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Northern Regional Health Authority
The Northern Regional Health Authority (NRHA) is the governing body responsible for healthcare delivery and regulation for the Northern Health Region (NHR)—specifically northern Manitoba, excluding Churchill.[1] The NRHA covers the largest geographical area of the 5 regional health authorities (RHAs) in Manitoba, spanning over 396,000 km2 (153,000 sq mi), or nearly two-thirds of the province.[2] It was formed in 2012 by the merger of the former NOR-MAN and Burntwood Regional Health Authorities.[1][2] Within the region, there are 2 cities, 6 towns, 1 rural municipality, 1 local government district, and numerous unorganized territories made up of hamlets and cottage settlements; as well as 26 First Nations communities and 16 Northern Affairs communities.[2] The NRHA maintains offices in each of its three major centres: Flin Flon, The Pas, and Thompson.[2] CommunitiesAccounting for just below 6% of the provincial population, the Northern Health Region has a population of 74,175 people. With an area of over 396,000 km2 (153,000 sq mi), the region has a population density of 0.18 persons per km²—compared to 2.19 persons per km² for the entire province of Manitoba.[2] The region has a young population with a median age of 26 (compared to Manitoba at 37), and nearly one in three residents (30%) of the region are under the age of 15 (compared to 19% of Manitoba residents). Contrastly, 6.1% of Northern Region residents are age 65 and older (compared to 14.1% of Manitobans).[2] Within the region, there are:
Indigenous communitiesThe NRHA serves 26 First Nations communities, or 'reserves'.[2] According to Manitoba Health's 2012 census, about 40% of the region's residents live on reserves while the remaining 60% live off-reserve.[2] However, residents frequently travel on and off reserve and access health services in both locations. In addition to issues of gaps in patient follow-ups and on-going continuity of care, having more than one health-services provider—First Nation Inuit Health (FNIH) for on-reserve services and the Region for off-reserve services—can cause confusion among residents in terms of accessing care.[3] There are over a dozen additional First Nations communities that the NRHA serves; a challenge for the NRHA is that many of these First Nations communities do not have year-round all-weather road access, with many of these First Nations communities relying on rail, boat, and/or air service to travel. This limited access has significant implications on the health of the residents.[citation needed] Per the 2006 Census, over two-thirds (67.4%) of residents self-identify as "Aboriginal." Residents of the Northern Health Region account for 81% of Manitoba residents who report speaking an Aboriginal language; just below one-third of residents (31.9%) report speaking at least one Aboriginal language compared to only 6% of Manitobans overall.[2] FacilitiesThe NRHA maintains offices in each of its three major centres: Flin Flon, The Pas, and Thompson.[2]
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