annual report 2016 -...

ANNUAL REPORT 2016 - 2017

THE NATIONAL ABORIGINAL DIABETES ASSOCIATION ENVISIONS DIABETES-FREE HEALTHY COMMUNITIES

2 • National Aboriginal Diabetes Association • ANNUAL REPORT 2016 - 2017 • www.nada.ca

EXECUTIVE SUMMARY

In fiscal year 2016-2017 (FY16), the National Aboriginal Diabetes Association (NADA) received funding from Health Canada – First Nation and Inuit Health Branch in the amount of $240,000. NADA’s work plan activities continue throughout the year and provide ongoing resource development and knowledge sharing of diabetes management and prevention resources to ADI (Aboriginal Diabetes Initiative) workers, NADA members, partners, tribal councils, health centres, key contacts, and others across Canada and the world.

NADA has become a networking and knowledge transfer hub for Aboriginal Diabetes Initiative Workers and Community Diabetes Prevention Workers (CDPWs) through the hosting of a CDPW Continuing Education Forum in 2011 and 2013, the national biennial conference in 2016, the creation and maintenance of

a CDPW Facebook group and an on-line information repository for Health Canada reports, and diabetes–related information and resources.

NADA has the infrastructure in place and the ability to leverage funds for major projects, as evidenced in the Complete Guide to T2D and DVD project (2012) including in-kind contributions and other revenue sources for hosting major conferences.

Nominal lists of resources and other products are mentioned in this report. Note that mentioned resources are typically hyperlinked and any reader may have direct access to the resources simply by clicking on the provided link.

ABOUT THE NATIONAL ABORIGINAL DIABETES ASSOCIATION

Since its inception in 1995, NADA has created and implemented a wide range of clinical, health promotion and support activities which include: national diabetes conferences, a national diabetes resource directory, resources, web links, diabetes presentations, webinars and public service announcements. A nominal listing of popular diabetes resources consists of a

• ‘how to’ program guide for Aboriginal communities

• a Healthy Living Activities book for grades 4 to 6

• the Eagle Book series which addresses diabetes prevention resource for children in the primary grades

• diabetes guidelines for people living with diabetes and their caregivers

• health promotion resources

• NADA newsletters

• NADA website and other social media portals

• diabetes care sheets highlighting diabetes

prevention, management, mental health, foot care, nutrition, vision care

• poster series targeting Youth, Adult and Elder movement towards healthier lifestyles.

Through the years NADA has worked locally, regionally and nationally with partners to develop and distribute diabetes resources and education. NADA is recognized for its involvement on advisory committees and in working groups in identifying issues and increasing community capacity to respond to diabetes by providing training to CDPWs and health professionals to enhance their abilities to deliver effective diabetes programming and services.

All products produced by NADA and its partners aim to reduce the incidence and prevalence of diabetes among First Nations, Inuit and Métis Peoples and to improve the health status of First Nations, Inuit and Métis individuals, families and communities.

National Aboriginal Diabetes Association • ANNUAL REPORT 2016 - 2017 • www.nada.ca • 3

WHO WE ARE

OUR VISION

OUR MISSION

OUR VALUES

OUR GOALS

NADA is a not-for-profit members-led organization established in 1995 as a result of the rising rates of diabetes among First Nations, Inuit and Métis Peoples in Canada

The National Aboriginal Diabetes Association’s mission is to lead the promotion of healthy environments to prevent and manage diabetes by working together with people, communities and organizations.

Aboriginal Communities & Families are at the front and centre of what we do in connecting with people and communities

Respect of diversity, culture and traditional knowledge of people and communities

Honour and Validation of experiences, wisdom, history, knowledge and cultural differences in building relationships

Caring and Sharing in how we approach people, families and communities in our work

Integrity in the way we strive for excellence and quality in the work that we do

Unity in representing the best interests of people and communities

The National Aboriginal Diabetes Association envisions diabetes-free healthy communities.

To achieve this vision the National Aboriginal Diabetes Association is an open, independent, grassroots prominent organization that is the driving force in:

• Raising awareness about diabetes and First Nations, Inuit and Métis Peoples in Canada.• Advocating for programs and services for First Nations, Inuit and Métis Peoples affected by

diabetes.• Promoting healthy lifestyles to prevent the onset or complications of diabetes for First

Nations, Inuit and Métis Peoples.

1. Develop, provide and facilitate resources for diabetes prevention and management, education, research and monitoring.

2. Establish and nurture partnerships and collaboration with people, communities and organizations.

3. Support people, communities and organizations in developing and enhancing their ability to promote healthy environments.

4. Advocate to ensure the epidemic of diabetes among our peoples and communities is a national health priority.

GOAL

• Supp or t k nowledge exchange, c apacit y building and par tnership development, with a fo cus on Ab original D iab etes I nit iative workers (ADI) , to help reduce the incidence of diab etes among First Nations, I nuit and M étis Peoples

OBJECTIVE

• Enhance avai labil it y and access to relevant health promotion information and resources p er taining to diab etes and its complic ations in order to supp or t ADI workers, health c are professionals and First Nations, I nuit and M étis Peoples l iving with diab etes


NADA WEBSITEThe NADA website is robust with resources, calendar of events, reports, etc. NADA obtains important information on current research, trends, resources, and toolkits, etc, from researchers, non-governmental organizations, provincial and federal governments, First Nations, Inuit and Métis communities, health professionals, pharmacists, and others.

NADA began an overhaul of the website in the last quarter of FY2015, and the new NADA site was launched in early FY2016. The new NADA website enjoys a more user-friendly design reflective of contemporary website design with easier access to menus and resources, an event calendar, featured blog notices, and much more.

IMPROVED NADA WEBSITEThe NADA website is another stopping place on route to formidable diabetes resources, reports, research and presentations and upcoming events focused on diabetes and its many complications. Resources are uploaded on a monthly basis thus enabling frequent visits to our website. Generally, the number of views per month ranges from 6,000 to 12,000.

POWERPOINT PRESENTATIONS ON NADA WEBSITE In FY15, NADA Project Manager and Board members initiated redrafting of presentations available on the NADA website, conferring and consulting with content matter experts. NADA membership and colleagues have advised that some presentations

on the NADA website contain inaccurate, out of date and misleading information. This process continued into FY16, along with the addition of new presentations, listed below. NADA also benefited from having University of Manitoba Nursing students placed with NADA as part of their community practicum, during which they developed the Mental Health and Footcare presentations.

These presentations were downloaded from the NADA website 1218 times in FY16.

