Test 2 Flashcards
what are the 9 national organizations in Canada for Indigenous people?
- Assembly of First Nations (AFN)
- Inuit Tapiriit Kanatami (ITK)
- Metis National Council (MNC)
- Native Women’s Association of Canada (NWAC)
- Pauktuutit Inuit Women of Canada
- Women of the Metis Nation
- National Association of Friendships Centres
- First Nations Child & Family Caring Society
- First Nations Information and Governance Council (FNIGC)
what is the Assembly of First Nations and their main goals?
- comprised of a National Chief, 10 Regional Chiefs and the chairs of Elders, Women’s and Youths councils
- AFN advocates on behalf of First Nations as directed by Chiefs-in-Assembly on issues such as treaties, Indigenous rights, and land and resources.
- also includes fostering relationship building between First Nations, the Crown and the public
what is the Inuit Tapiriit Kanatami and their main goals?
- is a national advocacy organization that works to improve the health and wellbeing of Inuit
- ITK does research, advocacy, public outreach and education on issues affecting the inuit
what is the Metis National Council and their main goals?
- MNC receives direction from the elected leadership of the provincial Metis Nation governments
- MNC aims to “secure a healthy space for the Metis Nations ongoing existence within the Canadian federation”
what is the Native Women’s Association of Canada and their main goals?
- NWAC is an aggregate of 13 Native women’s organizations from across Canada
- it was incorporated as a non-profit organization in 1974
- the goal is to promote and foster the wellbeing of FNMI women
- NWAC provides support much like a “Grandmothers Lodge,” which emphasizing the importance of familial and communal bond to collectively recognize, respect, promote, defend, and enhance their ancestry
What is the Pauktuutit Inuit Women of Canada and their main goals?
- a non-profit organization representing all Inuit women in Canada
- it aims is to foster greater awareness of the needs of Inuit women
- encourage the participation of Inuit women in community, regional and national concerns in relation to social, cultural and economic development
what is the Women of the Metis Nation and their main goals?
- works to ensure that Metis women from across the Motherland are safe, respected, connected and empowered
- ensure women have the capacity to work with Canadian and Metis governments and organizations to help create the conditions for healthy, vibrant and productive communities through the Metis Nation
what is the National Association of Friendship Centres and their main goals?
- a network of over 100 friendship centres and provincial/territorial associations
- this makes up part of the friendship centre movement
- it is a national network of self-determined Indigenous owned and operated civicl society community hubs offering programs, services and supports to urban indigenous people
what is the First Nations Child and Family Caring Society and their main goals?
- works to ensure the safety and wellbeing of First Nations youth and their families
- achieve this through reconciliation-based public
educational initiatives, public policy campaigns, research and quality resources to support communities.
What is the First Nations Information and Governance Council and their main goals?
- their vision is to “envisions that every First Nation will achieve data sovereignty in alignment with its distinct world view
–> refers to the right of First Nations to own, control, access their data according to their unique cultural perspectives and worldviews.
health-related Indigenous Organizations in Ontario
- Southwest Ontario Aboriginal Health Access Centre
- Ontario Federation of Indigenous Friendship Centres
- Anishnawbe Health Toronto
- Seven Generation Midwives Toronto
- Thunderbird Partnership Foundation
- De dwa da dehs nye>s Aboriginal Health Centre (DAHC)
description of Southwest Ontario Aboriginal Health Access Centre
- purpose is to improve access to, and the quality of, health services for FNMI people
- provide provide innovative, Indigenous-informed health care to FNMI communities in southwestern Ontario
description of Ontario Federation of Indigenous Friendship Centres
- represents the collective interests of 31 Friendship Centres in cities and towns across the province.
- Friendship Centres are places for community members and Indigenous people living in urban spaces to gather, connect with one another and receive culturally based services
- Friendship Centres improve the lives of urban Indigenous people by supporting self-determined activities which encourage equal access to, and participation in, Canadian society while respecting Indigenous cultural distinctiveness
description of Anishnawbe Health Toronto
- Anishnawbe Health Toronto is a fully accredited health centre, accredited by the Canadian Centre for Accreditation (CCA).
- AHT’s model of health care is based on Indigenous culture and traditions
- AHT is the only facility in Toronto that cares for Indigenous clients with both western and traditional approaches to health care
description of Seven Generations Midwives Toronto
- Seventh Generation Midwives Toronto (SGMT) is a group of midwives who offer maternity care to women from the City of Toronto, particularly those from the downtown area, and from the Aboriginal community.
- have both Aboriginal and Non-Aboriginal Midwives providing care for our clients
description of Thunderbird Partnership Foundation
- non-profit organization that is committed to working with First Nations to address substance use and addiction within communities
- they promote a wholistic approach to healing and wellness that values culture, respect, community, and compassion
- their top priority is developing a continuum of care that would be available to all Indigenous people in Canada.
description of De dwa da dehs nye>s Aboriginal Health Centre (DAHC) in Hamilton
- prides itself in its name of “taking care of each other amongst ourselves”
- DAHC is the only urban Indigenous organization in the City of Brantford and Greater Hamilton area providing a blend of western and Indigenous traditional medicine
- provides primary care and health promotions programs in the urban centres of Brantford and Hamilton
what are some determinants of health?
