Week 8 - Public Policies and Indigenous Peoples Health Flashcards
Appropriate terminology for indigenous peoples
- Indigenous
- Aboriginal
- First nations
- Metis
- Inuit
- Indian (only for legal designation)
Inappropriate terminology for indigenous peoples
- Native
- Indian (for non legal designation)
Colonialism
- Policy or practice of acquiring full or partial control over another country, occupying it with settlers, and exploiting it economically
Colonial policies and institutions in Canada
- Constitution act
- Indian act
- Relocation of inuit communities
- Residential schools
- Sixties scoop
- Missing and murdered indigenous women and girls
What was the constitution act about
- Federal parliament has control over all Indians and their land
What was the Indian act about
- Gives control and management of reserve lands to federal government
- Limits right to vote
- Loss of self-governance
- Undermined role and status of women
What would happen under the Indian act if you voted
- Would lose “Indian status”
What is an “Indian agent”
- Indian people who lived on reserves but represented government
-In charge of all food, and travel outside of reserve
What would happen under the Indian act if you married a Non-Indian status
- Would lose “Indian status” and your kids would not have status
Residential schools purpose
- Take the “Indian out of the child”
What was the sixties scoop
- In one decade, 1/3 of indigenous children were taken from families
How do indigenous people in Canada access health care
- Provincial/territorial health care systems
- Federal government
- Self governance and community directed initiatives
What are examples of provincial/territorial health care systems
- Physicians and hospitals
- Non-indigenous specific community health centers
- Indigenous programming at mainstream organizations
What are examples of receiving health care through federal government
- Non-insured health benefits (NIHB)
What are examples of self-governance and community-directed initiatives
- On reserve services and programs
- Urban indigenous health centers
-BC first nations health authority
Barriers to accessing health care for indigenous people
- Geography/remoteness
- Federal/provincial lack of clarity and bureaucratic disagreements
- Individual and structural racism
- Lack of culturally safe care
Why is research difficult for racism and its effects
- Likely underreporting because of self reported and self identification
- Research is spotty and cross-sectional
- Few standardized measurement instructions
What is cultural sensitivity and competence
- Service provider learning abut culture of service users
Cultural safety
- Emphasizes colonial, historical and sociopolitical context
- Providers examine own culture, history, lived experiences, beliefs and attitudes
- Explicit attention and action to address power relations
Responses and interventions for racism
- Individual, family and community strategies and resilience
- Health care and service delivery
- Health professional education and training
- Policy responses specific to health and health care
- Policy responses affecting health