Physical Activity

http://nada.ca/wp-content/uploads/2016/pdfs/NADA%20Presentations/2016_Physical_Activity_Presentation.pdf

Childhood Obesity & Diabetes Prevention

http://nada.ca/wp-content/uploads/2017/03/2016_NADA_Childhood_Obesity_T2Diabetes.pdf

Diabetes and Your Feet

http://nada.ca/wp-content/uploads/2017/03/2016_NADA_Diabetes_and_Your_Feet.pdf

Preventing & Managing Diabetes and Your Health http://nada.ca/wp-content/uploads/2016/pdfs/NADA%20Presentations/Preventing-and-Managing-Diabetes-and-Your-Health-2016.pdf

Are We Doing Enough to Get Children and Youth Active? (Courtesy of Elizabeth Proskurnik, Tribal Diabetes Coordinator, SERDC)

http://nada.ca/wp-content/uploads/2016/pdfs/NADA%20Presentations/2016-Are-We-Doing-Enough-to-Get-Children-and-Youth-Active.pdf


COMMUNICATIONS AND SOCIAL MEDIA

NADA FACEBOOK PAGE / NADA CDPW FACEBOOK PAGE /T WIT TER / INSTAGR AMThe NADA general Facebook page is open to the public. Diabetes resources, news, and information on research, health, lifestyle, events and conferences are shared through this page, continuing connectivity and knowledge translation on a worldwide platform.

The NADA Community Diabetes Prevention Worker (CDPW) Facebook page was developed to maintain a community of practice with Aboriginal Diabetes Initiative (ADI) workers from across Canada. This social media page is explicit to their needs and includes a forum for communicating and engaging with other ADI workers and access to resources. The CDPW Facebook page enhances knowledge translation as it is updated on a weekly, if not daily, basis.

In FY16, NADA has seen an increase of 350% in usage of the Facebook CDPW group, a 15% increase in usage of the NADA Facebook page, and a 10% increase in usage of the NADA Twitter page. NADA opened an Instagram page in FY16 and currently has 54 followers .

NADA NE WSLE T TERS The NADA newsletter is a bi-monthly feature. Articles are submitted by diverse range of contributors including ADI workers, researchers, healthcare professionals, registered dietitians, and others. The NADA newsletter is distributed digitally through NADA networks, which enables the product to be redistributed through others’ networks, and enjoys a readership of over 5000 recipients. Along with a new logo and website in the FY16, NADA employed a new layout for the bi-monthly newsletters, which now includes features on research and community-based diabetes programs and services. The newsletter also now casts a wider net for content submission, and newsletter distribution, with the incumbent Executive Director

bringing a vast network to NADA.

RESOURCE OF THE MONTH The NADA Resource of the Month is distributed to recipients across Canada. The selection of the resource is dependent on the month. For example, the month of May is National Aboriginal Diabetes Day and “Investing in Healthy Breakfast” was distributed throughout that month. Assembly of First Nations (AFN) Grand Chief Perry Bellegarde has referenced this resource in his call to communities.

NADA WEBINAR SERIES

December 2016 Newsletter

DIABETES, DEPRESSION AND HOPE


CANADIAN DIABETES ASSOCIATION: MYCDA

SOUTHERN ONTARIOABORIGINAL DIABETES INITIATIVE

HELPFUL INFORMATION FROMTHE CDA

TIPS FOR BEING ACTIVE OUTDOORS IN THE WINTER

TERI MORROW, RD

MARCH 2017 Newsletter

AGEDEKONI: NUTRITION FOR FEEDING YOUR TODDLER


CANADIAN DIABETES ASSOCIATION

DR. CHRISTOPHER MUSHQUASH

REBRANDED AS DIABETES CANADA

TRUTH AND RECONCILIATION:MOVING FORWARD TO A HEALTHY LIFESTYLE


Due to staff turnover in the NADA office in late 2016, as well as a migration of membership data from the previous SQL database to the eTapestry internet fundraising and membership system, the regular distribution was interrupted for the months of October to December 2016, and January to July 2017. In FY17 NADA has communicated to membership that the lost months of resource distribution will be compensated by sending two (2) Resources of the Month over the five (5) months.

A short list of resources shared in FY16 includes:

• Childhood Obesity ppt presentation

• Physical Activity ppt presentation

• NADA Events Calendar

• CDA’s “Diabetes Driving Change” Report

ENHANCEMENT OF NADA NATIONAL DIABE TES RESOURCE DIREC TORY (NNDRD)The NNDRD is a national resource listing diabetes resources, service providers as well as including Tobacco, Heart Health, Healthy Weights and Physical Activity resources/contacts, etc. The NNDRD is updated each year, by contacting former listings and updating information where necessary, as well as researching new, valued listings. Each province and territory is represented in this booklet. The end-user may download the complete series, or if only interested in his province/territory, that can be downloaded as well. This booklet can be downloaded at http://nada.ca/wp-content/uploads/2016/pdfs/Diabetes%20Resource%20Directory/Diabetes-Resource-Directory-2016.pdf

PROJECTS AND RESOURCES

YOUR HEALTH MAT TERS C ALENDARThe 3rd edition of NADA’s Your Health Matters Calendar was published in the 4th quarter of FY16, and developed in partnership with the Aboriginal Nutrition Network of the Dietitians of Canada.

The calendar features Haudenosaunee and Mi’Kmaq-related recipes using traditional foods

and traditional means of preparation, along with traditional teachings that inform the procurement of and respect for the plants and animals. As a means of preventing diabetes and other chronic disease, consumption of traditional and less-processed foods provides essential nutrients and healthier ways of eating, as well as connecting to culture and honouring our ancestors. The calendar starts in February, to reflect the “new year” in Haudenosaune culture. The seasonal food guide is a Haudenosaunee representation of how users can choose to eat and harvest foods in their territories.

As with previous NADA calendars, each day on the calendar has three spots to record blood sugar levels for people living with diabetes and conducting regular tests.

DIABE TES AND HOPE MONTHLY WEBINAR SERIESIn the latter part of FY16, NADA began its ongoing “Diabetes and Hope” webinar series. Through this series, NADA features guest speakers who work and live in the prevention and self-management of type 2 diabetes in a variety of settings and occupations. The series is designed to focus on the resiliencies of Indigenous Peoples living with diabetes as a means of providing hope to others living with diabetes, pre-diabetes, family and friends of those living with diabetes, and working in related fields.

The first webinar, titled “Diabetes, Depression and Hope” aired in January 2017. February featured a

Your Health Matters2017/18 SEASONAL FOOD GUIDE CALENDAR

ABORI

GINA

L NUTRITION NETW

ORK

ABORI

GINA

L NUTRITION NETW

ORK

www.dietitians.ca/aboriginalnutrition


webinar about food sovereignty titled, “Indigenous Food Security and Sovereignty Community Projects”. The webinar series continues into FY17 and will be ongoing.

DIABE TES DECL AR ATION - RIGHT TO C ARE - NATIONAL ROUND TABLE ON DIABE TES AND FIRST NATIONS PEOPLESChief Isadore Day, Serpent River First Nation and Chiefs of Ontario Regional Chief, was invited to give an opening address at the NADA 2016 biennial conference. Chief Day shared his personal story of his journey with diabetes and noted there a need for change in addressing the prevention, education, treatment and management of diabetes.

Since the conference, Chief Day has requested NADA and the Southern Ontario Aboriginal Diabetes Initiative (SOADI) convene a national roundtable on Indigenous Peoples and Diabetes. Work to bring people together for this table has begun in FY16 and continues into FY17.

