The first aspect would be cultural safety, that is, serving the clients in an appropriate way with people who understand the culture.
The second aspect would be the control of the services. The approach cannot be the same in the Quebec City region as it is in northern Quebec, nor in northern Ontario compared to the Toronto area. Therefore, we have to work with indigenous partners to give them control of these programs so that they can organize and manage them according to their particular context. We already do this to a certain extent with our regional teams, but the best approach is for services to be managed by the communities themselves.
We mentioned earlier that the data did not include British Columbia because the responsibility for services was transferred to the First Nations Health Authority in 2013. So an indigenous organization, not the federal government, manages all health services for First Nations in British Columbia. Since the transfer, the indigenous people have slightly modified the services to improve and tailor them to their provincial context and to the needs of the regions of British Columbia.
We need to really move forward on this whole issue of the federal government transferring the management of services to people who are closer to the front lines and who can organize programs more effectively.