A clear and concise delegation of authority and a mechanism for monitoring results have been supportive practices. In particular, the First Nations health plan was cited as a fundamental work where the tripartite relationship is truly „revealed.” The plan provided clear direction, measurable results and a framework for cooperation. For example, working with high-risk young mothers, telemedicine in remote communities, coordinated H1N1 response, early childhood screening programs, the Aboriginal Sport and Recreation Council and the Aboriginal Doula programme have emerged from the health action plan. Additional support was provided after the three parties reached an agreement in principle (basis for a framework agreement on public health policy); Health Canada has committed to providing an additional $10 million in internal funding to BC First Nations over two fiscal years (2011-12 and 2012-13). This funding has been modified for the $29 million contribution already allocated in 2007-2008. This five-year agreement replaces the BC Tripartite Education Framework Agreement (TEFA), originally signed in 2012, and is the result of an extensive engagement process between fnesc, Canada and B.C. It will benefit all First Nation students in B.C. and 200 First Nations and will support students attending one of the first 131 First Nation schools on reserve or those attending public or independent schools off reserve in B.C. The tripartite agreements from Health Canada to Bc Canada were unique in that they were an „initiative” and not a traditional program within Health Canada – they were the result of lengthy negotiations and discussions between three partners, including the Government of Canada (GoC), the provincial government of BC and BC First Nations. These trends are reflected in BC`s tripartite contribution agreements, which support improvements in the health status of these communities and increase the capacity of BC First Nations communities to design, manage and deliver health programs and services. 13 The pioneering legal agreement was signed on October 10, 2011, which allowed First Nations to play an important role in the planning and management of health services for First Nations through a new First Nations health governance structure. The British Columbia Tripartite Health Governance Agreement paves the way for the federal government to transfer the planning, design, management and delivery of First Nations health programs to a new First Nations Health Authority over the next two years. The signature of the B.C.
Tripartite Framework Agreement on First Nation Health Governance is an important milestone in the Tripartite First Nations Health Plan, signed in 2007. The evaluation identified a number of challenges throughout the tripartite process, such as those mentioned below. The majority of interviewees (n=15) felt that human resources management was underdeveloped in the early stages of the tripartite process. There is an equal gap between those (n = 11) who thought development was clearly underway and those (n = 11) who felt it remained underdeveloped. Interviewees, who saw the evolving situation, said that THE AF continues to require tripartite partners to „establish a new and lasting relationship based on respect, mutual accountability, cooperation and innovation, which fosters the pursuit of better health and well-being for First Nations in BC,” footnote 29 and FNHA, specifically to „cooperate and integrate” with governments and others the Committee on Hygiene and Public Health. Footnote 30 Formal recommendations are not proposed, as contribution agreements will be removed and Health Canada will become its role as a funder and governance partner, with ongoing commitments set out in Canada`s framework agreement and proposed funding agreement. . . .