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Colonial Legacies and Collaborative Action: Improving Indigenous Peoples’ Health Care in Canada 殖民遗产和合作行动:改善加拿大土著人民的卫生保健
IF 1.3 Q1 Social Sciences Pub Date : 2020-01-27 DOI: 10.18584/iipj.2019.10.5.9340
L. Wylie, S. McConkey, A. Corrado
Indigenous people experience significant health disparities compared to non-Indigenous people, which are exacerbated by less accessible and poorer quality health care services. This research aimed to understand the specific barriers to health care that Indigenous patients and their families face, as well as to explore promising practices and strategies for improving the responsiveness of health services to the needs of Indigenous people. Through qualitative interviews with Indigenous and non-Indigenous health care and social services providers, we identified a range of challenges and successful approaches, and developed recommendations for improving policy and practice to address the gaps in culturally safe health care services. Our study shows that many of the barriers Indigenous people face when accessing health care are rooted in the broader social determinants of health, such as poverty, racism, housing, and education. These are complex problems that are outside of the traditional scope of health care practice. However, this study has also demonstrated that many barriers to equitable care actually stem from within the health care system itself. We found that health care gaps were often attributable to poorly funded on-reserve health care services and culturally unsafe off-reserve services.  Attitudes and practices among those working in health care and gaps in coordination between mainstream and Indigenous services are challenges related to the way the health care system operates. Solutions are needed that address these issues. Given the multifaceted nature of access barriers, strategies to improve health services for Indigenous people and communities require a comprehensive and systemic approach.  
与非土著人民相比,土著人民在健康方面存在巨大差距,而卫生保健服务较难获得和质量较差又加剧了这种差距。这项研究的目的是了解土著病人及其家属在获得保健服务方面面临的具体障碍,并探索有希望的做法和战略,以提高保健服务对土著人民需求的响应能力。通过对土著和非土著保健和社会服务提供者的定性访谈,我们确定了一系列挑战和成功的方法,并制定了改进政策和做法的建议,以解决文化安全保健服务方面的差距。我们的研究表明,土著人在获得医疗保健时面临的许多障碍源于更广泛的健康社会决定因素,如贫困、种族主义、住房和教育。这些都是传统医疗保健实践范围之外的复杂问题。然而,这项研究也表明,许多公平护理的障碍实际上源于卫生保健系统本身。我们发现,医疗保健差距往往归因于资金不足的保留地内医疗保健服务和文化上不安全的保留地外服务。卫生保健工作人员的态度和做法以及主流服务和土著服务之间的协调差距是与卫生保健系统运作方式有关的挑战。需要解决这些问题的解决方案。鉴于获取障碍的多面性,改善土著人民和社区保健服务的战略需要采取全面和系统的办法。
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引用次数: 8
Indigenous Income Disparity and Resguardo Land in Colombia 哥伦比亚土著收入差距与土地保护
IF 1.3 Q1 Social Sciences Pub Date : 2020-01-22 DOI: 10.18584/iipj.2019.10.5.8569
R. García
This article examines the association between the resguardo, a colonial land access system similar to the North American reserve and reservation systems, and income inequality among Indigenous people in Colombia. I regressed the variable income unmet basic needs gap (IUBNgap) between Indigenous people and non-minority people in Colombia on a set of regressors that included the mean of resguardo land size per family. I find that more resguardo land per family is associated with a larger IUBNgap, which is likely due to the fact that resguardos tend to be larger where lands are isolated and where most of the land suitable for economic production is owned by nonIndigenous landowners.
