨ 10 ᐅᑕᑯᓯᐠ. • ᔓᓂᔭ ᑲᐸᑭᑎᓂᐨ ᐊᐃᐧᔭ ᒋᓴᑲᐦᐊᐣᐠ ᑲᓇᑕ ᐁᑲᐧ 15 ᑭᒧᐡᑭᓀᐱᐦᐃᑫᐊᐧᐠ. ᐅᑕᑯᓯ ᑲᐃᔑᐱᒧᑕᒪᐃᐧᐣᐨ • ᐅᑲᑲᓄᒋᑫᐠ ᑲᐅᑯᔭᐊᐧᐨ, ᑭᐅᓇᓴᐊᐧᐠ 2009 ᒋᐃᐧᒋᐦᐊᐊᐧᐨ ᑭᒋᔭᐦᐊᐣ ᑲᒪᑲᑎᓯᓂᐨ ᑫᐃᐧᓇᐊᐧ ᒋᑭᑲᐡᒋᑐᐊᐧᐨ ᑯᑕᑭᔭᐣ ᑲᐃᔑᐊᐣᑕᐁᐧᐣᑕᒥᓂᐨ ᒥᓇ ᑲᐃᔑᒥᓴᐁᐧᐣᑕᒥᓂᐨ, ᐃᔑ ᐱᒥᔭᒪᑲᐣ. 11 ᐅᑕᑯᓯᐠ ᑭᓇᓇᑲᒋᐦᐊᐊᐧᐠ ᒋᒪᒪᐃᐧᐡᑲᐊᐧᐨ ᑕᓱ ᐱᓯᑦ. ᒪᑯᔐᑭᔑᑲᐃᐧ ᓇᓇᑯᒧᐃᐧᐣ ᑭᐸᑭᑎᓂᑲᑌ ᒣᑲᐧᐨ ᒪᑯᔐᑭᔑᑲᐃᐧᐱᓱᑦ 2011. ᑲᑭᑕᔑᐊᓄᑭᓇᓂᐊᐧᐠ ᐃᐦᐃᒪ ᐊᐧᐃᐧᔦᑲᒪᐠ, ᐊᒋᑯ ᓴᑲᐦᐃᑲᓂᐠ, ᐱᔑᐃᐧᓴᑲᐦᐃᑲᓂᐠ, ᐯᐣᒋᒪᐣᐦᐁᐟ ᐃᐡᑯᓂᑲᓂᐠ, ᐊᑎᑯᑲᐣ, ᐊᓴᐸᓇᑲᐠ ᒥᓇ ᐊᑎᑯ ᓴᑲᐦᐃᑲᓂᐠ. • ᑌᓫᐃᒪᐡᑭᑭ ᑲᐊᓄᑲᑕᐠ: ᑭ ᑭᒋ ᐅᓇᒋᑲᑌ ᑫᐃᔑ ᐊᔭᐣᑲᐧᒥᓯᓇᓂᐊᐧᐠ (ᐊᑎᑲ ᐃᐦᐃᐁᐧ. ᒥᓄᔭᐃᐧᐣ/ ᑫᐃᔑᓂᓂᒋᑲᐣᑌᐠ) ᑭᐃᔑᓂᔕᐃᑲᑌ ᒥᓯᐁᐧ ᑲᐃᓯᔭᒪᑲᑭᐣ ᒪᓯᓇᑌᐱᒋᑲᓇᐣ (ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐣ ᒥᓇ ᓱᕑᐃ ᐱᓫᐁᐢ) ᒋᐊᔭᐊᐧᐨ ᑫᓯᑲᓄᓂᐣᑕᐧ MMW-KRR ᑲᐊᓄᑲᑕᒧᐊᐧᐨ (ᐊᑎᑲ ᐃᐦᐃᐁᐧ. FNHA, SPC). ᒥᓇ ᑭ ᑭᒋ ᐅᓇᒋᑲᑌ ᑲᐸᐸᓯᓭᐠ (ᐊᑎᑲ ᐃᐦᐃᐁᐧ. ᒪᐢᑭᑭ) ᑲᑭᓇ ᐊᐃᐧᔭᐠ ᒋᑭᐊᐸᒋᑐᐊᐧᐨ ᐃᐁᐧᓂ ᑲᐸᑭᑎᓂᑲᑌᓂᑭᐣ • ᐱᒧᒋᑫᐃᐧᐣ ᑫᐅᐣᒋ ᒥᓄᓭᐨ ᐅᓂᑭᐦᐃᑯᒪ: ᑭᐊᐸᑕᐣ ᑫᐅᐣᒋ ᒥᓄᓭᐨ ᑲᐊᓂᒪᑎᓯᐨ ᒥᓇ ᑭᑭᓄᐦᐊᒪᑐᐃᐧᐣ ᑫᐃᓯ ᑲᓇᐁᐧᓂᒪᐨ ᐊᐊᐧᔑᔕᐣ ᐁᑲᐧ ᒥᓇ ᒋᑭᑫᐣᑕᑯᒋᑲᑌᐠ ᑭᔭᐱᐨ ᑫᑭᓯ ᒥᓄᐃᐧᒋᐃᐧᑎᐊᐧᐨ ᐅᓂᑭᐦᐃᑯᒪ – ᐊᐊᐧᔑᐡ. ᓂᔑᐣ ᐅᑕᑯᓯᐠ ᐅᑭᑐᑕᓇᐊᐧ ᐅᐦᐅᐁᐧᓂ ᐱᒧᒋᑫᐃᐧᓂᓂ. • ᒪᑲ̇ᑎᓱᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑭ ᑭᑭᓄᐦᐊᒪᑫᓇᓄᐣ ᐊᐧᑌᐸᑲᐃᐧᐱᓯᑦ 12–16 ᐃᑫᐧᓄᐠ 17 ᐅᑕᑯᓯᐠ ᒥᓇ ᐅᑎᓇᐁᐧᒪᑲᓂᒪᐠ ᐃᐦᐃᒪ ᐁᑭᐊᔭᐊᐧᐨ. ᐃᑫᐧᓂᐊᐧᐣ ᑲᑭ ᑕᔑᐣᒋᑲᑌᑭᐣ: ᑫᑭᔑᐃᐧᒋᐦᐊᑲᓄᐨ ᑲ ᐊᓂᒪᑎᓯᐨ, ᑫᔑ ᒥᓄᓭᓂᐠ ᐅᐱᒪᑎᓱᐣ, ᑲᐅᓇᒋᑲᑌᐠ ᐃᐧᒋᐃᐧᑐᐃᐧᐣ, ᒋᐃᐧᒋᑕᐧᐨ ᑲᐃᓯᒋᑲᓄᓂᐠ, ᐁᑲ ᒋᐊᐧᓂᑫᐨ ᑲᐃᓯᐱᐦᐃᑲᑌᓂᐠ ᒪᓯᓇᐦᐃᑲᓇᐣ, ᐅᐃᐧᔭᐤ ᑫᔑᐸᒥᑐᐨ, ᐅᐃᐧᐱᑕᐣ ᑫᔑᐸᒥᐦᐊᐨ ᒥᓇ ᑲᐃᔑᐱᐃᑲᑌᓂᐠ ᑫᔑᐸᒥᐃᑎᓯᐨ. ᐅᑕᑯᓯ ᐅᐃᐧᒋᐦᐃᑯᐃᐧᓇᐣ ᒪᒪᐤ 10 ᑕᔑᑫᐃᐧᓇᐣ ᑭᐃᐧᒋᑲᐸᐃᐧᒋᑲᑌᐊᐧᐣ ᐊᐦᐊᐁᐧ ᐅᑕᑯᓯ ᑲ ᑭᐅᑌᐨ ᑲᐅᐣᒋᐨ ᓇᐣᑕ ᑲᔦ ᐅᑎᓇᐁᐧᒪᑲᓇᐣ ᑲᑭᐃᐧᑲᒥᑯᐨ ᐃᐁᐧᑎ ᑕᐣᑐᕑ ᐯ ᒥᓇ ᑭᓇᐧᕑᐊ. ᑫᐊᓂᔑ ᐱᒋᓂᐡᑲᓂᐊᐧᐠ • ᐅᑕᓄᑭᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑯᓯᐊᐧᐨ ᐃᐦᐃᒪ SLFNHA, ᐊᐧᓇᓇᐊᐧᑲᐠ ᐅᒪᑲᑎᓴᐠ ᑲᔑ ᑲᓇᐁᐧᐣᑕᑯᓯᐊᐧᐨ ᒥᓇ ᓱᕑᐃ ᐱᓫᐁᐢ ᐅᑭ ᐅᔑᑐᓇᐊᐧ ᑫᐊᐸᑕᐠ ᐅᓇᒋᑫᐃᐧᐣ ᒋᓇᓇᑲᒋᒋᑲᑌᐠ ᑲᐃᔑ ᑲᑫᐧᑌᓇᓄᐠ. • ᒋᐃᔑ ᐱᒥ ᐃᐧᒋᒋᑲᑌᐠ ᐱᒧᒋᑫᐃᐧᐣ ᒥᓇ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐃᐁᐧᑎ ᒥᓯᐁᐧ ᑕᓇᐳᐃᐧᓇᐣ ᑲᐃᔑ ᐊᔭᒪᑲᑭᐣ.

35

Nodin Child and Family Intervention Services Nodin Child and Family Intervention Services deliver mental health services for children, adults and families in the Sioux Lookout Zone First Nations communities. Services include mental health counselling and assessments, early interventions, specialized clinics, traditional healing support, crisis management support, special needs case management, and youth residential stabilization and assessment through Mikinakoos. Nodin also provides training and planning to support communitybased staff. Kevin Berube

Nodin’s services are funded by the Ministry of Community and Social Services, Ministry of Children and Youth Services and Health Canada’s First Nations and Inuit Health Branch.

Key Accomplishments This year our accomplishments include: • Re-certification in the Child and Adolescent Functional Assessment Scale to gauge level of change in client pre- and post-treatment; • Training in expressive art therapy for counsellors to conduct group work with clients from our communities attending schools in the Sioux Lookout area • Training in Solution Focused Therapy for our counsellors to provide counselling in an evidence-informed model to our clients; • Issuance of another regular license by the Ministry of Children and Youth Services for Mikinakoos, our short term assessment and treatment unit; • Activation of a youth worker to provide youth programs in one of our communities to provide healthy alternatives for youth in combating prescription drug abuse; • Work with Kinark Child and Family Services to develop a community case management model that will benefit all community support services; • Approval of a proposal to conduct a needs assessment and feasibility study to develop a Child Advocacy Centre to serve our First Nations communities in the Sioux Lookout zone; • Provision of crisis response services to 50 requests from our communities.

Mental Health Services The provision of counselling support is the highest it has been in the past five service years. Through counselling services, specialty clinics and cultural support services we responded to the mental health needs of 5,866 clients in the 2011/12 service year. This does not include the number of clients served through our crisis response services, where an additional 4,224 clients were seen. Our acute care team is a team of three counsellors who provide intensive counselling services out of our Sioux Lookout office. Clients will be seen daily for up to two weeks with the goal to reduce or eliminate the crisis through counselling so the client can return home. In this past year our acute care team provided service to 739 clients. Another function of the team is to provide group counselling services to youth from our communities attending school at Pelican Falls First Nation High School or Queen Elizabeth District High School in Sioux Lookout. Members of our acute care team are receiving ongoing training in expressive art therapy, which they 36

incorporate into their group work with our youth. Our area teams provide ongoing counselling support to clients in our Northern communities. This past year we provided service to 2149 clients. Much of the work of updating and closing cases took place last service year allowing our counsellors the opportunity to see many more clients in this service year. All of our counsellors participated in Solution Focused Therapy (SFT) training. SFT is a strength-based counselling model that is designed to be completed in four to six sessions. Given the high needs of our communities, the high numbers of clients needing mental health services versus our limited resources we feel this is a model that fits our service challenges well. Our specialized services (psychology, psychiatry, expressive arts) provided assessments, ongoing support and consultation services to 526 clients in this service year. Our numbers of clients seen through our specialty clinics is the highest it has ever been; this is likely due to Nodin having both a psychologist and an expressive arts therapist in supervised practice join our team. Our cultural services team provided services to 2,452 clients in this service year. Along with providing support group work our cultural services staff facilitated 38 sweat lodge ceremonies and visited, by invitation, 10 of our communities this year to provide service. Some of the other services provided included: name giving ceremonies, memorial feasts, sharing circles, elder visits, residential school survivor support, education on medicinal plants, smudging ceremonies, abuse victim support and grief/loss support. The Wee Chee Way Win crisis line, based in Wunnumin Lake, is a crisis line funded by the Ministry of Children and Youth Services to provide telephone crisis response services to our communities. In the past service year the crisis line provided telephone crisis services to 224 clients. Nodin has been working with our community nursing stations to increase exposure to the crisis line. Posters and wallet cards have been

Nodin CFI Staff

37

Nodin Child and Family Intervention Services (continued) made and are being sent to our nursing stations providing information on the crisis line in an effort to increase usage by people who would benefit from this service. Nodin’s crisis response service responded to 50 community incident reports and requests for service in this past year. We deployed 41 crisis teams and 99 crisis counsellors in response to community requests. 4,224 clients were seen through crisis services. More recently our crisis counsellors have been responding to community requests for counsellor support for community withdrawal management programs. We have also deployed our crisis counsellors to respond to community requests for pastoral services to assist in funerals and memorials. Category

Services

2007-08

2008-09 2009-10 2010-11 2011-12

Counselling

Sioux Lookout Services

624

983

325

919

739

Northern Services

1,011

1,208

681

1,879

2,149

Speciality Clinics

342

351

215

473

526

Traditional Healing

1,655

1,376

2,853

2,500

2,452

Total # of Clients Seen

3,632

3,918

4,074

5,771

5,866

Crisis

Description

Suicide

Completions

21

14

14

10

12

Attempts

327

237

103

78

91

Responses

43

45

58

55

50

Crisis

2007-08 2008-09 2009-10 2010-11 2011-12

Mikinakoos – Short Term Assessment and Treatment Unit Mikinakoos is operating at capacity under a regular license issued through the Ministry of Children and Youth Services. In the first three quarters of the past service year we were operating at approximately 70 percent capacity - too low for a service that depends upon per diems to operate. In January 2012 we made the decision to conduct female intakes for 2012; this decision has resulted in higher client attendance and it also has allowed the program to be more flexible to meet individual client needs. For instance, if a client needs to stay a little longer the program can now accommodate this where it couldn’t in the past as the next intake group was the opposite gender.

Challenges Prescription drug abuse in our communities has impacted our services by the amount of requests for addictions support for community members as well as community requests to provide addictions counselling for withdrawal management programs. Understanding that we don’t receive addictions support funding we try to respond 38

Mikinakoos Staff From left: Illa Meekis, Nicholas Paulichenko, Nicole Jacob, Amanda Zatorsky and Walter Lyon Missing: Melenie Cheesequay, Aaron Mishibinijima, Catherine Hutchison, Nathan Mishibinijima, Josh Collin, Carrie Quoquat and Clifford Spencer

as well as we can to these requests. We continue to work with community resources (community mental health, NNADAP) to provide a coordinated response to requests for addictions support services. Responding to suicide has been at the forefront of our services since Nodin began as a service; it was the primary reason for the creation of Nodin. We continue to experience high numbers of suicide attempts and completions in our area. We understand that suicidal behavior is a symptom of other deeper rooted, unresolved issues and the response needed to address our suicide phenomena is multidimensional. We are in the process of identifying a consultant with experience in the study of suicide phenomena to work with us in an effort to assist our services as well as community-based services to better understand and respond to suicidal behavior.

Moving Forward Our efforts to continue to develop our services include: • An organization review of Nodin will begin in August 2012 that will review our current service delivery model and make recommendations for improving on the service; • Reviewing the Solution Focused Therapy counselling model for effectiveness with our client population; • Continue capacity development and share in training opportunities for community based support positions; • Training community-based staff in Mental Health First Aid; • Annualized program funding for the Family Healing Program, which will allow Nodin to work with more communities to provide training opportunities and the facilitation of the healing program; • Expand on the use of videoconferencing technology to provide closer supervision to staff leading to better client outcomes. 39

ᓄᑎᐣ ᐊᐊᐧᔑᐡ ᒥᓇ ᑎᐯᐣᒋᑫᐃᐧᓂᐠ ᒪᒥᓄᒥᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᓄᑎᐣ ᐊᐊᐧᔑᐡ ᒥᓇ ᑎᐯᐣᒋᑫᐃᐧᓂᐠ ᒪᒥᓄᒥᐁᐧᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐅᐸᑭᑎᓇᐣ ᐊᐊᐧᔑᔕᐠ, ᑲᑭᒋᐦᐊᐃᐧᐊᐧᐨ, ᒥᓇ ᑎᐯᐣᒋᑫᐃᐧᓇᐣ ᒪᒥᑐᓀᒋᑲᓂᐠ ᒥᓄᔭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐃᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᒋ ᑎᐯᑕᑲᐧᑭᐣ ᑕᔑᑫᐃᐧᓇᐣ. ᐸᑭᑎᓂᑲᑌᐊᐧᐣ ᒪᒥᑐᓀᒋᑲᓂᐠ ᒥᓄᔭᐃᐧ ᒪᒥᓄᒥᐁᐧᐃᐧᐣ, ᐁᐅᐣᒋᑕᒪᑲᓄᐊᐧᐠ ᓂᔭᑲᓇ ᑭᐱᑎᓂᑫᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ, ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ, ᑭᒋᐊᓂᒥᓭᐃᐧᓂᐠ ᐱᒥᐃᐧᒋᑫᑕᒪᑫ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ, ᑯᑕᑭᔭᐣ ᐃᓯᓭᐃᐧᓇᐣ ᑲᐅᒋᐱᒥ ᐊᐧᐃᐧᒋᒋᑲᑌᑭᐣ ᒥᓇ ᐅᐡᑲᑎᓴᐠ ᑲᔭᓂᒥᓭᐊᐧᐨ ᑲᑕᔑᑲᓇᐁᐧᑕᑯᓯᐊᐧᐨ ᐁᑲᐧ ᒥᓇ ᐅᒋ ᒪᒣᒋᑲᐦᐊᐊᐧᐠ ᐊᒋᓇ ᑲᔭᐸᑕᐠ ᓇᓇᑕᐃᐧᑭᑫᓂᒥᑯᐃᐧᐣ. ᐸᑭᑎᓂᑲᑌᐊᐧᐣ ᑲᔦ ᐁᐱᒥ ᑭᑭᓄᐦᐊᒪᐃᐧᑕᐧ ᒥᓇ ᐅᓇᒋᑲᑌᐊᐧᐣ ᐊᓂᐣ ᑫᐃᔑᐱᒥ ᐊᔭᓱᓂᑕᐧ ᑕᔑᑫᐃᐧᓂᐠ ᑲᑕᓇᓄᑭᐊᐧᐨ ᒪᒥᓄᒥᐁᐧᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐠ ᑲᐊᓄᑲᑕᒧᐊᐧᐨ.

ᑫᐱᐣ ᐱᕑᐅᐱ

ᓄᑎᐣ ᐊᐊᐧᔑᐡ ᒥᓇ ᑎᐯᐣᒋᑫᐃᐧᓂᐠ ᒪᒥᓄᒥᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐠ ᔓᓂᔭ ᐃᒪ ᐅᒋ ᐸᑭᑎᓇᑲᓄ ᐅᐣᑌᕑᐃᔪ ᐅᑭᒪᐅᓂᐠ ᐊᔕᒥᑐᐃᐧᐣ ᑲᐅᒋᐸᑭᑎᓂᑲᑌᐠ ᐁᑲᐧ ᒥᓇ ᐃᒪ ᑲᓇᑕ ᐅᑭᒪᐅᓂᐠ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐅᒋ ᐸᑭᑎᓂᑲᑌᐠ.

ᑲᑭ ᑭᒋ ᐊᓄᑲᑌᑭᐣ ᓄᑯᑦ ᑲᔭᑭᐊᐧᐠ ᓂᑭᑐᑕᒥᐣ ᐅᓄᐁᐧᓂᐊᐧᐣ ᐊᓄᑭᐃᐧᓇᐣ: • ᑲᑭᐁᐧ ᐅᑕᐱᓂᑲᑌᑭᐣ ᒪᓯᓇᐦᐃᑲᓀᓴᐣ ᐃᒪ ᐊᐊᐧᔑᐡ ᒥᓇ ᐅᐡᑲᑎᐢ ᑲᐃᔑ ᐱᒥ ᐅᑦᐱᑭᐨ ᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑫᐃᐧᐣ ᑲᐊᐱᒋᐡᑲᐨ ᒋᐅᐣᒋ ᑭᑫᐣᒋᑲᑌᐠ ᐊᓂᐣ ᒥᓂᑯᐠ ᐁᔑ ᐱᒋᓂᐡᑲᐨ ᐊᐊᐧᔑᐡ ᐁᒪᐧᔦ ᐱᐣᑎᑫᐨ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐠ ᒥᓇ ᐃᐡᑲᐧ ᑭᔑᑐᐨ ᐅᐃᐧᒋᐦᐃᑯᐃᐧᐣ; • ᒋᑭᑭᓄᐦᐊᒪᐃᐧᐣᑕᐧ ᐅᒪᒥᓄᒥᐁᐧᐠ ᒋᒪᓯᓂᐱᐦᐃᑫᐦᐊᐊᐧᐨ ᑲᐊᐧᐸᒪᐊᐧᐨ ᐃᒪ ᑭᑕᔑᑫᐃᐧᓂᓇᐣ ᑲᐅᐣᒋᐊᐧᐨ ᐃᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᑕᔑᐡᑯᓄᐃᐧᐊᐧᐨ (ᐯᕑᐃᑲᐣ ᐸᐧᕑᐢ ᒥᓇ QEDHS); • ᒋᑭᑭᓄᐦᐊᒪᐃᐧᐣᑕᐧ ᐅᒪᒥᓄᒥᐁᐧᐠ ᐃᐁᐧ ᑲᐊᐧᐸᒪᐊᐧᐨ ᐅᑕᑯᓯᐣ ᑲᐃᔑ ᑲᓇᐊᐧᐸᐣᑕᒧᓂᐨ ᐅᒪᒋᓭᐃᐧᓂᐊᐧ ᒥᓇ ᑫᑯᓀᓂᐦᐃ ᑲᐅᐣᒋᓯᓭᓂᐠ ᐅᒪᒋᓭᐃᐧᓂᐊᐧ ᐃᒪ ᑕᐡ ᒋᐅᐣᒋ ᑭᑭᓄᐦᐊᒪᐊᐧᐊᐧᐨ ᑲᐊᐧᐸᒪᐊᐧᐨ ᐅᑕᑯᓯᐣ; • ᒋᐊᐣᑐᑕᒪᐊᐧᑲᓄᐨ ᑯᑕᐠ ᒪᓯᓇᐦᐃᑲᓀᐢ ᑭᒋᐊᐊᐧᔑᔑᐃᐧᑭᒪ ᐃᒪ ᒥᑭᓇᑯᐢ ᑫᐃᔑ ᐊᐸᑕᐠ, ᐊᒋᓇ ᑲᐱᒥᓭᐠ ᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑫᐃᐧᐣ ᒥᓇ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᑲᒥᐠ; • ᒋᑭ ᒪᒋᒋᑲᑌᑭᐸᐣ ᐅᐡᑲᑎᐢ ᒋᑭ ᐊᓄᑭᐸᐣ ᑭᑕᔑᑫᐃᐧᓂᓇᐣ ᒋᑭ ᐅᐣᑕᒥᐦᐊᐸᓂᐣ ᐃᐧᒋᐅᐡᑲᑎᓴᐣ ᐁᑲ ᒋᑭ ᓄᒋᑐᓂᐸᐣ ᒪᒋᒪᐡᑭᑭᑫᐃᐧᐣ; • ᒋᐃᐧᑕᓄᒥᑲᓄᐊᐧᐨ ᑭᓄᕑᐠ ᐊᐊᐧᔑᐡ ᒥᓇ ᑎᐯᐣᒋᑫᐃᐧᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᒋᐅᓇᒋᑲᑌᑭᐣ ᑕᔑᑫᐃᐧᓂᐠ ᑫᐅᐣᒋ ᐊᓄᑲᑌᑭᐣ ᒥᓇ ᑫᐅᐣᒋ ᐃᐧᒋᒋᑲᑌᑭᐣ ᐃᓯᓭᐃᐧᓇᐣ ᒪᓯᓇᐦᐃᑲᐣ; • ᒋᑭ ᐊᔭᑭᐸᐣ ᐸᑭᑕᔓᐊᐧᒋᑫᐃᐧᐣ ᑲᓇᐣᑕᐁᐧᐣᑕᑲᐧᐠ ᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑫᐃᐧᐣ ᒥᓇ ᒋᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑲᑌᐠ ᐊᐣᑎ ᐁᔑ ᓇᓄᐣᑌᓭᑭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᒥᓇ ᐊᐣᑎ ᐃᓀᑫ ᐁᔑ ᒥᓄᓭᑭᐣ ᒋᑭ ᐅᓇᒋᑲᑌᑭᐸᐣ ᐊᐊᐧᔑᔑᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᑲᒥᐠ ᐃᒪ ᒋᑭ ᐅᐣᒋ ᐃᐧᒋᒋᑲᑌᑲᐧᐸᐣ ᑭᑕᓂᔑᓂᓂᐃᐧ ᑕᔑᑫᐃᐧᓂᓇᐣ ᐅᒪ ᑌᑎᐸᐦᐃ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᑭᐣ; • ᒋᐅᓇᒋᑲᑌᐠ ᑭᒋᒪᒋᓭᐃᐧᐣ ᑫᐃᔑ ᐊᓄᑲᑌᐠ ᐃᑫᐧᓂᐊᐧᐣ 50 ᓇᐣᑐᑕᒪᐃᐧᓇᐣ ᑲᐅᐣᒋᓭᑭᐣ ᑭᑕᔑᑫᐃᐧᓂᓇᐣ.

