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Canada health care policy
Essay about indigenous health
Essay about indigenous health
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British Columbia Guiding Framework for Public Health: Strengths and Weaknesses Public health in British Columbia [BC] plays an integral role in protecting and promoting the health and well-being of the population. The Promote, Protect, Prevent: Our Health Beings Here-British Columbia Guiding Framework for Public Health (2013) aims to accomplish this through several mechanisms, such as reinforcing core public health functions as the foundation for public health services and supporting health equity. Moreover, the framework amalgamates established resources and strategies to support public health and address key public health challenges, such as effective partnerships and inter-sectoral practice. While the framework supports the Ministry of …show more content…
The Provincial Health Service Authority (PHSA) indicate that assuming opportunities to incorporate strategies to reduce health inequities in health program and service planning is vital for health program and service managers and workers (PHSA, 2011). The Guiding Framework (2013) attempts to “address conditions that create inequity, barriers to access and gaps in service; consider the specific needs of vulnerable or disadvantaged populations” (p. 13). The goals and objectives established in the framework reflect a sound approach to reducing health inequities. For example, the framework indicates that a First Nations lens will be applied in implementing and evaluating all objectives to ensure meaningful inclusion of and benefit to BC First Nations and Aboriginal peoples. As the framework aims to improve maternal health in remote and rural areas via improving access to perinatal services and resources. However, while the framework provides an overall equity direction, it does not embody other targeted objectives aimed at improving health outcomes of some specific marginalized and vulnerable populations, which as discussed later are important alongside universal approaches. For example, within the positive mental and prevention of substance harms goal, the document fails to discusses and address the unequal mental health outcomes those living in poverty and incarceration can
...fficient training for health workers, communication barriers, a general mistrust in the health care system and culture shock has contributed to issues in delivering services to many Indigenous communities. The reason to why these issues have emerged is a result of two main factors, the lack of health services that are needed to address the issue and the silence of Indigenous communities which leads to misunderstanding between the government and Indigenous communities. Indigenous Australian’s experience this major disadvantage and neglect in the Australian society due to the poor healthcare system and policies that haven’t had a positive effect on the issue. For the issue of Indigenous health to be resolved, the Government and social policies need to address and meet the need of Indigenous people to overcome the poor health conditions that these communities suffer.
The Saskatchewan heath care system is made up of several provincial, regional and local organizations, which provide the people their basic right to reasonable health care (“Health Systems,” 2014). Not having enough health care providers seem to be a problem, which Canada as a whole has struggled with (“College of Family,” 2014). The shortages of medical providers have lead to major discrepancies in the level of patient care between major urban centers and rural areas (Howlett, 2013). In the case of Saskatchewan many communities are facing this challenge, not only rural areas but also the capital city of the province (“Saskatchewan ER,” 2013). Stats Canada has showed that the number of physicians is at a historic high, yet Saskatchewan still face shortages (Howlett, 2013).
Toronto: Pearson Prentice Hall. The Justice System and Aboriginal People: Child Welfare. n.d. - n.d. - n.d. The Aboriginal Justice Implementation Commission. Retrieved December 12, 2013, from http://www.ajic.mb.ca/volumel/chapter14.html.
Ed. Shelagh Rogers, Mike DeGagné, Jonathan Dewar, and Glen Lowry. Ottawa, Ont.: Aboriginal Healing Foundation, 2006. Print.
The human immunodeficiency virus (HIV) and its deriving acquired immunodeficiency syndrome (AIDS) are devastating conditions that currently affect approximately 35.3 million individuals globally (WHO, 2012). In the Canadian context, the prevalence of HIV/AIDS ascended to 71,300 cases in 2011, with 8.9% of the affected individuals being aboriginal peoples (PHAC, 2011). This number not only indicates an overrepresentation of the aboriginal population among the totality of HIV/AIDS cases in the country, but it also illustrates an elevated incidence of 17.3% from the numbers reported in 2008 (PHAC, 2011). The aforementioned statistics were here exposed with the intent of recognizing the incidence and prevalence of HIV/AIDS, as alarming public health issues superimposed on the already vulnerable segment of the Canadian population that is the aboriginal community. Accordingly, the purpose of this paper is to gradually examine the multiple determinants and factors contributing to such problem as well as some of the possible actions that can ameliorate it.
Why am I Poor? First Nations Child Poverty in Ontario. Canada: Best Start Resource Center,
Definition: Mental health has become a pressing issue in Indigenous communities. Often, a combination of trauma, a lack of accessible health resources, substance abuse, violence, and socioeconomic situations lead to high rates of depression, anxiety, and suicidality in Indigenous Peoples. This crisis is especially apparent in Indigenous youth, where there is a growing suicide epidemic but little mental health support and resources are provided. The increase in stigmatized and untreated mental illness has continued as trauma and systemic injustices remain unaddressed. Indigenous groups, governmental parties, and health organizations are involved.
