12 research outputs found

    Addressing the environmental, community and health impacts of resource development: Challenges across scales, sectors and sites

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    Work that addresses the cumulative impacts of resource extraction on environment, community, and health is necessarily large in scope. This paper presents experiences from initiating research at this intersection and explores implications for the ambitious, integrative agenda of planetary health. The purpose is to outline origins, design features, and preliminary insights from our intersectoral and international project, based in Canada and titled the “Environment, Community, Health Observatory” (ECHO) Network. With a clear emphasis on rural, remote, and Indigenous communities, environments, and health, the ECHO Network is designed to answer the question: How can an Environment, Community, Health Observatory Network support the integrative tools and processes required to improve understanding and response to the cumulative health impacts of resource development? The Network is informed by four regional cases across Canada where we employ a framework and an approach grounded in observation, “taking notice for action”, and collective learning. Sharing insights from the foundational phase of this five-year project, we reflect on the hidden and obvious challenges of working across scales, sectors, and sites, and the overlap of generative and uncomfortable entanglements associated with health and resource development. Yet, although intersectoral work addressing the cumulative impacts of resource extraction presents uncertainty and unresolved tensions, ultimately we argue that it is worth staying with the trouble

    Addressing the environmental, community and health impacts of resource development: Challenges across scales, sectors and sites

    Get PDF
    Work that addresses the cumulative impacts of resource extraction on environment, community, and health is necessarily large in scope. This paper presents experiences from initiating research at this intersection and explores implications for the ambitious, integrative agenda of planetary health. The purpose is to outline origins, design features, and preliminary insights from our intersectoral and international project, based in Canada and titled the “Environment, Community, Health Observatory” (ECHO) Network. With a clear emphasis on rural, remote, and Indigenous communities, environments, and health, the ECHO Network is designed to answer the question: How can an Environment, Community, Health Observatory Network support the integrative tools and processes required to improve understanding and response to the cumulative health impacts of resource development? The Network is informed by four regional cases across Canada where we employ a framework and an approach grounded in observation, “taking notice for action”, and collective learning. Sharing insights from the foundational phase of this five-year project, we reflect on the hidden and obvious challenges of working across scales, sectors, and sites, and the overlap of generative and uncomfortable entanglements associated with health and resource development. Yet, although intersectoral work addressing the cumulative impacts of resource extraction presents uncertainty and unresolved tensions, ultimately we argue that it is worth staying with the trouble

    Book Review: Structures of Indifference: An Indigenous Life and Death in a Canadian City

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    The case of Brian Sinclair, a First Nations man who died in a Winnipeg, Manitoba, hospital emergency room in 2008 after waiting  34 hours for medical care to treat a preventable infection, represents the degree to which structural indifference exists within Canadian society. This article reviews the book Structures of Indifference: An Indigenous Life and Death in a Canadian City  by Mary Jane Logan McCallum and Adele Perry, published by University of Manitoba Press in 2018. The review will provide a content summary of each chapter along with an assessment of the strengths and weaknesses of the book. A critical analysis of how the authors examined this case, using a place-based approach of the city, the hospital, and life and death of Brian Sinclair, is discussed. The review will identify critical concepts and lessons relevant to the development of Indigenous health policy and practice, which will be applicable to both a national and international audience

    Book Review: Structures of Indifference: An Indigenous Life and Death in a Canadian City

    No full text
    The case of Brian Sinclair, a First Nations man who died in a Winnipeg, Manitoba, hospital emergency room in 2008 after waiting  34 hours for medical care to treat a preventable infection, represents the degree to which structural indifference exists within Canadian society. This article reviews the book Structures of Indifference: An Indigenous Life and Death in a Canadian City  by Mary Jane Logan McCallum and Adele Perry, published by University of Manitoba Press in 2018. The review will provide a content summary of each chapter along with an assessment of the strengths and weaknesses of the book. A critical analysis of how the authors examined this case, using a place-based approach of the city, the hospital, and life and death of Brian Sinclair, is discussed. The review will identify critical concepts and lessons relevant to the development of Indigenous health policy and practice, which will be applicable to both a national and international audience

    Best practices to support the self-determination of Indigenous communities, collectives, and organizations in health research through a provincial health research network environment in British Columbia, Canada