ᑲᐃᐧᑕᓄᑭᒪᔭᑭᑕᐧ • • • • • • • • • • 40

ᐊᓂᔑᓂᓂᐃᐧ ᑕᔑᑫᐃᐧᓇᐣ ᑲᐸᐱᑭᔕᑭᓱᐊᐧᐨ ᐅᑭᒪᑲᓇᐠ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒥᓄᔭᐃᐧᐣ ᒪᐡᑭᑭᐃᐧᑲᒥᐠ ᐊᓂᔑᓇᐯ ᐊᐢᑭ ᑕᔑᑫᐃᐧᓂᐠ ᒪᒥᓄᒥᐁᐧᐃᐧᐣ ᒥᓇ ᑲᓴᑲᐱᓀᐦᐃᐁᐧᒪᑲᑭᐣ ᑫᑯᓇᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑎᑭᓇᑲᐣ ᐊᐊᐧᔑᔕᐠ ᒥᓇ ᑎᐯᐣᒋᑫᐃᐧᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑭᐁᐧᑎᓄᐠ ᐅᑭᒪᑲᓇᐠ ᑌᕑᐃ ᒪᐡᑭᑭ ᑭᓇᕑᐠ ᐊᐊᐧᔑᐡ ᒥᓇ ᑎᐯᐣᒋᑫᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᒪᒋ ᒪᐢᑭᑭᐣ ᒥᓇ ᑯᑕᑭᔭᐣ ᑫᑯᓇᐣ ᑲᔭᐸᒋᑐᐊᐧᐨ ᒥᓇ ᒪᒥᑐᓀᐣᒋᑲᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᑲᒥᐠ ᐊᐊᐧᔑᔑᐃᐧ ᒪᒥᑐᓀᐣᒋᑲᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᑲᒥᐠ – ᐊᐊᐧᔑᔑᐃᐧ ᒪᐡᑭᑭᐃᐧᑲᒥᐠ ᐊᐧᐸᓄᐣᐠ ᐅᐣᑌᕑᐃᔪ • ᐊᐊᐧᔑᔑᐃᐧ ᒪᒥᑐᓀᐣᒋᑲᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ – CHEO

• ᐊᐊᐧᔑᔑᐃᐧ ᒪᒥᑐᓀᐣᒋᑲᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ

ᒪᒥᓄᒥᐁᐧᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐸᑭᑎᓂᑲᑌᐠ ᒪᒥᓄᒥᐁᐧᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᒪᐊᐧᐨ ᒥᐢᑕᐦᐃ ᐁᑭ ᓇᐣᑕᐁᐧᐣᑕᑲᐧᐠ ᐅᑕᓇᐣᐠ ᓂᔭᓄᐊᐦᑭ ᒥᓂᑯᐠ. ᐃᒪ ᑕᐡ ᑲᑕᔑ ᒪᒥᓄᒧᐊᐧᓂᐊᐧᐠ, ᑭᒋᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᑲᐊᐧᐸᒪᐊᐧᐨ ᐅᑕᑯᓯᐣ ᒥᓇ ᐊᓂᔑᓂᓂᐃᐧ ᐃᔑᒋᑫᐃᐧᓇᐣ ᑲᐃᐧᒋᑲᐸᐃᐧᒋᑲᑌᑭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᑭ ᐊᓄᑲᑕᒪᐣᑭᐣ ᐃᒪ ᒪᒥᑐᓀᐣᒋᑲᓇᐱᓀᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᓇᐣᑕᐁᐧᐣᑕᒧᐊᐧᐨ 5866 ᐅᑕᑯᓯᐠ ᒣᑲᐧᐨ 2011/12 ᐱᒧᒋᑫᐃᐧ ᐊᐦᑭ ᑲᐃᓇᐣᑭᒋᑲᑌᐠ. ᑲᐃᐧᐣ ᐃᑫᐧᓂᐊᐧᐠ ᒋᑕᑲᐧᑭᐣᑌᐣ ᑕᓯᐣ ᐅᑕᑯᓯᐠ ᑲᑭ ᐊᐧᐸᒥᐣᑕᐧ ᐃᒪ ᑭᒋᒪᒋᓭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐠ, ᐃᒪ ᑕᑯ ᑲᔦ 4224 ᐅᑕᑯᓯᐠ ᑲᑭ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ. ᐃᑫᐧᓂᐊᐧᐠ ᓂᑕᓄᑭᓇᑲᓂᓇᐣ ᑲᐅᐣᒋ ᓇᓇᑲᒋᐦᐊᑲᓄᐊᐧᐨ ᐅᑯᑕᓯᐣ ᐃᒪ ᐊᑯᓯᐃᐧᑲᒥᑯᐠ ᑲᐊᔭᐊᐧᐨ ᓂᐦᓯᐊᐧᐠ ᐅᒪᒥᓄᒧᐁᐧᐠ ᑲᐸᑭᑎᓇᒧᐊᐧᐨ ᐅᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐊᐧ ᐃᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒪᓯᓇᐦᐃᑫᐃᐧᑲᒥᐠ ᑲᐅᐣᒋ ᐊᓄᑭᑕᒪᑫᐊᐧᐨ. ᐅᑕᑯᓯᐠ ᑕᓱᑭᔑᑲ ᑕᐊᐧᐸᒪᐊᐧᐠ ᓂᔓᐱᒥᑯᓇᑲ ᒥᓂᑯᐠ ᐃᐁᐧ ᑕᐡ ᑲᐅᐣᒋ ᑐᒋᑲᑌᐠ ᓇᐊᐧᐨ ᒋᑭ ᑕᐸᓯᓭᑭᐸᐣ ᓇᐣᑕ ᑲᔦ ᐁᑲ ᒋᑭ ᐊᔭᑭᐸᐣ ᑭᒪᒋᓭᐃᐧᓇᐣ ᐃᒪ ᑲᐃᔑ ᒪᒥᓄᒥᐁᐧᓇᓂᐊᐧᐠ ᐃᐧᐸᐨ ᓇᐊᐧᐨ ᒋᑭ ᐊᓂᑭᐁᐧᐊᐧᐸᐣ ᐅᑕᑯᓯᐠ. ᓄᑯᑦ ᑲᐱᒥᓭᐠ ᐊᐦᑭ ᐃᑫᐧᓂᐊᐧᐠ ᐊᓄᑭᓇᑲᓇᐠ ᐊᑯᓯᐃᐧᑲᒥᑯᐠ ᑲᑕᔑ ᒪᒥᓄᒥᐁᐧᐊᐧᐨ ᐅᑭ ᐊᐧᐸᒪᐊᐧᐣ 739 ᐅᑕᑯᓯᐣ. ᐁᑲᐧ ᑕᐡ ᒥᓇ ᑯᑕᑭᓂ ᑲᐃᔑ ᐊᐧᐃᐧᒋᐦᐃᐁᐧᐊᐧᐨ ᐅᑫᐧᓂᐊᐧᐠ ᐊᓄᑭᓇᑲᓇᐠ ᒋᒪᒪᐃᐧ ᒪᒥᓄᒪᐊᐧᐨ ᐅᐡᑲᑎᓴᐣ ᑭᑕᔑᑫᐃᐧᓂᓇᐣ ᑲᐅᐣᑎᓭᐊᐧᐨ ᐃᒪ ᑲᑕᔑ ᐃᐡᑯᓄᐃᐧᐊᐧᐨ ᐯᓫᐃᑲᐣ ᐸᐧᓫᐢ ᒥᓇ ᐅᒪ ᐊᐧᓂᓇᐊᑲᐧᐠ ᐅᑌᓇᐣᐠ ᑲᑕᔑ ᑭᑭᓄᐦᐊᒪᑯᓯᐊᐧᐨ. ᐅᑫᐧᓂᐊᐧᐠ ᑕᐡ ᐊᓄᑭᓇᑲᓇᐠ ᒪᔭᑦ ᑲᐅᐣᒋ ᓇᓇᑲᒋᐦᐊᐊᐧᐨ ᐅᑕᑯᓯᐣ ᐱᒥ ᑭᑭᓄᐦᐊᒪᐊᐧᐊᐧᐠ ᐃᐁᐧᓂ ᑲᒪᓯᓂᐱᐦᐃᑫᐦᐊᐊᐧᐨ ᒋᐅᐣᒋ ᑎᐸᒋᒧᓂᐨ ᑲᐃᓀᐣᑕᒥᓂᐨ, ᐃᐦᐃᒪ ᒋᑭ ᐊᓄᐣᒋ ᒪᒋ ᑭᑭᓄᐦᐊᒪᐊᐧᐸᐣ ᑭᑐᐡᑲᑎᓯᒥᓇᐣ. ᐅᒪ ᑌᑎᐸᐦᐃ ᐊᐧᓂᓇᐊᐧᑲᐠ ᐅᒪᒥᓄᒥᐁᐧᐠ ᑲᐊᔭᐊᐧᐨ ᒥᐱᑯ ᐁᐱᒥ ᒪᒥᓄᒪᐊᐧᐨ ᐅᑕᑯᓯᐣ ᑭᐁᐧᑎᓄᐠ ᑲᔭᐊᐧᐨ ᐅᑕᑯᓯᐠ. ᐅᑕᓇᐣᐠ ᑲᑭ ᐊᐦᑭᐊᐧᐠ ᓂᑭ ᐊᐧᐸᒪᒥᐣ 2149 ᐅᑕᑯᓯᐠ. ᐃᒪ ᑲᐊᓂᔑ ᑲᑭᔑᐱᐦᐃᑲᑌᓂᐠ ᒥᓇ ᑲᑭᐸᐦᐃᑲᑌᓂᐠ ᐅᑕᑯᓯᐠ ᐅᒪᓯᓇᐦᐅᑯᐃᐧᓂᐊᐧ ᐅᑭ ᑐᑕᓇᐊᐧ ᒥᓇᐊᐧ ᑲᑭ ᐊᐦᑭᐊᐧᐠ ᐁᑭ ᐅᐣᒋ ᐊᐧᐸᒪᐊᐧᒋᐣ ᑯᑕᑭᔭᐣ ᐅᑕᑯᓯᐣ ᓄᑯᑦ ᑲᐱᒥᓭᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧ ᐊᐦᑭ ᑲᐃᓇᐣᑭᒋᑲᑌᐠ. ᑲᑭᓇ ᑲᒪᒥᓄᒥᐁᐧᐊᐧᐨ ᑭᒋᐃᐧᒋᑕᐧᐊᐧᐠ ᐃᐁᐧ ᑲᐊᐧᐸᒪᐊᐧᐨ ᐅᑕᑯᓯᐣ ᑲᐃᔑ ᑲᓇᐊᐧᐸᐣᑕᒥᓂᐨ ᐅᒪᒋᓭᐃᐧᓂᐊᐧ ᒥᓇ ᑫᑯᓀᓂᐦᐃ ᑲᐅᐣᒋᓯᓭᓂᐠ ᐅᒪᒋᓭᐃᐧᓂᐊᐧ (SFT) ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ. SFT ᑲᐃᒋᑲᑌᐠ ᒥᐦᐃᒪ ᐁᐅᐣᒋ ᓇᓇᐣᑐ ᑭᑫᓂᒥᐣᑕᐧ ᑲᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐊᐣᑎ ᐁᔑ ᒪᐡᑲᐃᐧᓭᓂᑫᐧᐣ ᐃᒪ ᑲᔑ ᒪᒥᓄᒪᑲᓄᐊᐧᐨ ᓇᐣᑕ ᐱᑯ ᓂᐊᐧ̇ ᒥᓂᑯᐠ ᓂᑯᑕᐧᓴᐧ ᒋᐊᐧᐸᒪᑲᓄᐊᐧᐨ. ᐃᐁᐧ ᑕᐡ ᒥᐢᑕᐦᐃ ᑲᓇᐣᑕᐁᐧᐣᑕᑲᐧᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑭᑕᔑᑫᐃᐧᓂᓇᐣ, ᒪᐊᐧᐨ ᒥᔑᐣ ᑲᓇᐣᑕᐁᐧᐣᑕᒧᐊᐧᐨ ᐅᑕᑯᓯᐠ ᒪᒥᓄᒥᐁᐧᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓇᐣ ᐃᐁᐧ ᑕᐡ ᐁᑲ ᓇᐱᐨ ᒥᐢᑕᐦᐃ ᑲᐊᔭᔭᐠ ᑫᐅᐣᒋ ᐃᐧᒋᐦᐊᔭᐣᐠ ᐊᒥᐦᐃ ᐁᐃᓀᐣᑕᒪᐣᐠ ᐅᐁᐧ ᒪᓯᓇᐦᐃᑲᓂᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ ᒋᑭ ᐅᐣᒋ ᒥᓄᓭᑭᐸᐣ ᐅᒪ ᐃᐧᒋᐦᐃᐁᐧᐃᓂᐠ ᑲᐸᑭᑎᓇᒪᐣᐠ. ᐃᑫᐧᓂᐊᐧᐣ ᑯᑕᑭᔭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ (ᓇᓇᐣᑐᐠ ᒪᒥᑐᓀᐣᒋᑲᓇᐱᓀᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ, ᒥᓇ ᒪᓯᓂᐱᐦᐃᑫᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐅᐣᒋ ᑎᐸᒋᒧᐊᐧᐨ ᐅᑎᓀᐣᑕᒧᐃᐧᓂᐊᐧ) ᐅᑭ ᓇᓇᐣᑐ ᑭᑫᐣᑕᓇᐊᐧ, ᐅᑭ ᐱᒥ ᓇᓇᑲᒋᐦᐊᐊᐧᐣ ᒥᓇ ᐁᑭ ᐅᐣᒋ ᐊᔭᒥᐦᐊᐧᐨ ᐃᑫᐧᓂᐊᐧᐣ 526 ᐅᑕᑯᓯᐣ ᓄᑯᑦ ᑲᑭ ᐱᒥᓭᐠ ᐃᐧᒋᐦᐃᐁᐧ ᐊᐦᑭ ᑲᐃᓇᑭᑕᒪᐣᐠ. ᐃᑫᐧᓂᐊᐧᐠ ᑲᐊᐧᐸᒪᔭᐣᐠ ᐃᒪ ᑲᑕᔑ ᒪᒥᓄᒪᑲᓄᐊᐧᐨ ᒪᐊᐧᐨ ᐁᑭ ᐃᐡᐱᓭᐠ ᑕᓯᐣ ᑲᑭ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ; ᐅᐁᐧ ᑕᐡ ᑫᒋᐣ ᑲᑭ ᐅᐣᒋᓯᓭᐠ ᓄᑎᐣ ᑲᐊᔭᐊᐧᐊᐧᐨ ᑭᐊᐧᐡᑫᐧᐃᐧ ᒪᐡᑭᑭᐃᐧᓂ ᑭᓇᐃᐧᐣᐟ ᑲᐃᔑᓂᑲᓇᔭᐠ ᒥᓇ ᐃᐁᐧᓂ ᑲᒪᓯᓂᐱᐦᐃᑫᐦᐊᐊᐧᐨ ᑲᐊᐧᐸᒪᐊᐧᐨ ᒋᐅᐣᒋ ᑎᐸᒋᒧᓂᐨ ᐅᑎᓀᐣᑕᒧᐃᐧᓂᐊᐧ ᑲᑭ ᐃᐧᑕᓄᑭᒥᑯᔭᐣᐠ. ᐃᑫᐧᓂᐊᐧᐠ ᐊᓂᔑᓂᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐊᓄᑲᑕᒧᐊᐧᐨ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐃᑫᐧᓂᐊᐧᐠ 2452 ᐅᑕᑯᓯᐠ ᓄᑯᑦ ᑲᐊᐦᑭᐊᐧᐠ. ᐃᐁᐧ ᐊᔑᐨ ᑲᔦ ᑲᑭ ᒪᒪᐃᐧ ᐊᐧᐸᒪᔭᐣᐠ ᑕᑯ ᑲᔦ ᐃᑫᐧᓂᐊᐧᐠ ᐊᓂᔑᓂᓂᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐊᓄᑲᑕᒧᐊᐧᐨ ᐅᑭ ᑐᑕᓇᐊᐧ 38 ᒪᑐᑎᓴᐧᓇᐣ ᒥᓇ ᐁᑭ ᓇᓯᑲᒪᐣᐠ, ᐸᓂᒪ ᑲᐊᐣᑐᒥᑯᔭᐣᐠ ᐁᑭ ᐃᔕᔭᐣᐠ, 10 ᑕᔑᑫᐃᐧᓇᐣᐠ ᑲᐅᐣᒋ ᓇᓇᑲᒋᑐᔭᐣ ᓄᑯᑦ ᑲᐊᐦᑭᐊᐧᐠ ᐁᑭ ᐊᐧᐃᐧᒋᐦᐃᐁᐧᔭᐣᐠ. ᑯᑕᑭᔭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᑭ ᐸᑭᑎᓂᑲᑌᑭᐣ: ᐊᓂᔑᓇᐯᐃᐧ ᐃᔑᓂᐦᑲᓱᐃᐧᓇᐣ ᑲᐸᑭᑎᓂᑲᑌᑭᐣ ᑲᑐᒋᑲᑌᑭᐣ, ᒥᑲᐃᐧᐣᑕᑫᐃᐧ ᒪᑯᔐᐃᐧᓇᐣ, ᒪᒪᐤ ᑲᐅᑲᐧᐱᓇᓂᐊᐧᐠ ᑲᐊᔭᒥᐦᐃᑎᓇᓂᐊᐧᐠ, ᑭᒋᔭᐦᐃᐧ ᑭᐅᑌᐃᐧᐣ, ᐁᐧᐡᑲᐨ ᐊᐊᐧᔑᔕᐠ ᑲᑭ ᑲᑲᐧᑕᑭᐦᐊᑲᓄᐊᐧᐸᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ, ᑲᑭᑭᓄᐦᐊᒪᑲᓂᐊᐧᐠ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐣ, ᑲᐸᐡᑭᓀᓂᑲᓂᐊᐧᐠ ᐊᓂᔑᓂᓂᐊᐧᐠ ᑲᑐᑕᒧᐊᐧᐨ, ᑲ ᑲᑲᐧᑕᑭᐦᐊᑲᓄᐊᐧᐨ ᐊᐃᐧᔭᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᒥᓇ 41