本文探讨了resguardo(类似于北美保留地和保留地制度的殖民地土地获取制度)与哥伦比亚土著居民的收入不平等之间的关系。我对哥伦比亚土著人和非少数民族之间的可变收入未满足基本需求差距(IUBNgap)进行了回归,这一回归指标包括每个家庭的平均土地面积。我发现每个家庭拥有更多的后备土地与更大的ibngap有关,这可能是由于这样一个事实,即在土地被隔离的地方,后备土地往往更大,而大多数适合经济生产的土地都是由非土著土地所有者拥有的。
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引用次数: 0
Planning Around Reserves: Probing the Inclusion of First Nations in Saskatchewan's Watershed Planning Framework 保护区周围的规划:探索将原住民纳入萨斯喀彻温省流域规划框架
IF 1.3 Q1 Social Sciences Pub Date : 2019-11-25 DOI: 10.18584/iipj.2019.10.5.8502
Warrick Baijius, R. Patrick
Watershed-based planning in Saskatchewan began in earnest after 2006 under the auspices of the Saskatchewan Watershed Authority. Within a decade, a dozen watershed plans were produced following a planning framework that included technical and watershed resident committees. First Nation communities, or "reserves," exist within these watershed areas. This article probes the inclusion of First Nations in those plans. Using document analysis and keyword search, our analysis explores any spatial relationship that may exist between First Nation inclusion and the amount of reserve land in a watershed. The results of this research show that First Nation inclusion is limited in watershed planning in Saskatchewan. We see opportunity for more effective watershed planning through greater collaboration with First Nations.
2006年后,在萨斯喀彻温省流域管理局的主持下,萨斯喀彻彻温省开始认真进行基于流域的规划。在十年内,根据包括技术和流域居民委员会在内的规划框架,制定了十几个流域计划。第一民族社区或“保护区”存在于这些流域内。本文探讨了将原住民纳入这些计划的问题。通过文献分析和关键词搜索,我们的分析探索了第一民族的包容性与流域内保留地数量之间可能存在的任何空间关系。这项研究的结果表明,在萨斯喀彻温省的流域规划中,原住民的参与是有限的。我们看到了通过加强与原住民的合作进行更有效的流域规划的机会。
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引用次数: 3
Being Neighbourly: Urban Reserves, Treaty Settlement Lands, and the Discursive Construction of Municipal–First Nation Relations 为邻:城市保留地、条约定居地与城市第一民族关系的话语建构
IF 1.3 Q1 Social Sciences Pub Date : 2019-11-22 DOI: 10.18584/iipj.2019.10.5.8515
J. Barry
Ongoing land claims negotiations are creating areas of First Nation authority within and adjacent to many urban centres. Several government agencies and lobby groups have responded to these changes with discussion papers and toolkits, all implicitly or explicitly intended to help municipal and First Nation governments become better "neighbours." Using the theoretical and methodological insights found in critical discourse and interpretive policy analysis, this article examines the prevalence of this "neighbour-to-neighbour" discourse in municipal and other non-Indigenous policy, placing a particular focus on how it is used in land-use planning. I explore how these policy documents discursively construct and articulate a distinctly and deeply settler-colonial perspective on the desired relationship between First Nations and municipalities: one that has clear antecedents in liberal-economic notions of property, and that serves to conceal key aspects of Indigenous authority.
正在进行的土地索赔谈判正在许多城市中心内和附近建立第一民族权力区。一些政府机构和游说团体通过讨论文件和工具包对这些变化做出了回应,所有这些文件和工具包都隐含或明确地旨在帮助市政府和第一民族政府成为更好的“邻居”,本文考察了这种“邻居对邻居”的话语在市政和其他非土著政策中的普遍性,特别关注它在土地利用规划中的使用。我探讨了这些政策文件是如何以散漫的方式构建和阐明一种明确而深刻的定居者殖民主义视角,来看待原住民和市政当局之间的理想关系:这种关系在自由经济的财产观念中有着明确的先例,并有助于掩盖土著权力的关键方面。
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引用次数: 0
Northern Québec James Bay Cree Regional Health Governance in Support of Community Participation: Honouring the "Butterfly" 魁北克北部James Bay Cree地区卫生治理支持社区参与:向“蝴蝶”致敬
IF 1.3 Q1 Social Sciences Pub Date : 2019-11-12 DOI: 10.18584/iipj.2019.10.4.8425
M. C. Lévesque, S. Law, J. Torrie, R. Carlin, Lucy Trapper, A. Kutcher, M. Macdonald
Successful responses to the Truth and Reconciliation Commission of Canada's (TRC, 2015) Calls to Action require “joint leadership, trust-building, and transparency” between Canadian public institutions and First Nations. In the area of health and wellness, community participation in priority setting and planning constitutes one important step forward. In 2013, the Québec Cree regional health and social services agency launched a unique wellness planning initiative involving community participation in regional level policy-making. This article reports on a qualitative study conducted with key agency staff, an early component of a broader developmental participatory evaluation. Focusing on contextual challenges to and ways forward on community participation in planning, thematic analysis of 17 semi-structured interviews revealed important nuances between Cree and non-Cree perspectives: These perspectives reflected an empowerment versus a utilitarian view of participation, respectively. Cree Elders consulted on these results highlighted the ontological and epistemological distinction of Cree perspectives, and the importance of bringing these forth. These interpretations point to the relevance of extending cultural safety to institution-level processes bearing on relationships with communities and potentially building capacity for participation.