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    In Canada, the health research funding landscape limits the self-determination of Indigenous peoples in multiple ways, including institutional eligibility, priority setting, and institutional structures that deprioritize Indigenous knowledges. However, Indigenous-led research networks represent a promising approach to transforming the funding landscape to better support the self-determination of Indigenous peoples in health research. The British Columbia Network Environment for Indigenous Health Research (BC NEIHR) is one of nine Indigenous-led networks across Canada that supports research leadership among Indigenous (First Nations, Métis, and Inuit) communities, collectives, and organizations (ICCOs). In this paper, we share three best practices to support the self-determination of ICCOs in health research based on three years of operating the BC NEIHR: (1) creating capacity-bridging initiatives to overcome funding barriers; (2) building relational research relationships with ICCOs (“people on the ground”); and (3) establishing a network of partnerships and collaborations to support ICCO self-determination. Supporting the self-determination of ICCOs and enabling them to lead their own health research is a critical pathway toward transforming the way Indigenous health research is funded and conducted in Canada.The NEIHR program is generously funded by the Canadian Institute for Health Research (Canadian Institutes of Health Research: MN2-152406), and the BC NEIHR receives additional funding contributions from partners Michal Smith Health Research BC (MSHRBC), BC SUPPORT Unit, and the University of Victoria (UVic).FacultyReviewe

    Mental Health Interventions for First Nations, Inuit, and MĂ©tis Peoples in Canada: A Systematic Review

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    Higher rates of anxiety, depression, and attempted suicide are reported among First Nations, Inuit, and MĂ©tis people compared with non-Indigenous people in Canada. This systematic review summarises the key components of mental health interventions among Indigenous Peoples in Canada. We searched MEDLINE, PubMed, PsycINFO, and Web of Science between January 1,1970, and August 30, 2019. Studies needed to be an intervention addressing suicide, depression, or anxiety. There were 14 studies: 8 quantitative, 2 qualitative, and 4 mixed methods. By geographical location, 5 were urban, 5 non-urban, and 4 included multiple areas. Beneficial interventions included ceremony, being on the land, engaging in traditional food gathering, culturally grounded indoor and outdoor activities, and the sharing of Indigenous knowledge by Elders

    Mental Health Interventions for First Nations, Inuit, and MĂ©tis Peoples in Canada: A Systematic Review

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    Higher rates of anxiety, depression, and attempted suicide are reported among First Nations, Inuit, and MĂ©tis people compared with non-Indigenous people in Canada. This systematic review summarises the key components of mental health interventions among Indigenous Peoples in Canada. We searched MEDLINE, PubMed, PsycINFO, and Web of Science between January 1,1970, and August 30, 2019. Studies needed to be an intervention addressing suicide, depression, or anxiety. There were 14 studies: 8 quantitative, 2 qualitative, and 4 mixed methods. By geographical location, 5 were urban, 5 non-urban, and 4 included multiple areas. Beneficial interventions included ceremony, being on the land, engaging in traditional food gathering, culturally grounded indoor and outdoor activities, and the sharing of Indigenous knowledge by Elders

    Weaving Promising Practices to Transform Indigenous Population Health and Wellness Reporting by Indigenizing Indicators in First Nations Health

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    In Canada and across the globe, indicators play a fundamental role in measuring, tracking, and reporting on the overall health of the population. Mainstream population health indicators used to measure the health and well-being of First Nations peoples are constrained by the Western biomedical paradigm which focuses solely on illness and disease. These indicators are limited and fail to capture aspects of cultural, spiritual, and interconnected aspects of Indigenous health such as spirit, ceremony, and the connection to land. To advance First Nations self-determination in the healthcare system, it is essential for Indigenous narratives and knowledges to thrive in population health data and reporting. Five promising practices are shared to guide the development of First Nations health and wellness indicators and reporting: (1) be culturally relevant and centred on First Nations worldviews on health and wellness (2) must honour Indigenous knowledges and methods; (3) must involve respectful relationships & meaningful engagement with Indigenous peoples’; (4) “Nothing about us, without us”- Indigenous leadership and self-determination at all stages of indicator development; and (5) taking a strength-based approach & contextualizing indicators within historical, socio-political contexts. The co-development of indicators between the [First Nations Health Organization] and the [Office of the Executive Health Officer] in the Province of [Name of Canadian Province] are discussed as promising practices in action. Celebrating the strength and resilience of First Nations health which is required to pave a new way forward in Indigenous grounded population health

    Supporting Indigenous Graduate Student Health Research Capacity: Mentorship through a Provincial Health Research Network Environment in British Columbia

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    The British Columbia Network Environment for Indigenous Health Research (BC NEIHR), funded by the Canadian Institute of Health Research, is an Indigenous-led network that supports the research development and knowledge sharing of Indigenous communities, collectives and organizations and Indigenous graduate students in BC. To understand how we impacted the health research journey of Indigenous graduate students, we conducted a critical analysis of our annual evaluation reports and offer a reflective narrative of our operations. In this article, we share our Indigenous mentorship model and describe how we supported and enhanced Indigenous-led research among Indigenous graduate students in BC by: addressing common challenges related to financial costs of pursuing health research; prioritizing cultural and land-based learning opportunities; providing exceptional academic and professional development opportunities; and promoting Indigenous cultural safety, equity, and self-determination by creating systems-level change through partnerships. We conclude that as we work toward systems change, the BC NEIHR offers a promising approach towards enhancing Indigenous health research capacity through mentorship.&nbsp
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