ᓄᑎᐣ ᐊᐊᐧᔑᐡ ᒥᓇ ᑎᐯᐣᒋᑫᐃᐧᓂᐠ ᒪᒥᓄᒥᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᒥᐣᒋᓇᐁᐧᓱᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ. ᐃᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ, ᐊᐧᓇᒪᐣ ᓴᑲᐦᐃᑲᓂᐠ ᑲᐃᔑᑕᑲᐧᐠ, ᑭᒋᒪᒋᓭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐃᔑ ᑭᑐᓇᓂᐊᐧᐠ ᒪᒋᑭᑐᐃᐧᓂᐠ ᑭᒋᐊᐊᐧᔑᔑᐃᐧᑭᒪ ᑲᐸᑭᑎᓇᐨ ᔓᓂᔭᓇᐣ ᑭᐅᐣᒋ ᐃᐧᒋᒋᑲᑌᑭᐣ ᑯᑕᑭᔭᐣ ᑕᔑᑫᐃᐧᓇᐣ. ᐅᑕᓇᐣᐠ ᑲᑭ ᐊᐦᑭᐊᐧᐠ ᐅᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ 224 ᐊᐃᐧᔭᐠ ᑭᐃᔑᑭᑐᐊᐧᐠ ᐅᒪ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐠ. ᓄᑎᐣ ᐅᐱᒥ ᐃᐧᑕᓄᑭᒪᐣ ᑕᔑᑫᐃᐧᓂᐠ ᑲᔭᑭᐣ ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐣ ᐁᐅᐣᒋ ᑲᑫᐧ ᐃᐧᐣᑕᒪᐊᐧᐊᐧᐨ ᐅᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐯᔑᐠ ᐁᑕᑲᐧᐠ. ᒪᓯᓇᐦᐃᑲᓇᐣ ᒥᓇ ᐯᐸᓀᓴᐣ ᑭᐅᔑᒋᑲᑌᐊᐧᐣ ᐃᒪ ᒋᑭ ᐅᐣᒋ ᑭᑫᐣᑕᒧᐊᐧᐸᐣ ᐊᐃᐧᔭᐠ ᒋᑭ ᐅᐣᒋ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐸᐣ. ᓄᑎᐣ ᑲᐊᓄᑲᑕᑭᐣ ᑭᒋᒪᒋᓭᐃᐧᓇᐣ 50 ᑕᔑᑫᐃᐧᓇᐣ ᑲᑭ ᒪᒋᓭᐊᐧᐨ ᒥᓇ ᑲᑭ ᐊᐣᑐᑕᒪᓂᐊᐧᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐅᑕᓇᐣᐠ ᑲᑭ ᐊᐦᑭᐊᐧᐠ. ᓂᑭ ᐃᔑᓂᔕᐦᐊᐧᒥᐣ 41 ᑭᒋᒪᒋᓭᐃᐧᐣ ᐅᐃᐧᒋᐦᐃᐁᐧᐠ ᑲᐃᓇᓄᑭᐊᐧᐨ ᒥᓇ 99 ᑭᒋᒪᒋᓭᐃᐧᐣ ᐅᒪᒥᓄᒥᐁᐧᐠ ᐅᐁᐧ ᑲᑭ ᐊᐣᑐᑕᒪᓂᐊᐧᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ. 4224 ᐅᑕᑯᓯᐠ ᑭᐊᐧᐸᒪᐊᐧᐠ ᐅᒪ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐠ. ᓄᑯᒥᑫ ᓇᐊᐧᐨ ᐅᑫᐧᓂᐊᐧᐠ ᑭᒋᒪᒋᓭᐃᐧᐣ ᑲᐃᔑ ᒪᒥᓄᒥᐁᐧᐊᐧᐨ ᑭᐊᐣᑕᐃᐧ ᐊᓄᑭᐊᐧᐠ ᑕᔑᑫᐃᐧᓂᐠ ᐃᒪ ᑕᔑᑫᐃᐧᓇᐣ ᑲᐊᓂᒥᐦᐃᑯᐊᐧᐨ ᒪᒋᒪᐡᑭᑭᑫᐃᐧᐣ ᑲᐳᓂ ᐊᐸᒋᑐᓂᐨ ᒋᐅᐣᒋ ᐃᐧᒋᐦᐊᐊᐧᐨ. ᒥᓇ ᑲᔦ ᓂᑭ ᐃᔑᓂᔕᐧᐦᐊᐧ̇ᒥᐣ ᑭᒋᒪᒋᓭᐃᐧᐣ ᐅᒪᒥᓄᒥᐁᐧᐠ ᑲᐃᓇᓄᑭᐊᐧᐨ ᐃᒪ ᑕᔑᑫᐃᐧᓂᐠ ᒣᑲᐧᐨ ᑲᓇᐦᐃᓂᑫᐊᐧᐨ ᒥᓇ ᑲᒥᑲᐃᐧᐣᑕᒧᐊᐧᐨ ᐅᒪᒋᓭᐃᐧᓂᐊᐧ ᒋᐅᐣᒋ ᐃᐧᒋᐦᐊᐊᐧᐨ ᐊᔭᒥᐦᐁᐃᐧᑭᒪᐣ. ᐸᐦᐱᑭᐢ

ᐊᓄᑭᑕᒪᑫᐃᐧᓇᐣ 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12

ᒪᒥᓄᒥᐁᐧᐃᐧᐣ

ᐊᐧᓂᓇᐊᐧᑲᐠ ᐊᓄᑭᑕᒪᑫᐃᐧᓂᐠ

1384

624

983

325

919

739

ᑭᐁᐧᑎᓄᐠ ᐊᓄᑭᑕᒪᑫᐃᐧᓂᐠ

2002

1011

1208

681

1879

2149

ᑭᒋᒪᐡᑭᑭᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ

247

342

351

215

473

526

ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧ ᓇᑕᐃᐧᐦᐃᐁᐧᐃᐧᐣ

384

1655

1376

2853

2500

2452

ᒪᒪᐤ ᑕᓯᐣ ᑲᑭᐊᐧᐸᒥᑕᐧ

4017

3632

3918

4074

5771

5866

2006-07

2007-08

2008-09

2009-10

2010-11

2011-12

ᑲᑭ ᓂᓯᑎᓱᐊᐧᐨ

18

21

14

14

10

12

ᑲᑭᑲᑫᐧ ᓂᓯᑎᓱᐊᐧᐨ

138

327

237

103

78

91

ᑲᑭᐊᓄᑲᑌᑭᐣ

48

43

45

58

55

50

ᑭᒋᒪᒋᓭᐃᐧᐣ

ᐁᐃᐧᐣᑌᑭᐣ

ᓂᓯᑎᓱᐃᐧᓇᐣ

ᑭᒋᒪᒋᓭᐃᐧᐣ

ᒥᑭᓇᑯᐢ – ᐊᒋᓇ ᑲᐅᐣᒋ ᓇᓇᑲᒋᐦᐊᑲᓄᐊᐧᐨ ᒥᓇ ᑲᐅᐣᒋ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐨ ᐃᐧᒋᐦᐃᐁᐧᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᒥᑭᓇᑯᐢ ᐅᑭ ᐱᒥᐃᐧᑐᓇᐊᐧ ᑲᑭ ᐃᔑᐅᓇᑕᒪᑯᐊᐧᐨ ᐃᒪ ᒪᓯᓇᐦᐃᑲᓀᐢ ᑲᑭ ᐸᑭᑎᓇᐣᐠ ᑭᒋᐊᐊᐧᔑᔑᐃᐧᑭᒪ. ᐃᒪ ᑲᐊᓂ ᐊᐱᑕᐃᐧᓭᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧ ᐱᒧᒋᑫᐃᐧ ᐊᐦᑭ ᐊᐊᐧᔑᒣ ᐊᐱᑕ ᓂᑭ ᐊᓄᑲᑕᒥᓇᐣ ᒥᓂᑯᐠ ᑫᑭ ᐃᓇᓄᑭᔭᐣᑭᐸᐣ – ᐅᓴᑦ ᑕᐡ ᑭᑕᐸᓯᓭ ᐅᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐃᒪ ᑲᐅᐣᒋ ᐱᒥᐃᐧᒋᑲᑌᐠ ᐯᔑᑯᑭᔑᑲ ᑲᑎᐸᐦᐃᑲᑌᐠ ᒋᑭ ᐱᒥᐃᐧᒋᑲᑌᐠ ᐅᐁᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ. ᒣᑲᐧᐨ ᑭᔐᐸᐊᐧᑕᑭᓇᑦ 2012 ᓂᑭ ᐅᓀᐣᑕᒥᐣ ᒋᐅᑕᐱᓇᔭᐣᐠ ᐃᑫᐧᓂᐊᐧᐠ ᒣᑲᐧᐨ 2012 ᑲᐊᐦᑭᐊᐧᐠ; ᓇᐊᐧᐨ ᑕᐡ ᒥᔑᐣ ᑭᐅᐣᒋ ᐊᔭᐊᐧᐠ ᐅᑕᑯᓯᐠ ᑲᑭ 42

ᐱᐣᑎᑫᐊᐧᐨ ᐅᒪ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐠ ᒥᑕᐡ ᑲᑭ ᐃᓯᓭᐠ ᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐁᑭ ᒥᓄᓭᑭᐣ ᑲᐃᔑ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐨ ᑲᑕᓱᐸᐯᔑᑯᐊᐧᐨ ᐅᑕᑯᓯᐠ. ᑐᑲᐣ, ᑭᐡᐱᐣ ᐅᑕᑯᓯ ᐃᓯᓭᓂᐠ ᑭᔭᐸᐨ ᓇᐊᐧᐨ ᓄᒪᑫ ᐃᒪ ᒋᑭᑭᓄᐦᐊᒪᑯᓯᐨ ᒥᐱᑯ ᐁᐃᓯᓭᓂᐠ ᒋᑭ ᐊᔭᐨ ᑭᔭᐸᐨ ᓄᒪᑫ ᐅᑕᓇᐣᐠ ᑲᐃᐧᐣ ᒋᑭ ᐅᐣᒋᓯᓭᐠ ᐅᐁᐧ ᒋᑐᑕᒪᐣᐠ ᒥᓇᐊᐧ ᐃᐧᑕᑦ ᓇᐯᓴᐠ ᑲᑭ ᐱᐣᑎᑲᓇᑲᓄᐊᐧᐸᐣ ᒪᒣᐡᑲᐧᐨ ᑲᑭ ᐅᑕᐱᓇᑲᓄᐊᐧᐨ.

ᑲᓇᓇᑭᐡᑭᑲᑌᑭᐣ ᒪᒋᒪᐡᑭᑭᑫᐃᐧᐣ ᑭᑕᔑᑫᐃᐧᓂᓇᐣ ᒥᑐᓂ ᑭᒋ ᐊᓄᑲᑌᐊᐧᐣ ᐅᐁᐧ ᑲᐃᓯᓭᐠ ᐅᒪ ᑲᐃᔑ ᐸᑭᑎᓇᒪᐣᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐁᓇᐣᑕᐁᐧᐣᑕᑲᐧᑭᐣ ᑕᔑᑫᐃᐧᓂᐠ ᒋᐅᐣᒋ ᐃᐧᒋᑕᐧᔭᐣᐠ ᐃᐁᐧᓂ ᑲᓴᑭᓂᑯᐊᐧᐨ ᒪᒋᒪᐡᑭᑭᑫᐃᐧᐣ ᒋᒪᒥᓄᒪᑲᓄᐊᐧᐨ ᐃᑫᐧᓂᐊᐧᐠ ᑲᑫᐧ ᐳᓇᐸᒋᑐᐊᐧᐨ ᒪᒋᒪᐡᑭᑭᐣ. ᐁᑭ ᑭᑫᐣᑕᒪᐣᐠ ᐃᐧᓂᑯ ᐁᑲ ᔓᓂᔭ ᐁᒥᓂᑯᔭᐣᐠ ᐅᐁᐧ ᒋᑐᑕᒪᐣᐠ ᒥᐱᑯ ᐁᔑ ᑲᑫᐧ ᐊᓄᑲᑕᒪᐣᑭᐣ ᑲᓇᐣᑕᐁᐧᐣᑕᑯᓯᔭᐣᐠ. ᓂᐱ ᐃᐧᑕᓄᑭᒪᒥᐣ ᑕᔑᑫᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ (ᑕᔑᑫᐃᐧᓂᐠ ᑲᐊᔭᐠ ᒪᒥᓄᒥᐁᐧᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ, NNADAP) ᐃᒪ ᑲᔦ ᐁᐅᐣᒋ ᐃᐧᒋᑕᐧᔭᐣᐠ ᑲᓇᐣᑕᐁᐧᐣᑕᑲᐧᐠ ᒋᐃᐧᒋᐦᐊᑲᓄᐊᐧᐨ ᑲᑲᑫᐧ ᐳᓇᐸᒋᑐᐊᐧᐨ ᒪᒋᒪᐡᑭᑭᑫᐃᐧᐣ. ᐃᐁᐧ ᑲᐃᐧᒋᐦᐃᐊᐧᓂᐊᐧᐠ ᑲᐅᑕᐱᓇᒧᐊᐧᐨ ᐅᐱᒪᑎᓯᐃᐧᓂᐊᐧ ᒥᐦᐃᐁᐧ ᒪᐊᐧᐨ ᑲᑭᒋ ᐊᓄᑲᑕᒪᐣᐠ ᐊᐱ ᓄᑎᐣ ᓂᑕᑦ ᑲᑭ ᒪᒋᓭᑭᐸᐣ; ᒥᐦᐅᐁᐧ ᒪᔭᑦ ᑲᑭ ᐅᐣᒋ ᒪᒋᒋᑲᑌᑭᐸᐣ ᓄᑎᐣ. ᒥᐱᑯ ᑭᔭᐸᐨ ᐁᔑ ᑭᑫᐣᑕᒪᐣᐠ ᒪᐊᐧᐨ ᐁᐃᐡᐱᓭᐠ ᐃᑫᐧᓂᐊᐧᐠ ᑲᑲᑫᐧ ᐅᑕᐱᓇᒧᐊᐧᐨ ᐅᐱᒪᑎᓯᐃᐧᓂᐊᐧ ᒥᓇ ᑲᓂᓯᑎᓱᐊᐧᐨ ᐅᒪ ᑲᐅᐣᒋ ᓇᓇᑲᒋᒋᑫᔭᐣᐠ ᐃᓀᑫ. ᓂᑭᑫᐣᑕᒥᐣ ᐃᐁᐧ ᐊᐃᐧᔭ ᑲᑲᑫᐧ ᓂᓯᑎᓱᐨ ᐁᐃᓇᐱᓇᓂᐊᐧᐠ ᐁᑲᐧ ᒪᐊᐧᐨ ᐁᐊᓂᒪᐠ ᒋᑭ ᒥᓄᓂᑲᑌᐠ, ᒥᓇ ᐁᒥᔑᓇᐧᔦᑭᓭᑭᐣ ᐊᐣᑎ ᓀᑫ ᑫᑭᔑ ᐃᐧᒋᒋᑲᑌᑭᐸᐣ ᐅᐁᐧ ᓂᓯᑎᓱᐃᐧᐣ. ᒣᑲᐧᐨ ᓂᐱᒪᓄᑲᑕᒥᐣ ᒋᐅᓂᓇᔭᐣᐠ ᐊᓄᑭᓇᑲᐣ ᑲᓇᑲᒋᑐᐨ ᐅᐁᐧ ᓂᓯᑎᓱᐃᐧᐣ ᑲᐱᒥ ᐃᐧᒋᐃᐧᑯᔭᐣᐠ ᒋᑭ ᐃᐧᑕᓄᑭᒥᑯᔭᑭᐸᐣ ᐅᐁᐧ ᑲᐃᓇᓄᑭᑕᒪᑫᔭᐣᐠ ᑕᑯ ᑲᔦ ᑕᔑᑫᐃᐧᓂᐠ ᑲᔭᑭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐊᐊᐧᔑᒣ ᒋᑭ ᓂᓯᑐᒋᑲᑌᑲᐧᐸᐣ ᒥᓇ ᒋᑭ ᐊᓄᑲᑌᑲᐧᐸᐣ ᐃᐁᐧ ᓂᓯᑎᓱᐃᐧᐣ.

ᑫᐊᓂᔑ ᐱᒋᓂᐡᑲᓂᐊᐧᐠ ᒥᑕᐡ ᐅᐁᐧ ᐁᔑ ᑲᑫᐧ ᑐᑕᒪᐣᐠ ᒋᐱᒥ ᐅᓇᑐᔭᑭᐣ ᓂᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ: • ᒋᑭᐁᐧ ᓇᓇᑲᒋᒋᑲᑌᐠ ᓄᑎᐣ ᑕᒪᒋᒋᑲᑌ ᐊᑲᐢᐟ ᐱᓯᑦ 2012 ᒋᑭᐁᐧ ᓇᓇᑲᒋᒋᑲᑌᐠ ᒣᑲᐧᐨ ᑲᐃᔑ ᐱᒧᑐᔭᐣᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᒥᓇ ᒋᐸᑭᑎᓇᒪᐣᐠ ᓂᑎᑭᑐᐃᐧᓇᐣ ᐊᓂᐣ ᐊᐊᐧᔑᒣ ᑫᑭᔑ ᒥᓄᓭᑭᐸᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ; • ᒋᑭᐁᐧ ᓇᓇᑲᒋᒋᑲᑌᐠ ᐃᐁᐧ ᑲᐊᐧᐸᒪᐊᐧᐨ ᐅᑕᑯᓯᐣ ᑲᐃᔑ ᑲᓇᐊᐧᐸᐣᑕᒥᓂᐨ ᐅᒪᒋᓭᐃᐧᓂᐊᐧ ᒥᓇ ᑫᑯᓀᓂᐦᐃ ᑲᐅᐣᒋᓯᓭᓂᐠ ᐅᒪᒋᓭᐃᐧᓂᐊᐧ ᒪᒥᓄᒥᐁᐧᐃᐧ ᒪᓯᓇᐦᐃᑲᐣ ᐊᐊᐧᔑᒣ ᒋᑭ ᐅᐣᒋ ᐃᐧᒋᐦᐃᑯᐊᐧᐸᐣ ᐅᑕᑯᓯᐠ ᑲᐊᐧᐸᒪᑲᓄᐊᐧᐨ; • ᒋᐱᒥ ᐊᓄᑲᑌᑭᐣ ᐊᓂᐣ ᑫᐃᔑ ᐃᐧᒋᒋᑲᑌᑭᐣ ᒥᓇ ᒋᐅᐣᒋ ᐃᐧᒋᐦᐃᑎᓇᓂᐊᐧᐠ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ ᑲᐸᑭᑎᓂᑲᑌᑭᐣ ᑕᔑᑫᐃᐧᓂᐠ ᑲᔭᐊᐧᐨ ᐊᓄᑭᓇᑲᓇᐠ; • ᒋᑭᑭᓄᐦᐊᒪᐊᐧᑲᓄᐊᐧᐨ ᑕᔑᑫᐃᐧᓂᐠ ᑲᑕᓇᓄᑭᐊᐧᐨ ᐊᓄᑭᓇᑲᓇᐠ ᐃᐧᓇᐊᐧ ᐱᓇᒪ ᑲᐃᐧᒋᐦᐊᐊᐧᐨ ᐊᐃᐧᔭᐣ ᑲᒪᒥᑐᓀᐣᒋᑲᓇᐱᓀᓂᐨ ᒥᓂᑯᐠ ᒪᔭᑦ ᑲᐃᓇᓄᑭᓂᐨ ᑲᐱᐃᐧᒋᐦᐊᐊᐧᐨ; • ᑕᓱᐊᐦᑭ ᑲᐃᔑ ᐸᐱᑭᔑ ᐸᑭᑎᓇᑲᓄᐨ ᔓᓂᔭ ᐃᒪ ᑎᐯᐣᑫᐃᐧᓇᐣ ᑲᐃᐧᒋᒋᑲᑌᑭᐣ ᐱᒧᒋᑫᐃᐧᐣ, ᓄᑎᐣ ᒋᑭ ᐅᐣᒋ ᐃᐧᒋᑐᒋᐣ ᑯᑕᑭᔭᐣ ᑕᔑᑫᐃᐧᓇᐣ ᒋᐸᑭᑎᓇᒧᐊᐧᐨ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ ᒥᓇ ᒋᑐᑕᒧᐊᐧᐨ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᓇᐣ ᐊᓂᐣ ᑫᑭᔑ ᒥᓄᔭᒪᑲᑭᐣ ᐱᒪᑎᓯᐃᐧᓇᐣ; • ᐊᐊᐧᔑᒣ ᒋᑭ ᐊᐸᑕᑭᐸᐣ ᐱᐊᐧᐱᑯᐠ ᑲᐅᐣᒋ ᐊᔭᒥᐦᐃᑎᐊᐧᐸᐣ ᑲᐅᐣᒋ ᓇᓇᑲᒋᐦᐊᑲᓄᐊᐧᐨ ᒥᓇ ᑲᐅᐣᒋ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐨ ᐊᓄᑭᓇᑲᓇᐠ ᐊᐊᐧᔑᒣ ᒋᑭ ᐊᓄᐣᒋ ᒥᓄᓭᓂᑭᐸᐣ ᐅᑕᑯᓯᐠ ᐅᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ; • ᒋᑭᔑᒋᑲᑌᑭᐣ ᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑫᐃᐧᓇᐣ ᒥᓇ ᑲᓇᓇᐣᑐᑭᑫᐣᒋᑲᑌᐠ ᐊᓂᐣ ᑫᐃᔑ ᒥᓄᓭᑭᐸᐣ ᐊᐊᐧᔑᔑᐃᐧᑲᒥᑯᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ, ᐊᐱ ᒪᒋᒋᑲᑌᐠ, ᑫᐃᔑ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐨ ᐊᐊᐧᔑᔕᐠ ᑲᐊᐧᓂᑐᑕᐊᐧᑲᓄᐊᐧᐨ.

43

Client Services Department

Darryl Quedent

Back in 2004, the Sioux Lookout First Nations Health Authority approached Health Canada to conduct a feasibility study to replace the aging Sioux Lookout Zone hostel. This building was originally built in 1959 to house nursing staff for the former Zone Hospital. The building was later retrofitted in the early 1970s to act as an accommodation center for First Nations people travelling to Sioux Lookout for medical appointments. Health Canada agreed to fund the study and work was completed in December 2004. An agreement was signed between SLFNHA and Health Canada in March 2005 to commence work on the preliminary design phase for the new hostel. This work was later completed in March 2006. The Sioux Lookout First Nation Health Authority received subsequent approval from Health Canada to proceed to the detailed design phase. This work was awarded to Freisen Tokar Architects to develop the new 100 bed hostel facility. The detailed design work was finished in June 2007 and final design plans were reviewed and approved by SLFNHA Board of Directors. The Hostel Project went to formal tender process with closing date set for August 2007. After a short delay to finalize details for project construction funding, SLFNHA signed a letter of intent to award the successful bidder, Carillion Canada Inc., for the construction of the new hostel facility. Carillion mobilized construction crews in April 2008 to commence construction phase with expected completion date set for May 2009. However, due to construction days, the finish date was pushed back several times and the project finally received substantial completion in February 2011. The Sioux Lookout First Nations Health Authority opened the new hostel on February 14, 2011.

