Community Health

These services give community members the knowledge they need to make wise health choices.  The programs deal with health areas where poor choices can have serious health consequences, such as: diabetes, high blood pressure, heart disease and cancer. Since many of these problems develop early in life, they are a major part of the Health and Wellness school education program. The focus for lifestyle programs is prevention.  They aim to prevent chronic diseases by having people live healthy lives.  If people are active, eat right, keep their weight under control and avoid harmful substances, then they will have a lower risk of developing cancer, heart disease, diabetes and lung disease. Other preventative services include work in FASD, health promotions, disease prevention and injury prevention through education, public awareness and community activities.  Topics include: chronic disease, sexually transmitted infections, HIV/AIDS, pregnancy and birth control methods, puberty, smoking cessation and life skills. School Health programs aimed at educating school children on Health issues has been a success. Activities and presentations on: Hand washing and germs How to be healthy around medicine wheel Puberty Girl Power Growing a healthy body and puberty Keeping your heart healthy.     PROGRAM STATISTICS 2013-2014
Community Events	16
Participation	673

 

RANGE OF SERVICES:
Community Health School Health Nutrition Support for Youth Programs Home and Social Health Lifestyle Programs Home Visits Special Services	Maternal & Child Health Canada Prenatal Nutrition Program Aboriginal Head Start On Reserve Children’s Oral Health Initiative Aboriginal Diabetes Initiative Injury Prevention Communicable Disease Prevention Environmental Health—Drinking Water Safety Program

 

NUTRITIONAL SERVICES

Nutritional services are provided to community members by a registered dietitian. 

Dietitian provides individual and group nutritional counseling to community members in the areas of nutrition, and diet therapy.  The nutritionist also identifies and supports high risk groups to fosters change around eating habits and to prevent and manage chronic disease.

 

Program Statistics 2013-2014

Nutritional counseling 931

Prenatal clients  55

 

RANGE OF SERVICES:
Nutrition counseling Home visits Referrals Wellness Challenges Nutritional month activities Maternal and Child Health School Health education Support for Youth activities

PROGRAM DELIVERY/SERVICE DELIVERY

• Nutrition Counseling – Onsite (Clinical)
• Nutrition Counseling – Home Visits
• Nutrition Counseling – Prenatal Clients
• Nutrition Sessions - Onsite 
• Nutrition Sessions - Offsite
• Prenatal Nutrition Cooking Classes
• Infant Feeding Classes
• Nutrition Sessions at Elsipogtog School
• Community Wellness Challenge
• Nutrition Month Activities
• Blood Pressure & Heart Health Clinics
• “Angoeiasoltinetj” (Let’s Take Care of Ourselves and Each Other)
• Community Freezer Program at Family Resource Centre
• Food Safety Training
• Food Service Management for School
• Menu Planning – Headstart
• Menu Planning – Daycare
• Menu Planning – Wellness Days & Events

COMMUNICATION

• Elsipogtogeoei – Healthy Food Tips
• Elsipogtogeoei – Health Centre Page
• Elsipogtogeoei – Various Articles
• EHWC Calendar
• Posters/Emails/Event Advertisements

COLLABORATIVE PRACTICE

• Kent Food Security Network
• Kent Wellness Network
• NB Food Security Action Network Strategic Planning Committee
• First Nation Aboriginal Peoples Network (province of NB)
• NB Community Food Mentor Advisory Board
• Early Childhood Development Workgroup
• School Nutrition Committee
• Accreditation Committee
• HIM Team
• Wellness Days & Events Committees

INFORMATION MANAGEMENT

• Proposals and Grants & Reports
• Data & Information
• Research, Evaluation & Consulting Projects

 

MATERNAL CHILD HEALTH

This area consists of health management programs for women of childbearing age, and for children at three stages:
1) during pregnancy or adoption
2) immediately after birth
3) during the two years

Maternal and child health management focuses on healthy living for mother, child and family, including:

• Education classes,
• Group classes,
• Pre/postnatal nutrition programs,
• Risk and developmental assessments,
• Periodic monitoring for changes in risk,
• Individual follow-up,
• Outreach for pre-natals,
• Home visitor program.

 

PROGRAM STATISTICS 2013-2014
Births Home Visits Prenatal clinics Prenatal classes Home visitor visits	42 296 50 23 116

 

RANGE OF SERVICES:
Pre-Natal Post-Natal Early childhood Education classes Post Natal benefit program Hearing and vision screening	Mother goose program Breastfeeding support Home visitor program “Growing Great Kids” program

 

 

CPNP

This initiative is designed to provide nutrition counseling and education for pregnant women during the 3 trimesters.  It also extends into the postnatal period, focusing on maternal nutrition as well as breastfeeding during the first year postpartum.

