Gender-Based Analysis Plus
Table of contents
Section 1: Institutional GBA Plus Capacity
Indigenous Services Canada (ISC) has a GBA Plus Champion at the Associate Deputy Minister level to promote the use of GBA and its integration into decision-making.
A dedicated GBA Plus responsibility centre (i.e. focal point team) was established at the end of 2020-21 within the Strategic Policy and Partnerships Sector and has four dedicated Full-time equivalents (FTEs) including a manager and three analysts. Additional dedicated FTEs has allowed for greater oversight and challenge-function on Cabinet documents, including Memoranda to Cabinet, Treasury Board Submissions, Budget proposals and Regulations.
ISC continued to work collaboratively with Crown-Indigenous and Northern Affairs Canada (CIRNAC) and Indigenous partners on distinctions-based approaches to culturally-competent GBA Plus via the Advisory Committee on Indigenous Women's Wellbeing. Additionally, ISC provided funding to the Native Women's Association of Canada, Pauktuutit, Les Femmes Michif and the Assembly of First Nations Women's Council to support their development or updating of GBA Plus approaches and tools.
Based on the work with Indigenous partners on culturally-competent GBA Plus, ISC worked with CIRNAC and Women and Gender Equality Canada (WAGE) to include Indigenous considerations in the approach to strengthening GBA Plus for the Government of Canada. ISC will also continue to work with CIRNAC to provide advice to WAGE, Canada School of Public Service and other government departments on how to implement Indigenous culturally-competent approaches to GBA Plus based on our partners evolving work on GBA Plus. This work is intended to promote more responsive and culturally-competent policies and services that meet the unique needs of Indigenous women, men, and gender diverse peoples.
ISC Evaluation has been more actively applying the GBA Plus approach in its work, embedding it into evaluations to better understand how diverse groups of Indigenous people may be impacted differently by ISC policies and programs. To the extent possible, ISC evaluators are applying an intersectional, distinctions-based lens to the whole evaluation cycle, starting at the design phase, through data collection and analyses, and in the generation of findings and recommendations.
Section 2: Gender and Diversity Impacts, by Program
Core Responsibility: Services and Benefits to Individuals
1.0 Clinical and Client Care
Target Population: Clinical and Client Care (CCC) services are delivered in 74 nursing stations and five health centres with treatment located across five regions. ISC is responsible for the delivery of services in 51 remote/isolated communities located in Alberta (4), Manitoba (21), Ontario (24) and Quebec (2). Funding is provided to an additional 28 First Nations communities to deliver these services in Alberta (1), Saskatchewan (12), Manitoba (1), Ontario (5) and Quebec (9) and two federal hospitals located in Manitoba.
The target population is anyone living in the communities where CCC in delivered.
Distribution of BenefitsFootnote i:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By distinction: Benefits Inuit communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Remote/Isolated regions
Other: First Nations and Inuit Health Branch (FNIHB) Nursing Station Formulary: GBA Plus is applied in the development of the FNIHB Nursing Station Formulary when considering drug specific indications for men, women, pregnant women, elderly, pediatrics, etc. Information from the manufacturer and other reference sources is used to identify precautions, warnings and contraindications for populations (e.g., pregnancy) for each drug.
In addition, Indigenous clients experience a disproportionate burden of disease (e.g., cardiovascular disease, diabetes) and those living in remote or isolated communities may have limited access to health services. These aspects are taken into consideration when reviewing a drug.
Clinical Care Pathways initiative: The review, update and dissemination of Clinical Care Pathways (CCPs; previously called Clinical Practice Guidelines) to nurses working in remote Indigenous communities is an ongoing ISC (FNIHB) initiative. The CCPs are tailored to reflect the unique and diverse needs in remote Indigenous communities. In the development of clinical content for new guidelines, sex and gender are considered in relation to health conditions, outcomes, assessment and management needs. In addition to scientific / clinical guidance, the CCPs guide nurses to provide client-centered, trauma-informed, culturally safe and appropriate care. As such, the CCP templates, and the tailored guidance in each CCP, is based on an intersectional understanding of health inequalities and determinants as they relate to sex/gender; socio-economic status/conditions; geographic and environmental factors; systemic racism and the continuing legacies of residential schools and colonial policy.
Chapters of key significance from a GBA Plus perspective (e.g., gender violence / abuse topics; sexuality and sexual health topics; mental health and addiction topics; women's health/gynecology/obstetrics; and men's health and adolescent health) are already included in the suite of CCPs available to nurses, and will integrate GBA Plus analysis when updated.
There are currently no chapters or individual CCPs/CPGs specific to the health of 2SLGBTQ+ and/or gender diverse people. For example, existing CPG chapters with potentially significant implications for people of different genders and sexualities (e.g., sexual / domestic violence; sexual health topics; mental health and addiction topics; women's health/gynecology/obstetrics; pediatric assessment and child development, genitourinary topics, and adolescent health) do not currently integrate gender and sexual diversity considerations in a meaningful way. Recent investments allow for the expansion of the CPG team which increases the capacity to update all 35 chapters of CPGs over a cycle of the next 5-6 years. These and all other chapters being updated will integrate a GBA+ lens including considerations for diverse sexualities and transgender and gender diverse clients into the clinical care pathways developed.