Key Accomplishments As soon as the new hostel opened for business, the average number of persons requiring nightly accommodations in Sioux Lookout was 110. As a result, the hostel staff was required to continue to rely on hotels for extra rooms. The opening of the new hostel came with new challenges and different approaches to doing business. It should be noted that during detailed design of the project, the Sioux Lookout First Nations Health Authority also began the task of developing a business plan to operate the new hostel. A business model was developed with the understanding that the new hostel would primarily be used for accommodating clients and escorts who were prior approved by the non-insured health benefits program for medical transportation benefits. This business plan would also include a daily per diem charge which would be claimed back from Health Canada. Prior to opening the new hostel, Health Canada agreed to a daily per diem charge of $115 per night. This soon became an issue for unregistered children who were not covered under medical transportation benefits and extra guests accompanying prior approved clients to medical appointments. The daily per diem charge at hostel was deemed excessive by service providers and key stakeholders for the facility. In order to address this excessive charge, the SLFNHA Board approved a separate per diem charge for extra clients. The extra charge is similar to hotel policy which states that extra people in same room must pay a $10 per person charge. This policy charge was also reviewed by the Chiefs Committee on Health and recommended approval to proceed with implementing the charge policy. 44

Client Services Department Staff

A business plan was developed which would see the new hostel provide a home away from home for nightly accommodations as well as providing daily meals and ground transportation services. The ground transportation was intended to pickup and drop off people from the airport to the hostel as well as transporting them to their medical appointment locations. The ground transportation services would also provide rides to hotels and motels for hostel overflow situations. The business plan allowed for clients to be transported to the pharmacy for consults with the pharmacists prior to getting their prescribed medications. Prior to the hostel opening, SLFNHA has not operated dietary and laundry/ housekeeping services. To assist in the implementation of these frontline services, SLFNHA entered into a contract arrangement with Aramark Canada Ltd. The agreement would include the provision of food services for the new hostel as well as assist in management and training for housekeeping and laundry services. Aramark Canada Ltd. has an established working relationship with Sioux Lookout Meno Ya Win Health Centre and they will continue to work from the new hospital kitchen. Aramark will cook/prepare and deliver all meals for new hostel. The meals will be delivered using the new connecting link between the hostel and hospital. After the food is delivered, the hostel would be responsible for food portioning, distribution of food and cleanup for the hostel cafeteria. As part of management contract, Aramark ensured that training was provided for hostel staff in the areas of safe handling techniques. Aramark made sure that Canada Food Guide Standards were adhered to for nutritional content and ensure proper food portioning. Aramark also provided training for housekeeping and laundry aides. Aramark assisted in the development of staff schedules to ensure proper staff coverage was made available to keep up with workload issues for room cleaning and establishing procedures and check lists for room cleaning. The hostel staff were also trained to follow set plans to clean room and complete tasks within a set timeframe. Aramark also developed procedures and standards for the laundry department. They also 45

Client Services Department (continued) provided training, which included WHMIS training for laundry aides and operation of an automated chemical distribution system for laundry equipment. In preparation of opening the new hostel, SLFNHA worked with Health Canada for the installation of the Ontario Medical Transportation Database system for the hostel. This installation was completed in February 2011 and, unfortunately, the system did not operate to full system capacity. This created delays to processing medical transportation benefits for prior approved clients and escorts entering the hostel facility. The resulting delays also created long wait times for processing nightly accommodations for clients, verification of prior approvals for the client/ escort and printing of medical appointment letters for clients. The system is also used by hostel staff for discharge purposes which sees hostel staff perform and complete after hour and weekends booking for return travel to First Nation communities. The OMTS system is also used to assist SLFNHA Finance to process invoices for nightly hostel accommodation. The hostel management continues to work with Health Canada staff to resolve this connectivity issue. As part of the hostel operational plan, Security and Maintenance programs were also added as integral pieces to ensure the safe operation of the new hostel. The Sioux Lookout First Nations Health Authority worked with the Meno Ya Win Health Centre management in the development of these services. When the security program was developed, it was initially intended to provide 12 hours per day of coverage between the hours of 6 p.m. and 6 a.m. However, after implementation it was found that this coverage was insufficient and a decision was made to provide a 24/7 coverage with the intent of meeting the health and safety of clients and staff. The maintenance program was put into place to ensure that all hostel equipment operates as per specifications and ensure that follow-up is provided for repairs and inspections. During the first year of operations, the maintenance worker was kept busy working out the operation difficulties for each piece of equipment. The maintenance worker was required to constantly contact the mechanical and electrical trades who installed the systems. The amount of time spent in dealing with day to day operational issues added to extra hours for the maintenance worker during the first half of the year. The problem of working with mechanical and electrical trades was compounded by the fact that the general contractor and owner had a problem dealing with project holdbacks, which resulted in failure of trades to work with the hostel maintenance program. The Client Representative continues to provide the following services: a) provide cross-cultural orientations to hospital staff and accompany medical staff during patient rounds, b) conduct client visitation at the hospital and provide follow-up to patient health concerns, and c) assist with referrals for pastoral care and translation services. Over the past 12 months, the client representative workload has shifted to primarily working with clients staying at the hostel and this is due to more frequent long term stays for clients. The client representative deals with clients who require social housing in Sioux Lookout and referrals for local services within town limits. Meanwhile, the Activity Coordinator has shifted her entire workload to working with clients at the hostel. With daily numbers in excess of 100 persons each day, the Activity Coordinator is able to devote her time to planning and coordinating 46

recreational and social activities for clients staying at the Hostel. Services and activities include: a) arts and crafts, distribution of magazine, puzzles, cards, video games, and fun bingos, b) conducts visits to clients staying at the hostel, and c) act as liaison for clients requiring assistance during their stay in Sioux lookout.

Moving Forward As SLFNHA continues to move forward in operating the new hostel, a number of issues and concerns were brought to the attention of Hostel Management during the first year of operations. This included the following: • Long wait times to process accommodations for clients and escorts, • Quality and quantity of meals provided by food service provider, • High number of incident reports filed by hostel staff regarding alcohol and drug abuse, • Number of unregistered children without Indian Status Numbers, • Hostel accommodating more and more long term stays due to drug abuse related issues, • Requirement for enhanced training for all hostel staff. In order to deal with the many challenges of operating a hostel, SLFNHA Hostel Management will continue to work with service providers to address operational issues and find solutions to problem areas by a) ensuring clients and escorts are housed in safe and friendly environment in the new hostel, b) ensuring clients and escorts are provided with a balanced meal plan at new hostel, and c) ensure that clients receive support while in Sioux Lookout for medical appointments. The following initiatives have already been started by Hostel Management to deal with issues and concerns: 1. SLFNHA Hostel Management has begun the process of training all hostel staff in the area of customer service. SLFNHA has hired Legacy Bowes to review and develop a tailored customer service training model that addresses customer in areas of greeting visitors, telephone etiquette, improve response time to requests made by hostel guests, quicker check-in/ check-out times, deal with requests in a professional manner and ensuring that the guest is satisfied with hostel services; 2. Automated telephone system has been installed at new hostel to enhanced coordination of incoming calls and improved response time for incoming calls, easy access to staff and room directories and automated system has been set to respond to calls in Oji-Cree language; 3. SLFNHA Hostel Management is working with Health Canada to fix the Hostel Connectivity issue and initial work was completed in April 2012. SLFNHA expect balance of work to be completed by summer of 2012. This connectivity repair should improve on processing for booking accommodations and verifying prior approved information for clients and escorts; 4. In addition to setting up a 24/7 security program, the SLFNHA Hostel Management is in process with Dryden Fire and Security of upgrading 47

Client Services Department (continued) security camera to include another 22 cameras in the hostel. SLFNHA have entered in discussions with Safety Net of Thunder Bay to provide security training for hostel security personnel; 5. SLFNHA is in process of completing Hostel Identification Tags for all Hostel staff and Hostel Management is in process of ordering uniforms for Hostel staff; 6. SLFNHA is working with Sioux Lookout Meno Ya Win Health Center and Aramark Canada Ltd. on the provision of more traditional food services for daily hostel menu. The meal menu for the hostel has been changed to reflect more of client preferences; 7. Aramark Canada Ltd. will provide refresher training for hostel staff and provide recertification for WHMIS; 8. Hostel plans to enter into discussions with 5 Star Reservation Systems to enhance hostel processes and procedures. SLFNHA expects to have a new system in place by Fall 2012; 9. SLFNHA Hostel Management working with Municipal Airport to upgrade private waiting room by providing hot and cold beverages, snacks and reading material; 10. SLFNHA Hostel Management plans to develop a communications plan to allow visitors and guest to be more familiar with hostel services. SLFNHA plans to promote this communication plan by using Wawatay Radio and News, SLFNHA Website and Media Circulations to First Nations Communities; 11. SLFNHA Hostel Management plan to reorganize the Accommodation and Ground Transportation Departments to ensure an effective and efficient use of resources.

Conclusion In conclusion, SLFNHA Hostel Management has learned a lot from operating a hostel over the past 14 months. Throughout this whole process, the SLFNHA Management team plans to use this knowledge it has acquired and to review what areas have been successful and what areas need improvement. Hostel Management strives to make sure that all visitors and guests of the hostel feel welcome when they arrive and have a comfortable place to rest. The SLFNHA Hostel Management also wants to ensure that we provide ‘a home away from home’ for everyone using the hostel. In the long term, we look at the successes that major hotels such as Hyatt Regency, Fairmont and Delta Chelsea have done to make their establishments a place where people want to come back to stay. Over the past 14 months, we have learned many things and expect to improve on how we do business in all areas. We expect over time that we can operate the hostel which is similar to what major hotels do to make their guests happy and enjoy their stay. To quote an old saying: “Rome was not built in a day.” SLFNHA Hostel Management plans to use this thinking to improve on overall operation of the hostel. 48

ᐅᑕᑯᓯᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐅᒋ ᐱᒧᒋᑲᑌᐠ ᒣᑲᐧᐨ 2004, ᐊᐧᓂᓇᐊᐧᑲᐠ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᐅᑭ ᑲᑫᐧᒋᒪᐊᐧᐣ ᑭᒋᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᓇᑕ ᒋᒪᒋᑐᐨ ᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑫᐃᐧᐣ ᒋᐅᐡᑭᑐᐨ ᐃᐁᐧ ᐁᐧᐡᑲᐨ ᑲᐅᐣᒋᔭᐠ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐃᐧ ᑲᐯᔑᐃᐧᑲᒥᐠ ᐅᑕᑯᓯᐠ ᑲᔑ ᑲᓇᐁᐧᐣᑕᑯᓯᐊᐧᐨ. ᐅᐁᐧ ᐊᐧᑲᐦᐃᑲᐣ 1959 ᑭᐅᔑᒋᑲᑌᐸᐣ ᐁᑭ ᐃᔑ ᑲᐯᔑᐦᐊᑲᓄᐊᐧᐸᐣ ᒪᐡᑭᑭᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ ᐃᒪ ᑫᑌ ᒪᐡᑭᑭᐃᐧᑲᒥᐠ ᑲᑭ ᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᐠ. ᑭᐊᓂ ᐊᐣᒋᒋᑲᑌᐸᐣ ᑕᐡ ᑲᐊᓂ ᒪᑕᑭᐣᑌᐠ 1970 ᐊᐦᑭ ᐁᑭᔑ ᑲᐯᔑᐦᐊᑲᓄᐊᐧᐨ ᐊᓂᔑᓂᓂᐃᐧ ᐅᑕᑯᓯᐠ ᑲᐱᓇᒋ ᒪᐡᑭᑭᐃᐧᑲᒥᑫᐧᐊᐧᐨ ᐅᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ. ᑭᒋᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᓇᑕ ᑭᓇᑯᒧ ᒋᐸᑭᑎᓇᐨ ᔓᓂᔭᓇᐣ ᒋᓇᓇᐣᑕᐃᐧ ᑭᑫᐣᒋᑲᑌᐠ ᒥᓇ ᐅᑭ ᑭᔑᑐᓇᐊᐧ ᐅᐁᐧ ᐊᓄᑭᐃᐧᐣ ᒪᑯᔐᑭᔑᑲᐃᐧᐱᓯᑦ 2004. ᓇᑯᒥᑐᐃᐧᐣ ᐅᑭ ᒪᓯᓇᐦᐊᓇᐊᐧ ᐊᐧᓂᓇᐊᐧᑲᐠ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᒥᓇ ᑭᒋᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᓇᑕ ᒣᑲᐧᐨ ᒥᑭᓯᐃᐧᐱᓯᑦ 2005 ᒋᒪᒋᒋᑲᑌᐠ ᐊᓂᐣ ᑫᐃᔑᓇᑲᐧᐠ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ. ᐅᐁᐧ ᐊᓄᑭᐃᐧᐣ ᑭᐊᓂ ᑭᔑᒋᑲᑌᐸᐣ ᒥᑭᓯᐃᐧᐱᓯᑦ 2006. ᐊᐧᓂᓇᐊᐧᑲᐠ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᐅᑭ ᐊᓂ ᓇᐣᑭᒥᓂᑯᐊᐧᐣ ᒋᐊᓄᑲᑌᐠ ᑭᒋᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᓇᑕ ᒋᒪᒋᑐᐊᐧᐨ ᐃᐁᐧ ᑲᑭ ᐅᓀᐣᑕᑲᐧᑭᐸᐣ ᑫᐃᔑᓇᑲᐧᐠ ᑲᐯᔑᐃᐧᑲᒥᐠ. ᐱᕑᐃᓯᐣ ᑐᑲᕑ ᐅᑕᓄᑭᐠ ᑭᒥᓇᐊᐧᐠ ᒋᐅᔑᑐᐊᐧᐨ ᐃᐁᐧ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ 100 ᓂᐯᐃᐧᓇᐣ ᒋᐊᑌᑭᐣ.

ᑌᕑᐊᓫ ᐧᑭᑌᐣᐟ

ᐃᐁᐧ ᑲᑭ ᐅᓇᓯᓇᐦᐃᑲᑌᐠ ᑫᐃᔑᓇᑲᐧᐠ ᑲᐯᔑᐃᐧᑲᒥᐠ ᑭᑭᔑᒋᑲᑌᐸᐣ ᓴᑭᐸᑲᐃᐧᐱᓯᑦ 2007 ᒥᓇ ᐃᐁᐧ ᑲᑭ ᑭᔓᓇᓯᓇᐦᐃᑲᑌᐠ ᐅᓇᒋᑫᐃᐧᐣ ᐅᑭ ᓇᓇᑲᒋᑐᓇᐊᐧ ᒥᓇ ᐅᑭ ᔕᐳᓇᓇᐊᐧ ᐊᐧᓂᓇᐊᐧᑲᐠ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᑲᐊᐱᑕᒧᐊᐧᐨ. ᐃᐁᐧ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ ᑭᐸᑭᑎᓂᑲᑌ ᐁᑭ ᓇᓇᐣᑕᐁᐧᓂᒪᐊᐧᐨ ᐊᐊᐧᓀᓇᐣ ᑫᑭ ᐅᔑᑐᓂᐸᐣ ᐃᐁᐧ ᑲᐯᔑᐃᐧᑲᒥᐠ ᒥᓇ ᐁᑭᔑ ᑭᐸᐦᐃᑲᑌᐠ ᑲᑫᐧᑌᐃᐧᐣ ᐊᑲᐢᐟ ᐱᓯᑦ 2007. ᐊᒋᓇ ᑕᐡ ᑭᑭᐱᒋᓭᐸᐣ ᐱᓇᒪ ᐁᑭ ᑭᔑ ᑲᐧᔭᐣᒋᒋᑲᑌᑭᐣ ᐊᐣᑎᓀᑫ ᑫᐅᐣᑕᐱᑭᓂᑲᓂᐊᐧᐠ, SLFNHA ᐅᑭ ᒪᓯᓇᐦᐊᐊᐧᐸᐣ ᒪᓯᓇᐦᐃᑲᐣ ᐁᑭ ᒥᓇ̇ᐊᐧᐨ ᑲᑭ ᑲᑫᐧᑌᐨ ᐃᐧᐣ ᐁᐃᐧ ᐊᓄᑲᑕᐠ ᐊᐧᑲᐦᐃᑫᐃᐧᐣ - ᑲᕑᓫᐃᔭᐣ ᑲᓇᑕ ᒪᒋᑕᐃᐧᐣ ᒋ ᐅᔑᑐᐊᐧᐨ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ. ᑲᕑᓫᐃᔭᐣ ᑲᓇᑕ ᒪᒋᑕᐃᐧᐣ ᐅᑭ ᐅᓇᓴᐊᐧᐣ ᐅᑕᓄᑭᓇᑲᓂᐊᐧ ᓂᑭᐱᓯᑦ 2008 ᒋᒪᒋᑐᐊᐧᐨ ᐃᐁᐧ ᓂᑕᑦ ᑫᑐᒋᑲᑌᐠ ᐊᓄᑭᐃᐧᐣ ᒥᓇ ᑲᑭ ᐃᔓᓀᐣᑕᑲᐧᑭᐸᐣ ᒋᔑᑭᔑᒋᑲᑌᐠ ᒪᑯᐱᓯᑦ 2009 ᐃᓇᑭᓱᐨ. ᔕᑯᐨ ᑕᐡ, ᐃᒪ ᑲᑭᔑ ᐅᐣᑕᒥᓭᐠ ᐊᐧᑲᐦᐃᑫᐃᐧᐣ ᑲᐊᓄᑭᐊᐧᐨ, ᐃᒪ ᑲᐃᐧᔑ ᑭᔑᒋᑲᑌᑭᐸᐣ ᑭᔭᓂ ᐸᐧᑕᐃᐧᓭᐸᐣ ᐁᑲᐧ ᑕᐡ ᐃᐁᐧ ᐊᓄᑭᐃᐧᐣ ᑭᐊᓂ ᑭᔑᒋᑲᑌᐸᐣ ᑭᔐᐱᓯᑦ 2011. ᐃᐁᐧ ᐊᐧᓂᓇᐊᐧᑲᐠ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᐅᑭ ᐸᑭᓇᓇᐊᐧᐸᐣ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ ᑭᔐᐱᓯᑦ 2011. ᑲᑭ ᑭᒋ ᐊᓄᑲᑌᑭᐣ ᑲᐃᐡᑲᐧ ᐸᑭᓂᑲᓂᐊᐧᐠ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ, ᒥᐦᐃ ᑲᑭ ᐃᓯᓭᐠ ᐅᑕᑯᓯᐠ ᑲᑭ ᑲᑲᐯᔑᐦᐊᑲᓄᐊᐧᐨ 110 ᐁᑭ ᑕ̇ᑕᔑᐊᐧᐨ. ᒥᑕᐡ ᑲᑭᐃᓯᓭᐠ, ᐅᑌᓇᐣᐠ ᑲᔭᑭᐣ ᑲᐯᔑᐃᐧᑲᒥᑯᐣ ᑭᔭᐸᐨ ᐁᑭᔑ ᐊᔭᓯᐣᑕᐧ ᐅᑕᑯᓯᐠ ᐁᑲ ᐁᑭ ᐅᐣᒋ ᑌᐱᑲᐯᔑᐦᐊᑲᓄᐊᐧᐨ ᐃᒪ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ. ᐃᐁᐧ ᑲᑭ ᐸᑭᓂᑲᑌᑭᐸᐣ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ ᒥᔑᐣ ᐅᐡᑭ ᑫᑯᓇᐣ ᑭᓇᓇᑭᐡᑭᑲᑌᐊᐧᐣ ᒥᓇ ᐯᐸᑲᐣ ᐊᐸᐣ ᐁᑭ ᑐᒋᑲᑌᑭᐣ ᑲᐃᔑ ᐱᒧᒋᑲᑌᐠ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᐠ. ᐃᒪ ᑲᔦ ᑕᑭ ᐃᐧᐣᒋᑲᑌᐸᐣ ᒣᑲᐧᐨ ᑲᑭ ᐅᓇᓯᓇᐦᐃᑲᑌᐠ ᑫᐃᔑᓇᑲᐧᐠ ᑲᐯᔑᐃᐧᑲᒥᐠ, ᐊᐧᓂᓇᐊᐧᑲᐠ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᑲᔦ ᐅᑭ ᐊᓂ ᐅᓇᑐᓇᐊᐧ ᐊᓂᐣ ᑫᐃᔑ ᐱᒧᒋᑲᑌᑭᐸᐣ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ. ᐁᑲᐧ ᑕᐡ ᑭᐅᓇᒋᑲᑌ ᐅᓇᒋᑫᐃᐧᐣ ᐁᑭ ᐃᑭᑐᓇᓂᐊᐧᐠ ᐃᐁᐧ ᐅᐡᑭ ᑲᐯᔑᐃᑲᐧᒥᐠ ᒋᐃᔑ ᑲ̇ᑲᐯᔑᐦᐊᑲᓄᐊᐧᐨ ᐅᑕᑯᓯᐠ ᒥᓇ ᑲᐱᑲᓇᐁᐧᓂᒪᐊᐧᐨ ᐅᑕᑯᓯᐣ ᐊᔕ ᑲᑭ ᑎᐸᐦᐅᑯᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐠ. ᐅᐁᐧ ᐊᓄᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᐅᑭ ᐅᓇᑐᓇᐊᐧ ᑲᔦ ᐊᓂᐣ ᑫᐃᓇᑭᐣᒋᑲᓂᐊᐧᐠ ᐯᔑᑯᑭᔑᑲ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ ᒋᐅᐣᒋ ᑭᐁᐧᐱᒋᑲᓂᐊᐧᐠ ᐃᒪ ᐃᓀᑫ ᑭᒋᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᓇᑕ. ᐁᒪᐧᔦ ᐸᑭᓂᑲᑌᐠ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ, ᑭᒋᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᓇᑕ ᑭᓇᑯᒧ ᐯᔑᑯᑭᔑᑲ ᐃᓇᐣᑭᒋᑫᐃᐧᐣ $115 ᐯᔑᑯᑎᐱᐠ ᒋᐃᓇᐣᑭᑌᐠ. ᑭᐊᓂ ᒪᒋᓭ ᑕᐡ ᓇ̇ᑫ ᐃᑫᐧᓂᐊᐧᐠ ᐊᐊᐧᔑᔕᐠ ᐁᑲ ᒪᔑ ᑲᑭ ᐱᐣᑎᑫᓯᓇᐦᐃᑲᓱᐊᐧᐨ ᐅᑭᒪᐃᐧᓂᐣᐠ ᐃᒪ ᒋᑭ ᐅᐣᒋ ᑎᐸᐧᐦᐊᑲᓄᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐠ ᒥᓇ ᐃᑫᐧᓂᐊᐧᐠ ᑯᑕᑭᔭᐠ ᑲᐱᑲᐯᔑᐊᐧᐨ ᑲᐱᐃᐧᒋᐊᐧᐊᐧᐨ ᑲᑎᐸᐦᐅᒥᐣᐨ ᐅᑕᑯᓯ̇ᐣ ᑲᐱ ᓇᒋ ᒪᐡᑭᑭᐃᐧᑲᒥᑫᐧᓂᐨ. ᐃᐁᐧ ᐯᔑᑯᑭᔑᑲ ᑲᐃᓇᐣᑭᒋᑲᓂᐊᐧᐠ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᐠ ᑭᐃᑭᑐᐊᐧᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᑭᐃᔑᓇᒧᐊᐧᐨ ᐅᓴᑦ ᐁᐦᐊᐣᑭᑌᐠ ᒥᓇ ᐃᑫᐧᓂᐊᐧᐠ ᑲᔦ ᑲᐅᐣᒋ ᐊᔑᐣᑕᑭᓱᐊᐧᐨ ᐃᒪ ᐊᓄᑭᐃᐧᑲᒥᑯᐠ. ᐁᑲᐧ ᑕᐡ ᑲᑭ ᑐᒋᑲᑌᐠ ᐅᐁᐧ ᑲᐃᓇᐣᑭᒋᑲᓂᐊᐧᐠ ᑲᑭ ᐊᓂᒧᑌᐠ, ᐃᑫᐧᓂᐊᐧᐠ SLFNHA ᐅᑕᐱᑕᒪᑫᐠ ᐅᑭ ᐸᑭᑕᔓᐊᐧᑕᓇᐊᐧ ᐸᑲᐣ ᐯᔑᑯᑭᔑᑲ ᑲᐃᓇᐣᑭᒋᑲᓂᐊᐧᐠ ᒋᐃᓇᐣᑭᑕᒪᐃᐧᐣᑕᐧ ᐃᑫᐧᓂᐊᐧᐠ ᑯᑕᑭᔭᐠ ᐅᑕᑯᓯᐠ. ᐃᐁᐧ ᑲᐅᐣᒋ ᐃᓇᑭᐣᒋᑲᓂᐊᐧᐠ ᑫᑲᐟ ᐯᔑᑲᐧᐣ ᑲᑐᑕᒧᐊᐧᐨ ᐅᑌᓇᐣᐠ ᑲᐯᔑᐃᐧᑲᒥᑯᐣ ᑲᔭᑭᐣ ᐃᒪ ᑲᐱᐣᑎᑲᓇᑲᓄᐊᐧᐨ ᑯᑕᑭᔭᐠ ᐊᐃᐧᔭᐠ ᐃᒪ ᐯᔑᐠ ᓂᐯᐃᐧᑲᒥᐠ $10 ᐯᔑᐠ ᐊᐃᐧᔭ ᒋᐃᓇᐣᑭᑕᒪᐊᐧᑲᓄᐨ. ᐅᐁᐧ ᐅᓇᑯᓂᑫᐃᐧᓀᐢ 49

ᐅᑕᑯᓯᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐅᒋ ᐱᒧᒋᑲᑌᐠ ᐅᑭ ᓇᓇᑲᒋᑐᓇᐊᐧ ᐅᑭᒪᑲᓇᐠ ᑲᐊᐱᑕᒪᑫᐊᐧᐨ ᐃᒪ ᐊᑯᓯᐃᐧ ᐱᒧᒋᑫᐃᐧᓂᐠ ᐁᑲᐧ ᑕᐡ ᑭᐃᑭᑐᐊᐧᐠ ᒋᔕᐳᓂᑲᑌᐠ ᐅᐁᐧ ᑲᐃᓇᑭᐣᒋᑲᓂᐊᐧᐠ. ᐱᒧᒋᑫᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᑭᐅᓇᒋᑲᑌᐸᐣ ᐃᒪ ᒋᐅᐣᒋ ᑲᐯᔑᐦᐊᑲᓄᐊᐧᐨ ᐅᑕᑯᓯᐠ ᐊᔑᐨ ᑲᔦ ᒋᐅᐣᒋ ᐊᔕᒪᑲᓄᐊᐧᐨ ᒥᓇ ᐅᐱᒥᔭᐃᐧᓂᐊᐧ ᐅᒪ ᒣᑲᐧᐨ ᑲᐱᓇᒋ ᒪᐡᑭᑭᐃᐧᑲᒥᑫᐧᐊᐧᐨ. ᐃᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐃᓇᐧᑌ ᒋᓇᓯᑲᐊᐧᑲᓄᐊᐧᐨ ᐱᒥᓭᐃᐧ ᐳᓂᐃᐧᓂᐠ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ ᒋᐃᔑᐃᐧᓇᑲᓄᐊᐧᐨ ᐊᔑᐨ ᑲᔦ ᒋᐃᔑᐃᐧᓂᐣᑕᐧ ᐃᒪ ᑲᐃᐧᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ. ᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᒋᐅᐣᒋ ᐱᒧᓂᐣᑕᐧ ᐸᑲᐣ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ ᑲᐃᔑ ᑲᐯᔑᐦᐊᑲᓄᐊᐧᐨ. ᐅᐁᐧ ᐱᒧᒋᑫᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᑲᔦ ᑭᐃᓇᒋᑲᓂᐊᐧᐣ ᒋᐃᔑᐃᐧᓇᑲᓄᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐊᑕᐃᐧᑲᒥᑯᐠ ᑲᐊᐣᑐᐊᐧᐸᒪᐊᐧᐨ ᐃᒪ ᒪᐡᑭᑭᐃᐧ ᐊᑕᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐣ ᐁᑲ ᒪᔑ ᑲᒥᓇᑲᓄᐊᐧᐨ ᐯᐸᐣ ᒪᐡᑭᑭᓂ ᑫᒥᓂᐣᑕᐧ. ᐁᒪᐧᔦ ᐸᑭᓂᑲᑌᐠ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ, SLFNHA ᑲᐃᐧᐣ ᒋᐅᐣᒋ ᐱᒧᑐᐊᐧᐨ ᑲᐃᓇᐣᒋᑲᓂᐊᐧᐠ ᒥᓇ ᑭᓯᐱᑭᓂᑫᐃᐧᐣ/ᐸᓂᒥᑫᐃᐧᐣ. ᐃᒪ ᑕᐡ ᑫᐅᐣᒋ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐨ ᐅᑕᓄᑭᐠ, SLFNHA ᐅᑭ ᐅᓇᑐᓇᐊᐧ ᓇᑯᒥᑎᐃᐧᐣ ᐃᑫᐧᓂᐊᐧᐠ ᐊᕑᐊᒪᕑᐠ ᑲᓇᑕ ᐱᒧᒋᑫᐃᐧᐣ ᒋᐅᐣᒋ ᐸᑭᑎᓇᒧᐊᐧᐨ ᐊᔕᐣᑫᐃᐧᐣ ᐃᒪ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ ᑕᑯ ᑲᔦ ᒋᐅᐣᒋ ᐱᒧᑐᐊᐧᐨ ᒥᓇ ᒋᑭᑭᓄᐦᐊᒪᑫᐊᐧᐨ ᐸᒥᓂᑫᐃᐧᐣ ᒥᓇ ᑭᓯᐱᑭᓂᑫᐃᐧᐣ. ᐊᕑᐊᒪᕑᐠ ᐃᐧᓇᐊᐧ ᑕᑭᔑᑌᐳᐊᐧᐠ/ᒋᑲᐧᔭᐣᒋᑐᐊᐧᐨ ᒥᒋᒪᐣ ᐃᒪ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ. ᐃᒪ ᑕᐡ ᐊᔕᐣᑫᐃᐧᓇᐣ ᑫᐅᐣᒋᐃᔑᐃᐧᒋᑲᑌᑭᐣ ᑕᐊᐸᑕᐣ ᐃᒪ ᑲᐅᐣᒋ ᐊᓂᑲᐦᐃᐧᓯᐣᐠ ᒪᐡᑭᑭᐃᐧᑲᒥᐠ ᒥᓇ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ. ᐊᐱ ᑭᐃᐡᑲᐧ ᐃᔑᐃᐧᒋᑲᑌᑭᐣ ᒥᒋᒪᐣ, ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᐠ ᐃᐧᓇᐊᐧ ᑕᐅᓇᐦᐅᑭᐊᐧᐠ ᐊᔕᐣᑫᐃᐧᐣ, ᒋᐊᔭᑭᓀ ᐸᑭᑎᓇᒧᐊᐧᐨ ᒥᒋᒪᐣ ᒥᓇ ᐃᐧᓇᐊᐧ ᒋᑭᓯ̇ᓂᑫᐊᐧᐨ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧ ᐃᐧᓯᓂᐃᐧᑲᒥᐠ. ᐃᐁᐧ ᑲᑭᔑ ᓇᑯᒥᑎᓇᓂᐊᐧᐠ ᐃᑫᐧᓂᐊᐧᐠ ᐊᕑᐊᒪᕑᐠ ᑫᒋᓇᐨ ᒋᑭᑭᓄᐦᐊᒪᐊᐧᐊᐧᐨ ᑲᐯᔑᐧᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ ᐊᓂᐣ ᑫᑐᑕᒧᐊᐧᐨ ᑲᐧᔭᐠ ᒋᐅᓇᐦᐅᑭᐊᐧᐨ ᒥᒋᒪᐣ. ᐊᕑᐊᒪᕑᐠ ᐅᑭ ᑫᒋᓇᑐᐣ ᐃᐁᐧ ᑲᓇᑕ ᒥᒋᑦ ᑲᐃᓇᑌᐠ ᒋᓇᔕᐣᑲᓂᐊᐧᐠ ᒋᐱᒥᓂᔕᐦᐃᑲᑌᐠ ᒥᓇ ᑲᐧᔭᐠ ᒋᐃᔑᓇᑲᐧᐠ ᒥᒋᑦ ᑲᐅᓇᐦᐅᑭᓇᓂᐊᐧᐠ. ᐸᕑᐊᒪᕑᐠ ᑲᔦ ᐅᑭᐸᑭᑎᓇᓇᐊᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ ᐃᒪ ᑭᓯᓂᑫᐃᐧᓂᐠ ᒥᓇ ᑭᓯᐱᑭᓂᑫᐃᐧᓂᐠ ᑲᐃᔑ ᐊᓄᑭᐊᐧᐨ. ᐊᕑᐊᒪᕑᐠ ᑲᔦ ᑭᐃᐧᒋᑕᐧᐊᐧᐠ ᑲᐅᓇᒋᑲᑌᐠ ᐊᓇᐱ ᑫᐃᔑ ᐊ̇ᔭᓄᑭᓂᐣᐨ ᐊᓄᑭᓇᑲᓇᐠ ᐁᑲ ᒋᓄᐣᑌᓭᐊᐧᐨ ᐊᓂᑭᓇᑲᓇᐠ ᒣᑲᐧᐨ ᑲᐊᓄᑭᐊᐧᐨ ᐃᒪ ᑭᓯᓂᑫᐃᐧᓂᐠ ᒥᓇ ᐅᑭ ᐅᓇᑐᓇᐊᐧ ᑫᐱᒥᓂᔕᐦᐃᑲᑌᑭᐣ ᑫᑯᓇᐣ ᒥᓇ ᑫᐃᔑ ᓇᓇᑲᒋᑐᐊᐧᐨ ᐃᑫᐧᓂᐊᐧᐣ ᓂᐯᐃᐧᑲᒥᑯᐣ ᑲᑭᓯᓇᒧᐊᐧᐨ. ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ ᑭᑭᓄᐦᐊᒪᐊᐧᑲᓄᐊᐧᐠ ᒋᐱᒥᓂᔕᐦᐊᒧᐊᐧᐨ ᐅᓇᒋᑫᐃᐧᓇᐣ ᐊᓂᐣ ᑫᑐᑕᒧᐊᐧᐨ ᑭᓯᓇᒧᐊᐧᐨ ᓂᐯᐃᐧᑲᒥᑯᐣ ᒥᓇ ᐃᐧᐸᐨ ᒋᐊᓂ ᑭᔑᑐᐊᐧᐨ ᑲᐃᓇᑌᓂᐠ. ᐊᕑᐊᒪᕑᐠ ᑲᔦ ᐅᑭ ᐅᓇᑐᓇᐊᐧ ᑫᐱᒥᓂᔕᐦᐃᑲᑌᐠ ᑭᓯᐱᑭᓂᑫᐃᐧᐣ. ᑭ ᑭᑭᓄᐦᐊᒪᑫᐊᐧᐠ ᑲᔦ, ᐁᑭ ᑕᑯᓇᒧᐊᐧᐨ WHMIS SLFNHA ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ ᐃᑫᐧᓂᐊᐧᐠ ᐅᑭᓯᐱᑭᓂᑫᐠ ᒥᓇ ᐊᓂᐣ ᑫᑐᑕᒧᐊᐧᐨ ᐸᑭᑎᓇᒧᐊᐧᐨ ᐃᒪ ᑲᐊᔑᑎᓂᑲᑌᑭᐣ ᑲᑭᓯᐱᑭᓂᑲᓂᐊᐧᐠ ᐃᒪ ᑭᓯᐱᑭᓂᑲᓂᐣᐠ ᑲᐊᐸᒋᑐᐊᐧᐨ. ᐁᑲᐧ ᑕᐡ ᑲᐊᓂ ᑲᐧᔭᐣᒋᒋᑲᓂᐊᐧᐠ ᒋᐸᑭᓂᑲᑌᐠ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ, SLFNHA ᐅᑭ ᐃᐧᑕᓄᑭᒪᐣ ᑭᒋᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᓇᑕ ᒋᐅᓇᑐᐊᐧᐨ ᐃᐁᐧ ᐅᐣᑌᕑᐃᔪ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᐃᔑ ᒪᐊᐧᐣᑐᓯᓇᐦᐃᑫᓭᐠ ᐱᐊᐧᐱᑯᐠ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ. ᐊᒥᑕᐡ ᑲᑭᐃᔑ ᑭᔑᒋᑲᑌᐠ ᑭᔐᐱᓯᑦ 2011, ᒥᓇ, ᔕᑯᐨ ᑭᐃᓯᓭ, ᐁᑲ ᐃᐧᓂᑯ ᒥᓯᐁᐧ ᐁᑭ ᐅᐣᒋ ᐊᓄᑭᒪᑲᐠ ᒪᔭᑦ ᑫᑭᐃᔑ ᐊᓄᑭᒪᑲᑭᐸᐣ. ᑭᐊᓄᐣᒋ ᐅᐣᑕᒥᓭ ᑕᐡ ᒋᐅᓇᒋᑲᑌᑭᐣ ᐅᑕᑯᓯᐠ ᐅᐱᒥᔭᐃᐧᓂᐊᐧ ᒥᓇ ᑲᔦ ᐃᐧᑫᓂᐊᐧᐠ ᑲᒪᒋ ᑲᓇᐁᐧᐣᒋᑫᐊᐧᐨ ᒥᓇ ᑲᔕᐸᐧᑌᐱᒋᑲᑌᑭᐣ ᐅᑕᑯᓯ ᑫᐃᔑ ᐊᐧᐸᒪᑲᓄᐨ ᐯᐸᓂ ᑲᒥᓇᑲᓄᐊᐧᐨ ᐊᐦᑯ. ᐅᐁᐧ ᐯᔑᐠ ᐱᒧᒋᑫᐃᐧᐣ ᐅᑕᐸᒋᑐᓇᐊᐧ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ ᑲᓴᑭᑕᓯᓇᐦᐅᐊᐧᐨ ᐅᑕᑯᓯᐣ ᑲᐃᐡᑲᐧ ᑭᐸᑯᓯᐠ ᐃᒪ ᒪᔭᑦ ᑲᐅᐣᒋ ᐅᓇᓴᑲᓄᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓂᐠ ᒥᓇ ᑲᔦ ᒣᑲᐧᐨ ᑲᒥᔕᑲᒣᑯᓇᑲᐠ ᑲᐃᐧ ᐅᓇᓴᐊᐧᐨ ᐅᑭᐁᐧᐃᐧᓂᓂᐣ ᐅᑕᑯᓯᐣ. ᐃᐁᐧ OMTS ᐱᒧᒋᑫᐃᐧᐣ ᑲᔦ ᐅᐣᒋ ᐅᐸᑕᐣ ᐁᐅᐣᒋ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐨ SLFNHA ᔓᓂᔭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᐅᓇᓯᓇᐦᐊᒧᐊᐧᐨ ᒪᓯᓇᐦᐃᑫᐃᐧᓇᐣ ᐃᒪ ᑲᑲᐯᔑᐦᐊᑲᓄᐊᐧᐨ ᐅᑕᑯᓯᐠ ᑲᐯᔑᐃᐧᑲᒥᐠ. ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᐅᐱᒥ ᐃᐧᑕᓄᑭᒪᐊᐧᐣ ᑭᒋᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᓇᑕ ᐊᓄᑭᓇᑲᓇᐠ ᐃᐧᐸᐨ ᓇᐊᐧᐨ ᒋᑭ ᒥᓄᓭᑭᐸᐣ ᐅᐁᐧ ᑲᔑᒪᒋᓭᐠ ᐯᔑᐠ ᑫᑯᐣ ᐃᒪ ᐱᐊᐧᐱᑯᐠ. ᐃᒪ ᑕᐡ ᑲᑭ ᐅᓇᒋᑲᑌᑭᐸᐣ ᑫᐃᔑ ᐱᒧᒋᑲᑌᐠ ᑲᐯᔑᐃᐧᑲᒥᐠ, ᑲᓇᐁᐧᐣᒋᑫᐃᐧᐣ ᒥᓇ ᐊᐧᐁᐧᔑᒋᑫᐃᐧ ᐊᓄᑭᐃᐧᓇᐣ ᑲᔦ ᑭᐊᔑᑎᓂᑲᑌᐊᐧᐣ ᑲᐧᔭᐠ ᒋᑭ ᐅᒋ ᐱᒧᒋᑲᑌᑭᐸᐣ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ. ᐊᐧᐁᐧ ᐊᐧᓂᓇᐊᐧᑲᐠ 50

ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᐅᑭ ᐃᐧᑕᓄᑭᒪᐣ ᒥᓄᔭᐃᐧᐣ ᒪᐡᑭᑭᐃᐧᑲᒥᐠ ᑲᐅᑭᒪᐃᐧᐊᐧᐨ ᐁᑭ ᐅᓇᑐᐊᐧᐨ ᐅᑫᐧᓂᐊᐧᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ. ᐊᐱ ᑲᑭ ᐅᓇᒋᑲᑌᑭᐸᐣ ᑲᓇᐁᐧᐣᒋᑫᐃᐧᐣ, ᐊᒥᐦᐃ ᑲᑭ ᐃᓀᐣᑕᑲᐧᑭᐸᐣ ᒋᑲᓇᐁᐧᐣᒋᑲᓂᐊᐧᐠ 12 ᑎᐸᐦᐃᑲᐣ ᐯᔑᑯᑭᔑᑲ ᐃᒪ ᒣᑲᐧᐨ 6 ᑲᐅᓇᑯᔑᐠ ᐊᑯᓇᐠ 6 ᑲᑭᔐᐸᔭᐠ. ᔕᑯᐨ ᑕᐡ, ᐊᐱ ᑲᑭ ᐃᐡᑲᐧ ᐅᓇᒋᑲᓂᐊᐧᐠ ᑭᐊᓂ ᑭᑫᐣᑕᑲᐧᐣ ᐁᑲ ᐃᓴᐣ ᐁᑌᐱᓭᐠ ᐃᐁᐧ ᑲᓇᐁᐧᐣᒋᑫᐃᐧᐣ ᒥᓇ ᑭᐊᓂ ᐅᓀᐣᑕᑲᐧᓄᐸᐣ 24/7 ᑲᐯᐦᐃ ᒋᑭ ᑲᓇᐁᐧᐣᒋᑲᓂᐊᐧᑭᐸᐣ ᐁᑭ ᐃᓇᐧᑌᐠ ᑲᐧᔭᐠ ᒋᑭ ᑲᓇᐁᐧᐣᑕᑯᓯᐊᐧᐸᐣ ᐅᑕᑯᓯᐠ ᒥᓇ ᑲᔦ ᐊᓄᑭᓇᑲᓇᐠ. ᐃᐁᐧ ᑕᐡ ᐸᒥᓂᑫᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑭᐅᓇᒋᑲᑌ ᒋᐅᐣᒋ ᓇᓇᑲᒋᒋᑲᑌᑭᐣ ᑲᑭᓇ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧ ᐊᐸᒋᑕᑲᓇᐣ ᑲᐧᔭᐠ ᒋᐊᓄᑭᓭᑭᐣ ᑲᐃᔑᓇᐣᑕᐁᐧᐣᑕᑲᐧᐠ ᒋᐃᓯᓭᑭᐣ ᒥᓇ ᒋᐅᐣᒋ ᓇᓇᑲᒋᒋᑲᑌᑭᐣ ᒋᐊᐧᐁᐧᔑᒋᑲᑌᑭᐣ ᒥᓇ ᐱᑯ ᒧᔕᐠ ᒋᐱᒥ ᓇᓇᑲᒋᒋᑲᑌᑭᐣ. ᒣᑲᐧᐨ ᓂᑕᑦ ᑲᐊᐦᑭᐊᐧᐠ ᑲᐃᐡᑲᐧ ᐸᑭᓂᑲᓂᐊᐧᐠ, ᐊᐧᐁᐧ ᐅᐸᒥᓂᑫ ᒥᑐᓂ ᑲᐧᔭᐠ ᑭᐊᓄᑭ ᐁᑭ ᐅᔑᑐᒋᐣ ᑲᒪᒋᓭᓂᑭᐣ ᐊᐸᒋᑕᑲᓇᐣ. ᐅᐊᐧᐁᐧᔑᒋᑫ ᐊᒥ ᑲᑭ ᐃᓯᓭᐨ ᓇᔑᓀ ᒋᑲᓄᓇ̇ᐨ ᑲᑭᒋ ᓇᑲᒋᑐᓂᐨ ᑫᑯᓇᐣ ᑲᒪᒋᓭᓂᑭᐣ ᒥᓇ ᐃᐡᑯᑌᐃᐧᔭᐱᐃᐧ ᑫᑯᓇᐣ ᑲᑭ ᐅᓇᑯᑲᑐᐊᐧᐸᐣ. ᒥᑕᐡ ᑲᑭ ᐃᓯᓭᐠ ᒥᔑᓄᑎᐸᐦᐃᑲᐣ ᐁᑭ ᐊᓄᑲᑌᑭᐣ ᐁᐣᑕᑯᓯᑭᔑᑲ ᑲᒪᒋᓭᑭᐣ ᒣᑲᐧᐨ ᑲᑭ ᐃᐡᑲᐧ ᐸᑭᓂᑲᑌᐠ ᑲᐯᔑᐃᐧᑲᒥᐠ. ᐃᐁᐧ ᑲᑭᔑ ᒥᑭᑲᑌᐠ ᐃᑫᐧᓂᐊᐧᐠ ᑲᐅᐣᒋ ᐃᐧᑕᓄᑭᒪᑲᓄᐊᐧᐨ ᑲᓇᑲᒋᑐᐊᐧᐨ ᐅᐁᐧ ᐊᓄᑭᐃᐧᐣ ᐊᐧᐁᐧᔑᒋᑫᐃᐧᐣ ᑲᔦ ᐃᐡᑯᑌᐃᐧᔭᑊ ᑲᐅᐣᒋ ᐊᓄᑭᒪᑲᐠ ᐊᐧᐁᐧ ᑲᑭ ᐅᐣᒋ ᓂᑲᓂ ᑲᓇᐊᐧᐸᐣᑕᐠ ᐊᓄᑭᓇᑲᐣ ᒥᓇ ᐊᐧᐁᐧ ᒪᔭᑦ ᑲᑎᐯᐣᑕᐣᐠ ᐅᐁᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐁᑭ ᐅᐣᒋ ᐊᓂᒣᐣᑕᐣᐠ ᑲᑭ ᐊᐧᐅᐣᑕᒥᓭᑭᐣ ᑫᑯᓇᐣ ᒣᑲᐧᐨ ᑲᐱᒥ ᐅᔑᒋᑲᑌᐠ ᑲᐯᔑᐃᐧᑲᒥᐠ, ᒥᑕᐡ ᑲᑭ ᐅᐣᒋᓯᓭᐠ ᐁᑲ ᐊᐧᐃᐧᐸᐨ ᒋᐊᐧᐁᐧᔑᒋᑲᑌᑭᐣ ᑫᑯᓇᐣ ᑲᑭ ᒪᒋᓭᑭᐣ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ. ᐊᐁᐧ ᐅᑕᑯᓯᐣ ᑲᐅᐣᒋ ᓇᓇᑲᒋᐦᐊᐨ ᐊᓄᑭᓇᑲᐣ ᐅᐱᒥ ᐸᑭᑎᓇᓇᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ: a) ᒋᐅᐣᒋ ᑭᑭᓄᐦᐊᒪᐊᐧᐊᐧᐨ ᐊᓄᑭᓇᑲᓇᐣ ᐊᓂᓯᓭᑭᐣ ᑲᑭᓇ ᑲᐃᓇᑲᓀᓯᐊᐧᐨ ᐊᐃᐧᔭᐠ ᑲᐃᔑ ᑲᓇᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᒥᓇ ᒋᐅᐣᒋ ᐃᐧᒋᐦᐊᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐊᓄᑭᓇᑲᓇᐣ ᒣᑲᐧᐨ ᑲᐊᔭᑭᓀ ᓇᓇᑲᒋᐦᐊᐊᐧᐨ ᐅᑕᑯᓯᐣ, b) ᒋᐅᐣᒋ ᓇᓯᑲᐊᐧᐊᐧᐨ ᐅᑕᑯᓯᐣ ᐱᐣᒋ ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐠ ᒥᓇ ᒋᐸᑭᑎᓇᒧᐊᐧᐨ ᐅᑎᑭᑐᐃᐧᓂᐊᐧ ᐊᓂᐣ ᑲᐃᔑ ᒪᒥᑐᓀᐣᑕᒥᓂᐨ ᐅᑕᑯᓯᐣ, ᒥᓇ c) ᒋᐅᐣᒋ ᐃᐧᒋᑕᐧᐊᐧᐨ ᑭᐡᐱᐣ ᑲᓇᐣᑕᐁᐧᐣᑕᒧᐊᐧᐨ ᐊᔭᒥᐦᐊᐃᐧᐣ ᒥᓇ ᒋᐃᓀᑕᒪᑫᐊᐧᐨ. ᐅᑕᓇᐠ 12 ᐱᓯᑦ ᑲᐃᓯᓭᐠ, ᐊᐧᐁᐧ ᐅᑕᑯᓯᐣ ᑲᐅᐣᒋ ᓇᓇᑲᒋᐦᐊᐨ ᐊᓄᑭᓇᑲᐣ ᐅᑕᓄᑭᐃᐧᐣ ᑭᐊᓂᓯᓭᓂ ᒋᐊᓄᑲᐊᐧᐨ ᐅᑕᑯᓯᐣ ᐃᒪ ᑲᑲᐯᔑᓂᐨ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ ᒥᑕᐡ ᑲᑭ ᐅᐣᒋᓯᓭᐠ ᑭᓇᐧᑲᐡ ᐁᐡᑲᑦ ᐊᐃᐧᔭ ᑲᑲᓇᐁᐧᐣᑕᑯᓯᐨ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ. ᐊᐧᐁᐧ ᐅᑕᑯᓯᐣ ᑲᐅᐣᒋ ᓇᓇᑲᒋᐦᐊᐨ ᐊᓄᑭᓇᑲᐣ ᑲᔦ ᐅᑕᓄᑲᑕ̇ᐣ ᐅᑕᑯᓯᐣ ᐁᓇᓇᐣᑕᐃᐧ ᐊᐧᑲᐦᐃᑲᓀᑕᒪᐊᐧᐨ ᐅᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒥᓇ ᐸᑲᐣ ᑲᐃᐧᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐅᒪ ᑕᐃᐧᓂᐣᐠ. ᐁᑲᐧ ᑕᐡ ᒥᓇ, ᐊᐧᐁᐧ ᐊᓄᑭᓇᑲᐣ ᑲᐊᓂ ᑲᐧᔭᐣᒋᑐᒋᐣ ᑫᐃᔑ ᐊᐧᐅᐣᑕᒥᐦᐊᐨ ᐅᑕᑯᓯᐣ ᐊᒥᐦᐃ ᑲᐃᓯᓭᓂᐠ ᐊᐸᐣ ᒥᓯᐁᐧ ᐅᑕᓄᑭᐃᐧᐣ ᒋᐃᔑ ᐊᓄᑲᐊᐧᒋᐣ ᐅᑕᑯᓯᐣ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᐠ ᑲᑲᓇᐁᐧᐣᑕᑯᓯᓂᐨ. ᐁᐣᑕᓱᑭᔑᑲ ᑲᑲᐯᔑᐊᐧᐨ ᐅᑕᑯᓯᐠ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᐠ ᐊᐊᐧᔑᒣ 100 ᐁᐣᑕᔓᐊᐧᐨ, ᐊᐧᐁᐧ ᐊᓄᑭᓇᑲᐣ ᑲᐊᓂ ᑲᐧᔭᐣᒋᑐᒋᐣ ᑫᐃᔑ ᐊᐧᐅᐣᑕᒥᐦᐊᐨ ᐅᑕᑯᓯᐣ ᐊᒥᐦᐃ ᐁᐣᑐᑕᐣᐠ ᐁᐊᓂ ᐊᐧᐅᓇᑐᒋᐣ ᒥᓇ ᐁ ᓂᑲᓂ ᑲᓇᐊᐧᐸᑕᑭᐣ ᑲᐃᔑ ᐊᐧᐅᐣᑕᒥᐦᐊᒋᐣ ᐅᑕᑯᓯᐣ ᐃᒪ ᑲᑲᓇᐁᐧᐣᑕᑯᓯᓂᐨ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ. ᐃᐧᒋᐦᐃᐁᐧᐃᓇᐣ ᒥᓇ ᒣᑕᐧᐁᐧᐃᐧᓇᐣ ᐅᑫᐧᓂᐊᐧᐣ ᑲᑐᒋᑲᑌᑭᐣ: a) ᒪᓯᓂᐱᐦᐃᑫᐃᐧᐣ ᒥᓇ ᑲᐡᑲᐧᓱᐃᐧᐣ, ᑲᐊᔭᑭᓀᓂᑲᑌᑭᐣ ᑎᐸᒋᒧᒪᓯᓇᐦᐃᑲᓇᐣ, ᓇᓇᐱᓂᑲᓇᐣ, ᓇᓇᐣᑐᐠ ᐯᐸᓇᐣ, ᒣᑕᐁᐧᐃᐧᓇᐣ ᒪᓯᓇᑌᓯᒋᑲᓂᐠ ᑲᐅᐣᒋ ᒣᑕᐊᐧᓂᐊᐧᐠ, ᒥᓇ ᐱᐣᑯᑫᐃᐧᐣ, b) ᒋᓇᓇᓯᑲᐊᐧᒋᐣ ᐅᑕᑯᓯᐣ ᑲᑲᐯᔑᓂᐨ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ, ᒥᓇ c) ᒋᐅᐣᒋ ᐃᐧᑕᓄᑭᒪᒋᐣ ᐅᑕᑯᓯᐣ ᑲᓇᐣᑕᐁᐧᐣᑕᒧᐊᐧᐨ ᐃᐧᒋᐦᐃᑯᐃᐧᐣ ᒣᑲᐧᐨ ᐅᒪ ᑲᐊᔭᐊᐧᐨ ᐊᐧᓂᓇᐊᐧᑲᐠ. ᓂᑲᐣ ᐁᔑᒪᒋᐡᑲᓂᐊᐧᐠ ᐃᐁᐧ SLFNHA ᑲᐱᒥ ᒪᒋᐡᑲᐊᐧᐨ ᑲᐱᒧᑐᐊᐧᐨ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ, ᒥᔑᐣ ᐃᓯᓭᐃᐧᓇᐣ ᒥᓇ ᑲᒪᒥᑐᓀᐣᑕᒥᐦᐃᐁᐧᒪᑲᑭᐣ ᑭᒧᑭᓭᐊᐧᐣ ᐁᑭ ᑭᑫᐣᑕᒧᓇᑲᓄᐨ ᑲᐯᔑᑲᒥᑯᐃᐧᑭᒪ ᒣᑲᐧᐨ ᓂᐢᑕᑦ ᑲᐊᐦᑭᐊᐧᐠ ᑲᑭ ᐃᐡᑲᐧ ᐸᑭᓂᑲᑌᐠ. ᐅᑫᐧᓂᐊᐧᐣ ᑫᐊᓂ ᓂᐱᑌᐱᐦᐃᑲᑌᑭᐣ: • ᐅᓴᑦ ᑭᓇᐧᑲᐡ ᑲᐱᐦᐅᐊᐧᐨ ᒋᐅᔑ ᑲᐯᔑᐦᐊᑲᓄᐊᐧᐨ ᐅᑕᑯᓯᐠ ᒥᓇ ᐅᑲᓇᐁᐧᐣᒋᑫᐠ, • ᑲᐃᔑᓇᑲᐧᓂᐠ ᒥᓇ ᒥᓂᑯᐠ ᑲᐊᔕᒪᑲᓄᐊᐧᐨ ᐅᑕᑯᓯᐠ ᑲᐊᔕᐣᑫᐊᐧᐨ ᑭᔑᑌᐳᐃᐧᐣ ᑲᐸᑭᑎᓇᒧᐊᐧᐨ, • ᒥᐢᑕᐦᐃ ᑲᒧᑭᓭᑭᐣ ᑎᐸᒋᒧᐃᐧᓇᐣ ᑲᒪᓯᓇᐦᐊᒧᐊᐧᐨ ᑲᐯᔑᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ ᒥᓂᑫᐧᐃᐧᐣ ᒥᓇ ᒪᒋ 51

ᐅᑕᑯᓯᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᑲᐅᒋ ᐱᒧᒋᑲᑌᐠ ᒪᐡᑭᑭᑫᐃᐧᐣ ᐅᐣᒋ, • ᒥᔑᐣ ᐊᐊᐧᔑᔕᐠ ᐁᑲ ᑲᒪᓯᓇᐦᐃᑲᓱᐊᐧᐨ ᐊᓂᔑᓇᐯᐊᐧᑭᓱᐃᐧᓂᐠ, • ᑲᐯᔑᐃᐧᑲᒥᐠ ᒥᔑᐣ ᐁᐊᓂ ᐱᐣᑎᑲᓇᐊᐧᐨ ᑭᓇᐧᑲᐡ ᑲᑲᓇᐁᐧᐣᑕᑯᓯᐊᐧᐨ ᐃᑫᐧᓂᐊᐧᐠ ᒪᒋ ᒪᐡᑭᑭᑫᐃᐧᐣ ᑲᐱᒪᐸᒋᑐᐊᐧᐨ, • ᑲᓇᐣᑕᐁᐧᐣᑕᑲᐧᐠ ᐊᐊᐧᔑᒣ ᒋᑭ ᑭᑭᓄᐦᐊᒪᐊᐧᑲᓄᐊᐧᐸᐣ ᑲᑭᓇ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ. ᒥᑕᐡ ᑲᑭ ᑐᒋᑲᑌᐠ ᐅᑫᐧᓂᐊᐧᐣ ᑲᓇᓇᑭᐡᑭᑲᑌᑭᐣ ᐊᓂᒥᓭᐃᐧᓇᐣ ᐃᒪ ᑲᐃᔑ ᐱᒧᒋᑲᑌᐠ ᑲᐯᔑᐃᐧᑲᒥᐠ, SLFNHA ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐃᐧᐣ ᐅᑲᐱᒥ ᐃᐧᑕᓄᑭᒪᐣ ᑲᑭᓇ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᐱᒧᑐᐊᐧᐨ ᒋᑭ ᐊᓄᑲᑕᒧᐊᐧᐸᐣ ᑫᑭᐃᔑ ᐱᒧᒋᑲᓂᐊᐧᑭᐸᐣ ᒥᓇ ᐊᓂᐣ ᑫᑭᑐᒋᑲᑌᑭᐸᐣ ᒋᑭ ᑭᐱᑎᓂᑲᑌᑲᐧᐸᐣ ᐅᑫᐧᓂᐊᐧᐣ ᒪᒋᓭᐃᐧᓇᐣ ᐅᐁᐧ ᑕᐡ ᒋᑐᒋᑲᑌᐠ a) ᒋᑫᒋᓇᐦᐅᐣᑕᐧ ᐅᑕᑯᓯᐠ ᒥᓇ ᐅᑲᓇᐁᐧᐣᒋᑫᐠ ᑲᐧᔭᐠ ᒋᑲᐯᔑᐦᐊᑲᓄᐊᐧᐨ ᒥᓇ ᑲᐧᔭᐠ ᒋᑲᓇᐁᐧᐣᑕᑯᓯᐊᐧᐨ ᐃᒪ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ, b) ᒋᑫᒋᓇᐦᐅᓇᓂᐊᐧᐠ ᐅᑕᑯᓯᐠ ᒥᓇ ᐅᑲᓇᐁᐧᐣᒋᑫᐠ ᑲᐧᔭᐠ ᒋᐊᔕᒪᑲᓄᐊᐧᐨ ᐃᒪ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ, ᒥᓇ c) ᑫᒋᓇᐨ ᐅᑕᑯᓯᐠ ᒋᒥᓇᑲᓄᐊᐧᐨ ᐃᐧᒋᐦᐃᑯᐃᐧᐣ ᒣᑲᐧᐨ ᐅᒪ ᑲᐱ ᓇᒋ ᒪᐡᑭᑭᐃᐧᑲᒥᑫᐧᐊᐧᐨ ᐊᐧᓂᓇᐊᐧᑲᐠ. ᐅᑫᐧᓂᐊᐧᐣ ᑫᐊᓂ ᓂᐱᑌᐱᐦᐃᑲᑌᑭᐣ ᐊᔕ ᐅᑭ ᒪᒋᑐᓇᐊᐧ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᒋᐊᓄᑲᑕᒧᐊᐧᐨ ᐃᓯᓭᐃᐧᓇᐣ ᒥᓇ ᑲᒪᒥᑐᓀᐣᑕᒥᐦᐃᐁᐧᒪᑲᑭᐣ: 1. SLFNHA ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᐅᑭ ᒪᒋᑐᓇᐊᐧ ᐁ ᑭᑭᓄᐦᐊᒪᐊᐧᐊᐧᐨ ᑲᑭᓇ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ ᐊᓂᐣ ᑫᐃᔑ ᐊᓄᑲᐊᐧᐊᐧᐨ ᐅᑕᑯᓯᐣ. SLFNHA ᐅᑭ ᐅᑕᐱᓇᐣ ᓫᐁᑲᓯ ᐸᐧᐢ ᒋᓇᓇᑲᒋᑐᐨ ᒥᓇ ᒋᐅᓇᑐᐨ ᐊᓂᐣ ᑫᐃᔑ ᐊᓄᑲᐊᐧᑲᓄᐊᐧᐨ ᐅᑕᑯᓯᐠ ᑭᑭᓄᐦᐊᒪᑫᐃᐧ ᒪᓯᓇᐦᐃᑲᐣ ᐊᓂᐣ ᑫᑐᑕᒧᐊᐧᐨ ᐊᐱ ᐊᐧᐃᔭ ᐃᒪ ᐱᑭᐅᑌᓂᐨ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ, ᐊᓂᐣ ᑲᔦ ᑫᐃᑭᑐᐊᐧᐨ ᒪᒋᑭᑐᐃᐧᓂᐠ, ᓇᐊᐧᐨ ᐃᐧᐸᐨ ᒋᑐᑕᒧᐊᐧᐨ ᑲᐃᔑ ᓇᐣᑕᐧᐁᐣᑕᒥᓂᐨ ᐃᒪ ᑲᑲᐯᔑᐊᐧᐨ ᑲᐯᔑᐃᐧᑲᒥᐠ, ᐃᐧᐸᐨ ᒋᐅᔑ ᑲᐯᔑᐦᐃᐁᐧᐊᐧᐨ /ᒋᓴᑭᑕᓯᓇᐦᐊᐧᐊᐧᐨ, ᒋᐊᓂᑲᑕᒧᐊᐧᐨ ᑲᑫᐧᑌᐃᐧᓇᐣ ᑲᐧᔭᐠ ᒋᑐᑕᒧᐊᐧᐨ ᒥᓇ ᑲᐧᔭᐠ ᒋᓇᐦᐁᐣᑕᒧᐊᐧᐨ ᐃᒪ ᑲᑲᐯᔑᐊᐧᐨ ᑲᐯᔑᐃᐧᑲᒥᐠ ᑲᔑ ᐱᒧᒋᑲᑌᓂᐠ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ; 2. ᑲ ᑲᑭᑐᒪᑲᐠ ᒪᒋᑭᑐᐃᐧᐣ ᑭᐅᓇᒋᑲᑌ ᐃᒪ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ ᓇᐊᐧᐨ ᒋᐅᐣᒋ ᑭᔕᑕᐱᓭᐠ ᑲᐱᑭᑐᓇᓂᐊᐧᐠ ᒥᓇ ᐊᐧᐃᐧᐸᐨ ᓇᐊᐧᐨ ᒋᐅᑕᐱᓂᑲᑌᑭᐣ ᑭᑐᐃᐧᓇᐣ ᑲᐱ ᑲᑭᑐᓇᓂᐊᐧᐠ, ᓇᐊᐧᐨ ᒋᐁᐧᐣᒋᓭᐠ ᑲᐃᐧ ᑲᓄᓂᐣᑕᐧ ᐊᓄᑭᓇᑲᓇᐠ ᒥᓇ ᓂᐯᐃᑲᐧᒥᑯᐠ ᑲᐃᔑ ᑭᑐᓇᓂᐊᐧᐠ ᒥᓇ ᑭᐅᓇᒋᑲᑌ ᒋᐊᓂᔑᓇᐯᒧᒪᑲᐠ ᐅᐁᐧ ᑲᑲᑭᑐᒪᑲᐠ; 3. SLFNHA ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᐅᐃᐧᑕᓄᑭᒪᐣ ᑭᒋᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᓇᑕ ᒋᐅᔑᑐᐊᐧᐨ ᑲᐃᔑ ᒪᒋᓭᐠ ᐱᐊᐧᐱᐠ ᑲᐅᐣᒋ ᒪᒋᓭᐠ ᐁᑲᐧ ᑕᐡ ᐃᐁᐧ ᐊᓄᑭᐃᐧᐣ ᑭᑭᔑᒋᑲᑌ ᓂᑭᐱᓯᑦ 2012. SLFNHA ᐊᒥᐦᐃ ᐁᐃᓀᐣᑕᐣᐠ ᑲᑭᓇ ᐊᓄᑭᐃᐧᓇᐣ ᒋᑭ ᐊᓂ ᑭᔑᒋᑲᑌᑭᐣ ᐊᓂ ᓂᐱᐠ 2012. ᐅᐁᐧ ᐱᐧᐊᐱᐠ ᑲᐅᐣᒋ ᒪᒋᓭᐠ ᑲᐅᔑᒋᑲᑌᐠ ᓇᐊᐧᐨ ᒋᒥᓄᓭᐠ ᐊᐦᐱ ᑲᐅᓇᓯᐣᑕᐧ ᐅᑲᐯᔑᐃᐧᓂᐊᐧ ᒥᓇ ᑲᓇᓇᑲᒋᒋᑲᑌᑭᐣ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ ᐊᔕ ᑲᑭ ᑎᐸᐦᐊᐧᒋᐣ ᐅᑕᑯᓯᐣ ᒥᓇ ᐅᑲᓇᐁᐧᐣᒋᑫᐣ; 4. ᐃᐁᐧ ᐊᔑᐨ ᑲᑭ ᐅᓇᒋᑲᑌᑭᐸᐣ 24/7 ᑲᓇᐁᐧᐣᒋᑫᐃᐧᐣ, ᐊᐧᐁᐧ SLFNHA ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᐅᐱᒥ ᐃᐧᑕᓄᑭᒪᐣ ᑎᕑᐊᔾᑎᐣ ᐃᐡᑯᑌ ᒥᓇ ᑲᓇᐁᐧᐣᒋᑫᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᒋᐅᐡᑭᑐᐊᐧᐨ ᒪᓯᓇᑭᓯᑲᓇᐣ ᑲᐅᐣᒋ ᓇᓇᑲᒋᐦᐊᑲᓄᐊᐧᐨ ᐊᐃᐧᔭᐠ ᑭᔭᐸᐨ ᒋᐊᒋᑲᑌᑭᐣ 22 ᒪᓯᓇᑭᓯᑲᓇᐣ ᐃᒪ ᑲᐯᔑᐃᐧᑲᒥᐠ. SLFNHA ᐅᑭ ᒪᒋ ᐊᓂᒧᑕᓇᐊᐧ ᐃᑫᐧᓂᐊᐧᐠ ᑲᓇᓇᑲᒋᑐᐊᐧᐨ ᐱᐊᐧᐱᐠ ᑲᐅᐣᒋ ᒪᒋᓭᐠ ᐃᒪ ᑕᐣᑐᕑ ᐯ ᑲᔭᐊᐧᐨ ᒋᑭᑭᓄᐦᐊᒪᐊᐧᐨ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧ ᐅᑲᓇᐁᐧᐣᒋᑫᐣ; 5. SLFNHA ᒣᑲᐧᐨ ᐅᐱᒪᓄᑲᑕᓇᐊᐧ ᒋᑭᔑᑐᐊᐧᐨ ᑲᑭᓇ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ ᑲᑭᑭᐡᑲᒧᐊᐧᐨ ᐃᔑᓂᑲᓱᐃᐧᓇᐣ ᑲᐊᑲᐧᑲᐧᐦᐃᑲᑌᑭᐣ ᐊᐧᑭᑲᓇᐣᐠ ᒥᓇ ᑲᔦ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᒣᑲᐧᐨ ᐅᑕᓄᑲᑕᓇᐊᐧ ᐁᐊᐣᑐᒋᑫᑕᒪᐊᐧᐊᐧᐨ ᑫᑭᑭᐡᑲᒥᓂᐨ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ; 6. SLFNHA ᐅᐃᐧᑕᓄᑭᒪᐣ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒥᓄᔭᐃᐧᐣ ᒪᐡᑭᑭᐃᐧᑲᒥᐠ ᒥᓇ ᐊᕑᐊᒪᕑᐠ ᑲᓇᑕ 52