NADA FIRST NATIONS, INUIT, AND MÉ TIS PHYSIC AL AC TIVIT Y RESOURCEIn FY16 NADA reached out to partners Saint Elizabeth Health Care, the National Collaborating Centre for Aboriginal Health (NCCAH), Aboriginal Physical Activity and Cultural Circle (APACC), the Aboriginal Sport & Wellness Council of Ontario (ASWCO), and Lyle Daniels, to develop a resource speaking to the benefits of physical activity for the prevention and self-management of diabetes in First Nations, Inuit and Métis communities.

It was determined that the existing St Elizabeth “Benefits Of Physical Activity For First Nation, Inuit and Métis Communities” online resource is an excellent means of teaching about physical

activity, and it was decided to supplement the resource with video testimonials by Indigenous Peoples living with diabetes who use physical activity to manage their diabetes. The Working Group determined what might resonate most with viewers would be to have non-famous role models provide video testimonials about their real-life experiences of incorporating physical activity into their self-management of diabetes. These videos

provide real perspectives from Indigenous people living with diabetes, and how exercise and activities help them maintain their health and wellness. In addition to the video testimonials, NADA and partners contributed lists of physical activity resources to be housed on the St Elizabeth website. The video testimonials and list of resources, as part of the online resource, can be found at https://www.saintelizabeth.com/FNIM/About-Us/Initiatives/The-Benefits-of-Physical-Activity.aspx

NADA will be developing further videos based on the testimonials in FY17.

NADA TR ADITIONAL FOODS GUIDENADA began developing a resource booklet, entitled “Gifts from our Relations” in FY16. The booklet will consist of 20-30 commonly consumed traditional foods (plants/animals) that are indigenous to lands in Canada. The foods will be divided by region - western, central (prairies), northern, and eastern, and each food will have a brief description and photo of the food, how the food was/is procured (hunted, trapped, fished, harvested, etc.), where the food can be purchased if available, and the benefits of the food in terms of nutrition (in relation to diabetes specifically), physical health (in relation to food procurement), and spiritual health (through a traditional teaching). The booklet will also include a simple, cost-effective recipe to encourage consumption of the food, which will be obtained from other sources.

The purpose of the resource is to create an easy-to-read, visual resource with practical information that individuals, organizations, health professionals, and registered dietitians may provide to perspective clients or use personally. The goal is to promote consumption of traditional foods for improved diabetes management and to strengthen cultural


identity in Indigenous communities.

NADA is seeking additional partnerships to complete the booklet in FY17. Local Elders from each region, such as Elders from the Centre for Aboriginal Health Education, University of Manitoba, will be consulted.

THE ANISHINAABE PL ATEIn FY16 NADA began work on a forthcoming series of “portion plates”, based on the “Anicinaabe Plate” developed by Food Matters Manitoba.

Food Matters Manitoba (FMM) had initially developed the Anishinaabe Plate with a group of students and Elders from Brokenhead Ojibway Nation and Sagkeeng First Nation. The plate integrates both nutrition information and Anisihnaabe teachings that encourages youth to eat in a healthy way from foods harvested on the land that are now incidentally seen as world-class in both their flavor and nutrient content.

NADA approached FMM to partner and update the Plate, eventually producing plastic portion plates similar to those used regularly by dietitians to convey portion sizes. The newer version of the Plate will also include traditional teachings around food, to foster celebration of Anishinaabe foods and language, and encourages positive eating habits. NADA also wishes to use the Anishinaabe Plate as a model for future cultural, regional and language-related Plates for other Indigenous Peoples in Canada. A physical plate will be a great giveaway and a teaching tool for further encouraging healthy eating rooted in culture. Numerous plates already exist that separate food groups but few make any mention of Indigenous foods or use the language to any great extent.

Work on the Plate continues in FY2017 as NADA and FMM convene a goup of Elders and others to further develop the information and content related to the Plate.

FIRST NATIONS, INUIT AND MÉ TIS FOOD SOVEREIGNT Y ASSESSMENT TOOL

In FY16 NADA begun work on an adaptation of the Food Sovereigny Assessment Tool developed by the First Nations Development Institute (U.S.), and now in its 2nd edition. The Tool provides context on the food security movement in First Nations communities in the United States, and provides a resource for thinking about food systems in communities and what can be done to regain control of Indigenous food systems. NADA is of the position that there is a direct correlation between loss of control over local food systems and incidence and prevalence of type 2 diabetes in Indigenous communities.

As there is no similar tool for use in Canada, food sovereignty and food security are issues experienced by many First Nations, Inuit and Métis communities across Canada, NADA has determined a tool similar to the FSAT would be beneficial to these communities.

NADA hopes the Canadian adaptation of this tool will assist First Nations, Inuit and Métis communities in assessing and controlling their food systems and to help build capacity within communities that will lead to a movement for systemic change, resulting in healthy and sustainable food systems within their communities.

HEALTHY LIVING COLOURING BOOKS FOR INDIGENOUS CHILDREN AND YOUTHIn FY16 NADA initiated a project that will result in a series of colouring books for Indigenous children and youth. NADA recognizes the current trend of colouring books as teaching tools, and is in the process of developing colouring books designed to teach children and youth about the benefits of eating and living healthy, framed in culture and language teachings.

Initial discussions determined that NADA is unable to solely fund the completion of this resource and partnerships were pursued. A local publisher in Winnipeg has expressed interest in publishing the series and a proposal was submitted in the last quarter of FY16.


NATIVE WOMENS ASSOCIATION OF C ANADA (NWAC ) PATHWAYS PARTNERS FOR ENGAGNEMENT AND KNOWLEDGE EXCHANGE (PEKE) DIABE TES FAC T SHEE TAs NADA sits on the PEKE advisory committee for the NWAC PEKE as part of the CIHR Pathways initiative, NADA worked closely with colleagues at the Children’s Hospital Research Institute of Manitoba (CHRIM) and NWAC staff to produce the diabetes fact sheet that is part of the NWAC PEKE series of fact sheets (http://www.nwac.ca/policy-areas/health/pathways-to-health-equity-for-aboriginal-peoples-partners-for-engagement-and-knowledge-exchange-peke/).

NADA ON- C AMPUSNADA’s new initiative, “NADA On-Campus”, to coordinate and communicate diabetes-related information through a post-secondary academic network is gradually picking up steam.

L AWSON FOUNDATION DIABE TES RESEARCH FUNDINGNADA partnered with three organizations to apply to the Lawson Foundation’s 2016 Diabetes Funding Opportunity. The first proposal was with the Lloydminster Native Friendship Centre, seeking support to further develop the Woman Warriors program; a scalable, sustainable, physical activity-based, wholistic diabetes prevention programming for Aboriginal women and girls that is delivered by local individuals who are embedded in the community. This project will expand the present pilot in Lloydminster, Alberta, and extend the program to Yellowknife, NWT. NADA also partnered with the Lloydminster Native Friendship Centre on the Junior

Warriors proposal to support the development of a sustainable, physical activity-based, wholistic diabetes prevention program for Aboriginal girls ages 10-16 in Lloydminster, extending the ‘wellness community’ created by the Women Warriors program, empowering girls to have control over their health, increase their health and physical literacy, and increase their physical activity levels. This proposal was successful in the competition.