While integrating a gender and sexuality lens to every chapter and Clinical Care Pathway is a priority, the team also intends to develop a standalone Gender and Sexuality module (chapter), as this was recently identified as a gap in the CPG manual itself. This new chapter is planned to be developed over the next 5-6 year cycle and will provide guidance to nurses in remote and isolated Indigenous communities on culturally appropriate counselling, health promotion, assessment, referral and consultation, and management considerations for health concerns of 2SLGBTQ+ and/or gender diverse clients.
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
1.1 Community Oral Health Services
Target Population: Community Oral Health Services includes Children's Oral Health Initiative (target population: children, their caregivers and pregnant people) and dental therapy services targeting all populations living within First Nation communities.
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: Strongly benefits low income individuals
By age group: Primarily benefits youth, children and/or future generations
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Rural, Remote/Isolated, and Northern regions
GBA Plus Data Collection Plan: Nothing to report in 2020-21. Community Oral Health Services data is currently being analyzed to create a National Oral Health Report on data from 2007 to 2020. This report will take into consideration access to services by gender.
1.2 Individual Affairs
Target Population: First Nations, Children
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
Other: As of December 2020, individuals applying for Indian registration and/or for an Indian status card could select a non-binary gender identifier on the application form: M (male), F (female) or X (another gender). This change will support inclusion of transgender and non-binary people and protect their personal safety.
Supplementary Information Sources:
GBA Plus Data Collection Plan: The Indian Registration System and Secure Certificate of Indian Status Web Application collect gender information from which the program can extract data to measure and assess the impacts on gender and diversity.
Following engagement with First Nations, further changes were made to the Indian Act in 2017 and 2019 under Bill S-3, An Act to amend the Indian Act in response to the Superior Court of Quebec decision in Descheneaux c. Canada (Procureur général). These legislative changes addressed outstanding sex-based inequities in registration.
S-3 extends entitlement to descendants of women impacted by sex-based discrimination dating back to 1869. This entitles generations of First Nations Peoples to Indian status. Based on independent demographic estimates of effects on population, ISC anticipates that there could be 270,000 to 450,000 newly entitled persons as a result of Bill S‑3 amendments. Of persons who were already registered but were previously unable to pass entitlement on to their descendants, 57,000+ are now able to do so due to category amendments.
ISC is partnering with a variety of organizations in regions across the country to increase awareness on the legislative changes to registration and encourage persons who are newly entitled to apply for registration.
1.3 Supplementary Health Benefits
Target Population: The Supplementary Health Benefits (Non-Insured Health Benefits - NIHB) Program provides coverage to registered First Nation and recognized Inuit clients regardless of their sex, gender, age, income or geographic location. The NIHB Program recognizes that a large number of clients live in rural, remote or isolated communities, and face unique challenges in gaining access to medically necessary health services. Similarly, while men and women access benefits at similar rates, across all age groups, their utilization patterns differ. Where demand is less than anticipated, reasons for the reduced uptake are explored, in collaboration with First Nation and Inuit partners, to identify and address any potential barriers that may be impacting access to benefits.
Distribution of Benefits:
By gender: Broadly gender-balanced
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations and Inuit communities and/or individuals
Other: While men and women access NIHB Program benefits at similar rates across all age groups, their utilization patterns differ. The Program considers assumptions and data around the health status, behaviours and needs of various segments of the client population, which differ in important ways, when developing policy designed to address differential impacts. The Program also considers differential access to benefits across the client population recognizing that a disproportionately large number of clients live in rural, remote or isolated communities, which create unique challenges in gaining access to medically necessary health services on a systematic basis.
Supplementary Information Sources:
NIHB Status Verification System; Health Information and Claims Processing Services system data; Inuit Client Statistics Report
GBA Plus Data Collection Plan: The data collected by the NIHB Program can be disaggregated based on a variety of identity factors for analysis and monitoring purposes at any time, and is used to inform policy development or interventions to address differential impacts. The third generation of the Health Information and Claims Processing Services system, which came into effect in June 2020, includes "Gender X" as a data field, allowing sex/gender data to be further disaggregated in future years.
The NIHB Program has updated public reporting methodologies whereby Program indicators may be reported against GBA Plus criteria. The Program's annual report, however, is a more comprehensive source of information for disaggregated administrative data. This report, which is generated for public dissemination, includes Program data reported along regional, ethnic, age and gender lines.
Core Responsibility: Health and Social Services
2.0 Assisted Living
Target Population: People normally residing on reserve or Status Indians in the Yukon territory.
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: Strongly benefits low income individuals
By age group: Primarily benefits seniors or the baby boom generation
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
Supplementary Information Sources: This 2018 report by the House of Commons Standing Committee on Indigenous and Northern Affairs contains recommendations on long-term care services. There are some comments on women's representation in the long-term care workforce and the impacts of these services on seniors and persons with disabilities.
Committee Report No. 17 - INAN (42-1) - House of Commons of Canada (ourcommons.ca)
GBA Plus Data Collection Plan: The Assisted Living program's existing data collection system collects little information that would be useful in determining gender and diversity impacts. That said, the Program is currently engaging with First Nations and Inuit on a continuum approach to delivering long-term care services in their communities. A new continuum approach to service delivery will likely entail significant changes to the Assisted Living program and to its data collection approach. Appropriate measures for determining the program's impact on women, vulnerable population sand persons with disabilities will be defined during the redesign of the Program's approach to data collection.