ᐱᒧᒋᑫᐃᐧᐣ ᓇᐊᐧᐨ ᒋᑭ ᐊᔭᑭᐸᐣ ᐊᓂᔑᓂᓂᐃᐧ ᒥᒋᑦ ᐃᒪ ᑲᐯᔑᐃᑲᐧᒥᑯᐠ ᑲᐊᔕᐣᑲᓂᐊᐧᐠ. ᐃᐁᐧ ᑲᐃᓇᔕᐣᑲᓂᐊᐧᐠ ᑲᐯᔑᐃᐧᑲᒥᐠ ᑭᐊᐣᑎᓂᑲᑌ ᐁᑐᒋᑲᑌᓂᐠ ᑲᐃᔑ ᓇᐣᑕᐁᐧᐣᑕᒧᐊᐧᐨ ᐅᑕᑯᓯᐠ; 7. ᐊᕑᐊᒪᕑᐠ ᑲᓇᑕ ᐱᒧᒋᑫᐃᐧᐣ ᐅᑲᐸᑭᑎᓇᐣ ᒥᓇᐊᐧ ᒋᑭᑭᓄᐦᐊᒪᐊᐧᐊᐧᐨ ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ ᒥᓇ ᒋᐅᐡᑭᑐᐊᐧᐨ WHMIS ᒪᓯᓇᐦᐃᑲᓀᓴᐣ; 8. ᐃᐁᐧ ᑲᐯᔑᐃᐧᑲᒥᐠ ᐅᑐᓇᑐᓇᐊᐧ ᒋᐊᓄᒧᑕᒧᐊᐧᐨ ᐃᐁᐧ ᒪᐊᐧᐨ ᑲᓴᓇᑲᐠ ᑲᐅᓇᒋᑲᑌᑭᐣ ᐱᒥᔭᐃᐧᓇᐣ ᐱᐊᐧᐱᑯᐠ ᓇᐊᐧᐨ ᒋᑭ ᐅᐣᒋ ᑭᔕᑕᐱᓭᑭᐸᐣ ᑲᐯᔑᐃᐧᑲᒥᐠ ᑲᐊᐧᐅᓇᒋᑫᐊᐧᐨ ᒥᓇ ᑲᐃᔑ ᐊᓄᑲᑌᑭᐣ ᑫᑯᓇᐣ, SLFNHA ᐅᑎᓀᐣᑕᓇᐊᐧ ᐊᔕ ᒋᑭ ᑭᔑᐅᓇᑌᑭᐸᐣ ᐃᐁᐧ ᐅᐡᑭ ᐊᐸᒋᑕᑲᐣ ᐊᓂ ᑕᑲᐧᑭᐠ 2012; 9. SLFNHA ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᐅᐃᐧᑕᓄᑭᒪᐊᐧᐣ ᐅᒪ ᐱᒥᓭᐃᐧ ᐳᓂᐃᐧᑭᒪᐠ ᒋᑭ ᐅᔑᑐᐊᐧᐸᐣ ᐱᐦᑭᐢ ᑫᑕᔑ ᐱᐦᐅᐊᐧᐨ ᐅᑕᑯᓯᐠ ᒥᓇ ᒋᐸᑭᑎᓇᒧᐊᐧᐨ ᑐᑲᐣ ᑎ ᒥᓇ ᑲᐧᐱ ᒥᓇ ᑲᔦ ᔑᐊᐧᐳᐣ, ᔕᑲᒧᓀᓴᐣ ᒥᓇ ᑫᐊᔭᒥᑐᐊᐧᐨ ᒣᑲᐧᐨ ᐱᐦᐅᐊᐧᐨ; 10. SLFNHA ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᐅᐃᐧ ᐅᓇᑐᓇᐊᐧ ᒋᐅᔑᑐᐊᐧᐨ ᑫᐅᐣᒋ ᑭᑫᐣᑕᑲᐧᒋᑲᑌᑭᐣ ᑫᑯᓇᐣ ᐅᓇᒋᑫᐃᐧᐣ ᒋᐅᐣᒋ ᑭᑫᐣᑕᒧᐊᐧᐨ ᐃᒪ ᑲᐱᑭᐅᑌᐊᐧᐨ ᒥᓇ ᑲᐯᔑᐃᐧᑲᒥᑯᐠ ᑲᑲᓇᐁᐧᐣᑕᑯᓯᐊᐧᐨ ᐊᓂᐣ ᐁᔑ ᐱᒥᐃᐧᒋᑲᑌᐠ ᑲᐯᔑᐃᐧᑲᒥᐠ. SLFNHA ᐅᑐᓇᑐᓇᐊᐧ ᐅᐁᐧ ᑲᐅᐣᒋ ᑭᑫᐣᑕᑲᐧᒋᑲᑌᑭᐣ ᑫᑯᓇᐣ ᐅᓇᒋᑫᐃᐧᐣ ᒋᐊᐸᒋᑐᐊᐧᐨ ᐊᐧᐊᐧᑌ ᒥᓇ ᑎᐸᒋᒧᒪᓯᓇᐦᐃᑲᓂᐠ, SLFNHA ᐱᐊᐧᐱᑯᐠ ᑲᐅᐣᒋ ᑎᐸᒋᒧᐊᐧᐨ ᐅᐃᐧᐣᑕᒪᑫᐃᐧᓂᐊᐧ ᒥᓇ ᓇᑐᑕᒧᐃᐧᑲᒥᑯᐣ ᐃᐡᑯᓂᑲᓂᐠ ᑲᐊᔭᑭᐣ; 11. SLFNHA ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᐅᐃᐧ ᐅᓇᑐᓇᐊᐧ ᒥᓇᐊᐧ ᒋᐅᓇᑐᐊᐧᐨ ᑲᐯᔑᐦᐃᐁᐧᐃᐧᐣ ᒥᓇ ᐱᒧᒋᑫᐃᐧᐣ ᓇᐊᐧᐨ ᑲᑭᓇ ᑫᑯᓇᐣ ᒋᐅᐣᒋ ᒥᓄᓭᑭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ. ᐃᐡᑲᐧᔭᐨ ᐃᑭᑐᐃᐧᐣ ᐃᐡᑲᐧᔭᐨ ᐃᑭᑐᐃᐧᐣ, SLFNHA ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᐊᔕ ᒥᐢᑕᐦᐃ ᐅᑕᓂᑭᑫᐣᑕᓇᐣ ᐊᓂᐣ ᑲᐃᔑ ᐱᒧᒋᑲᑌᐠ ᑲᐯᔑᐃᐧᑲᒥᐠ ᐅᑕᓇᐠ 14 ᐱᓯᑦ. ᐅᐁᐧ ᑕᐡ ᑲᑭ ᐱᒥᓭᐠ, ᐊᐧᐁᐧ SLFNHA ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᑲᐊᓄᑲᑕᒧᐊᐧᐨ ᐅᑐᓇᑐᓇᐊᐧ ᐅᐁᐧ ᒋᐊᐸᒋᑐᐊᐧᐨ ᑲᐃᔑ ᑭᑫᐣᑕᒧᐊᐧᐨ ᒥᓇ ᒋᑭᐁᐧ ᓇᓇᑲᒋᑐᐊᐧᐨ ᐊᐣᑎ ᐃᓀᑫ ᑲᑭᐃᔑ ᒥᓄᓭᑭᐣ ᐱᒧᒋᑫᐃᐧᓇᐣ ᒥᓇ ᐊᐣᑎ ᐃᓀᑫ ᑭᔭᐸᐨ ᑫᑭᐃᔑ ᐊᓄᑲᑌᑲᐧᐸᐣ. ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᐊᒥᐦᐃ ᐁᐃᓇᒋᑫᐊᐧᐨ ᑲᑭᓇ ᑲᐱᑭᐅᑌᐊᐧᐨ ᒥᓇ ᐱᑯ ᐅᑕᑯᓯᐠ ᐃᒪ ᑲᐱᑲᐯᔑᐊᐧᐨ ᑲᐧᔭᐠ ᒋᑭᑫᐣᑕᒧᐊᐧᐨ ᒋᑐᑕᐃᐧᐣᑕᐧ ᐊᐱ ᐱᑕᑯᔑᓄᐊᐧᐨ ᒥᓇ ᑲᐧᔭᐠ ᒋᑲᐯᔑᐦᐊᑲᓄᐊᐧᐨ ᑫᐃᔑ ᐊᓀᐧᔑᓄᐊᐧᐨ. ᐊᐧᐁᐧ SLFNHA ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᐃᓇᒋᑫ ᒋᐸᑭᑎᓂᑲᑌᐠ ‘ᑲᐯᔑᐃᐧᐣ ᐊᐃᐧᔭ ᑲᓇᑲᑕᐣᐠ ᐅᑕᐃᐧᐣ’ ᐃᒪ ᑲᑭᓇ ᐊᐃᐧᔭ ᑲᐊᐸᒋᑐᐊᐧᐨ ᑲᐯᔑᐃᐧᑲᒥᐠ. ᐁᑲᐧ ᑕᐡ ᓂᑲᐣ ᑲᐃᓇᐱᓇᓂᐊᐧᐠ, ᓂᑐᐣᒋ ᑲᓇᐊᐧᐸᐣᑕᒥᓇᐣ ᑲᒥᓄᓭᑭᐣ ᑭᒋ ᑲᐯᔑᐃᐧᑲᒥᑯᐣ ᑐᑲᐣ ᐦᐊᔭᐟ ᕑᐁᒋᐣᓯ, ᐯᕑᒪᐧᐣᐟ ᒥᓇ ᐯᕑᑕ ᒉᓫᓯᔭ ᐃᐧᓇᐊ ᑲᐃᔑ ᐱᒧᑐᐊᐧᐨ ᓇᐦᐱᐨ ᐁᒥᓄᓭᓂᐠ ᐃᒪ ᐊᐃᐧᔭᐠ ᑲᐃᔑ ᑲᑲᐯᔑᓂᐨ. ᐅᑕᓇᐣᐠ 14 ᐱᓯᑦ, ᒥᔑᐣ ᑫᑯᓇᐣ ᓂᑭ ᑭᑫᐣᑕᒥᐣ ᒥᓇ ᓂᑫᒋᓇᐦᐅᒥᐣ ᒋᑭ ᐊᐧᐁᐧᔑᑐᔭᐣᑭᐸᐣ ᐊᐊᐧᔑᒣ ᑫᐃᔑ ᒥᓄᓭᑲᐧᐸᐣ ᑲᑭᓇ ᓂᐱᒧᒋᑫᐃᐧᓂᓇᐣ. ᐊᒥᑕᐡ ᐁᐃᓀᐣᑕᒪᐣᐠ ᐊᓂ ᓂᑲᐣ ᒋᑭ ᐃᔑ ᐱᒧᑐᔭᐣᐠ ᐅᐁᐧ ᑲᐯᔑᐃᐧᑲᒥᐠ ᐃᐁᐧ ᑐᑲᐣ ᑲᐃᔑ ᐱᒧᒋᑲᑌᑭᐣ ᑭᒋ ᑲᐯᔑᐃᐧᑲᒥᑯᐣ ᑲᐃᔑ ᒥᓀᐧᐣᑕᒧᐊᐧᐨ ᐃᒪ ᑲᐱᑲᐯᔑᓂᐣᑕᑯᐊᐧᐨ. ᐃᐁᐧ ᑕᐅᐣᒋ ᐅᑕᐱᓂᑲᑌᐠ ᐁᐧᐡᑲᐨ ᐃᑭᑐᐃᐧᐣ: “ᕑᐅᑦ ᑲᐃᐧᐣ ᐯᔑᑯᑭᔑᑲ ᒋᐅᐣᒋ ᑭᔑᒋᑲᑌᐠ.” SLFNHA ᑲᐯᔑᐃᐧᑲᒥᑯᐃᐧᑭᒪᐠ ᐃᓀᐣᑕᒧᐠ ᐅᐁᐧ ᒋᐊᐸᒋᑐᐊᐧᐨ ᐃᑭᑐᐃᐧᐣ ᐊᐊᐧᔑᒣ ᒋᑭ ᒥᓄᓭᑭᐸᐣ ᑲᑭᓇ ᐱᒧᒋᑫᐃᐧᓇᐣ ᐅᒪ ᑲᐯᔑᐃᐧᑲᒥᐠ.

53

Sioux Lookout Regional Physician Services Inc. The Sioux Lookout Regional Physician Services Inc. (SLRPSI) was established in January 2010 and was founded to plan, govern and manage physician services. It has been eighteen months since the new funding structure has been implemented. The SLRPSI board met monthly this past year and set direction/policy on the following key areas.

Models of Care • Increased northern community days • Improved coverage for emergency services at Sioux Lookout Meno Ya Win Health Centre (SLMHC) • Enhanced Hospitalist coverage • Medical support to communities with Opiate Drug Abuse programs • SLMHC withdrawal unit opened in December 2011 – medical coverage 24 hours a day, 7 days a week

Electronic Medical Records • Establishment of working group and provided direction with the process • Monitor the progress of implementation

Recruitment and Retention • Half time recruiter approved and staffed to full time in conjunction with SLFNHA • Six physicians recruited during this fiscal year to join the Physician groups • Locum pool has an increased number of physicians participating in the program • Physician retreat was held June 16-17, 2011 • Participated in the recruitment event in Montreal

Physician Services Plan Approval Summary (Per Diems)

Per Diem Totals

54

2009-2010

2010-2011

2011-2012 (Recommended)

6,889

7,557

8,270

Allocation of Resources Per Diem Allocated

Per Diem Utilized

Primary Care Coverage Northern Practice Clinic Community Day Coverage HAC Clinic Days Northern Days Northern Phones Total:

808

1,116.7

435.75

496.69

746

691.5

2,500

2,221

722

702.8

5,211.75

5,228.69

1,215.25

1,195.25

365

365

1,580.25

1,560.25

Hospital Coverage Hospitalist Coverage Emergency Department Total:

General Practitioner Specialists (i.e. OBS, Chemo, ORTHO, ANESTH and Mental Health) Total:

1,132

678

Moving Forward • • • • •

Development of evaluation framework and review of physician services Increased effort with Physician recruitment Primary Care Facility alternate location options Allocation of additional physician service days Physician Service plan annual submission

Board Members John Cutfeet, SLFNHA

Solomon Mamakwa, SLFNHA

Darcy Beardy, SLFNHA

Dr. Terry O’Driscoll, SLMHC

Sadie Maxwell, SLMHC

Doug Semple, SLMHC

Dr. Anthon Meyer, Physicians

Dr. Jon Morgan, Physicians

Dr. Jeff Balderson, Physicians

55

ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᐠ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᐠ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ (SLRPSI) ᑭᒪᒋᒋᑲᑌᐸᐣ ᑭᔐᐸᐊᐧᑕᑭᓇᑦ 2010 ᐁᑲᐧ ᑕᐡ ᑭᒪᒋᒋᑲᑌᐸᐣ ᒋᐅᓇᒋᑲᑌᐠ, ᒋᐅᓇᔓᐊᐧᑌᐠ ᒥᓇ ᒋᐱᒥᐃᐧᒋᑲᑌᐠ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᐣ. ᐊᔕ ᐊᐃᓇᓀᐅᔕᐳᐱᓯᑦ ᑲᑭ ᐸᑭᑎᓇᑲᓄᐸᐣ ᐅᐡᑭ ᔓᓂᔭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᑲᑭ ᒪᒋᐊᐸᒋᐦᐊᑲᓄᐸᐣ. ᐃᑫᐧᓂᐊᐧᐠ SLRPSI ᐅᑕᐱᑕᒪᑫᐠ ᑕᓱᐱᓯᑦ ᑭᒪᒪᐊᐧᒋᐦᐃᑎᐊᐧᐠ ᐅᑕᓇᐣᐠ ᑲᐊᐦᑭᐊᐧᐠ ᒥᓇ ᐁᑭ ᐅᓇᑐᐊᐧᐨ ᑫᐃᔑ ᐱᒧᒋᑲᑌᑭᐣ /ᐅᓇᑯᓂᑫᐃᐧᓀᓴᐣ ᐅᑫᐧᓂᐊᐧᐣ ᑫᐊᓂ ᓂᐱᑌᐱᐦᐃᑲᑌᑭᐣ.

ᑫᐃᔑ ᐱᒧᒋᑲᑌᑭᐣ ᐸᒥᓂᑫᐃᐧᓇᐣ • ᒋᓇᐣᑭᓂᑲᑌᐠ ᒥᓂᑯᐠ ᑭᔑᑲ ᑲᓇᓇᓯᑲᒧᐊᐧᐨ ᑕᔑᑫᐃᐧᓇᐣ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ • ᓇᐊᐧᐨ ᒋᒥᓇᐧᒋᑲᑌᑭᐣ ᑫᐃᔑ ᓇᓇᑲᒋᒋᑫᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐠ ᐃᒪ ᑲᔑ ᐸᐸᓯᓭᐠ ᑲᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐅᑕᑯᓯᐠ ᐃᒪ SLMHC • ᓇᐊᐧᐨ ᒋᒥᔑᓄᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐠ ᑲᐊᐧᐸᒪᐊᐧᐨ ᐅᑕᑯᓯᐣ • ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑕᔑᑫᐃᐧᓂᐠ ᐃᐁᐧ ᒪᒋᒪᐡᑭᑭᑫᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᐸᑭᑎᓂᑲᑌᑭᐣ SLMHC ᑲᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐊᐃᐧᔭᐠ ᑲᐳᓇᐸᒋᑐᐊᐧᐨ ᒪᒋᒪᐡᑭᑭᑫᐃᐧᐣ ᑭᐸᑭᓂᑲᑌᑭᐸᐣ ᒪᑯᔐᑭᔑᑲᐃᐧᐱᓯᑦ 2011 - ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᒋᐊᓄᑭᐊᐧᐨ 24 ᑎᐸᐦᐃᑲᐣ ᐯᔑᑯᑭᔑᑲ, 7 ᑭᔑᑲ ᑲᐱᒥᑯᓇᑲᐠ

ᐱᐊᐧᐱᑯᐠ ᑲᐃᔑ ᒪᓯᓇᐦᐃᑲᑌᑭᐣ ᒪᐡᑭᑭᐃᐧ ᒪᓯᓇᐦᐅᑯᐃᐧᓇᐣ • ᒋᐅᓇᓴᑲᓄᐊᐧᐨ ᑫᐅᐣᒋ ᓇᓇᑲᒋᑐᐊᐧᐨ ᒪᓯᓇᐦᐅᑯᐃᐧᓇᐣ ᒥᓇ ᒋᐅᓇᑕᒪᐊᐧᑲᓄᐊᐧᐨ ᑫᐃᔑ ᐱᒧᑐᐊᐧᐨ • ᒋᐱᒥ ᓇᓇᑲᒋᒋᑲᑌᑭᐣ ᑫᐊᓂ ᐊᐱᑕᓄᑲᑌᑭᐣ ᐅᐁᐧ ᐊᓄᑭᐃᐧᐣ

ᑲᓇᓇᐣᑐᓇᐊᐧᑲᓄᐊᐧᐨ ᒥᓇ ᑲᑭᒋᐃᐧᓇᑲᓄᐊᐧᐨ • ᐁᑲ ᑲᑲᐯᓭᓂᐠ ᐅᑕᓄᑭᐃᐧᐣ ᑭᔕᐳᓂᑲᑌ ᒥᓇ ᐃᒪ ᑕᓂᔑ ᐊᓄᑭᐦᐊᑲᓄ ᑲᔑ ᑲᐯᓭᐠ ᐊᓄᑭᐃᐧᐣ ᐃᒪ ᒋᐅᐣᒋ ᐃᐧᒋᑕᐧᐨ SLFNHA • ᓂᑯᑕᐧᓯ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐠ ᑭᓇᓇᐣᑐᓇᐊᐧᐊᐧᐠ ᐊᐱ ᑲᐊᓂ ᒪᒋᓭᐠ ᔓᓂᔭᐊᐧᐦᑭ ᒋᐃᐧᑕᓄᑭᒪᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐣ • ᐊᒋᓇ ᑲᐅᐣᒋ ᐃᐧᒋᑕᐧᐊᐧᐨ ᐊᓄᑭᓇᑲᓇᐠ ᑭᓇᐣᑭᓭ ᑕᓯᐣ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐠ ᐃᒪ ᑲᐃᔑ ᑕᑭᐧᐊᐧᐨ ᐱᒧᒋᑫᐃᐧᓂᐠ • ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᑭᒪᐊᐧᒋᐦᐊᐊᐧᐠ ᓴᑭᐸᑲᐃᐧᐱᓯᑦ 16-17, 2011 • ᑭᐃᐧᒋᑕᐧᓂᐊᐧᐣ ᑲᓇᓇᐣᑐᓇᐊᐧᑲᓄᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᐁᐧᑎ ᒪᐣᑎᕑᐃᐊᓫ

ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐅᓇᒋᑫᐃᐧᐣ ᑲᑭ ᔕᐳᓂᑲᑌᑭᐣ ᐃᓇᐣᑭᒋᑫᐃᐧᐣ (ᐯᔑᑯᑭᔑᑲ ᑲᐃᓇᐣᑭᒋᑲᓂᐊᐧᐠ)

ᒪᒪᐤ ᐯᔑᑯᑭᔑᑲ ᑲᐃᓯᓭᐠ

56

2010-11

2011-12

2012-13 (ᑲᐃᔑ ᐸᑯᓭᐣᑕᑲᐧᐠ ᒋᑐᒋᑲᑌᐠ)

6,889

7,557

8,270

ᑲᒪᒪᐃᐧᓂᑲᑌᑭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐯᔑᑯᑭᔑᑲ ᐃᓇᐣᑭᒋᑫᐃᐧᐣ ᑲᒪᒪᐃᐧᓂᑲᑌᑭᐣ

ᐯᔑᑯᑭᔑᑲ ᐃᓇᐣᑭᒋᑫᐃᐧᐣ ᑫᐊᐸᒋᒋᑲᑌᑭᐣ

ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐸᒥᓂᑫᐃᐧᐣ ᑲᐊᓄᑭᐊᐧᐨ ᑭᐁᐧᑎᓄᐠ ᑲᐃᔕᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ

808

1116.7

ᑕᔑᑫᐃᐧᓂᐠ ᑲᐃᔕᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐠ

435.75

496.69

HAC ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ

746

691.5

ᑭᐁᐧᑎᓄᐠ ᑲᑕᓇᓄᑭᐊᐧᐨ

2500

2221

ᑭᐁᐧᑎᓄᐠ ᒪᒋᑭᑐᐃᐧᓇᐣ

722

702.8

5211.75

5228.69

1215.25

1195.25

365

365

1580.25

1560.25

ᒪᒪᐤ:

ᐊᑯᓯᐃᐧᑲᒥᐠ ᑲᑕᓇᓄᑭᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᐊᐧᐠ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᑲᐊᓄᑭᐊᐧᐨ ᑲᐸᐸᓯᓭᐠ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᐣ ᑲᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐅᑕᑯᓯᐠ ᒪᒪᐤ:

ᑯᑕᑭᔭᐠ ᒪᐡᑭᑭᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ (ᑐᑲᐣ ᑲᑭᑭᐡᑲᐊᐧᐊᐧᓱᓂᐨ ᑲᓇᓇᑲᒋᐦᐊᐊᐧᐨ, ᑭᒧ, ᐅᑲᓂᒪᐡᑭᑭᐃᐧᐣ, ᑲᐱᓂᓯᓂᐦᐊᐊᐧᐨ ᐊᐃᐧᔭᐣ ᑲᒪᒋᔕᐧᐊᐧᐨ ᒥᓇ ᒪᒥᑐᓀᐣᒋᑲᓇᐱᓀᐃᐧᐣ) ᒪᒪᐤ:

1132

678

ᑫᐊᓂᔑ ᐱᒋᓂᐡᑲᓂᐊᐧᐠ • ᒋᐅᓇᒋᑲᑌᐠ ᑫᔑ ᓇᓇᑲᒋᒋᑲᑌᑭᐣ ᐊᓂᑭᐃᐧᓇᐣ ᒥᓇ ᒋᑭᐁᐧ ᓇᓇᑲᒋᒋᑲᑌᐠ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ • ᐊᐊᐧᔑᒣ ᒋᐊᔭᐠ ᐊᓄᑭᐃᐧᐣ ᑲᓇᓇᐣᑐᓇᐊᐧᑲᓄᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ • ᐅᑕᑯᓯᐠ ᑫᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᑯᑕᑭᑲᐣᐠ ᑫᐃᔑ ᑕᑲᐧᐠ ᒋᐊᓂᒧᒋᑲᑌᐠ • ᒋᒪᒪᐃᐧᓂᑲᑌᑭᐣ ᒪᐡᑭᑭᐃᐧᓂᓂᐊᐧᐠ ᑲᐊᐧᐸᒪᐊᐧᐨ ᐅᑕᑯᓯᐣ • ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐱᒧᒋᑫᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᑕᓱᐊᐦᑭ ᑲᐸᑭᑎᓂᑲᑌᐠ ᐊᓄᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ

ᐅᑕᐱᑕᒪᑫᐠ • ᒐᐧᐣ ᑲᐟᐱᐟ, SLFNHA • ᓴᐧᓇᒪᐣ ᒣᒣᑫᐧ, SLFNHA • ᑕᕑᓯ ᐯᔭᑎ, SLFNHA Dr. ᑌᕑᐃ ᐅ’ᑎᕑᐃᐡᑯᓫ, SLMHC • ᓭᑎ ᒪᐠᐢᐁᐧᓫ, SLMHC • ᑕᐠ ᓭᑦᐳᓫ, SLMHC Dr. ᐊᐣᑕᐧᐣ ᒪᔦᕑ, ᒪᐡᑭᑭᐃᐧᓂ Dr. ᒐᐧᐣ ᒪᐧᕑᑲᐣ, ᒪᐡᑭᑭᐃᐧᓂ Dr. ᒉᑊ ᐸᓫᑐᕑᓴᐣ, ᒪᐡᑭᑭᐃᐧᓂ 57

Chiefs Committee on Health The Chiefs Committee on Health (CCOH) was formed in March 2004 (Resolution 04/46) by the Sioux Lookout Zone Chiefs. The original tasks for the CCOH included, but were not limited to, the following: • Lobby to safeguard current resources and seek additional resources for community health programs and services • Implementation of the Draft Sioux Lookout Zone Medical Transportation Policy • Secure resources for new hostel • Accelerate the Hospital Reinvestment Funds for the First Nations • Guide and direct the process on the current health initiatives • Facilitate and improve communication amongst First Nation communities, organizations and service providers In 2006, the Sioux Lookout Zone Chiefs expanded the mandate of the CCOH (Resolution 06/08) for the committee to provide oversight on activities carried out by SLFNHA as per the Anishinabe Health Plan implementation. At that time, the CCOH was also asked to continue to lobby for resources to fill the gaps in health services for First Nations members and monitor issues relating to Non-Insured Health Benefits (NIHB).