- employment/working conditions
- education and literacy
- physical environments
- social support networks
- personal health practices and coping skills
- social environments
- health child development
- biology and genetic endowment
- culture
- financial and social status
- gender
- health services
what did Gwen Philips figure relate to the tree metaphor for determinants of health?
what are the proximal determinants of health?
- health behaviours
- physical environment
- employment and income
- food insecurity
- access to education
what are distal (root) determinants of health?
refers to the broader political, economic, and social contexts that significantly influence the health of populations
- like the trunk of a tree, they are the determinants thof health representing the foundation from which all other determinants evolve and are maintained
- most PROFOUND impact!
examples of distal determinants of health
- colonialism = leads to disease and increased violence
- racism and social exclusion = disparities in health outcomes
- self-determination = the ability of indigenous people to make decisions about their own healthcare
what are the 3 root determinants of health discussed in the reading?
- colonization and colonialism
- indian residential school system
- colonial ideologies
role of colonization as a root determinant of health
- invasion of colonial settlers onto indigenous lands resulted in harm to those lands and displacement of people
- colonization is not a single historical event but persistent constellation of intersecting systems
- the impact of colonization manifests differently among Indigenous people in Canada (i.e Metis have higher socio-economic status than First Nations, but are better of than Inuit)
- colonization has resulted in diminished self- determination
role of residential schools as a root determinant of health
- Indian Residential School system was the most powerful mechanism of assimilation
- goal of these schools was to “killl the indian in the child” by attempting to destory cultures, lanugage, family ties and community netwokrs of FNMI people
- the trauma of surviving residential schools has not only impacted their own health, but also that of their children and grandchildren
–> many survivors experienced impacts such as isolation from family and community, loss of culture, harsh discipline, and verbal/physical/mental abuse
role of colonial ideologies as a root determinant of health
1) white supremacy
- white people are superior so they should possess all forms of power and privilege causing inequitable distribution of resources
2) christianity
- christianity was imposed on Indigenous people replacing their spiritual beliefs
3) patriarchy
- missionaries attempted to replace Indigenous creation stores that were grounded in female fecundity to one about a male god
- Indian Act said that to be recognized as “Indian” status you need to be male, married to a male or recognized child of a male
4) individualism
- indigenous cultures were typically collectivist, and their identity was linked to belonging in a group but europeans colonizers belonged to high individualistic, which limited community resource distribution (fishing, hunting)
5) colonial governance
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6) reserves and settlement
- without consulting Indigenous people, Canadian government set aside lands (reserves) that “Indian Bands” coud live which was often small, isolated and poorly resourced = far from opportunites/services/resources
- many First Nations no longer live on reserves and give up certain services only available on-reserve
7) capitalism
- Canada is a capitalist country, meaning that wealth is generated through trade and business
- while early fur trade was beneficial to some Indigenous people, Canada’s emerging capitalism promoted further land appropriation for colonial expansion and settlement
what were the 6 main core determinants of health described in the readings?
- child welfare policies and systems
- criminal justice system
- health care systems
- educational systems
- community infrastructure and resources
- environmental stewardship
role of child welfare policies & systems as core determinants of health
- in 1950’s Indigenous chilsren were aprehended and relocated into the home of non-indigenous people
- Indigenous people are overrepresented in the child welfare system (over 50% depsite being only 7% of youth)
- intergenerational trauma, poverty, mental illness and substance abuse are commonly associated with child welfare involvement
- there are also significant health concerns regarding the lasting health impacts of involvement of the child welfare system, including mental health, suicide, substance use, criminality, HIV/AIDS
role of the criminal justice system as core determinants of health
- within the criminal justice system, indigenous people are far too overrepresented as both victims and offenders
- Indigenous people are disproportionately affected by violent crimes, murder and sexual assault
- the Supreme Court and several inquiries have identified systemic discrimination through the justice system, (policing, courts and corrections)
- Indigenous ancestry is highly associated with forceful police interventions and incarcerations, and denial of bail = long sentences and high representation in maximum security prisons
role of health care systems as core determinants of health
- indigenous people do not have geophysical, political or social access to healthcare systems = diminished screening, late diagnosis and helathcare outcomes
- geographic isolation in remote, rural communities are a substantial barrier to accessing healthcare for Indigenous people
- small isolated communities have trouble attracting and retaining health professionals = short-term, non-resident care (must pay) or have to wait and travel long distances to receive care
- First Nations are limited by needed-services not being covered or approved by the federal Non-Insured Health Benefit Plan (NIHB) or by doctors/nurses unavailable in their area
- another barrier is that healthcare is not culturally appropriate or severely inadequate