2.1 Communicable Disease Control and Management
Target Population: The target population for Communicable Disease Control and Management (CDCM) programming is for people living in First Nations and Inuit communities in the provinces as well as tuberculosis programming for people living in Inuit communities in the territories.
Note: this information also reflects the work undertaken by the Health Human Resources program.
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: Somewhat benefits low income individuals
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations and Inuit communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Rural, Remote/Isolated, and Northern regions
| Statistics | Observed ResultsFootnote * | Data Source |
|---|---|---|
| Counts and rates of cases, hospitalizations and deaths due to COVID-19 Counts and rates of notifiable communicable diseases (e.g. hepatitis C) | Persons of different genders are affected at a different scale at different ages. | Internal Departmental reporting systems for COVID-19 and other communicable diseases (e.g. HIV, tuberculosis, invasive pneumococcal disease) |
Other: Understanding what gender and age groups are more affected by communicable diseases allows more targeted and effective interventions.
Supplementary Information Sources: COVID-19 case reporting follows Departmental protocols defining what information is collected, how it is shared, stored, used and eventually destroyed in pursuit of guiding Departmental response to COVID-19.
COVID-19 Epi Update has been produced daily during the first wave of COVID-19 pandemic and then 3 times a week. Frequency of reporting is adjusted based on current epidemiology with approval from senior management. The purpose of the Epi Update is to report on key trends in the burden back to the partners who provided their data and Departmental officials involved in assisting First Nation communities to target and manage prevention and response.
GBA Plus Data Collection Plan: Gender-based analysis is a critical component of the CDCM programming as the health status and the need for health services may vary based on gender identity, ages, cultures, sexual orientations, and abilities.
When necessary and appropriate, CDCM data is disaggregated by relevant GBA Plus indicators (e.g. gender, age, Indigenous distinctions, remoteness) to provide a holistic analysis of factors related to health status.
2.2 Education
Target Population: Indigenous youth
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: Primarily benefits youth, children and/or future generations
By distinction: Benefits First Nations, Inuit, and Métis communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
2.3 Environmental Public Health
Target Population: Environmental Public Health Services (EPHS) Regional-based services: All First Nations individuals on-reserve south of 60°.
First Nations Environmental Contaminants Program (FNECP): All First Nations individuals on-reserve, with a specific focus on youth, Elders and other populations at higher risk of certain exposures.
Climate Change and Health Adaptation Program (CCHAP): All First Nations individuals on-reserve, with a specific focus on youth and Elders.
Environmental Public Health Officers: Certified health professionals, employed by ISC or First Nations organizations, delivering Environmental Public Health Services directly to First Nations communities.
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: The Climate Change Health Adaptation Program (CCHAP) benefits First Nations and Inuit communities and/or individuals. The Drinking Water Safety Program (DWSP) benefits First Nations communities and/or individuals. The Environmental Public Health Services (EPHS) benefits First Nations communities and/or individuals. The First Nation Environmental Contaminants Program (FNECP) benefits First Nations communities and/or individuals.
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
Other: First Nations have access to all services delivered by regional Environmental Public Health Services.
Youth and Elders are incorporated by design within proposal-based programs (FNECP and CCHAP).
First Nations children and youth focus of longitudinal study, Food, Health, Environment and Nutrition of Children and Youth .
Supplementary Information Sources: Horizontal Management Framework for Clean Growth and Climate Change – 2020-21 Departmental Results Report.
GBA Plus Data Collection Plan: Through the work being undertaken in 2021, ISC is working to develop a recruitment and retention strategy for Environmental Public Health Officers who work in/with First Nations Communities. The goal of this strategy is the promotion and recruitment of both Indigenous and non-Indigenous people into the environmental public health profession to work with Indigenous partners and their communities, with an additional focus on women.
2.4 Family Violence Prevention
Target Population: First Nations, Families
Distribution of Benefits:
By gender: 60 per cent - 79 per cent women
By income level: Strongly benefits low income individuals
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
2.5 First Nations Child and Family Services
Target Population: First Nations, Children
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: Strongly benefits low income individuals
By age group: Primarily benefits youth, children and/or future generations
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
2.6 Health Human Resources
Target Population: the work undertaken by the Health Human Resources table has been reflected under the Communicable Disease Control and Management program. (see 2.1 above)
2.7 Healthy Child Development
Target Population: The Healthy Child Development (HCD) cluster's target populations are First Nations and Inuit individuals and families living on-reserve and in Inuit communities. The primary participants of the programs are pregnant people, new mothers, and children from birth to age 6.
Distribution of Benefits:
By gender: Predominantly women (e.g. 80 per cent or more women)
Note: The gender breakdown for distribution of benefits of the Healthy Child Development (HCD) cluster varies by program. For Maternal Child Health (MCH) and the Canada Prenatal Nutrition Program (CPNP), the audience is predominantly women. The Fetal Alcohol Spectrum Disorder (FASD) program offers preventative programming for pregnant women, but can also provide screening and case management services for children, which are not gender specific. Aboriginal Head Start on Reserve (AHSOR) is not gender specific and is aimed at children from birth to age 6 and their families.