Key Accomplishments • Provided oversight to the implementation of the AHP, which included reviewing and providing direction with the physician services delivery model • Provided support and guidance for the Primary Health Care Unit and moving forward with the development of a new Primary Health Care Facility • Reviewed NIHB including medical transportation issues and concerns on a regular basis • Received updates from Sioux Lookout Regional Physicians Services Inc. • Received reports from SLFNHA on the proposed development of a First Nations’ owned and operated pharmacy • Received Sioux Lookout Meno Ya Win Health Centre reports • Supported First Nation students from Sioux Lookout working towards a career in health in the amount of $15,000 • Developed and dispersed promotional items for health careers to communities • Supported an Opidate Drug Abuse Training workshop for community Mental Health and NNADAP workers • Encouraged healthy living options by supporting the Healthy Living First Nations Youth Conference for youth at Pelican Falls First Nations High School and Queen Elizabeth High School in Sioux Lookout • Supported a Client Coordination Review to assess the current model of client coordination services 58

Moving Forward Continue to support the implementation of the AHP specifically in the areas of:  Public health system development  Client coordination system development  Community wellness. Continue to strengthen working relationship with:  Sioux Lookout Area Chiefs  Sioux Lookout First Nation Health Authority Board of Directors  Nishnawbe Aski Nation  Other health organizations.

Representatives for 2011-12 Chief Donny Morris – Independent First Nations Alliance Chief Clifford Bull – Lac Seul First Nation Connie Gray-Mckay – Mishkeegogamang First Nation Chief Harry Papah – Matawa First Nations Management Chief Pam Pitchenese – Grand Council Treaty #3 Chief James Mamakwa – Shibogama First Nations Council Chief Titus Tait – Windigo First Nations Council Chief Adam Fiddler – Sandy Lake First Nation Tina Kakepetum-Schultz – Keewaytinook Okimakanak Council Mike Metatawabin – Nishnawbe Aski Nation

Elders Phyllis Semple, Kitchenuhmaykoosib Inninuwug Jonas Fiddler, Sandy Lake First Nation

59

ᐅᑭᒪᑲᓇᐠ ᑲᐊᐱᑕᒪᑫᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ ᐅᑭᒪᑲᓇᐠ ᑲᐊᐱᑕᒧᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ (CCOH) ᑭᒪᒋᒋᑲᑌᐸᐣ ᒥᑭᓯᐃᐧᐱᓯᑦ 2004 (ᐅᓇᔓᐁᐧᐃᐧᐣ 04/46) ᐃᑫᐧᓂᐊᐧᐠ ᑲᑭ ᐅᓇᑐᐊᐧᐨ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑯᓯᐊᐧᐨ ᐅᑭᒪᑲᓇᐠ. ᐃᐁᐧ ᓂᑕᑦ ᑲᑭ ᐃᓇᐧᑌᑭᐸᐣ ᒋᐊᓄᑲᑕᒧᐊᐧᐨ ᐃᑫᐧᓂᐊᐧᐠ CCOH, ᔕᑯᐨ ᑲᐃᐧᐣ ᐁᑕ ᐅᑫᐧᓂᐊᐧᐣ, ᑲᓂᐱᑌᐱᐦᐃᑲᑌᑭᐣ: • ᒋᑲᑫᐧ ᑲᓇᐁᐧᐣᑕᒧᐊᐧᐨ ᒣᑲᐧᐨ ᑲᐊᐸᑕᑭᐣ ᒥᓇ ᒋᓇᓇᐣᑐᓇᒧᐊᐧᐨ ᑯᑕᑭᔭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐃᒪ ᑕᔑᑫᐃᐧᓂᐠ ᑲᐊᔭᑭᐣ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ ᒥᓇ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ • ᑲᒪᒋᒋᑲᑌᐠ ᐃᐁᐧ ᓂᑕᑦ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧ ᐅᓇᑯᓂᑫᐃᐧᓀᐢ • ᒋᐅᓇᒋᑲᑌᑭᐣ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐃᒪ ᐅᐡᑭ ᑲᐯᔑᐃᐧᑲᒥᐠ • ᐃᐧᐸᐨ ᓇᐊᐧᐨ ᒋᐊᐸᒋᐦᐊᑲᓄᐨ ᐊᑯᓯᐃᐧᑲᒥᐠ ᑲᐸᑭᑎᓇᑲᓄᐨ ᑫᔑᐊᐸᑕᓯᐨ ᔓᓂᔭ ᐊᓂᔑᓂᓂᐊᐧᐠ ᑫᐊᐸᒋᐦᐊᐊᐧᐨ • ᒋᐱᒥ ᐅᓇᒋᑲᑌᑭᐣ ᑫᐱᒥᓂᔕᐦᐃᑲᑌᐠ ᒥᓇ ᒋᐅᓀᐣᑕᑲᐧᐠ ᑫᐃᔑ ᐊᓄᑲᑌᐠ ᒣᑲᐧᐨ ᑲᐱᒧᒋᑲᑌᐠ ᐊᑯᓯᐃᐧ ᐅᓇᒋᑫᐃᐧᓇᐣ • ᒋᐅᓇᒋᑲᑌᑭᐣ ᑲᐧᔭᐠ ᒋᐃᔑᓇᑲᐧᐠ ᐃᐧᑕᓄᑭᒥᑎᐃᐧᓇᐣ ᐃᒪ ᐊᓂᔑᓂᓂᐃᐧ ᑕᔑᑫᐃᐧᓇᐣ, ᒪᒋᑕᐃᐧᓇᐣ ᒥᓇ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᐸᑭᑎᓇᒧᐊᐧᐨ • ᒣᑲᐧᐨ 2006, ᐃᑫᐧᓂᐊᐧᐠ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑯᓯᐊᐧᐨ ᐅᑭᒪᑲᓇᐠ ᐅᑭ ᓇᐣᑭᐦᑐᓇᐊᐧᐸᐣ ᐅᓇᒋᑫᐃᐧᐣ ᐃᒪ CCOH (ᐅᓇᒋᑫᐃᐧᐣ 06/08) ᐃᑫᐧᓂᐊᐧᐠ ᑲᐊᐱᑕᒪᑫᐊᐧᐨ ᒋᐅᐣᒋ ᓂᑲᓂ ᓇᓇᑲᒋᑐᐊᐧᐨ ᐊᓂᑭᐃᐧᓇᐣ ᑲᑐᑕᒧᐊᐧᐨ SLFNHA ᑲᐃᓇᑌᐠ ᐊᓂᔑᓇᐯ ᒪᐡᑭᑭᐃᐧ ᐅᓇᒋᑫᐃᐧᐣ ᑲᒪᒋᒋᑲᑌᐠ. ᐃᐁᐧ ᐊᐦᐱ, ᐃᑫᐧᓂᐊᐧᐠ CCOH ᑭᑲᑫᐧᒋᒪᐊᐧᐠ ᒋᐱᒥ ᓇᓇᐣᑐᓇᒧᐊᐧᐨ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᐁᑲ ᑲᐃᔑ ᑕᑲᐧᑭᐣ ᐃᒪ ᐊᓂᔑᓂᓂᐊᐧᐠ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᒥᓇ ᒋᐅᐣᒋ ᓇᓇᑲᒋᑐᐊᐧᐨ ᐃᓯᓭᐃᐧᓇᐣ ᐃᐁᐧ ᐅᐣᒋ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ ᑲᐅᐣᒋ ᑎᐸᐦᐃᑲᑌᑭᐣ.

ᑲᑭ ᑭᒋ ᐊᓄᑲᑌᑭᐣ • ᒋᐸᑭᑎᓂᑲᑌᑭᐣ ᐊᓂᐣ ᑫᐃᔑ ᒪᒋᒋᑲᑌᐠ AHP, ᑕᑯ ᑲᔦ ᑭᐁᐧ ᓇᓇᑲᒋᒋᑫᐃᐧᐣ ᒥᓇ ᒋᐸᑭᑎᓂᑲᑌᐠ ᐊᓂᐣ ᑫᐃᔑ ᐱᒥᐃᐧᒋᑲᑌᐠ ᒪᐡᑭᑭᐃᐧᓂᓂᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧ ᒪᓯᓇᐦᐃᑲᐣ • ᒋᐃᐧᒋᑲᐸᐃᐧᒋᑲᑌᐠ ᒥᓇ ᒋᐅᓇᒋᑲᑌᑭᐣ ᑫᐱᒥᓂᔕᐦᐃᑲᑌᑭᐣ ᐃᒪ ᐅᑕᑯᓯᐠ ᑲᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ ᐱᒧᒋᑫᐃᐧᐣ ᒥᓇ ᒋᐊᓂᔑ ᐱᒋᓂᐡᑲᓂᐊᐧᐠ ᐃᐁᐧ ᐅᐡᑭ ᐊᓄᑭᐃᐧᑲᒥᐠ ᐅᑕᑯᓯᐠ ᑫᑕᔑ ᐊᐧᐸᒪᑲᓄᐊᐧᐨ • ᒋᐁᐧ ᓇᓇᑲᒋᒋᑲᑌᐠ NIHB ᑕᑯ ᑲᔦ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ ᐃᓯᓭᐃᐧᓇᐣ ᒥᓇ ᑲᒪᒥᑐᓀᐣᑕᑲᐧᑭᐣ ᒧᔕᐠ ᒋᐅᐣᒋ ᓇᓇᑲᒋᒋᑲᑌᑭᐣ • ᑭᐱᒋᓂᔕᐦᐃᑲᑌᐊᐧᐣ ᐅᐡᑭ ᐃᐧᐣᑕᒪᑫᐃᐧᓇᐣ ᐃᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑲᐧᐠ ᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧ ᐱᒧᒋᑫᐃᐧᐣ • ᑭᐱᒋᓂᔕᐦᐃᑲᑌᐊᐧᐣ ᐅᑎᐸᒋᒧᐃᐧᓂᐊᐧ SLFNHA ᑲᐃᐧ ᐅᓇᒋᑲᑌᐠ ᐊᓂᔑᓂᓂᐊᐧᐠ ᒋᑭ ᑎᐯᐣᑕᒪᓱᐊᐧᐸᐣ ᒥᓇ ᒋᐱᒥᐸᓂᑕᐧᐊᐧᐨ ᒪᐡᑭᑭᐃᐧ ᐊᑕᐃᐧᑲᒥᐠ • ᑭᐱᒋᓂᔕᐦᐃᑲᑌ ᐊᐧᓂᓇᐊᐧᑲᐠ ᒪᐡᑭᑭᐃᐧᑲᒥᑯᐃᐧ ᑎᐸᒋᒧᐃᐧᓇᐣ • ᒋᐃᐧᒋᐦᐊᐊᐧᐨ ᐊᓂᔑᓂᓂᐃᐧ ᐅᑎᐡᑯᓂᐠ ᐅᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ ᑲᐃᔑ ᑲᐯᔑᐊᐧᐨ ᐃᒪ ᑲᐃᐧᔑ ᒪᒋᑕᐊᐧᐨ ᒪᐡᑭᑭᐃᐧᓂᓇ̇ᐣᐠ $15,000 ᑕᓴᐧᐱᐠ • ᒋᐅᓇᒋᑲᑌ ᒥᓇ ᑭᐊᔭᑭᓀ ᐸᑭᑎᓂᑲᑌᐊᐧᐣ ᒪᐡᑭᑭᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧ ᐊᐸᒋᑕᑲᓇᐣ ᐃᒪ ᒪᐡᑭᑭᐃᐧ ᐊᓄᑭᐃᐧᓇᐣ ᑲᐃᔑᔭᑭᐣ • ᑭᐃᐧᒋᒋᑲᑌᐊᐧᐣ ᐅᐱᑌᐠ ᒪᒋᒪᐡᑭᑭᑫᐃᐧ ᑭᑭᓄᐦᐊᒪᑫᐃᐧᐣ ᐁᑭ ᑭᑭᓄᐦᐊᒪᐃᐧᐣᑕᐧ ᑕᔑᑫᐃᐧᓂᐠ ᑲᑕᓇᓄᑭᐊᐧᐨ ᒪᒥᑐᓀᐣᒋᑲᓇᐱᓀᐃᐧ ᐊᓄᑭᓇᑲᓇᐠ ᒥᓇ NNADAP ᐊᓄᑭᓇᑲᓇᐠ • ᑭᔕᔑᐣᑭᑕᑯᓯᐊᐧᐨ ᐊᓂᐣ ᐊᐃᐧᔭ ᑫᑐᑕᐣᐠ ᑲᐧᔭᐠ ᒋᑲᓇᐁᐧᐣᑕᐠ ᑫᐃᔑ ᒥᓄᔭᐨ ᐅᐱᒪᑎᓯᐃᐧᓂᐠ ᐁᑭ 60

ᑭᑭᓄᐦᐊᒪᐊᐧᐊᐧᐨ ᐅᐡᑲᑎᓴᐣ ᐊᓂᐣ ᐊᐃᐧᔭ ᑫᑐᑕᐣᐠ ᒋᒥᓄᔭᒪᑲᓂᐠ ᐅᐱᒪᑎᓯᐃᐧᐣ ᐃᒪ ᐯᓫᐃᑲᐣ ᐸᐧᓫᐢ ᐃᐡᑯᓄᐃᐧᑲᒥᐠ ᒥᓇ ᐃᒪ ᑭᐧᐃᐣ ᐊᓂᓯᐸᐟ ᑭᒋᐃᐡᑯᓄᑲᒥᐠ ᐅᒪ ᐊᐧᓂᓇᐊᐧᑲᐠ • ᑭᐃᐧᒋᒋᑲᑌ ᐅᑕᑯᓯᐠ ᑲᐅᐣᒋ ᐃᐧᒋᐦᐊᑲᓄᐊᐧᐨ ᑭᐁᐧ ᓇᓇᑲᒋᑫᐃᐧᐣ ᐁᑭ ᓇᓇᑲᒋᑐᐊᐧᐨ ᒣᑲᐧᐨ ᑲᐃᔑ ᐱᒧᒋᑲᑌᑭᐣ ᐅᑕᑯᓯᐃᐧ ᐃᐧᒋᐦᐃᐁᐧᐃᐧᓇᐣ

ᑫᐊᓂᔑ ᐱᒋᓂᐡᑲᓂᐊᐧᐠ ᒋᐱᒥ ᐃᐧᒋᒋᑲᑌᐠ ᑲᐃᐧ ᒪᒋᒋᑲᑌᐠ AHP ᐅᒪ ᐃᓀᑫ: • ᑲᑭᓇ ᐊᐃᐧᔭ ᐅᒪᐡᑭᑭᐃᐧ ᐃᐧᒋᐦᐃᑯᐃᐧᐣ ᑲᐃᔑ ᐱᒧᒋᑲᑌᐠ ᑲᐅᓇᒋᑲᑌᐠ • ᐅᑕᑯᓯᐠ ᐅᐃᐧᒋᐦᐃᑯᐃᐧᓂᐊᐧ ᑲᐃᔑ ᐱᒧᒋᑲᑌᐠ ᒋᐅᓇᒋᑲᑌᐠ • ᑕᔑᑫᐃᐧᐣ ᑫᐃᔑ ᒥᓄᔭᒪᑲᐠ. ᒋᐱᒥ ᒪᐡᑲᐊᐧᒋᑲᑌᑭᐣ ᑲᐃᐧᑕᓄᑭᒥᐣᑕᐧ ᐅᑫᐧᓂᐊᐧᐠ: • ᐊᐧᓂᓇᐊᐧᑲᐠ ᑌᑎᐸᐦᐃ ᑲᐅᐣᒋ ᑎᐯᐣᑕᑯᓯᐊᐧᐨ ᐅᑭᒪᑲᓇᐠ • ᐊᐧᓂᓇᐊᑲᐧᐠ ᐊᓂᔑᓂᓂᐃᐧ ᒪᐡᑭᑭᐃᐧᑭᒪᐃᐧᐣ ᐅᑕᐱᑕᒪᑫᐠ • ᐊᓂᔑᓇᐯ ᐊᐢᑭ • ᑯᑕᑭᔭᐣ ᒪᐡᑭᑭᐃᐧ ᐱᒧᒋᑫᐃᐧᓇᐣ.

ᑲᐊᐱᑕᒪᑫᐊᐧᐨ ᐅᑭᒪᑲᓇᐠ 2011-12 ᐅᑭᒪᑲᐣ ᑕᐧᓂ ᒪᐧᕑᐃᐢ – ᑲᑎᐸᓂ ᐱᒧᓂᑎᓱᐊᐧᐨ ᐅᑭᒪᑲᓇᐠ ᐅᑭᒪᑲᐣ ᑭᓫᐃᐸᐟ ᐳᓫ – ᐅᐱᔑᑯᑲᐣᐠ ᐃᐡᑯᓂᑲᐣ ᑲᐧᓂ ᑭᕑᐁ ᒪᑫ – ᒣᐡᑭᑲᐧᑲᒪᐣᐠ ᐃᐡᑯᓂᑲᐣ ᐅᑭᒪᑲᐣ ᐦᐁᕑᐃ ᐸᐸ – ᒪᑕᐊᐧ ᐊᓂᔑᓂᓂᐊᐧᐠ ᐱᒧᒋᑫᐃᐧᐣ ᐅᑭᒪᑲᐣ ᐸᑦ ᐱᒋᓂᐢ – ᑎᕑᐃᑎ #3 ᐅᑭᒪᐃᐧᐣ ᐅᑭᒪᑲᐣ ᒉᒥᐡ ᒣᒣᑫᐧ – ᔑᐸᐧᑲᒪ ᐊᓂᔑᓂᓂᐃᐧ ᐅᑭᒪᐃᐧᐣ ᐅᑭᒪᑲᐣ ᑕᔾᑕᐢ ᑌᐟ – ᐃᐧᐣᑎᑯ ᐊᓂᔑᓂᓂᐃᐧ ᐅᑭᒪᐃᐧᐣ ᐅᑭᒪᑲᐣ ᐊᑕᑦ ᐱᐟᓫᐊᕑ – ᓀᐣᑲᐃᐧᓴᑲᐦᐃᑲᓂᐠ ᐃᐡᑯᓂᑲᐣ ᑎᓇ ᑲᑭᐱᑕᑦ - ᔓᓫᐟᐢ – ᑭᐁᐧᑎᓄᐠ ᐅᑭᒪᑲᓇᐠ ᐅᑭᒪᐃᐧᐣ ᒪᐃᐠ ᒥᑕᑕᐊᐧᐱᐣ – ᐊᓂᔑᓇᐯ ᐊᐢᑭ

ᑭᒋᔭᐦᐊᐠ ᐱᓫᐃᐢ ᓭᑦᐳ, ᑭᒋᓇᒣᑯᓯᑊ ᐃᓂᓂᐊᐧᐠ ᒍᓇᐢ ᐱᐟᓫᐊᕑ, ᓀᐣᑲᐃᐧᓴᑲᐦᐃᑲᓂᐠ ᐃᐡᑯᓂᑲᐣ

61

SLFNHA Administrative Staff Administration Department From left: Brent Wesley, Susan Chapman, Chris Duval, Christine Chisel, April Derouin, Dorothy Binguis, Adrienne Langston, Ann Cleland, Michelle Ketchabaw, Star Mamakwa, Tee Flemming, Paddy Dasno and Donna Morris

Missing: James Morris, Janet Gordon, Amanda Jacob, Charlene Dyment, Suzanne Snow, Angela Harrison, Charlene Samuel, Edna Moskotaywenene and Rod Horsman

Finance Department Back Row, from left: Carolyn Horbas, Laurel Hakala, Judy Buchan, Raye Landry, Patti Roussin and Alice Dodsworth. Front row, from left: Amy Whalen, Linda Bourrier and Tanya Kakekaspan.

62

Our Partners and Funders The SLFNHA Board of Directors, management and staff extend our appreciation to our partners and funders for their contributions. • • • • • • • • • • • • • • • • • • • • • • • • • •

• • • • • • • • •

Aboriginal Healing & Wellness Strategy Amdocs Centre for Addiction and Mental Health Chiefs Committee on Health Chiefs of Ontario Children’s Mental Health Centre of Excellence - Children’s Hospital of Eastern Ontario Community Counselling and Addiction Services Firefly Children’s Mental Health First Nations Family Physicians and Health Services Health Canada - First Nations & Inuit Health Branch Hugh Allen Clinic Family Health Group Keewaytinook Okimakanak Telemedicine Kinark Child and Family Services Lake of the Woods Child Development Centre Local Health Integration Network Nishnawbe Aski Nation Northwestern Health Unit Northwestern Ontario Infection Control Network Northern Ontario School of Medicine Ontario Sick Kids Telepsychiatry Ontario Trillium Foundation Province of Ontario - Ministry of Community & Social Services Province of Ontario - Ministry of Children and Youth Services Province of Ontario - Ministry of Health & Long Term Care Sioux Lookout area First Nations Sioux Lookout area Tribal Councils - Independent First Nations Alliance - Keewaytinook Okimakanak - Matawa First Nations Management - Shibogama First Nations Council - Windigo First Nations Council Sioux Lookout-Hudson Association for Community Living Sioux Lookout Meno Ya Win Health Centre Sioux Lookout Pastoral Care Committee Sioux Lookout Regional Physicians Services Inc. Surrey Place Centre Tikinagan Child and Family Services Thunder Bay Health Unit University Health Network University of Toronto Psychiatric Outreach Program

63

Sioux Lookout First Nations Health Authority PO Box 1300 Sioux Lookout, ON P8T 1B8 Tel: (807) 737-1802 Fax: (807) 737-1076 Toll Free 1-800-842-0681

www.slfnha.com