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
... To provide Indigenous people with adequate health care, emphasis needs to be placed on understanding indigenous beliefs and the social detriments Indigenous communities are faced with. Applying a suitable model of health to each individual situation will provide the best outcome. This was evident in the case study discussed in the essay. Rodney’s experiences within the medical world ended with a positive and desirable result, but if the appropriate transcultural care was not given, that positive result would have created a negative outcome, which could have been detrimental to Rodney’s future health.
However, Canada is working towards incremental equality when regarding this concept, which in turn, impacts reconciliation. The most universal outcomes of the physical environments of reserves are to do with substantial housing shortages and poor quality of existing homes. With the lack of affordable housing off reserves, there is overcrowding in First Nation communities, as well as homelessness for Aboriginals living in urban areas, (Reading & Wien, 2009, p.8). Homes that exist on reserves lack appropriate ventilation, which results in mold, which in turn can lead to severe asthma as well as allergies. Families on reserves do not have access to a fresh supermarket that carries nutritious foods because they live in a remote community. With this being said, health conditions may develop in Aboriginal peoples because of the lack of healthy, nutritious food. Canada is working towards equality within the physical environments as William F. Morneau (2016) describes, “Budget 2016 proposes to invest $8.4 billion over five years, beginning in 2016-17, to improve the socio-economic conditions of Indigenous peoples and their communities and bring about transformational change,” (“A Better Future for Indigenous Peoples,” 2016). All of these aspects play a key role in reaching reconciliation throughout
The over-representation of Aboriginal children in the Canadian Child Welfare system is a growing and multifaceted issue rooted in a pervasive history of racism and colonization in Canada. Residential schools were established with the intent to force assimilation of Aboriginal people in Canada into European-Canadian society (Reimer, 2010, p. 22). Many Aboriginal children’s lives have been changed adversely by the development of residential schools, even for those who did not attend them. It is estimated that Aboriginal children “are 6-8 times more likely to be placed in foster care than non-Aboriginal children (Saskatchewan Child Welfare Review Panel, 2010, p. 2).” Reports have also indicated that First Nations registered Indian children make up the largest proportion of Aboriginal children entering child welfare care across Canada (Saskatchewan Child Welfare Review Panel, p. 2). Consequently, this has negatively impacted Aboriginal communities experience of and relationship with child welfare services across the country. It is visible that the over-representation of Aboriginal children in the child welfare system in Canada lies in the impact of the Canadian policy for Indian residential schools, which will be described throughout this paper.
Health care inequities can be elucidated by the research that identifies the social, economic and political ideologies that reflect aspects of cultural safety (Crandon, 1986; O’Neil, 1989 as cited in Browne & Fiske, 2001). There are various factors that affect the mistreatment of aboriginal peoples as they access health care in local health care facilities such as hospitals and clinics. Aboriginal women face many barriers and are discriminated against as a result based on their visible minority status such as race, gender and class (Gerber, 1990; Dion Stout, 1996; Voyageur, 1996 as cited in Browne & Fiske, 2001). A study done on Aboriginal peoples in Northern B.C. showed high rates of unemployment, underemployment and dependency on social welfare monies (Browne & Fiske, 2001). This continued political economic marginalisation of aboriginal peoples widens the gap between the colonizers and the colonized. The existence of racial profiling of aboriginal peoples by “Indian status” often fuels more stigmatization of these people because other Canadians who do not see the benefits of compensations received with having this status often can be resentful in what they may perceive is another compensation to aboriginal peoples. The re...
As we learned throughout the duration of the course through lecture, readings and discussions, Indigenous Canadians are faced with many determinants of health.
State and local public health departments throughout the country have the responsibility for improving health in workplaces, schools, and communities through identifying top health problems within society and developing a plan to improve. Barriers the public health system has encountered over the years include: changes in the overall health system that support cost containment and improved health, and an increase in the number of individuals with insurance coverage for direct preventive services; reduction of qualified public health professional and funding at all levels of government; increasing focus on accountability, with higher expectations for demonstrating a return on investment in terms of cost and health improvement (Trust, 2013). In the near future, health departments ...
Thank you for taking time to read my letter. As a nursing student of University of Technology Sydney, I studied contemporary indigenous subject this semester. In this letter I want to illustrate 3 main social determinants of health that impact indigenous Australian health which I found and analysed during my recently study. And also offer some suggestion that could help the government improve aboriginal Australian mental health conditions in the future.