By income level: Strongly benefits low income individuals
By age group: Primarily benefits youth, children and/or future generations
Note: There is variation in the target audiences for the different programs in the HCD cluster. Youth is selected because all of the programs (especially AHSOR) serve children up to age 6. However, the MCH and CPNP programs target pregnant women and new mothers, who may fall more within the middle choice in the age group section.
By distinction: Benefits First Nations and Inuit communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Rural, Remote/Isolated, and Northern regions
Note: Urban is often used in the context of off-reserve, and is therefore not selected as the HCD cluster serves Indigenous individuals and families in First Nations living on-reserve and in Inuit communities.
Other: Data collected for the Healthy Child Development cluster is captured through the Community Based Reporting Template (CBRT) and the Regional Health Survey (RHS).
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
2.8 Healthy Living
Target Population: Indigenous Peoples
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations, Inuit, and Métis communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Rural, Remote/Isolated, and Northern regions
| Statistics | Observed ResultsFootnote * | Data Source |
|---|---|---|
| % of First Nations, Inuit and Métis adults who currently report being a daily cigarette smoker | First Nations adults (18+): 40.3% smoked cigarettes on a daily basis; The data showed no overall gender difference in smoking prevalence. However, women smoked a significantly higher number of cigarettes per day (12.8) than men (10.4) Inuit (Inuit Nunangat, 18+): 66.9% Métis (18+): 22.7% However, women smoked a significantly higher number of cigarettes per day (12.8), than men (10.4). |
First Nations Regional Health Survey (2015-16) Aboriginal Peoples Survey (2017) |
| % of First Nations adults who reported that they were diagnosed with diabetes Note: not statistically significant |
The percentage of female First Nations adults with diabetes was higher than male First Nations adults though not statistically different (17.1% and 14.7% respectively). First Nations adults (18+): 15.9% |
First Nations Regional Health Survey (2015-16) |
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
2.9 Home and Community Care
Target Population: The Home and Community Care Program is offered to all First Nations individuals on reserve and Inuit people living in Inuit communities who have a need for in-home care health related services. Clients are assessed by a registered primary health care practitioner and have a home health-care plan developed that will suit their needs. There is no income testing requirement for Home and Community Care services, instead there is a needs assessment based on demonstrated medical need.
Distribution of Benefits:
By gender: Broadly gender-balanced
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations and Inuit communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Rural, Remote/Isolated, and Northern regions
Other: Home and Community Care (HCC) is a transferred program which means that communities are primarily in charge of handling the management and direction of their home care program. As part of the effort to transfer as much authority to communities, flexible funding arrangements are promoted by the national and regional offices. These flexible funding arrangements have less stringent reporting requirements and offer a stable source of funds over a long period of time. For the 2020-21 fiscal year, 75% of communities are in flexible funding arrangements.
While the majority of clients served by Home and Community Care are older individuals, HCC also serves a significant number of clients who are aged 25 or younger. In 2019-20, the program invested $140M for essential home and community care services to support clients of all ages with acute and chronic illnesses and disabilities. The program provided care to 1945 First Nations and Inuit children aged 25 and younger.
Starting 2021, the Home, Community, and Preventative Care unit at the national office has a staff whose work includes GBA Plus.
Supplementary Information Sources: ISC's Home and Community Care and the Assembly of First Nations are working collaboratively on this Indigenous-led Engagement. Home and Community Care team and the Assembly of First Nations and will meet over the summer months to further identify valuable approaches and next steps.
GBA Plus Data Collection Plan: Work on this file is at exploratory stage and the current reporting arrangement does not allow the gathering of gender disaggregated data. However, program decisions always take gender into consideration. The team is exploring options to overcome challenges related to lack of disaggregated data.
2.10 Income Assistance
Target Population: Grants and contributions to eligible recipients under the Income Assistance program are intended to provide financial assistance to low-income on-reserve residents to support their basic and special needs and to help them become more self-reliant, in alignment with the rate schedule and eligibility criteria of the reference province or territory.
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: Strongly benefits low income individuals
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations, Inuit, and Métis communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
Other: Case management and pre-employment supports are eligibility requirements for all provincial and Yukon income assistance programs and have proven to be an effective approach that can make a positive impact on an individual's long-term health and social well-being. Since the limited introduction of these supports in 2013, the national on-reserve dependency on Income Assistance has decreased from 34.0% in 2011-12 to 27.7% in 2018-19. In 2018-19, more than 5,400 clients received case management supports and approximately 1,900 exited Income Assistance (50% exited to employment, 12% exited to education, and 38% exited for other reasons).
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
2.11 Jordan's Principle
Target Population: The target population for Jordan's Principle is First Nations children who are in need of products, services and support.
The target population for the Inuit Child First Initiative is Inuit Children who are in need of products, services and support. This applies to individuals between the ages of 0-18, and 19 in some provinces.