CONFERENCES AND EVENTS

NADA BIENNIAL CONFERENCE 2016While the biennial conference was slated to be held in 2015, due to unforeseen circumstances and turnover in NADA management it was not held until FY16.

NADA teamed up with the Southern Ontario Aboriginal Diabetes Initiative (SOADI) to host its 2016 biennial national Indigenous diabetes conference, titled “Nature’s Reciprocity”, in Thunder Bay, Ontario from September 27 to 28, 2016. On September 26, NADA held its Annual General Assembly. The host committee conference was comprised of the Southern Ontario Aboriginal Diabetes Initiative (SOADI), the National Aboriginal Diabetes Association (NADA), Ontario Native Women’s Association (ONWA), Thunder Bay Indian Friendship Centre (TBIFC) and the Inuit Tapiriit Kanatami (ITK).

A Traditional Opening was given by the Ontario Native Women’s Association’s women hand drummers, who announced the two conference Elders as Renee Thomas-Hill and Robert Fenton. The Elders then led the delegates through an opening prayer. Opening comments were made by SOADI and

DiabetesIMPACT ON ABORIGINAL WOMEN

FACT SHEET

CURRENT STATUSAboriginal Peoples in Canada are among the highest risk

populations for diabetes and related complications.1

First Nations women are more often affected by type 2 diabetes than First Nations men (20% compared to 16%).²

21% of First Nations adults aged 25 years and older have type 2 diabetes, which is four times more than non-Aboriginal Canadians of

the same age.³

Métis people ages 15 and over are almost two times more likely to be diagnosed with type 2 diabetes than the Canadian national rate

of diagnosis.4

Aboriginal women are more likely to be develop gestational diabetes than non-Aboriginal women (4.8% of First Nations,

4.0% of Inuit, 2.2% of Métis populations, to 0.5% of non-Indigenous population).5

Diabetes is a disease where your body either does not make enough insulin or cannot use the insulin it makes. Insulin is the hormone made by the pancreas that allows the body to change glucose (sugar) from food into energy. Without enough insulin, the sugar stays in your blood and causes high blood sugar.

TYPE 1 DIABETES occurs when the body’s immune sys-tem destroys the insulin producing cells in your pancreas, preventing the body from producing enough insulin.

TYPE 2 DIABETES is the most common type of diabetes, and occurs when the body does not produce enough insulin, or cannot use the insulin properly.

HYPOGLYCEMIA is when your blood sugar is too low. This can happen when a person with diabetes has not eaten enough, has too much insulin or has been physically active for a long time. If your blood sugar level drops too low, you may become confused, disoriented, lose consciousness or have a seizure.

HYPERGLYCEMIA is when your blood sugar is too high. High blood sugar caused by diabetes may lead to complications such as chronic kidney disease, blindness, heart disease, stroke, and nerve damage.

MATERNAL HEALTH AND GESTATIONAL DIABETES (GD)Gestational diabetes is a temporary form of diabetes that develops during pregnancy where the mother’s body cannot produce enough insulin, which can result in high blood sugar levels. After the baby is born, blood sugar levels often return to normal, however the mother is at a greater risk of developing type 2 diabetes later in life.

Keeping glucose levels under control can help prevent certain health problems for your baby such as preterm birth, high birth weight, respiratory distress syndrome, and hypoglycemia. Your gestational diabetes will not cause diabetes in your baby, however they may be at higher risk for developing type 2 diabetes later in life.

You can help control GD by eating healthy foods, exercising regularly and, if necessary, taking medication. Mothers with gestational diabetes can still deliver a happy and healthy baby.

SIGNS & SYMPTOMS OF TYPE 2 DIABETESIf you experience some of these signs & symptoms, talk to your doctor or health care professional.

f Fatigue

f Sweating

f Frequent urination

f Unexplained weight loss

f Increased thirst or hunger

f Nausea

f Blurred vision

f Frequent infections

f Tingling and numbness in the hands or feet

f Slow healing cuts and bruises

RISK FACTORS OF TYPE 2 DIABETES

f Family history of diabetes

f Being overweight or obese

f Being physically inactive

f Have had gestational diabetes

f High blood pressure & high cholesterol

f Psychological stress

f Smoking

f Inadequate access to healthy foods/ traditional foods

f Limited access to culturally appropriate health services

Take the Canadian Diabetes Association Risk Questionnaire (CANRISK) to see if you are at risk www.take2minutes.ca

There are steps you can take to prevent diabetes and reduce the risk of diabetes-related complications.

1. Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Canadian Diabetes Association 2013 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. Canadian Journal of Diabetes 2013;37 (suppl 1):S1-S212.

2. Ibid.

3. Public Health Agency of Canada. (2013). The Canadian Diabetes Strategy: History, Evolution, Moving Forward. Ottawa.

4. Janz, T., Turner, A., and Seto, J. (2009). Aboriginal Peoples Survey, 2006: an overview of the health of the Métis population. Statistics Canada, Social and Aboriginal Statistics Division.

5. Public Health Agency of Canada. (2011). Diabetes in Canada: Facts and figures from a public health perspective. Ottawa.

Resources and Prevention Strategies: f The National Aboriginal Diabetes Association’s Diabetes

Resource Directory. www.nada.ca

f The First Nations Health Authority’s First Nations Traditional Foods Fact Sheets. www.fnha.ca

f The Children’s Hospital Research Institute of Manitoba’s DREAM-Diabetes Research Envisioned and Accomplished in Manitoba works to make discoveries meaningful to the parents and children affected by diabetes. chrim.ca/research/dream/

f The Canadian Institutes of Health Research Pathways to Health Equity for Aboriginal Peoples initiative funds research on diabetes and obesity to improve health outcomes. www.cihr-irsc.gc.ca

f Eat a healthy balanced diet

f Exercise regularly

f Aim for a healthy body weight

f Monitor your blood sugar level

f Avoid smoking and alcohol

f Take medications as prescribed

f Take good care of your feet

f Visit your dentist regularly

f Get your eyes checked regularly

Get screened regularly especially women who have had gestational diabetes

SATELLITE OFFICE1 Nicholas Street, 9th Floor, Ottawa, ON K1N 7B7T 613.722.3033 or 1.800.461.4043 F 613.722.7687

HEAD OFFICE155 International Road, Unit #3

Akwesasne, ON K6H 5R7

SUR LES FEMMES AUTOCHTONESFICHE D’INFORMATION

Effets du diabète

Le diabète est une maladie qui survient quand le corps ne produit pas assez d’insuline ou s’il ne peut pas utiliser l’insuline qu’il produit. L’insuline est l’hormone secrétée par le pancréas qui permet au corps de transformer le glucose (sucre) des aliments en énergie. Quand on n’a pas assez d’insuline, le sucre reste dans le sang et cause l’hyperglycémie (c’est-à-dire qu’il y a trop de sucre dans le sang).

Le DIABÈTE DE TYPE 1 se produit lorsque le système immunitaire du corps détruit les cellules du pancréas qui produisent l’insuline, ce qui empêche le corps d’en produire assez.

Le DIABÈTE DE TYPE 2 est le type de diabète le plus commun et survient lorsque le corps ne produit pas assez d’insuline ou lorsqu’il ne peut pas utiliser l’insuline correctement.