成功响应加拿大真相与和解委员会(TRC, 2015)的行动呼吁需要加拿大公共机构和第一民族之间的“共同领导,建立信任和透明度”。在保健和保健领域,社区参与确定优先事项和规划是向前迈出的重要一步。2013年,曲海贝克族区域卫生和社会服务机构发起了一项独特的健康规划倡议,涉及社区参与区域一级的决策。本文报告了与主要机构工作人员进行的定性研究,这是更广泛的发展参与性评价的早期组成部分。通过对17个半结构化访谈的主题分析,重点关注社区参与规划的背景挑战和前进方向,揭示了克里族和非克里族观点之间的重要细微差别:这些观点分别反映了赋权与功利的参与观点。克里长老咨询了这些结果,强调了克里观点的本体论和认识论区别,以及提出这些观点的重要性。这些解释指出,将文化安全扩展到与社区关系有关的机构一级进程,并有可能建立参与能力。
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引用次数: 1
Negotiation, Reciprocity, and Reality: The Experience of Collaboration in a Community-Based Primary Health Care (CBPHC) Program of Research with Eight Manitoba First Nations 谈判、互惠和现实:与八个曼尼托巴省原住民在社区初级卫生保健(CBPHC)研究项目中的合作经验
IF 1.3 Q1 Social Sciences Pub Date : 2019-11-01 DOI: 10.18584/iipj.2019.10.4.8334
W. Phillips-Beck, Grace Kyoon-Achan, J. Lavoie, Nicholas Krueger, K. Kinew, Stephanie Sinclair, Naser Ibrahim, A. Katz
This article shares experiences and lessons learned through a collaboration between the University of Manitoba, the First Nation Health and Social Secretariat of Manitoba (FNHSSM), and eight First Nation communities in Manitoba. We employed a participatory approach from planning the research project, to data collection, and to the analysis, interpretation, and implementation of results. We learned that successful collaborations require: a) investing time and resources into developing respectful research relationships; b) strong leadership and governance; c) clearly defined roles and responsibilities; d) meaningful participation of First Nations; e) multiple opportunities for community engagement; and f) commitment to multiple, ongoing, and consistent forms of communication. All factors are integral to creating and maintaining the integrity of the research collaboration.
本文分享了曼尼托巴大学、曼尼托巴省第一民族卫生和社会秘书处(FNHSSM)和马尼托巴省八个第一民族社区之间合作的经验教训。我们采用了一种参与式的方法,从研究项目的规划到数据收集,再到结果的分析、解释和实施。我们了解到,成功的合作需要:a)投入时间和资源发展相互尊重的研究关系;b) 强有力的领导和治理;c) 明确界定的角色和责任;d) 原住民有意义的参与;e) 社区参与的多种机会;以及f)致力于多种、持续和一致的沟通形式。所有因素对于创建和保持研究合作的完整性都是不可或缺的。
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引用次数: 9
Police Stops and Searches of Indigenous People in Minneapolis: The Roles of Race, Place, and Gender 明尼阿波利斯警方拦截和搜查原住民:种族、地点和性别的作用
IF 1.3 Q1 Social Sciences Pub Date : 2019-10-24 DOI: 10.18584/iipj.2019.10.3.8322
M. Gorsuch, Deborah Rho
We examine disparities in police stops, searches, and arrests of Native Americans in Minneapolis, a major metropolitan area with a substantial Native American population. During the study period, 1.42% of women in Minneapolis report their race as American Indian or Alaska Native, but the Minneapolis police report that 6.43% of police stops of women (including vehicle stops and non-vehicle stops) are Native American. Native American men comprise 1.51% of the male population and 3.29% of police stops of men. After they were stopped, 28% of Native American women were searched and 20% were arrested, over twice as often as women of any other race. The disproportionate stops of Native American women are concentrated in areas with high Native American residents.