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: Strongly benefits low income individuals
By age group: Primarily benefits youth, children and/or future generations
By distinction: Benefits First Nations and Inuit communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
| Statistics | Observed ResultsFootnote * | Data Source | Comment |
|---|---|---|---|
| Jordan's Principle: Between April 1, 2020 and March 31, 2021: 339,654 products and services were approved for First Nations children. |
Of the total number of products and services approved, 37,035 products and services were administered through individual requests. The remaining 302,619 products and services were approved through group requests. |
Jordan's Principle Data Team, Jordan's Principle Finance Team | Full GBA Plus analysis is expected to be completed by fall 2021. |
| Inuit Child First Initiative: Between April 1, 2020 and March 31, 2021: 26,014 products and services were approved for Inuit children |
Of the total number of products and services approved, 1,926 products and services were administered through individual requests. The remaining 24,088 products and services were approved through group requests. |
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Other: During the COVID-19 pandemic, Jordan's Principle helped First Nations children living in Canada access 2,900 products, services and supports for a total of $7.1 Million from April 1, 2020 to March 31, 2021. Request included laptops, tablets or other e-learning tools if they meet an identified health, education or social need.
GBA Plus Data Collection Plan: Nothing to report in 2020-21. The full analysis for the GBA Plus collection plan for 2020-21 is expected to be completed by Fall 2021. Current data does not categorize all of the required information.
2.12 Mental Wellness
Target Population: First Nations on-reserve and Inuit living in recognized Inuit communities.
Regardless of status or residence - Former students of Indian Residential Schools and their family members; Former students of Indian Day Schools and their family members; Those affected by the issue of Murdered and Missing Indigenous Women and Girls.
Distribution of Benefits:
By gender: Broadly gender-balanced
Note: The Missing and Murdered Indigenous Women and Girls Health and Cultural Supports Program is available to all those affected by the issue, but primarily benefits women and gender diverse people.
By income level: Strongly benefits low income individuals
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations, Inuit, and Métis communities and/or individuals
Note: While the Mental Wellness program primarily serves First Nations and Inuit, the trauma informed health and cultural support programs (Indian Residential Schools Resolution Health Support Program, Missing and Murdered Indigenous Women and Girls Health and Cultural Supports, Indian Day Schools Health and Cultural Supports) ) are available to all eligible people, regardless of status or place of residence, including Métis.
By geography: Benefits Indigenous communities and/or individuals located in Rural, Remote/Isolated, and Northern regions
Note: Urban populations are supported, but program focuses on First Nations on-reserve and Inuit in recognized Inuit communities.
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
2.13 Urban Programming for Indigenous Peoples
Target Population: Indigenous Peoples in urban communities
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: Somewhat benefits low income individuals
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations, Inuit, and Métis communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban regions
Other: While there is limited data regarding the experiences of Indigenous 2SLGBTQQIA+ people, it is likely that Indigenous youth and adults who identify as 2SLGBTQQIA+ face additional barriers and risks when transitioning to urban areas due to intersecting identity factors. The Canadian Survey on Victimization showed that 2SLGBTQQIA+ individuals are more likely than cis-gender and heterosexual individuals to experience violent victimization. Indigenous Peoples are also at a higher risk of experiencing violence, therefore it is likely that Indigenous 2SLGBTQQIA+ individuals are at an even higher risk.
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
Core Responsibility: Governance and Community Development Services
3.0 Economic Development Capacity and Readiness
Target Population: Target population is First Nations and Inuit community owned businesses south of 60°
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations and Inuit communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban and Rural regions
GBA Plus Data Collection Plan: Nothing to report in 2020-21. Undertaking a design challenge to improve known data collection gaps especially where related to outcomes information for GBA Plus groups.
3.1 Education Facilities
Target Population: First Nations children and youth in education facilities (K-12).
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
Other: The Department considers GBA Plus principles as a core component of processes which will lead to investments that support closing the infrastructure gap between non-Indigenous and First Nations communities by improving the overall social well-being and economic prosperity of First Nations children of various identities including, culture, language, sexual orientation, education, ability, geographic location, faith, ethnicity, and socio-economic status. Additionally, education facilities enable quality programming for all children, regardless of gender and/or disabilities. Gender neutral washrooms, ramps and larger washroom stalls for wheelchair accessibility and additional space for high-cost special needs students are all design elements which can be integrated into schools as circumstances dictate.
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
3.2 e-Health Infostructure
Target Population: First Nations Peoples living on reserve
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Rural and Remote/Isolated regions
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
3.3 Emergency Management Assistance
Target Population: First Nations communities
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
GBA Plus Data Collection Plan: The Emergency Management Assistance Program does not collect gender data related to emergency management First Nations members out of principle of First Nations rights/OCAP i.e., Ownership, Control, Access and Possession. Nothing to report in 2020-21.
3.4 Health Facilities
Target Population: First Nations and non-First Nations people living on reserve
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Rural, Remote/Isolated, and Northern regions
GBA Plus Data Collection Plan: ISC does not collect gender-specific or social data for the Health Facilities Program (HFP). In accordance with the HFP's Terms and Conditions, the provision and management of health facilities on reserve is the responsibility of the First Nation recipient. Furthermore, the multi-jurisdictional complexity of health service delivery to Indigenous peoples creates challenges in gathering comprehensive Indigenous health data. Many key indicators of health come from systems held by provinces and territories. There is no simple mechanism to identify Indigenous-specific data within these systems due to First Nations guidelines around ownership, control, access and possession (OCAP) of all information about their peoples, and the absence of ethnic identifiers. Consequently, health status information routinely available for Canadians is not available for Indigenous peoples.
