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This text is now here! >>>Click Here<<< https://EditaPaper.com Cornell University, Ithaca â&#x20AC;&#x2039;Western University one of the oldest universities in Canada was founded in 1878 and the medical school shortly thereafter in 1881 so it is a an established and reputable University that's been around for a long time in Canada I've been involved in working with First Nations communities for 30 years now and it started in the early days when I was working in a remote area in Canada responsible for care delivery to 30 fly-in reserves and at that time recognized from my public health background and training that there was an epidemic of a new disease a chronic disease called diabetes that led to a series of projects and collaborations with communities in that region expanded to national projects and partnering also with the federal and provincial governments across the country over the last 20 years to help better understand what is the problem with diabetes why is it happening in these communities but failing to really change the outcome of diabetes in these communities so this led to the funding and establishment of our research program called forge ahead which is a unique and innovative program intended to change his wary care is delivered following a chronic disease model impersonations community's specific to diabetes and taking advantage of the existing resources that they have for diabetes prevention and clinical care delivery but to do it in a new way it's a five-year program that works directly with communities it's a very comprehensive program it incorporates ten research projects and builds off years of work that I know that I've done with dr. Harrison that he's done even preceding myself the lessons learned in the successes and the strengths within the communities it involves clinical and
community readiness consultations that really highlight the strength in the communities and the gaps in the commune that they could potentially use to redesign care it involved IVs registries and surveillance systems and quality improvement initiatives that they develop at a grassroots level and it involves cost analysis and scale-up toolkit so the overall goal is to use those scale-up toolkits and adapt and expand it to address all a host of other chronic diseases right across indigenous communities all across Canada one of the things that we are most proud about in this program is the collaborative nature and partnership that we have with our First Nations communities over the years have complained that there's been lots of research done on them but not with them it is absolutely key to have respectful partners involving First Nations so that they have a sense of ownership and pride in the in the projects that are going on we've got 12 communities across Canada we have indigenous and non-indigenous organizations we have government and policy partners and we have the leaders from a diverse diverse academic background helping us implement forge ahead so I think one of the biggest strengths of forge ahead and one the biggest strengths that we thought our team has is the national network very strong emotional changes forge ahead is adopted and is using the Oh cap guidelines which were originally created by the National Aboriginal Health Organization and now nest with the First Nations information governance centre and Oh cap is the ownership control access and possession of data it's vital that this project keeps the Oh cap guidelines in the forefront because it's such an empowering opportunity for communities to be responsible for the data that's gathered from this experience because because that because that is knowledge and it becomes knowledge for the community to use and it becomes then an empowerment tool for the communities one of the strengths of the forge ahead research program is that from the beginning we have involved policymakers as partners in the development and implementation of the forge ahead step when we hope to scale up the forge ahead program across the country to all 618 First Nations communities we need to have partnerships with policymakers this has to become policy we are confident that the forge ahead program will absolutely change the direction of this epidemic and finally stem the tide of the terrible outcome that our First Nations people in Canada currently experiencing you New York university databases.
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