Evaluation at FNHA
Evaluations support telling stories of change over time, celebrating our successes and identifying areas for improvement that contribute to the information that guides the journey forward.
FNHA conducts evaluations according to a Five-Year Evaluation Plan (FY 2022/23 to 2026/27). This plan reflects the organization’s mandatory requirements and strategic priorities identified through feedback from First Nations in BC and FNHA leadership, Multi-Year Health Plan goals and priorities and coverage of FNHA programs and services. The five-year cycle aligns with the 10-year Canada Funding Agreement cycles and FNHA’s five-year health and wellness plan cycles.
2025/26
Evaluation of the BC Tripartite Framework Agreement 2018/19 – 2023/24
This evaluation tells the story of progress made by the Tripartite health partnership and the BC First Nations Health Governance Structure in advancing their shared efforts to transform the health system for First Nations in BC between fiscal years 2018/19 and 2023/24.
- 2024 Evaluation of the BC Tripartite Framework Agreement Executive Summary
- 2024 Evaluation of the BC Tripartite Framework Agreement Final Report
A series of reports were developed following engagements with community leadership in June 2025, informing the work of the FNHA and BC Tripartite Framework Agreement evaluations.
Evaluation of FNHA 2019/20 – 2023/24
This evaluation examines FNHA’s progress against its goals and strategies in alignment with its mission and Shared Vision of healthy, self-determining and vibrant BC First Nations children, families and communities between fiscal years 2019/20 and 2023/24.
Evaluation of the FNHA Board of Directors 2019/20 to 2023/24
This evaluation tells the story of the board’s progress in fulfilling its corporate governance functions and core responsibilities, and the effectiveness of the board’s governance practices.
- 2024 Evaluation of the FNHA Board of Directors Executive Summary
- 2024 Evaluation of the FNHA Board of Directors Final Report
FNHA Indigenous End-Of-Life Guide Evaluation 2019/20-2023/24
The Indigenous End-of-Life Guide program trains and supports natural helpers within First Nations communities to provide culturally safe care and support for individuals facing end of life, and their families as they experience grief and loss. This evaluation provides a retrospective snapshot of the program as it was delivered between 2019/20 and 2023/24, assessing the relevance and effectiveness of its design, delivery, and impact, as well as its value to First Nations individuals and communities. The report also outlines the program’s path forward following new federal funding awarded in late 2024.
FNHA-Funded Treatment Centre Services 2018/19 – 2022/23
As of 2025/26. FNHA currently funds nine bed-based treatment centres and one day treatment service across BC, providing culturally safe substance use treatment for First Nations individuals. This report assesses the responsiveness and performance of the 10 FNHA-funded treatment centres between 2018/19 and 2022/23.
2024/25
Indigenous Treatment and Land-Based Healing Fund 2018/19 – 2022/23
The Indigenous Treatment and Land-Based Healing Fund supports strengths-based, holistic and client-driven substance use treatment and healing programming that addresses aftercare and reflects family and community contexts.
- Implementation of the Indigenous Treatment and Land Based Healing Fund Executive Summary
- Implementation of the Indigenous Treatment and Land Based Healing Fund Spotlights
- Implementation of the Indigenous Treatment and Land Based Healing Fund Report
Community-Based Testing Program
The Community-Based Testing program was developed in 2020 by FNHA and external provincial and federal partners to address the need for improved access and faster turnaround time for COVID-19 testing in rural and remote First Nations communities in BC. This evaluation aimed to capture the story of the program’s implementation and gather lessons learned and wise practices for its continued growth and evolution.
Connecting to Culture: Sustaining our Wellness
This series of regional reports recognize the remarkable achievements and wisdom gained by First Nations in BC during the COVID-19 pandemic. The reports share the stories of communities’ good work across all five regions.
- Northern Connecting to Culture COVID-19 Report
- Interior Connecting to Culture COVID-19 Report
- Fraser Salish Connecting to Culture COVID-19 Report
- Vancouver Coastal Connecting to Culture COVID-19 Report
- Vancouver Island Connecting to Culture COVID-19 Report
Pay Transparency Report
In alignment with the BC Pay Transparency Act, FNHA has published its second Pay Transparency Report.