3.5 Health Planning, Quality Management and Systems Integration
Target Population: First Nations communities and institutions
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
| Statistics | Observed ResultsFootnote * | Data Source | Comment |
|---|---|---|---|
| Number of First Nation communities that have developed a community-led health plan. | 318 First Nation communities (2020-21) | Grants and Contributions Information Management System | Includes multi-year work plans (in support of the Flexible funding approach), and health and wellness plans (for Block funding) |
GBA Plus Data Collection Plan: Data collection for the Health Planning, Quality Management and Systems Integration Program focuses on community and organization levels across First Nations communities. Gender and diversity data cannot be collected as part of this program.
To overcome these data collection challenges, the department works collaboratively with Indigenous organizations such as the First Nations Information Governance Centre (FNIGC). The FNIGC oversees the First Nations Regional Health Survey (RHS) that collects self-reported information on Western and Traditional understandings of health and well-being, on reserve. Although the RHS provides sex-disaggregated data that is broken down by age, the data collected via a self-reported survey and linked to perceived health outcomes. The RHS does not report on perceived health outcomes related to health infrastructure. Nonetheless, RHS data can help to provide important context and considerations surrounding the regional health status of First Nations, which can be used by the Program throughout program implementation. GBA Plus impacts will be monitored using the Community-Based Reporting Template (CBRT). The CBRT, first implemented in 2008-09, combines performance information in a single template that recipients must report on annually to satisfy requirements set out in their Contribution Agreements. The Agreements consist of 50 questions and collects four types of information relevant to ISC's programs for a given reporting cycle. A small portion of this information is organized by gender.
3.6 Housing
Target Population: The First Nation On-Reserve Housing Program helps provide more and better quality housing in First Nation communities in Canada. The Housing Program supports First Nations Communities and First Nations organizations to undertake new construction, repairs, lot servicing, capacity and innovation. Benefits are not distributed by gender, income, age group, or geography.
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
Other: Positive impacts on all members of communities are expected. Access to safe and adequate housing can provide benefits for all members of a First Nation on-reserve community , particularly those considered most vulnerable (e.g. women, children, persons with disabilities, etc).
The Government does not collect sex or gender-disaggregated data on Housing, under the Capital Facilities and Maintenance Program, for the performance framework. Each community develops their infrastructure plan according to their needs and priorities.
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
3.7 Indigenous Entrepreneurship and Business Development
Target Population: The access to capital stream of the Aboriginal Entrepreneurship Program (AEP) supports Indigenous entrepreneurs' access to business financing. The Program also has a Business Opportunities stream that is dedicated to supporting the growth of Canada's Indigenous business sector.
Distribution of Benefits:
By gender: Predominantly men (e.g. 80 per cent or more men)
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations, Inuit and Métis communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, and Northern regions
| Statistics | Observed ResultsFootnote * | Data Source | Comment |
|---|---|---|---|
| Through the National Aboriginal Capital Corporations Association and the network of Aboriginal Financial Institutions as well as through the five Métis Capital Corporations, 30% of the total loans issued to Indigenous businesses are to majority-owned women businesses. This is the only gender statistics that is available from the Aboriginal Financial Institutions and Métis Capital Corporations at this time. | The National Aboriginal Capital Corporations Association and a few Métis Capital Corporations are putting in place Women Entrepreneurship initiatives with the objective of raising the number of majority-owned businesses to 50% by 2025-26. | National Aboriginal Capital Corporations Association annual report | This is the first year of the shift to distinctions-based delivery for the access to capital stream of the Aborignal Entrepreneurship Program. The National Aboriginal Capital Corporations Association (NACCA) has previously provided all data for the network of 59 Aboriginal Financial Institutions (AFI) and Métis Capital Corporations (of which 5 will be providing data for their own operations). NACCA will be providing data for the remaining 54 AFIs. |
GBA Plus Data Collection Plan: The access to capital stream of the Aboriginal Entrepreneurship Program has been devolved to Indigenous partner organizations the National Aboriginal Capital Corporations Association and five Métis Capital Corporations. These partner organizations collect and manage data.
3.8 Indigenous Governance and Capacity
Target Population: The Indigenous Governance and Capacity program does not collect gender data.
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: Somewhat benefits low income individuals
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations, Inuit and Métis communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
Other: Indigenous Governance and Capacity programs are general in application and do not include, at this time, any targeted investments that advance gender-based priorities. However, these programs support Indigenous recruitment and professional development activities of Indigenous governments and institutions and overall strengthened governance capacity. This will have an impact on community leaders, band employees, and the community as a whole, inclusive of men, women, members of 2SLGBTQQIA+ communities, youth, and elders.
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
3.9 Land, Natural Resources and Environmental Management
Target Population: First Nations and individuals residing on reserves (First Nations Land Management (FNLM), Land Use Planning and the Reserve Land and Environment Management).
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
| Statistics | Observed ResultsFootnote * | Data Source | Comment |
|---|---|---|---|
| Percentage of total First Nations are now funded to manage lands, natural resources and environmental management | 44% | Internal | None |
| Percentage of total First Nations that are operational in land management program/ regimes | 33% | Internal | The COVID-19 pandemic presented some challenges to FNLM First Nations. For example, some First Nations delayed or postponed the land code ratification votes due to public health measures. |
| Percentage of First Nations that have fully developed Land Use Plans | 27% | Internal | Due to the COVID-19 health crisis, some First Nations decided to delay development of their Land Use Plans. Partner organization plan to re-engage with stalled First Nations in the future. |
Other: FNLM operational First Nations were able to develop and pass emergency laws to implement community safety measures in response to the pandemic. However, many First Nations faced challenges with enforcement of these laws.
