Grace Kyoon-Achan, W. Phillips-Beck, K. Kinew, J. Lavoie, Stephanie Sinclair, A. Katz
{"title":"Our People, Our Health: Envisioning Better Primary Healthcare in Manitoba First Nation Communities","authors":"Grace Kyoon-Achan, W. Phillips-Beck, K. Kinew, J. Lavoie, Stephanie Sinclair, A. Katz","doi":"10.18584/IIPJ.2021.12.1.13561","DOIUrl":"https://doi.org/10.18584/IIPJ.2021.12.1.13561","url":null,"abstract":"Recognizing the right of self-determination of Indigenous Peoples is essential to improving the state of community-based primary healthcare of First Nations in Canada. Understanding communities’ priorities and local health agendas is critical for primary healthcare transformation. We used a community-based participatory research approach to engage our partners: Nanaandawewiwgamig, the First Nations Health and Social Secretariat of Manitoba, and eight First Nation communities. Community-based research assistants conducted 183 in-depth interviews in their respective First Nations. Key themes that emerged from these interviews include primary prevention focused on health and social determinants; an integrated healthcare system providing access to both Western and First Nations traditional health knowledge; infrastructure improvement; youth engagement; healthcare leadership; investing in community-based human resources; and promoting culturally respectful, responsive, geographically sensitive, and outcomes-oriented care. Policy approaches could implement some local priorities with direct impact on healthcare, while other social determinants will create indirect, albeit critical, conditions for health and healthcare changes over time.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43112831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Josée G. Lavoie,Wanda Phillips-Beck,Kathi Avery Kinew,Stephanie Sinclair,Grace Kyoon-Achan,Alan Katz
{"title":"Is Geographical Isolation Associated with Poorer Outcomes for Northern Manitoba First Nation Communities?","authors":"Josée G. Lavoie,Wanda Phillips-Beck,Kathi Avery Kinew,Stephanie Sinclair,Grace Kyoon-Achan,Alan Katz","doi":"10.18584/iipj.2021.12.1.10475","DOIUrl":"https://doi.org/10.18584/iipj.2021.12.1.10475","url":null,"abstract":"This study tested the assumption that geographical isolation is associated with poorer population health outcomes among First Nations in Manitoba. Our results show higher premature mortality rates (PMR) in northern communities, declining slower than for any other Manitoba communities. Our results also show lower ambulatory care sensitive conditions (ACSC) hospitalization rate in the North, suggesting barriers to prevention and early diagnosis. There remains a large gap in ACSC hospitalization rates between First Nations and all Manitobans. Further research is warranted to understand the relationship between the changes in the rates of ACSC and the difference in the rates between northern and southern communities.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138526946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tobacco Smoking Among First Nations Youth Living On-Reserve and in Northern Communities: A Mixed Methods Study","authors":"L. Wright, C. Dell","doi":"10.18584/iipj.2020.11.4.13369","DOIUrl":"https://doi.org/10.18584/iipj.2020.11.4.13369","url":null,"abstract":"The prevalence of tobacco smoking among First Nations youth living on reserve and in Northern communities is significantly higher than off-reserve Indigenous youth in Southern communities and non-Indigenous youth, although the majority do not smoke. Using a mixed-methods approach, we examine factors that support on-reserve First Nations youth’s resilience to smoking. Logistic regression analyses using data from the nationally representative First Nations Regional Early Childhood, Education, and Employment Survey suggest that not using other substances, having friends who do not smoke or use other substances, and having good mental health is associated with not smoking. A review of select community initiatives and in-depth interviews with First Nations anti-tobacco initiative managers and frontline workers about the initiatives also revealed the need for gender- and community-specific programming, recognition of Indigenous social determinants of health, and addressing the normalization of smoking in some community contexts.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42691902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Does a Payment-for-Outcomes Model Improve Indigenous Wellbeing? Commissioning Agencies and Social Impact Bonds in New Zealand","authors":"L. Humpage","doi":"10.18584/iipj.2020.11.4.8195","DOIUrl":"https://doi.org/10.18584/iipj.2020.11.4.8195","url":null,"abstract":"Commissioning agencies and social impact bonds are two examples of New Zealand’s shift towards payment-for-outcomes funding mechanisms over the last decade, as the government attempted to improve both policy innovation and social outcomes. This article highlights that although the commissioning agencies have been more successful than social impact bonds, neither has completely achieved these goals of innovation and improved outcomes. This is particularly concerning given Indigenous Māori are disproportionately impacted by both policies. Discussion concludes by highlighting some of the problems associated with applying a payment-for-outcomes model to Indigenous Peoples, given these funding mechanisms are becoming increasingly popular in other settler nation states.