马尼托巴省对有特殊保健需要的第一民族儿童的歧视:皮纳穆唐第一民族的案例

IF 0.8 Q3 ANTHROPOLOGY
Luna Vives, Vandna Sinha
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引用次数: 1

摘要

原住民儿童在获得保健、教育和社会服务方面面临系统性障碍,这些服务通常是其他加拿大儿童可以获得的。本文总结了2015年至2017年由曼尼托巴省Pinaymootang First Nation发起并与之合作开展的一项研究项目的结果。通过这种伙伴关系,我们能够记录有特殊医疗需求的Pinaymootang儿童所经历的常规延误、拒绝和服务中断。我们进一步描述了这种歧视对儿童及其照顾者的影响。在这里,我们考虑三个特定的服务领域:医疗服务(初级和专业)、联合健康服务(例如语言治疗)和额外的护理服务(例如药物治疗)。我们的研究结果来自对土著、省和联邦服务提供者的正式和非正式访谈;本土领导;以及有特殊医疗需要的Pinaymootang儿童的照顾者。基于这些信息,我们认为歧视是普遍存在的,根植于加拿大的殖民历史,并通过三个主要手段实现:管理向居住在保留地的第一民族人口提供服务的政策,针对这一人口的服务长期资金不足,以及地理隔离(即远离服务中心)。文章最后提出了该项目的咨询委员会为未来政策准备的九项建议,旨在通过在加拿大充分(和有意义地)实施约旦原则,消除对有特殊保健需要的第一民族儿童的歧视。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Discrimination Against First Nations Children with Special Healthcare Needs in Manitoba: The Case of Pinaymootang First Nation
First Nations children face systemic barriers in their access to health, education, and social services ordinarily available to other Canadian children. This article summarizes the findings of a research project initiated by, and carried out in partnership with, Pinaymootang First Nation, Manitoba between 2015 and 2017. Through this partnership, we were able to document the routine delays, denials, and disruptions of services that Pinaymootang children with special healthcare needs experienced. We further described the impact that this discrimination had on children and their caregivers. Here, we consider three specific service areas: medical services (primary and specialized), allied health services (e.g., language therapy), and additional care services (e.g., medication). Our findings are drawn from formal and informal interviews with Indigenous, provincial, and federal service providers; Indigenous leadership; and caregivers of Pinaymootang children with special healthcare needs. Based on this information, we argue that discrimination is pervasive, rooted in Canada’s colonial history, and actualized through three main instruments: administration of policies regulating the provision of services to First Nations populations living on reserve, chronic underfunding of services targeting this population, and geographic isolation (i.e., distance from a service hub). The article concludes with nine recommendations prepared by the project’s advisory committee for future policy aiming to eliminate the discrimination First Nations children with special healthcare needs experience by way of fully (and meaningfully) implementing Jordan’s Principle in Canada.
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
12
审稿时长
16 weeks
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