Health and social services governance has been a central concern for First Nations for a long time, both in Quebec and in other regions and territories across Canada and elsewhere in the world.

In 2006, the First Nations in Quebec collectively began a reflection and made the decision to implement a blueprint focused on health and social services. An extensive consultation was conducted throughout Quebec and, based on that process, the Blueprint – Quebec First Nations Health and Social Services 2007-2017: Closing the gaps… Accelerating change was drafted. Thus, the governance process stems from the observation that was made by First Nations regarding the need to renew the current structure to put forward their desire for self-determination.

  • In 1876, the adoption of the Indian Act by the Government of Canada deprived First Nations of their autonomy in most areas, including health and social services.
  • Since 1965, First Nations have been actively working towards their self-determination and the assumption of control over their services, with a view to social, economic and cultural development.
  • In 2006, following important reflection and consultation work, the First Nations in Quebec developed a health and social services blueprint.
  • In 2007, the Chiefs of the AFNQL adopted the blueprint.
  • In 2014, the Chiefs of the AFNQL adopted a motion reiterating their support for the review of the current mode of governance.
  • This new motion reaffirmed the desire of First Nations to implement a process of listening and reflection aimed at developing a new model of governance that meets their needs and specificities.
  • In the fall of 2014, the Quebec First Nations Health and Social Services Governance Process began.