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42756356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Training Indigenous Facilitators for a Two-Eyed Seeing Research Treatment Intervention for Intergenerational Trauma and Addiction","authors":"T. N. Marsh, D. Marsh, L. Najavits","doi":"10.18584/iipj.2020.11.4.8623","DOIUrl":"https://doi.org/10.18584/iipj.2020.11.4.8623","url":null,"abstract":"Intergenerational trauma in Indigenous Peoples was not the result of a targeted event, but rather political and governmental policies inflicted upon entire generations. The resultant effects of these traumas and multiple losses include addiction, depression, anxiety, violence, self-destructive behaviors, and suicide, to name but a few. Traditional healers, Elders, and Indigenous facilitators agree that the reclamation of traditional healing practices combined with conventional interventions could be effective in addressing intergenerational trauma and substance use disorders. Recent research has shown that the blending of Indigenous traditional healing practices and the Western treatment model Seeking Safety resulted in a reduction of intergenerational trauma (IGT) symptoms and substance use disorders (SUD). This article focuses on the Indigenous facilitators who were recruited and trained to conduct the sharing circles as part of the research effort. We describe the six-day training, which focused on the implementation of the Indigenous Healing and Seeking Safety model, as well as the impact the training had on the facilitators. Through the viewpoints and voices of the facilitators, we explore the growth and changes the training brought about for them, as well as their perception of how their changes impacted their clients.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48191974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Doris Peltier, Carrie Martin, R. Masching, Mike Standup, Claudette Cardinal, V. Nicholson, Mina Kazemi, A. Kaida, Laura Warren, Denise Jaworsky, L. Gervais, A. Pokomandy, S. Bruce, S. Greene, M. Becker, Jasmine Cotnam, Kecia Larkin, Kerrigan Beaver, C. Bourassa, M. Loutfy
{"title":"A Journey of Doing Research “In a Good Way”: Partnership, Ceremony, and Reflections Contributing to the Care and Wellbeing of Indigenous Women Living with HIV in Canada","authors":"Doris Peltier, Carrie Martin, R. Masching, Mike Standup, Claudette Cardinal, V. Nicholson, Mina Kazemi, A. Kaida, Laura Warren, Denise Jaworsky, L. Gervais, A. Pokomandy, S. Bruce, S. Greene, M. Becker, Jasmine Cotnam, Kecia Larkin, Kerrigan Beaver, C. Bourassa, M. Loutfy","doi":"10.18584/iipj.2020.11.4.8215","DOIUrl":"https://doi.org/10.18584/iipj.2020.11.4.8215","url":null,"abstract":"The relationship between the First Peoples of Canada and researchers is changing as processes of self-determination and reconciliation are increasingly implemented. We used storytelling and ceremony to describe a historic event, the Indigenous Women’s Data Transfer Ceremony, where quantitative data of 318 Indigenous women living with HIV were transferred to Indigenous academic and community leaders. Relationship building, working together with a common vision, the Ceremony, and the subsequent activities were summarized as a journey of two boats. The Truth and Reconciliation Commission of Canada's Calls to Action and Indigenous ethical principles were central to the process. The article ends with team members’ reflections and the importance of shifting power to Indigenous Peoples in regard to data collection, their stories, and the resulting policies.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42133276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Living in the South, Caring in the North: Exploring Inuit Women’s Care Responsibilities","authors":"Magalie Quintal-Marineau","doi":"10.18584/iipj.2020.11.4.8192","DOIUrl":"https://doi.org/10.18584/iipj.2020.11.4.8192","url":null,"abstract":"The increased Inuit population in Canadian Metropolitan Areas (CMA) has recently gained attention among the scientific community as well as within Inuit organizations. However, existing literature has overlooked the distinct experience of Inuit women and, more significantly, the importance of care responsibilities in understanding women’s mobility. This study examines the relocation experiences of 46 Inuit women across five CMAs, and the role care sites play in initiating women’s relocation to cities. Results show the key role caregiving responsibilities play in Inuit women’s decisions to move to southern urban areas, as dysfunctional care spaces in the North push them away from their communities, and the potential for safer care sites in the South act as a pulling factor.