Il y a HYPOGLYCÉMIE lorsque le taux de sucre dans le sang est trop bas, ce qui peut arriver quand une personne qui a le diabète n’a pas assez mangé, a trop d’insuline ou a été longtemps active physiquement. Si le taux de sucre dans le sang est trop bas, on peut devenir confus, désorienté, perdre conscience ou avoir des convulsions.

Il y a HYPERGLYCÉMIE lorsque le taux de sucre dans le sang est trop élevé. Un taux de sucre élevé causé par le diabète peut entraîner des complications comme une maladie chronique des reins, la cécité, une maladie du cœur, un accident vasculaire cérébral (AVC) et des lésions des nerfs.

SANTÉ MATERNELLE ET DIABÈTE GESTATIONNEL Le diabète gestationnel est une forme temporaire du diabète qui se manifeste pendant la grossesse quand le corps de la mère est incapable de produire assez d’insuline, ce qui peut entraîner des taux élevés de sucre dans le sang. Après l’accouchement, les niveaux de sucre dans le sang reviennent souvent à la normale, mais le risque est plus élevé que la mère développe le diabète de type 2 plus tard dans sa vie.

Garder le contrôle des niveaux de glucose peut aider à prévenir certains problèmes de santé pour votre bébé, comme la naissance prématurée, un poids élevé à la naissance, le syndrome de détresse respiratoire et l’hypoglycémie. Le diabète gestationnel de la mère ne cause pas le diabète chez le bébé; par contre, le risque peut être plus élevé que l’enfant développe le diabète de type 2 plus tard au cours de sa vie.

Vous pouvez aider à contrôler le diabète gestationnel en mangeant des aliments sains, en faisant de l’exercice régulièrement et en prenant des médicaments au besoin. Les mères atteintes du diabète gestationnel peuvent quand même accoucher d’un bébé heureux et en santé.

La population autochtone du Canada est exposée à un niveau de risque parmi les plus élevés de développer le diabète et les

complications connexes1.

Les femmes des Premières Nations sont plus souvent atteintes du

diabète de type 2 que les hommes des Premières Nations (20 %

comparé à 16²).

Parmi les adultes des Premières Nations de âgés de 25 ans et plus,

21 % ont le diabète de type 2, ce qui est quatre fois plus que les Canadiens

non autochtones du même âge³.

Les Métis de 15 ans et plus étaient presque deux fois plus susceptibles de recevoir un

diagnostic de diabète de type 2 que le taux de diagnostic

national au Canada4.

La probabilité de développer le diabète gestationnel est

plus grande pour les femmes autochtones que pour les

femmes non autochtones (4,8 % de la population des Premières Nations, 4,0 % de la population inuite, 2,2 % de la population

métisse, comparé à 0,5 % de la population non autochtone5).

SITUATION ACTUELLE

SIGNE ET SYMPTÔMES DE DIABÈTE DE TYPE 2Parlez à votre médecin ou à votre professionnel des soins de santé si vous avez certains de ces signes et symptômes :

f Fatigue

f Transpiration

f Besoin fréquent d’uriner

f Perte de poids inexpliquée

f Faim ou soif plus grandes

f Nausées

f Vision embrouillée

f Infections fréquentes

f Picotement/engourdissement des mains ou des pieds

f Guérison lente de coupures et contusions (bleus)

FACTEURS DE RISQUE DE DIABÈTE DE TYPE 2

f Antécédents familiaux de diabète

f Obésité ou surpoids

f Inactivité physique

f Antécédents de diabète gestationnel

f Hypertension artérielle et taux de cholestérol élevé

f Stress psychologique

f Fumer

f Accès inadéquat à des aliments sains/traditionnels

f Accès limité à des services de santé culturellement appropriés

Remplissez le questionnaire canadien sur le risque de diabète CANRISK pour voir si vous êtes à risques. www.take2minutes.ca/fr

BUREAU SATELLITE 1, rue Nicholas, 9e étage, Ottawa, ON K1N 7B7Tél. 613.722.3033 ou 1.800.461.4043 Fax 613.722.7687

SIÈGE SOCIAL155 International Road, Unit #3

Akwesasne, ON K6H 5R7

Vous pouvez prendre des mesures pour prévenir le diabète et réduire le risque de complications du diabète.

1. Comité d’experts des Lignes directrices de pratique clinique de l’Association canadienne du diabète, Les lignes directrices de pratique clinique 2013 de l’Association canadienne du diabète pour la prévention et le traitement du diabète au Canada , Canadian Journal of Diabetes, 2013:37 (supplément 5) : http://guidelines.diabetes.ca/cdacpg_resources/cpg_2013_full_fr.pdf

2. Ibid.

3. Agence de la santé publique du Canada, Ottawa. La Stratégie canadienne du diabète : historique, évolution et avenir (2013).

4. Janz, T., Seto, J. et Turner, A. (2009). Aboriginal Peoples Survey, 2006: an overview of the health of the Métis population. Statistics Canada, Social and Aboriginal Statistics Division. [en anglais seulement]

5. Agence de la santé publique du Canada. (2011). Le diabète au Canada : Perspective de santé publique sur les faits et chiffres. Ottawa.

Ressources et stratégies de prévention f The National Aboriginal Diabetes Association’s Diabetes Resource

Directory [en anglais seulement] www.nada.ca [voir aussi : www.diabete.qc.ca/fr/comprendre-le-diabete/ressources/liens-utiles/categorie/lalimentation]

f The First Nations Health Authority’s First Nations Traditional Foods Fact Sheets [en anglais seulement] www.fnha.ca [voir aussi : www.afn.ca/uploads/files/rp-traditional_foods_safety_paper_final_fr.pdf]

f Travaux portant sur le diabète au Children’s Hospital Research Institute of Manitoba [en anglais seulement] chrim.ca/research/dream/ [voir aussi : www.ircm.qc.ca/LARECHERCHE/axes/Maladies/metabolique/Pages/clinique.aspx

f L’initiative Voies de l’équité en santé pour les Autochtones des Instituts de recherche en santé du Canada finance de la recherche portant sur le diabète et l’obésité pour améliorer les résultats pour la santé. www.cihr-irsc.gc.ca

f Ayez un régime alimentaire équilibré.

f Faites régulièrement de l’exercice.

f Ciblez un poids santé.

f Surveillez votre taux de sucre dans le sang.

f Évitez de fumer et de consommer de l’alcool.

f Prenez vos médicaments tels qu’ils sont prescrits.

f Prenez bien soin de vos pieds.

f Consultez un dentiste régulièrement.

f Faites vérifier vos yeux régulièrement.

Faites dépister régulièrement en particulier les femmes qui ont eu le diabète gestationnel.


the Thunder Bay Indian Friendship Centre. Regional Chief Isadore Day provided an opening address and told a powerful story of his own experiences with diabetes and the perseverance of Indigenous Peoples in their struggles with both the disease and the health care system.

The opening keynote Dr. Christopher Mushquash presented on healthy lifestyles. The goal of this presentation was to describe how reconciliation includes moving beyond individual-difference approaches to health and considering the importance of broader conceptualizations.