FNHA is committed to understanding and analyzing the results of the report and making any necessary improvements. Because gender identity information is collected on a voluntary basis there is a large portion of employees (40%) whose gender could not be determined and are reflected in the unknown category. These include employees who may have declined to consent, who chose not to complete the survey, or who were on leave of absence during the survey period.
Participation in the report increased from 39% last year to 60% this year. This year the results have improved slightly with women who consented to being included earning within 5%/4% (average/median) of men which is an improvement from last year. Last year with the smaller reporting sample, the difference was 8%/5%. FNHA believes with higher participation rates this difference may further decrease
- Pay Transparency Report (2025)
- Pay Transparency Report (2024)
2023/24
Healing Our Spirit Worldwide Ninth Gathering
The Ninth Gathering of Health Our Spirit Worldwide took place between Sept. 11 and 15, 2023 in Vancouver, BC. This report shares the learnings and impacts of this important gathering and helps future hosts plan and share the messages of the gathering and to sustain and grow the Healing Our Spirit Worldwide movement.
2022/23
Journeying Together: Implementation of the Mental Health and Wellness Memorandum of Understanding
This report shares findings from an evaluation of the $30 million investment in community-driven, Nation-based programming funded through the Mental Health and Wellness Memorandum of Understanding (between FNHA, Canada and BC).
Medical Transportation Transformation Engagement
The Medical Transportation Transformation Project undertook a comprehensive program review of the Medical Transportation program. This report is a compilation of the key themes, insights and feedback received from health leads and other administrators who support the program, which provides FNHA a strong foundation for program improvements and ultimately, transformation.
2021/22
Kwakwaka’wakw Collaborative Project
The Kwakwaka’wakw Primary Maternal, Child and Family Health Collaborative Project, funded by the Joint Project Board, aims to improve maternal care and family health services in Northern Vancouver Island. The evaluation report assesses the projects implementation, delivery and performance and identifies opportunities for improvement.
2020/21
Evaluation of FNHA 2013/14 – 2019/20
This evaluation tells the story of the change resulting from the creation of the FNHA, describing the progress that FNHA has made against its mandate and strategic plan from fiscal years 2013/14 to 2019/20.
- Evaluation of the FNHA – Final Report
- Evaluation of the FNHA – Case Study Technical Report
- Evaluation of the FNHA – Response Action Plan
Evaluation of the BC Tripartite Framework Agreement 2013/14 – 2019/20
The key purpose of first five-year evaluation of the BC Tripartite Framework Agreement is to tell the story of change amongst the Tripartite Partners and within the broader health system through evaluating the implementation of the framework.
- Evaluation of the BC Tripartite Framework Agreement
- Evaluation of the BC TFA: Appendices
- Evaluation of the BC TFA: Executive Summary
- Evaluation of the BC TFA: Infographic
- Evaluation of the BC TFA: Recommendations and Response Plan
- Case study: Cultural Safety and Humility
- Case study: Data and Information Governance
- Case study: H ealth Actions
- Case study: Overdose Response
- Case study: Maternal, Child and Family Health
Evaluation of the FNHA Board
The Evaluation of the FNHA Board of Directors highlighted its current strengths and identified areas where there may be opportunities to improve FNHA’s governance practices.
Regional Partnership Accords
Partnership Accords support collaboration and shared decision-making between the regional caucuses, FNHA, and the regional health authorities. Evaluations of these agreements is part of a commitment to monitor and report on progress and support the growth of the partnerships.
- Northern Partnership Accord Evaluation Report
- Interior Partnership Accord Evaluation Report
- Fraser Salish Partnership Accord Evaluation Report
- Vancouver Coastal Partnership Accord Evaluation Report
- Vancouver Island Partnership Accord Evaluation Report
2019/20
Pharmacy Benefit Program
This evaluation examines FNHA’s Pharmacy Program for BC First Nations with a primary focus on the transfer of the drug benefits to PharmaCare Plan W in 2017. The report addresses a range of topics related to effectiveness, efficiency, governance structure, risk management and controls, and implementation of Plan W.
Joint Project Board
Joint Project Board Annual Reports
The following reports examine the 27 primary health care, mental health and wellness, substance use and maternal child health projects funded by the Joint Project Board across the province. Joint Project Board projects were developed based on local priorities and are aimed at increasing access to health services and regulated health professionals for First Nations individuals.