Manitoba Inuit Association’s Rapid Response to Include an Inuit Identifier within Manitoba COVID-19 Diagnostic Tests

To monitor the progress of the COVID-19 outbreak, ensure equitable access to testing and treatment, and provide up-to-date information to Indigenous decision-makers engaged in setting up measures to protect their communities, the Manitoba Inuit Association (MIA) mobilized to work with the First Nation Heath and Social Secretariat of Manitoba, Ongomiizwin Research, and the Manitoba Government to identify Inuit in COVID-19 diagnostic tests, including Inuit who reside in Manitoba or those who come from Nunavut to the province to access health services. Provincial work was already underway to add Indigenous identifiers into provincial clinical health information systems; however, it was apparent early in April 2020 that reporting to Indigenous organizations on identified COVID-19 cases for First Nation, Metis, and Inuit People would be also be required in order for remedial measures to occur. This article describes the governance considerations needed to establish an information-sharing agreement with the Government of Manitoba and the role of the MIA in overseeing this process. Further background information is provided in addition to an extended discussion around the context in which Inuit are identified and receive healthcare services in Manitoba.