Figure one is a graphic image of the results chain for the First Nations BC Tripartite Contributions funded by Health Canada. It presents the objective of the contribution agreements, that is, to support the implementation of the BC Tripartite Initiative. It also notes the target groups, or beneficiaries of the contribution agreements which are identified as the BC Tripartite Partners including First Nations, BC Provincial and Federal governments.
Grouped in themes, the logic model provides an overview of the expected outputs and outcomes to be achieved through this initiative. Themes include: Service Provision; Capacity Building; Stakeholder Engagement and Collaboration; Data Collection, Research and Surveillance; and finally, Policy Development and Knowledge Sharing.
The expected outputs of this initiative include: health agreements, strategies and projects; governance and accountability mechanisms; relationship strategies, negotiation processes and agreements; performance tracking; and finally, collaboration in culturally appropriate and First Nation-driven health policies.
The expected immediate outcomes include: development and implementation of collaborative health program approaches/ mechanisms between delivery partners (First Nations, governments and Regional Health Authorities); First Nation capacity to collaborate on implementation of the Tripartite First Nation Health Plan; First Nation involvement in decision-making for health planning and service delivery for First Nations; innovative integrated relationships/partnerships between tripartite partners; identification of First Nation health priorities, objectives and agreements; and finally, participation in federal and provincial government health policy and program planning processes.
The expected intermediate outcomes include: achievement of a legally-binding tripartite governance agreement; development of a new First Nations health governance structure in BC, a new First Nations Health Authority (FNHA); and finally, transition of federal funding (First Nations health programs, services and staff) to a new FNHA.
The expected long-term outcomes include: health services better aligned with the needs of First Nations; gaps in health services identified and addressed; improved quality in the delivery of programs and services; reciprocal accountability for health matters between First Nations and governments; and, FNHA is an equal partner in the design and delivery of health programs/initiatives for First Nations in BC.