Delegates had an opportunity to select one of five workshops in the afternoon of Day One, followed by the final workshop of the day. On each of the two days Mitch Baird of SOADI led early morning yoga sessions in the hotel’s pool area. Diana from Urban Poling led a nordic pole walking session on the second morning of the conference in which she demonstrated a technique for use with the urban poles.

Day Two of the forum was designed to allow delegates to participate in the community tours in the afternoon. The morning opening comments were delivered by NADA and ONWA. The opening keynote on day two was Kaaren Dannenmann, who spoke about the importance of traditional foods.

The Conference closing keynote was presented by Dr. Jonathon McGavock, on the Aboriginal Youth Mentorship Program (AYMP) and the importance

of mental health treatment for young Indigenous people.

Closing ceremonies included comments from the two conference Elders. ONWA’s Women’s hand drum provided delegates with a final send off with the performance of a travelling song.

NATIONAL ABORIGINAL DIABE TES AWARENESS DAY In 1999, AFN National Chief Phil Fontaine proclaimed the first Friday in May as National Aboriginal Diabetes Awareness Day (NADAD).

In FY16, NADA switched from distribution of resources to a public event providing resources, information and engaging activities. The goal of this event was to raise awareness of diabetes by showcasing and providing diabetes education and prevention resources. The event was held on May 6, 2016, at the Winnipeg Indian and Metis Friendship Centre in partnership with Aboriginal Health and Wellness Centre, Diabetes Canada, Klinic Community Health, Manitoba Students Working Against Tobacco


(S.W.A.T.), Food Matters Manitoba, and the Manitoba Tobacco Reduction Alliance (MANTRA).

FACE TO FACE DISTRIBUTION OF NADA RESOURCES AND NADA PRESENCE IN COMMUNITIES AND AT E VENTS AND CONFERENCESNADA participates in community events, trade shows, health fairs, conferences and gatherings where possible and when invited, to share information and resources, and connect and network with community members, ADI workers, health directors and staff, physicians, researchers, and the general public.

NADA travelled to the following destinations in FY16:

• Native Women’s Association of Canada PEKE Advisory Council Meeting and Gathering

• CIHR 2016 Pathways Annual Gathering

• “Raising a Healthy Eater” Conference

• CDA Inner City Health Fair

• MaMaWhi Chi Itata Centre Health Promotion Workshop

• CDA Summer Health Fair

• CIHR-IAPH Strategic Plan Meeting

• Northern Association of Community Councils Health Fair

• Tataskweyak Cree Nation Diabetes Family Day

• Peguis Health Fair

• RCAP 20th Anniversary Gathering

• 16th Annual BC Aboriginal Diabetes Conference

• 4th Annual Anishnaabe CFS Family Enhancement Workshop

• National Indigenous Social Work Conference

• 1st Annual Indigenous Food Sovereignty Summit

A nominal listing of diabetes resources for distribution include:

• NADA bookmarks

• NADA brochures

• Health Canada fact sheets

• Posters on eye care, A1C, warning signs of diabetes, prevention is key

• Healthy Living Activities for Grade 4 to 6

Over 8000 NADA resources were distributed at these events, and included:

• NADA Mental Health Care sheets

• NADA/Urban Poling Bookmarks

• NADA Foot Care sheets

• Food Guides

• Diabetes Posters

• Healthy Feet Brochures

• Lunch bags

NADA BOARD OF DIRECTORS WORK PLAN SESSION FEBRUARY 2017, WINNIPEGPHOTO BY MELISSA HOTAIN

GOAL

• Build and maintain key par tnerships with non- government and professional organizations to address diab etes and Ab original Peoples by work ing to gether in a cultural ly relevant manner in promoting healthier l i fest yles among Ab original Peoples to day and for future generations

OBJECTIVE

• M aintain exist ing and increase l ink ages for new par tnership opp or tunit ies and work ing al l iances in development of diab etes resources, research (advo c ac y, supp or t, data col lec tion, rep or ting) and pro grams and ser vices


PARTNERSHIPS

C ANADA FOOD GUIDE CONSULTATION “LIKE AND SHARE CONTEST ” WITH THE ABORIGINAL NUTRITION NE T WORK OF DIE TITIANS OF C ANADA AND THE SOUTHERN ONTARIO ABORIGINAL DIABE TES INITIATIVENADA collaborated with the Aboriginal Nutrition Network of Dietitians of Canada (ANN) and the Southern Ontario Aboriginal Diabetes Initiative (SOADI) held a contest on Facebook asking participants to provide feedback about “Eating Well with Canada’s Food Guide”, a policy and education tool whose purpose is to define and promote healthy eating for Canadians. In FY16 Health Canada announced consultation to revise the current format of Canada’s Food Guide, and NADA, SOADI and ANN asked Indigenous stakeholders to share their front line experiences to help the federal government meet the needs and supports required to be a healthy well-balanced Nation. Contest winners were chosen based on whether they shared, liked and completed the survey.

The information garnered from participants’ input, will help Health Canada support Indigenous frontline workers in establishing school and community initiative food guidelines, planning and assessment of dietary intake of groups and individuals, providing adequate food subsidies for remote communities, the development of resources that can help target specific nutritional needs for clients, research to assess the dietary intake and environment of populations, and to help re-formulate products to meet the needs and be accessible to all Indigenous

Peoples.

P U B L I C H E A LT H AG E N C Y P HYS I C A L AC TIVIT Y FR AME WORK CONSULTATIONIn the last quarter of FY16 NADA was approached by the First Nations Inuit Health Branch of Health Canada to participate as a key informant for a renewed drafting of the Canadian Physical Activity Framework, a federal/provincial/territorial Physical Activity and Recreation Committee looking at modernizing and contextualizing the Canadian Physical Activity guidelines.

As NADA enjoys partnership with a number of Indigenous-focused sport and athletic organizations, NADA deferred participation to the Aboriginal Sport & Wellness Council of Ontario (ASWCO). The completed Framework is set to be delivered in FY17.

STOP MARKE TING TO KIDS COALITION (M2K )As NADA partners with organizations on raising awareness of the impacts of sugary drinks on childrien and youth, in FY16 was approached to endorse Canada’s first Stop Marketing to Kids (M2K) Coalition (http://stopmarketingtokids.ca/). NADA was the first Indigenous organization to endorse the Ottawa Principles and the Stop M2K Coalition.

In 2010, the World Health Organization called on countries worldwide to take action to address today’s excessive food and beverage marketing to children. The Coalition advocates for restrictions on food and beverage marketing to children, and


envisions a Canada where children and parents make nutritious food choices in an environment free of influence from food and beverage marketing to children.

HEALTHIER TOGE THER: MOBILE KIDNEY SCREENINGNADA remains in partnership with the Kidney Foundation of Manitoba for the Healthier Together: Mobile Screening and Education for Aboriginal Peoples in Manitoba. Screening clinics are planned to be delivered to 30 First Nations and Métis communities in Manitoba, with follow up visits scheduled throughout the year.