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42636878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Paths to Realizing Reconciliation: Indigenous Consultation in Jasper National Park","authors":"J. Johnston, Courtney W. Mason","doi":"10.18584/iipj.2020.11.4.9348","DOIUrl":"https://doi.org/10.18584/iipj.2020.11.4.9348","url":null,"abstract":"Diverse Indigenous nations have traditional territories inside Jasper National Park (JNP), but the park was established without consultation with local Indigenous communities. Parks were marketed as empty landscapes, which celebrated romantic ideas of European colonial expansion. The current representations of Indigenous Peoples in interpretive content still reflect this lack of consultation. This research was guided by Indigenous methodologies. Data was collected through interviews with Jasper Indigenous Forum (JIF) members and the JNP management team. Findings indicate that JIF members want increased representation and greater control over how their histories and cultures are presented. Park management needs to work in close consultation with the JIF if they want to improve Indigenous representations in the park and support processes of reconciliation.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44257346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Lavoie, R. Romanescu, A. Katz, Nathan C. Nickel
{"title":"Modeling the Impact of the COVID-19 Pandemic on First Nations, Metis, and Inuit Communities: Some Considerations","authors":"J. Lavoie, R. Romanescu, A. Katz, Nathan C. Nickel","doi":"10.18584/iipj.2020.11.3.10733","DOIUrl":"https://doi.org/10.18584/iipj.2020.11.3.10733","url":null,"abstract":"Objectives: This article articulates the complexity of modeling in First Nations, Metis, and Inuit contexts by providing the results of a modeling exercise completed at the request of the First Nations Health and Social Secretariat of Manitoba Methods: We developed a model using the impact of a previous pandemic (the 2009 H1N1) to generate estimates Results: The lack of readily available data has resulted in a model that assumes homogeneity of communities in terms of health status, behaviour, and infrastructure limitations While homogeneity may be a reasonable assumption for province-wide planning, First Nation communities and Tribal Councils require more precise information in order to plan effectively Metis and urban Inuit communities, in contrast, have access to much less information, making the role of Indigenous organizations mandated to serve the needs of these populations that much more difficult Conclusion: For many years, Indigenous organizations have advocated for the need to have access to current and precise data to meet their needs The COVID-19 pandemic demonstrates the importance of timely and accurate community-based data to support pandemic responses","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46877796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Varcoe, H. Brown, Kelsey Timler, Melissa Taylor, Elizabeth J. Straus
{"title":"\"Healing on Both Sides\": Strengthening the Effectiveness of Prison–Indigenous Community Partnerships Through Reciprocity and Investment","authors":"C. Varcoe, H. Brown, Kelsey Timler, Melissa Taylor, Elizabeth J. Straus","doi":"10.18584/iipj.2020.11.3.8064","DOIUrl":"https://doi.org/10.18584/iipj.2020.11.3.8064","url":null,"abstract":"This mixed methods study examined the impact of a prison–community partnership, entitled Work 2 Give. The partnership supports a program in which federally incarcerated men in Canada make items to donate to Indigenous communities. Qualitative interviews were conducted with participating men (n = 32), recipient community members (n = 29), and other prison and community stakeholders (n = 14). Selected outcomes (transfers to higher security, successful transfers to lower security, and serious institutional charges) were examined for 60 incarcerated men for whom data were available. Findings suggest that the program positively affected the men’s identities and provided opportunities for communities to help incarcerated men to heal; both sets of stakeholders see potential to strengthen the program. Whereas the emphasis has been on unidirectional donation, and the impetus for the program has been with correctional staff, findings suggest a bidirectional model with stronger feedback loops between the prison and community to support reciprocity, investment, and visibility would enhance impact. This model has broad implications for strengthening community–prison partnerships.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41740545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}