我们研究了明尼阿波利斯市警察在拦截、搜查和逮捕美洲原住民方面的差异,明尼阿波利斯是一个拥有大量美洲原住民人口的大城市地区。在研究期间,明尼阿波利斯1.42%的女性报告称自己的种族是美洲印第安人或阿拉斯加原住民,但明尼阿波利斯警方报告称,6.43%的女性停车(包括车辆停车和非车辆停车)是美洲原住民。美国原住民男性占男性人口的1.51%,占男性警察局的3.29%。在她们被拦下后,28%的美国原住民女性被搜查,20%被逮捕,是其他种族女性的两倍多。美国原住民妇女不成比例的停留集中在美国原住民人口众多的地区。
{"title":"Police Stops and Searches of Indigenous People in Minneapolis: The Roles of Race, Place, and Gender","authors":"M. Gorsuch, Deborah Rho","doi":"10.18584/iipj.2019.10.3.8322","DOIUrl":"https://doi.org/10.18584/iipj.2019.10.3.8322","url":null,"abstract":"We examine disparities in police stops, searches, and arrests of Native Americans in Minneapolis, a major metropolitan area with a substantial Native American population. During the study period, 1.42% of women in Minneapolis report their race as American Indian or Alaska Native, but the Minneapolis police report that 6.43% of police stops of women (including vehicle stops and non-vehicle stops) are Native American. Native American men comprise 1.51% of the male population and 3.29% of police stops of men. After they were stopped, 28% of Native American women were searched and 20% were arrested, over twice as often as women of any other race. The disproportionate stops of Native American women are concentrated in areas with high Native American residents.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46773400","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}
引用次数: 6
The RIPPLES of Meaningful Involvement: A Framework for Meaningfully Involving Indigenous Peoples in Health Policy Decision-Making 有意义的参与:有意义地让土著人民参与卫生政策决策的框架
IF 1.3 Q1 Social Sciences Pub Date : 2019-10-22 DOI: 10.18584/iipj.2019.10.3.8309
Alycia Fridkin, A. Browne, Madeleine Stout
Indigenous Peoples experience the greatest health inequities in Canada and other colonized countries, yet are routinely excluded from health-related policy decisions. Those advocating for Indigenous health equity are often left wrestling with the question: What constitutes, and what can foster, meaningful involvement of Indigenous Peoples in the contemporary health policy climate? Twenty (n = 20) in-depth, open-ended interviews with Indigenous and non-Indigenous leaders in health and health policy were conducted with a view to understanding what constitutes meaningful involvement of Indigenous Peoples in health policy decision-making. The analysis suggests meaningful involvement requires attuning to underlying power dynamics inherent in policy making and taking action to decolonize and transform the policy system itself. Based on these findings, the authors offer a framework for meaningful involvement.
