Tipos de distribución en planta

Waswanipi

Introduction

This past fiscal year, there were two Powerpoint presentations made concerning the Waswanipi Miyupimatisiiun Center. One was made at the Special General Assembly in November 2007, in Nemaska. The other was made to the Public Health Department in Val d’Or in March 2008. Both of these presentations give an overview of the WMC and its position regarding the implementation of the Strategic Regional Plan (SRP).

The WMC has 50 permanent employees. Before the SRP there were 27 employees. In the near future we should have 80 employees according to the SRP. We are presently in the process of hiring badly needed support staff.

There are no significant trends concerning community health in Waswanipi. Diabetes is very present and the number of cases being detected is growing. This is the challenge. We have to help those that have diabetes. There is work to be done in prevention at all levels. The challenge is to get people to change their lifestyle, to choose a healthier one for themselves and their families.

In the social area, Youth Protection has been strengthened in the past year and we now have a team working together in Waswanipi. Efforts must now be made for the population between 18 and 45 years of age. This is the group that Social Services must now address and provide services and support for. We have only one (1) community worker in Social Services and this is not adequate to address the needs and concerns of this target group. With the local reorganization of the integration of staff, services and programs, we will be able to provide better services.

Generally, this community has and is known to have a significant drug problem. The geographic location and road access to Val d’Or and Chibougamau makes this a target community for illicit drugs. In the past year, we have noticed a significant percentage of babies born with problems related to alcohol and drug use by the mother. This signals a need for prevention. If nothing is done, the cost will be high in the near future.

The population of Waswanipi is 1,907 and the 0-to-24 age group represents 6% of the population. A large part of the population is trilingual.

Highlights 2007 – 2008

Twenty-five (25) positions were approved in the support sectors, that is:

Six (6) CHRs, 2 or 3 (2.5) secretaries, two (2) receptionists, one or two (1.5) housekeepers – light, one or two (1.5) housekeepers – heavy, one (1) pharmacy technical assistant, one (1) archivist assistant, 1 Respiratory Therapist part-time, three (3) heads, one (1) executive secretary, one (1) administrative technician, one (1) cook and one (1) assistant cook. The challenging issue continues

There continues to be fluctuations in the population of the community, mainly because of the Sabtuan Regional Vocational Center. The staff and the students come to the WMC for services. The Local Diabetes Conference was successfully held in November 2007 and all participants are anticipating the Regional Diabetes Conference to be held in Waswanipi in 2008.

The Community Health program has provided valuable health services especially to pregnant women in the community.

Eight (8) of the sixteen (16) lodgings have been completed as of March 31, 2008. Eight (8) more are still to be completed.

The MSDC has been more involved with projects and service delivery in the community.

We continue to have regular visits from professionals such as psychologists, pediatricians, ophthalmologists, psychiatrists and other counsellors.

Programs and Services

Health

Our statistics remain approximately the same as last year, with a slight increase. We have had 9,258 visits with the nurse in the curative and 1,097 in the program sector. There were 387 doctor interventions in the curative and 1,667 interventions in the program sector. There were 4,546 visits to a specialist. Transportation was urgent in 123 cases and elective in 1,594 cases. These statistics were sent to the Health Coordinator in Chisasibi.

Personnel in place: 1 Nurse for foot care.

1 School nurse on maternity leave 2 CHRs

1 Diabetes nutritionist plans to move to Mistissini. 1 Doctor also moving to Mistsissini.

There is a big turnover of nursing staff.

Social Services

With only one CLSC community worker, progress has been difficult. There were many suicide attempts (22 listed), 116 cases of conjugal violence, 116 cases of adult counselling, 54 cases of family counselling, 56 cases of youth counselling, 19 provisions of homecare services and 86 clients were referred to specialized services. In all there were 200 interventions for 198 beneficiaries. We have experienced a significant change of staff in homecare and this program must be rebuilt. We are in the process of hiring the required staff.

In the fall, a physiotherapist was hired and works at the MSDC with the rehabilitation monitors. We need a community worker and a nurse. A nurse was hired and trained but remained with us only a short time.

A new HRO (Human Relations Officer) was hired in January. We will have to post a vacancy for the NNADAP community worker.

Homecare Services

Five regular homecare workers continue to provide services in the community. A revision will be conducted as soon as the whole team is hired and working together. There were 47 clients, 9 were new clients, 9 post-partum clients, 25 clients with special needs, 10 non-autonomous clients, 16 semi-autonomous clients.

Escorts for Elders requiring medical service remain an issue.

Multi-Service Day Center

Lack of transportation remains an issue especially during bad weather conditions. There has been more collaboration with Homecare Services to avoid duplication of client services. Employees have made efforts to remain proactive throughout the year.

Material Resources

Buildings

We have two major service buildings, three duplexes, and one apartment building. The Waswanipi First Nation provides three (3) duplexes, two (2) units in a four-plex, four (4) trailer units, and eight (8) apartments units. Eight (8) more will finished in 2008. Living quarter requirements for outside staff have been met in 2007.

Administration

A new administrative technician was hired and has contributed in updating all the orders with the finance department and thus making the necessary corrections.

Plans and Development

1. Plans have begun to identify office and storage space needed. 2. Plans for additional support staff have been approved.

3. We have identified training needs for the housekeeping and maintenance staff.

4. Additional transportation will be required for Dialysis patients in the near future. A needs assessment will be carried.

Recommendations

The public and our staff must address the issue of no tolerance of verbal or physical abuse in our buildings. We need a code of ethics to be posted. Harassment must not be tolerated and this must be advertised in our buildings.

Conclusion

Communications between Chisasibi and Waswanipi continue to be challenging. We need good information to progress in all the files.

As stated in this report, we have to concentrate now on providing support to 18 to 45-year-olds. We will need more human resources, especially social workers, to address the problems of this important group and provide the necessary support.

Alan Moar