FOOD MAT TERS MANITOBAIn addtion to the Anishinaabe Plate partnership between NADA and Food Matters Manitoba (FMM), NADA lent support to FMM’s proposal for Phase III of “Our Food, Our Health, Our Culture”. Our Food, Our Health, Our Culture is an opportunity to further implement strategies that provide effective health interventions for Indigenous children and youth that promote a positive outlook on the contribution of traditional ways and foods to reduce indicence of type 2 diabetes.

IMD HEALTHNADA continues to work with iMD by providing and ensuring that newly developed resources such as Community Health Presentations and Your Health Matters Calendars are available for download on the iMD system. Furthermore, NADA is working closely with iMD on rolling out their new cloud platform “Pinga”. NADA members and communities have been offered exclusive access to “Pinga” at no cost through a series of promotional and social media messages.

DREAM / DE VOTION / AYMPNADA continues its partnership with DREAM (Diabetes Research Envisioned and Accomplished in Manitoba), DEVOTION (Developmental Origins of Health and Disease in Youth Research Cluster), and AYMP (Aboriginal Youth Mentorship Program) based at the Children’s Hospital Research Institute of Manitoba at the University of Manitoba.

MANITOBA FIRST NATIONS CENTRE FOR ABORIGINAL HEALTH RESEARCH (MFN C AHR) (now k nown as ONGOMIIZWIN INSTITUTE OF HEALTH AND HEALING)In FY16 NADA collaborated with MFN CAHR on a number of grant applications for diabetes-related research.

“A Call to Action Towards Food Equity: Measuring Gaps in Obesity, Food Security, and Diet Quality Between Canadian Indigenous and non-Indigenous Populations, 2015 vs. 2004” is a study funded by the Canadian Institutes of Health Research’s (CIHR) Nutrition Analysis Operating Grant. The research investigates obesity, diet quality, and food security, which are important aspects of health disparities between Indigenous and non-Indigenous Peoples. The proposed study will utilize Statistics Canada data from the Canadian Community Health Survey Nutrition surveys in 2004 and 2015 to describe rates of obesity, diet quality, and rates of food insecurity for both Indigenous and non-Indigenous children and adults in 2004 and 2015, respectively.

The study will also test for differences in these rates between 2004 and 2015 to determine whether the gap in obesity, diet quality, and food security between Indigenous and non-Indigenous populations has narrowed over time. The results will provide evidence of the broad effectiveness that many regional food- and income-based policies have had on obesity, diet quality, and food security among the off-reserve Indigenous population and inform future policy development; for example, minimum guaranteed income. Findings will also indicate the degree of difference in obesity and diet quality between Indigenous and non-Indigenous populations that is attributed to food insecurity and socioeconomic factors.

“Sticky Money - Public Health Messaging of the ‘Soda Tax’ and Implications for Canadian Indigenous Populations” was a proposal submitted to the CIHR Operating Grants in Sugar and Health, but not funded, that looked at how middle-class


Canadians living in Winnipeg perceive a tax on soda and sugary beverages in general, how soda intake has changed in Canada from 2004 to 2015 among Indigenous, low income, rural/urban, and food insecure people, and how Indigenous Peoples living in the Island Lake First Nations (on-reserve) and in Winnipeg (off-reserve) might perceive such a tax. This research would have helped provide data about the merits of implementing, or not, a pop tax in Canada. This research would also inform recommendations concerning effective strategies for public health messaging that might accompany such a tax and suggestions for use of tax revenue that are acceptable to populations who may be most burdened by a proposed soda and sugary beverage tax.

C ANADIAN INSTITUTES OF HEALTH RESEARCHWith relation to the Canadian Institutes of Health Research (CIHR), NADA has become increasingly involved in CIHR funding initiatives in FY16. Aside from the research proposals detailed earlier in this report, NADA is a partner in two Mentorship Network Programs funded under CIHR’s Indigenous Mentorship Network Program (IMNP), the Indigenous Mentorship Network of the Pacific Northwest (IMN-PN) and the Prairie Indigenous Knowledge Exchange Network (PIKE-Net).

NADA has lent support to projects under the Pathways to Health Equity for Aboriginal Peoples signature initiative, namely two of the Partners for Engagement and Knowledge Exchange (PEKE) and a couple of the Implementation Research Teams (IRTs). NADA sits on advisory committees for IRT projects such as “Embracing A Vision for Indigenous Health: Community Access to Prevention, Self-management and Integrated Diabetes Services in the BC Interior”, “TransFORmation of IndiGEnous PrimAry HEAlthcare (FORGE AHEAD) diabetes quality improvement (QI) program”, and the “Community Mobilization Training for Diabetes Prevention: Implementation and scale-up of a best practice training model for diverse Indigenous communities (KSDPP)”.

Canada’s Strategy for Patient-Oriented Research (SPOR) is about ensuring that the right patient receives the

right intervention at the right time. Patient-oriented research refers to a continuum of research that engages patients as partners, focuses on patient-identified priorities and improves patient outcomes. The objective of SPOR is to foster evidence-informed health care by bringing innovative diagnostic and therapeutic approaches to the point of care, so as to ensure greater quality, accountability, and accessibility of care. NADA sits on the Steering Council for the Diabetes Action Canada (DAC).

“ T YPE 2 DIABE TES MELLITUS IN C ANADA’S FIRST NATIONS: STATUS OF AN EPIDEMIC IN PROGRESS”In the last quarter of FY15, NADA initiated a project in partnership with the First Nations Information Governance Centre (FNIGC) to update an article published in the Canadian Medical Association Journal (CMAJ) in 2000 titled, “Type 2 diabetes mellitus in Canada’s First Nations: status of an epidemic in progress” and authored by T. Kue Young, Jeff Reading, Brenda Elias, and John D. O’Neil.

In FY16, the update of the article took on a new direction following NADA’s meeting with representatives of the First Nations Information Governance Centre (FNIGC). NADA and FNIGC have agreed to a partnership to develop a report on diabetes based on data from the 2016 First Nations Regional Health Survey to present an accurate and up-to-date analysis on diabetes prevalence and incidence in First Nations communities. The partnership will seek Indigenous graduate students to co-author the report, and is expected to be published in late FY17.

WINNIPEG REGIONAL HEALTH AUTHORIT Y ( WRHA) YOUTH AND YOUNG ADULTS LIVING WITH DIABE TESIn the last quarter of FY16, NADA was approached by the WRHA as a stakeholder to assist the WRHA in better responding to the needs of Indigenous youth and young adults living with diabetes in Manitoba. Work on this initiative continues in FY17.

GOAL

• Ensure that NADA work plan ac tivit ies, diab etes resources, and op erational resp onsibi l it ies func tion with utmost eff ic ac y

OBJECTIVE

• Evaluate the eff ic ac y of the NADA work plan, diab etes resources and op erational p er formance


OPERATIONS

WORK PL AN SESSIONThe NADA Board of DIrectors met in Winnipeg in the last quarter of FY16 to have a strategic work planning session to provide recommendations for the development of a 2-year work plan 2017-2019. Melissa Hotain, Facilitator, began the Board meeting with a review of the NADA Vision, Mission, Values and Goals. Following this was an overview of the NADA Strategic Plan 2016-2021. Throughout the two days, the Board of Directors had lively discussions on the issues pertaining to proposed activities for the 2-year work plan.