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
3.10 Other Community Infrastructure and Activities
Target Population: First Nations Peoples and communities where funding is provided through the Capital Facilities Maintenance Program (CFMP) for Other Community Infrastructure and Activities (other than related to Housing, Schools, Water, Wastewater, Roads and bridges). Benefits are not distributed by gender, income, age group, or geography.
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
Other: The Department does not collect sex or gender-disaggregated data on Other Community Infrastructures (OCI), under the Capital Facilities and Maintenance Program, for the performance framework. Each community develops their infrastructure plan according to their needs and priorities. As a result, it is difficult to predict the differential impacts OCI may have on First Nations women, men, elders, youth, single parents, people with disabilities and 2SLGBTQQIA+ people.
The Department considers GBA Plus principles as a core component of processes which will lead to investments that support closing the infrastructure gap between non-Indigenous and Indigenous communities by improving the overall social well-being and economic prosperity of First Nation girls and boys as well as women and men of various identities including age, culture, language, sexual orientation, education, ability, geographic location, faith, ethnicity, and socio-economic status. Additionally, infrastructure projects support First Nations in their efforts to develop healthier, more sustainable communities. Gender and other identity factors will be taken into consideration during the development of any future general, or program-specific engagement.
The Department is partnering with technical service providers to promote, empower and encourage First Nations youth to pursue careers in science and technology that includes trades, mining and women in water/wastewater careers. ISC continued to work with the Native Women's Association of Canada to identify challenges and barriers for women becoming water operators.
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
3.11 Statutory, Legislative and Policy Support to First Nations Governance
Target Population: Matrimonial Real Property (MRP): First Nations and individuals residing on reserve
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
| Statistics | Observed ResultsFootnote * | Data Source |
|---|---|---|
| Number of Matrimonial Real Property laws enacted under the Family Homes on Reserve and Matrimonial Interests and Rights Act | 16 | List of MRP laws maintained by the Minister |
Other: Unless a First Nation has its own MRP law in force, the provisional federal rules provide rights and protections for individuals living on reserve in the area of MRP – with some exceptions (ex. Self-governing First Nations)
GBA Plus Data Collection Plan: Nothing to report for 2020-21. Funding for the program sunset as of March 31st, 2021.
3.12 Water and Wastewater
Target Population: All Peoples living on-reserve in a First Nations community
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
Other: Overall, essential community infrastructure like water and wastewater systems positively impact all members of the community. It is anticipated that beneficiaries will include men, women, elders, youth, 2SLGBTQQIA+ people, and others. Reliable water and wastewater infrastructure can provide benefits for all members of a First Nations on-reserve community, particularly those considered most vulnerable (e.g. children, peoples with disabilities, etc.). GBA Plus impacts of this initiative have been analyzed based on several external reports and research.
GBA Plus Data Collection Plan: The Department does not collect gender-disaggregated data in the performance framework for its First Nations Water and Wastewater Enhanced Program. Gender-based data (or other socio-economic data related to GBA Plus) is not collected nor is it specifically analyzed in the investment decision-making process for water and wastewater programming. For many First Nations, having control over their water is essential to communities having confidence in drinking water quality. As such, the Department does not currently collect demographic data, including on socio-economic impact, on safe water and wastewater facilities on reserve. Nothing to report in 2020-21.
Core Responsibility: Indigenous Self-Determined Services
4.0 British Columbia Tripartite Health Governance
Target Population: First Nation Communities (Health Transformation is applied to all First Nations living in British Columbia and is not aimed at a specific gender, income level or age group)
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
4.1 New Fiscal Relationship
Target Population: First Nations
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
| Statistics | Observed ResultsFootnote * | Data Source |
|---|---|---|
| Number of eligible First Nations communities that have opted in to a grant to support the new fiscal relationship | 111 First Nations are now in the 10-year grant | Internal |
Other: The 10-year grant impacts participating First Nations communities. All individuals living in those communities will be impacted.
GBA Plus Data Collection Plan: The National Outcome-Based Framework will provide disaggregated information, including by gender, on the socio-economic gaps between First Nations and non-Indigenous Canadians. The type and level of disaggregation will vary with each indicator included in the framework, depending on the availability of data. Nothing to report in 2020-21.
4.2 Self-Determined Services
Target Population: Indigenous youth covered by Regional Education Agreements and First Nations communities covered by the British Columbia Tri-partite Health Agreement
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
| Statistics | Observed ResultsFootnote * | Data Source |
|---|---|---|
| First Nations communities that have opted in to a self-determined service agreement | 230 communities | Internal |
GBA Plus Data Collection Plan: Nothing to report in 2020-21.
Internal Services
Target Population: Internally - Departmental employees and contracted personnel; Externally – all Canadians (Communications)
Distribution of Benefits:
By gender: Broadly gender-balanced
By income level: No significant distributional impacts
By age group: No significant inter-generational impacts or impacts generation between youth and seniors
By distinction: Benefits First Nations communities and/or individuals
By geography: Benefits Indigenous communities and/or individuals located in Urban, Rural, Remote/Isolated, and Northern regions
GBA Plus Data Collection Plan: In 2020-21, a People Management Strategy was developed by the Information Management & Information Technology Programs which considers GBA Plus and the promotion of inclusion and diversity as a key consideration. The programs also developed and maintains a Project Management Framework. This framework is structured to ensure GBA Plus-related considerations are factored into early planning requirements. This helps to ensure that project outputs and outcomes are reflective of GBA Plus requirements.
