Unit 7 - Indigenous Health.pdf

Week 7 Lecture - Indigenous Health October 30, 2023 1:31 PM Week 7 Page 1 - Seeking self-determination Week 7 Page 2 Indigenous population is younger than rest of Canada, but it's also aging Vibrant urban populations - Living in city or on reserve? Access to primary care, transportation? We...

Week 7 Lecture - Indigenous Health October 30, 2023 1:31 PM Week 7 Page 1 - Seeking self-determination Week 7 Page 2 Indigenous population is younger than rest of Canada, but it's also aging Vibrant urban populations - Living in city or on reserve? Access to primary care, transportation? Week 7 Page 3 - Hamilton - largest group is first nations, and few inuit Pre-contact: Week 7 Page 4 - 60s scoop - children removed by SWs and put them into foster care system ___________________ Week 7 Page 5 The "Indian problem": The churches thought Indigenous were savages, pagans and would go to hell if didn't adopt their worldview - Canada first populated by European settlers in south east, and Indigenous got in way of population growth ○ And wanted them to adopt western culture Week 7 Page 6 - Highest represented group in welfare system (Indigenous children) - a picture of Indigenous health in Canada -inequitable health outcomes - As health care practitioners, need a critical lens to understand and assess the statistical data - All are well below community standards in Indigenous communities Week 7 Page 7 - All are well below community standards in Indigenous communities - Ex. Code red - poorest people with poorest health, live in East end of Hamilton. Most indigenous peoples in the Hamilton area live in this community - Chronic disease and disability - 60% have DM - Hep C - Only 18% first nations women feel their health is good vs 61% women in general population - Factors contributing to this: ○ CIHR funded through federal govt ○ Other organizations  NAHO- policy research - funding cut under harper's govt - When trying to Indigenize research or health, depends on govt priorities and funding - PM Trudeau - first elected Indigenous official, JR, escorted out ○ Example of structural inequality - Structural inequalities - not able to "see onself" in institution or curriculum Week 7 Page 8 - (skipped) - Week 7 Page 9 - Wellness institute document - racism in healthcare system - Policy: how are such numbers deployed, and who does this data serve? - Go through a process to get funding, and communities should validate data according to the community. --> data governing movement Week 7 Page 10 - Indigenous organizations stewarding and translating data to support the community through COVID-19 - Found there was a need for race-based data ○ Didn't have enough data on reserve ○ Thus indigenous people rallied together to get equipment, preventive measure education  But no clean drinking water on reserve, so how to apply western recommendations in Indigenous context □ Need to find ways to address the problem within an Indigneous context Week 7 Page 11 - Calls to action vs recommendation - 2 calls to action re: health at McMaster University? - Call for development of partnerships - Indigenous peoples alone can not change the health care system - Calls to action with respect to health = 6 #5 important - value for health practices #2 - close gap in goals ex. Clean water, food security Calls to action are interrelated, thus changes to health need to have changes to education Week 7 Page 12 - Indigenous peoples have collaborated internationally to bring change - UNDRIP - Initially Canada was 1/4 countries that didn't sign it for 25 years (under conservative govt b/c too many implications for land and treaty rights), when liberal govt came to power - they signed on - International initiatives can bring change in their own country - UNDRIP, TRC, ARCAP??**** know this Skip Week 7 Page 13 - Missing social determinants: right to land and right to self-determination - Physical and mental health Week 7 Page 14 - Have the right to our own knowledge systems - Actively working on this at McMaster - Don't need to know everything, but can encourage more information and accept that Indigenous pts may want a plural approach to their health - McMaster faculty trying t raise awareness of Indigenous health Week 7 Page 15 - In middle: indigenous institute creating a space to build on both areas of knowledge between Canadian and Indigenous societies Week 7 Page 16 - health equity: most PH organizes working to address health gap to reduce inequities in groups and overall improve health - Advocate using universal, targeted and blended approach in addressing health and inequity ○ For indigenous populations, want to complete the circle in addressing the problems in health - Epistemology - the way we know things - Ontology - the way things are - We can create indigenous health forces, and then students develop critical lens and change their approach to care among Indigenous peoples Week 7 Page 17 - Trauma-informed - intergenerational impact of residential schools Inc health care providers Addrress disparities Training Allyship: - The actions engaged in supporting Indigenous communities Week 7 Page 18 - Can work alongside, educate self, and advocate for visible representation - Be action-oriented --> advocate Recording stopped here: Week 7 Page 19 Week 7 Page 20 Week 7 Page 21 Week 7 Page 22