Some overall key points of dialogue included:

• Where does diabetes work begin? When diabetes is the result of: food insecurity, environment, historical traumas, residential schools, lack of access to traditional lands/territories, impact from industry, colonization, and erosion of rights.

• The rates of diabetes continue to climb despite various measures from different organizations

• There is a need for a cost benefit analysis of prevention versus treatment – would show benefits of investing in wellness versus illness.Discussion on importance of traditional foods, decolonization of our foods and what are the alternatives once people give up the 5 white gifts.

• NADA annual funding has not increased in some time.

NADA E VALUATIONAs part of its FY15 commitments, NADA undertook an evaluation of its operations and efficacy, retroactively in FY16. NADA contracted an evaluator who used three data collection methods in this evaluation including a survey with various

NADA members, telephone interviews with key stakeholders that have been involved with the NADA Program past and present, and analysis of existing data collected through review of documentation including the 2015/2016 Annual report. The evaluation report provides a compilation of the findings from these three data collection strategies.

The evaluation discovered, particularly from the survey tool and interviews, is that the activities of NADA have clearly enriched the community-based diabetes prevention activities and that NADA members reported benefitting from sharing information and resources, learning from experts at the various workshops and conferences, and have been developing new skills. Interview participants noted learning new tools and were sharing this information with their networks. Importantly, these improvements have led to more community based workshops being held on diabetes prevention and healthy lifestyle promotion.

Key recommendations in the evaluation include:

• The National Aboriginal Diabetes Association should continue to be implemented and be provided with additional resources to expand upon the work they do

• Explore opportunities and strategies to expand the NADA Program supports

• Continued support for NADA to increase ADI workers, NADA members, key contacts, etc. staff competencies through professional development and capacity building opportunities

NADA ANNUAL GENER AL ASSEMBLYNADA held its 16th Annual General Assembly on


September 26, 2016, in Thunder Bay, Ontario. This AGA enjoyed the attendance of a small percentage of NADA membership.

NADA STUDENT PL ACEMENTSDuring the last quarter of FY15, NADA developed partnerships with Red River Community College (RRCC) Computer Applications for Business Course and the University of Manitoba College of Nursing to have student placements in the NADA office in Winnipeg. In FY16, NADA hosted one student from RRCC and three nursing students from the University of Manitoba. The upcoming fiscal year will see more placements at the NADA office, as well as continued opportunities for students and volunteers to attend NADA-related events and conferences.

National Aboriginal Diabetes Association 16th Annual General Assembly (AGA) Valhalla Assiniboine A Meeting Room 10:00 am – 11:30 am September 26, 2016

AGENDA

1. Call to Order

2. Appointment of Recording Secretary

3. Verification of Quorum – Jeff LaPlante

a. As per NADA By-Law 9.6, “a quorum at an Annual General Assembly shall not be less

than ten (10) members present.”

4. Chairperson’s Address

5. Approval of the 2016 Agenda

6. Approval of Standing Rules

7. Approval of 2015 Annual General Assembly Minutes

8. NADA Annual Report

9. Audited Financial Statements 2015 and 2016

10. Board of Directors / Elections

a. Nomination Slate – Wendy McNab Fontaine

b. Nomination Slate – Kerry Spence Henry

11. Resolutions

12. Recognition of members of the Board of Directors

13. Announcements

14. Closing Remarks / Closing Prayer / Adjournment

NADA BOARD OF DIRECTORS & STAFF SEPTEMBER 2017, THUNDER BAY

GOAL

• Supp or t First Nations, I nuit and M étis communities/organizations to establish comprehensive tobacco control strategies and inter ventions aimed at reducing

and preventing tobacco misuse, including reducing smok ing rates

OBJECTIVE

• Faci l i tate k nowledge exchange, promote net works, provide supp or t to FTCS recipients and share resources, to ols and ser vices p er formance


FIRST NATIONS AND INUIT COMPONENT OF THE FEDERAL TOBACCO CONTROL STRATEGY

FNI-FTCS COMMUNIT Y OF PR AC TICEAs part of the FIrst Nations and Inuit Component of the Federal Tobacco Control Strategy, NADA manages a Community of Practice comprised of FNI-FTCS project managers who run smoking cessation programs on-reserve.

The Community of Practice Face-to-Face Gathering was held November 8 & 9, 2016, in Vancouver, BC, in partnership with the First Nations Health Authority in the unceded territories of British Columbia.

The Face-to-Face Gathering was attended by all Community of Practice projects as well as regional and national representatives from the First Nations and Inuit Health Branch (FNIHB), and followed a different design from previous years’ Face-to-Face Gatherings. Project Coordinators met in a circle to discuss, as a group, the six essential elements of the Federal Tobacco Control Strategy, which are:

1. Protection

2. Reducing Access to Tobacco Products

3. Prevention

4. Education

5. Cessation

6. Data Collection and Monitoring

The circle allowed for Coordinators to share knowledge and experiences from their project activities in their respective communities. The FTCS projects engaged in a visionary process in they

identified their vision for the health and wellness of their communities – in this case with respect to non-commercial use of tobacco. In order to achieve this vision, it was necessary to first gain an understanding of the current situation and describe the current status of projects. Relationship building is a key activity for the FTCS projects to achieve their objectives to engage advocates, community groups, leadership and individuals to support the vision of the projects.

The circle was an opportunity to confirm what the FTCS projects know intuitively, apply what they have learned from promising practices, develop policies, workshops toolkits, and reflect on what will have the most impact in their area to achieve the vision. Often referred to as “learned knowledge”, projects have taken the time and are developing approaches or creating a culture of doing things that are appropriate for their projects.

Following the Face-to-Face Gathering, FNI-FTCS Projects were invited to participate in the National Forum on the Future of Tobacco Control in Canada in Ottawa in March 2017 and hosted by Minister of Health Jane Philpott. The forum brought together provincial and territorial governments, Indigenous leaders and organizations, non-governmental organizations, academics, health professionals, youth, and international experts to discuss new and innovative approaches to commercial tobacco control in Canada.

On-going communications and engagement continues for the Community of Practice through a FTCS CoP Facebook group and through emails and conference calls. Conference calls have been held bi-monthly to discuss a variety of topics. FTCS recipients who were unable to attend conference


calls were given meeting minutes which assisted in the knowledge sharing and supported knowledge exchange.

In FY16 the Federal Tobacco Control Strategy Two‐Year Review for 2014-2015 & 2015-2016 was published and shared with the FTCS Community of Practice, First Nations and Inuit Health Branch (Health Canada) and NADA membership. The Report has been circulated to the NADA network as a Resource of the Month and is available to the public on the NADA website at http://nada.ca/wp-content/uploads/2017/03/FTCS_Annual_2yrReview.pdf

FIRST NATIONS & INUIT COMPONENT OF FEDERAL TOBACCO CONTROL STRATEGYCOMMUNITY OF PRACTICE GATHERING, NOVEMBER 2016, VANCOUVER

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