ISC is taking steps to include consideration of gender in procurement, pursuant to evolving federal direction on facilitating procurement from businesses owned by women and individuals identifying as 2LGBTQQIA+.
Section 3: Program Links to Gender Results FrameworkFootnote ii
| Program name | Education and Skills Development | Economic Participation and Prosperity | Leadership and Democratic Participation | Gender-based Violence and Access to Justice | Poverty Reduction, Health and Well-Being | Gender Equality around the World |
|---|---|---|---|---|---|---|
| Core Responsibility: Service and Benefits to Individuals | ||||||
| Clinical and Client Care | yes | |||||
| Community Oral Health Services | yes | |||||
| Individual Affairs (includes Treaty Annuities) | yes | |||||
| Supplementary Health Benefits | yes | |||||
| Core Responsibility: Health and Social Services | ||||||
| Assisted Living | yes | yes | ||||
| Communicable Disease Control and Management | yes | |||||
| Education | yes | yes | yes | yes | ||
| Environmental Public Health | yes | yes | ||||
| Family Violence Prevention | yes | yes | ||||
| First Nations Child and Family Services | yes | yes | ||||
| Health Human Resources | yes | yes | ||||
| Healthy Child Development | yes | yes | yes | |||
| Healthy Living | yes | |||||
| Home and Community Care | yes | yes | yes | yes | ||
| Income Assistance | yes | yes | yes | yes | ||
| Jordan's Principle | yes | yes | ||||
| Mental Wellness | yes | |||||
| Urban Programming for Indigenous Peoples | yes | yes | yes | yes | ||
| Core Responsibility: Governance and Community Development Services | ||||||
| Economic Development Capacity and Readiness | yes | yes | ||||
| Education Facilities | yes | |||||
| e-Health Infostructure | yes | |||||
| Emergency Management Assistance | yes | |||||
| Health Facilities | yes | |||||
| Health Planning, Quality Management and Systems Integration | yes | |||||
| Housing | yes | yes | ||||
| Indigenous Entrepreneurship and Business Development | yes | yes | ||||
| Indigenous Governance and Capacity | yes | |||||
| Land, Natural Resources and Environmental Management | yes | yes | ||||
| Other Community Infrastructure and Activities | yes | yes | yes | |||
| Statutory, Legislative and Policy Support to First Nations Governance | yes | yes | ||||
| Water and Wastewater | yes | |||||
| Core Responsibility: Indigenous Self-Determined Services | ||||||
| British Columbia Tripartite Health Governance | yes | |||||
| New Fiscal Relationship | yes | yes | ||||
| Self-Determined Services | yes | yes | yes | |||
| Internal Services | ||||||
| Internal Services | yes | yes | yes | yes | yes | |
Section 4: Program Links to Quality of Life FrameworkFootnote iii
| Program name | Prosperity | Health | Environment | Society | Good Governance |
|---|---|---|---|---|---|
| Core Responsibility: Service and Benefits to Individuals | |||||
| Clinical and Client Care | yes | ||||
| Community Oral Health Services | yes | ||||
| Individual Affairs | yes | yes | |||
| Supplementary Health Benefits | yes | ||||
| Core Responsibility: Health and Social Services | |||||
| Assisted Living | yes | yes | |||
| Communicable Disease Control and Management | yes | ||||
| Education | yes | yes | |||
| Environmental Public Health | yes | yes | |||
| Family Violence Prevention | yes | yes | yes | yes | |
| First Nations Child and Family Services | yes | yes | yes | ||
| Health Human Resources | yes | yes | |||
| Healthy Child Development | yes | ||||
| Healthy Living | yes | ||||
| Home and Community Care | yes | ||||
| Income Assistance | yes | ||||
| Jordan's Principle | yes | ||||
| Mental Wellness | yes | ||||
| Urban Programming for Indigenous Peoples | yes | ||||
| Core Responsibility: Governance and Community Development Services | |||||
| Economic Development Capacity and Readiness | yes | yes | |||
| Education Facilities | yes | yes | |||
| e-Health Infostructure | yes | ||||
| Emergency Management Assistance | yes | yes | |||
| Health Facilities | yes | ||||
| Health Planning, Quality Management and Systems Integration | yes | ||||
| Housing | yes | yes | yes | yes | |
| Indigenous Entrepreneurship and Business Development | yes | yes | |||
| Indigenous Governance and Capacity | yes | ||||
| Land, Natural Resources and Environmental Management | yes | yes | yes | yes | |
| Other Community Infrastructure and Activities | yes | yes | yes | yes | |
| Statutory, Legislative and Policy Support to First Nations Governance | yes | yes | |||
| Water and Wastewater | yes | yes | |||
| Core Responsibility: Indigenous Self-Determined Services | |||||
| British Columbia Tripartite Health Governance | yes | yes | |||
| New Fiscal Relationship | yes | yes | |||
| Self-Determined Services | |||||
| Internal Services | |||||
| Internal Services | yes | yes | |||