It addresses maternal and infant nutritional health issues, and it tailors the program activities to the priorities and culture of Elsipogtog.
CPNP elements are tightly integrated with Maternal and Child Health as well as Nutritional Services.
 

PROGRAM STATISTICS 2013-2014
Prenatals (pregnant) Food vouchers Milk vouchers	66 Weekly Weekly

 

RANGE OF SERVICES:
Nutrition Screening Nutrition Counseling Nutrition Education Maternal Nourishment Vouchers for food Traditional teachings	Cooking classes Breastfeeding promotion, education and support One-on-one Group Supportive elements Child safety Incenitives

 

 

ABORIGINAL HEADSTART ON RESERVE OUTREACH/HOME VISITING
 

PROGRAM STATISTICS 2013-2014

25 Children younger than 3 years old in program 17 childrean on waiting list

 

RANGE OF SERVICES:
UTREACH/Home Visiting Culture and language Micmac classes Traditional classes Education Health promotion Oral health Immunizations Nutrition Native foods Social support Parental and family involvement Parenting classes

 

CHILDHOOD ORAL HEALTH INITIATIVE

Childhood Oral Health Initiative (COHI) is designed to reduce the incidence of childhood dental caries , especially early childhood decay in children age 0 to 7.  For those children whose parents have given permission to take part, COHI involves:

• Provision of a regular fluoride varnish
• The use of dental sealants, and
• Education about dental care and oral health.

The services are provided by a Dental Hygienist, assisted by a Licensed Practical Nurse (LPN).  The Hygienist works for the School and the LPN works for EHWC, but the working relationship between the two Agencies is excellent and the services have been delivered as planned.

 

PROGRAM STATISTICS 2013-2014
Eligible Children Children 0 to 4 Children 5 to 7	466 107 57

 

RANGE OF SERVICES:
Fluoride varnish Dental sealants Oral health education Prenatal classes Oral health counseling Linkages with dental services Alternative Restorative Treatment (A.R.T.)

 

 

COMMUNICABLE DISEASE CONTROL

Community members need to be protected from communicable disease that pose a threat to their health and safety.
Control of communicable disease for potential outbreaks includes a broad range of activities including:

• Health education and other health promotion activities to increase public knowledge and to encourage improved lifestyle practices
• Surveillance to continuously collect, analyze and report relevant data
• Investigation and control of notifiable communicable diseases

In collaboration with Moncton Public Health, sexually transmitted infection testing, treatment and contact tracing is done for Elsipogtog community members.  This involves completing forms and returning them to public health and monthly updates to FNHIB.  All positive cases are contacted by phone and seen for counselling on prevention and treatment.  Contact tracing is done to all contacts for testing, treatment and education.

 

PROGRAM STATISTICS 2013-2014
Flu vaccines Contact Tracing Condoms given	624 99 10,000

 

RANGE OF SERVICES:
Immunizations Childhood TD boosters Flu vaccines High-Risk Illnesses	AIDS awareness High-risk monitoring Safe sex education STD contact tracing AIDS poker walk

 

 

ABORIGINAL DIABETES INITIATIVE

In the Aboriginal Diabetes Initiative,  we aim to reduce the incidence and prevalence of diabetes among Aboriginals. Such activities include: educating clients on their condition and its complications; assisting them in better managing their diabetes through blood glucose monitoring, diet, foot care, and medications, as well as regular follow-up care.  Our preventative care and health promotion includes:

• Diabetes Screening
• School education for diabetic prevention
• Adult education for diabetic prevention
• Prenatal education
• Increase physical activity

 

PROGRAM STATISTICS 2013-2014
Nutrition counseling Breakfast sessions Pre-natal Fitness Centre visits Elder outing participation Wellness Challenge	931 10 88 7623 147 77

 

RANGE OF SERVICES:
Nutrition support Nutrition counseling Lifestyle programs Diabetes Breakfast Elders on the Move Healthy way challenge	Wellness challenges Elder outings Foot care School Health education Maternal and Child Health Youth programs support

 

 

ENVIRONMENTAL HEALTH

Environmental Health is a basic service area that is community-based and aims to protect and improve First Nations health through the reduction of health risks, injuries or deaths.  This is accomplished by striving to create and maintain healthy and safe community environments through the investigation of potential environmental health related outbreaks. CHR works closely with the Environmental Health Officer to analyze and recommend, and not the actual correction or repair.
Activities include assessment or monitoring of:

• Air and water quality
• Food safety
• Quality of the physical work environment in Band Administration buildings
• Waste removal
• Pest problems.

 

PROGRAM STATISTICS 2013-2014
Water Testing Housing Inspections	191 1

 

RANGE OF SERVICES:

Drinking Water Safety Program  - weekly testing Food safety Facilities health inspections Housing inspections  Transportation of dangerous goods Pest control