土著人民在加拿大和其他殖民地国家经历了最大的健康不平等,但他们经常被排除在与健康相关的政策决策之外。那些倡导土著健康公平的人经常面临这样一个问题:什么构成了土著人民在当代卫生政策环境中的有意义的参与,什么可以促进土著人民的有意义参与?对卫生和卫生政策领域的土著和非土著领导人进行了二十(n=20)次深入、开放式访谈,以了解什么是土著人民有意义地参与卫生政策决策。分析表明,有意义的参与需要关注政策制定中固有的潜在权力动态,并采取行动使政策体系本身非殖民化和转型。基于这些发现,作者为有意义的参与提供了一个框架。
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引用次数: 2
Towards an Indigenous-Informed Relational Approach to Free, Prior, and Informed Consent (FPIC) 对自由,事先和知情同意的土著知情关系方法(FPIC)
IF 1.3 Q1 Social Sciences Pub Date : 2019-10-21 DOI: 10.18584/iipj.2019.10.4.8372
T. Mitchell, Courtney Arseneau, Darren Thomas, Peggy Smith
International and domestic rights frameworks are setting the stage for the full recognition of Indigenous Peoples’ rights in Canada. However, current political promises to restore Indigenous relations, to reconcile historic wrongs, and to foster mutual prosperity and well-being for all people within Canada remain woefully unfulfilled. Indigenous Peoples continue to call for full engagement with emerging Indigenous rights frameworks such as the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP) and its principles of free, prior, and informed consent (FPIC). This article discusses the key findings from a multi-year university–community research partnership with Matawa First Nations in which we collaboratively seek to advance understanding of consultation processes and Indigenous experiences of and perspectives on FPIC. The article, based on several years of dialogue and interviews and a two-day workshop on FPIC, offers insight into Indigenous perspectives on FPIC advancing an Indigenous-informed relational approach to consultation and consent seeking.
国际和国内权利框架正在为充分承认加拿大土著人民的权利奠定基础。然而,目前关于恢复土著关系、调和历史错误和促进加拿大境内所有人民的共同繁荣和福祉的政治承诺仍然遗憾地没有实现。土著人民继续呼吁充分参与新出现的土著权利框架,如《联合国土著人民权利宣言》及其自由、事先和知情同意原则。本文讨论了与Matawa First Nations多年的大学社区研究伙伴关系的主要发现,在该伙伴关系中,我们共同寻求促进对FPIC咨询过程和土著经验和观点的理解。这篇文章基于几年的对话和访谈,以及为期两天的FPIC研讨会,提供了土著对FPIC的看法,推动了土著知情的关系方法,以协商和寻求同意。
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引用次数: 7
Barriers to and Strategies for Engaging Non-Indigenous Canadians in First Nations Water Rights: A Qualitative Inquiry 非原住民加拿大人参与原住民水权的障碍与策略:一项质性调查
IF 1.3 Q1 Social Sciences Pub Date : 2019-09-30 DOI: 10.18584/iipj.2019.10.3.8291
Katelin H. S. Neufeld, L. Funk, Katherine B. Starzyk, Michelle Gorea, L. Dansereau
Many First Nations homes lack adequate water and sanitation services. One way to address these conditions is to develop effective public engagement strategies. Thus, in this qualitative interview study, we explored how 22 non-Indigenous Canadians from one city interpreted this issue and their interest in it. We analyzed the transcribed data using thematic coding and constant comparison. Though most participants were aware of the issue and expressed sadness or anger, understandings were relatively shallow and rarely translated into active involvement. Barriers to engagement included racism and a lack of resources, capacity, and personal responsibility. Based on these findings and social psychological literature on social action, we provide recommendations for public advocacy strategies to engage non-Indigenous Canadians on the issue of First Nations water rights. 
许多原住民家庭缺乏足够的水和卫生服务。解决这些问题的一种方法是制定有效的公众参与战略。因此,在这个定性访谈研究中,我们探讨了来自一个城市的22名非土著加拿大人如何解释这个问题以及他们对这个问题的兴趣。我们使用主题编码和持续比较的方法对转录数据进行分析。虽然大多数参与者都意识到这个问题,并表达了悲伤或愤怒,但理解相对肤浅,很少转化为积极的参与。参与的障碍包括种族主义、缺乏资源、能力和个人责任。基于这些发现和社会行动的社会心理学文献,我们提供了公共宣传策略的建议,以吸引非土著加拿大人参与第一民族水权问题。
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引用次数: 0
期刊
International Indigenous Policy Journal
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