Should the governments of ‘developed’ countries be held responsible for equalizing the indigenous health gap?

Abdolhosseini, Parirash; Bonner, Chantel; Montano, Alexandra; Young, Yves-Yvette; Wadsworth, Daniel; Williams, Michelle A.; Stoner, Lee

doi:10.1177/1757975915574255

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…Historically, First Nations in Canada have not enjoyed comparable health services-or comparable health for that matter (Adelson, 2005;Barnabe et al, 2017;Beavis et al, 2015;Bombak & Bruce, 2012;Chen et al, 2015;Eggertson, 2015;Gone et al, 2019). This has led to calls for government accountability for persistent neglect (Abdolhosseini et al, 2016;TRC, 2015). Poorer structural and social determinants also elevate disease risk in FN populations and communities (Bethune et al, 2018;Browne et al, 2016;Coombes et al, 2018;Gracey & King, 2009;Greenwood & de Leeuw, 2012;Hajizadeh, Hu, Bombay, & Asada, 2018), so that quasi-emergency planning tends to perpetually be operating in FN homes and communities.…”

Section: The Canadian Responsementioning

confidence: 99%

Community-based pandemic preparedness: COVID-19 procedures of a Manitoba First Nation community

Kyoon-Achan

Write²

2020

JCSWB

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The COVID-19 pandemic has impacted the Canadian health, social and economic landscape beginning early in 2020. Efforts to stem the viral tide have called into cooperation international, federal, and provincial governments. These governments are drawing on public health and socio-economic measures to prevent outbreaks in some cases and reduce infections and death rates in others. First Nations are a seemingly peripheral part of the general response, with communities being served by Indigenous Services Canada, a federal government institution responsible for First Nations health care. A participant observation process enabled the reporting of the community’s steps in pandemic planning and preparation. We showcase the work being accomplished on the ground in Nisichawayasihk Cree Nation, a community in northern Manitoba. This includes strong local leadership, evidence-based planning and decision-making, pooling and coordinating resources, ongoing communication, traditional medicines and health approaches, planning for mental health supports, ensuring food security and general safety for community members. All levels of community-based leadership along with strong, measured and well-coordinated action are required to prevent the outbreak of viral infections in First Nation communities.

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Section: The Canadian Responsementioning

confidence: 99%

Community-based pandemic preparedness: COVID-19 procedures of a Manitoba First Nation community

Kyoon-Achan

Write²

2020

JCSWB

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“…including actions through the Waitangi Tribunal to compensate Iwi (tribes) for the land that was taken from them by the European settlers (Ward, 1999). However, many question the role of government in providing services, arguing that Indigenous people should be supported in the development of their own solutions, rather than having solutions imposed on or provided for them (Abdolhosseini et al, 2015;Lowell et al, 2003). For example, in AU a history of discrimination and displacement from land, culture, and family has generated a feeling of mistrust among the Indigenous people (Holmes et al, 2002), and such mistrust may prevent the government from gaining sufficient traction to effectively address the Indigenous health gap.…”

Section: Policy Implicationsmentioning

confidence: 99%

Social contributors to cardiometabolic diseases in indigenous populations: an international Delphi study

et al. 2019

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The disparity in life expectancy between Indigenous and non-Indigenous populations is being driven by a heightened incidence of cardio-metabolic diseases, and is at least partly underpinned by educational, economic and historical determinants. However, there is a lack of consensus with regards to priorities for tackling these determinants. Therefore, the current study recruited experts in Indigenous cardio-metabolic health from Australia, New Zealand and the United States, in order to establish local consensus opinion and initiate dialogue. A three-round Delphi process was used to consolidate and compare the opinions of 60 experts, 20 from each country. Round one, the experts were asked three open-ended questions: (i) historical, (ii) economic and (iii) socio-cultural factors contributors to cardio-metabolic disease risk. Round two, the experts completed a structured questionnaire based on results from the first round, in which they ranked items according to their importance. Final round, the experts were asked to re-rank the same items after receiving summary feedback about the rank ordering from the previous round. Several key findings were identified: (i) an important historical factor is marginalization and disempowerment; (ii) in terms of economic and sociocultural factors, the panellists came to the consensus that socioeconomic status and educational inequalities are important; (iii) while consensus was not reached, economic and educational factors also perceived to be historically influential. These findings support the need for multi-level health promotion policy. For example, tackling financial barriers that limit access to health-promoting resources, and improving literacy skills to permit understanding of health education.

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“…Such attempts have been made in NZ, where initiatives to support Māori development and improve health outcomes have been designed through central government, including actions through the Waitangi Tribunal to compensate Iwi (tribes) for the land that was taken from them by the European settlers (Ward, 1999). However, many question the role of government in providing services, arguing that Indigenous people should be supported in the development of their own solutions, rather than having solutions imposed on or provided for them (Abdolhosseini et al, 2015;Lowell et al, 2003). For example, in AU a history of discrimination and displacement from land, culture, and family has generated a feeling of mistrust among the Indigenous people (Holmes et al, 2002), and such mistrust may prevent the government from gaining sufficient traction to effectively address the Indigenous health gap.…”

Section: Policy Implicationsmentioning

confidence: 99%

“…While there is clear evidence supporting the need for multi-level health promotion strategies, there is still the question of who should be responsible for developing and funding policies to address the socio-economic and socio-cultural determinants of Indigenous health (Abdolhosseini et al, 2015). Considering the historical underpinnings of the health gap for many Indigenous groups began with colonization (Cunningham and Stanley, 2003a;, an argument can be made that federal governments should claim direct responsibility.…”

Section: Policy Implicationsmentioning

confidence: 99%

Principles and strategies for improving the prevention of cardio-metabolic diseases in indigenous populations: An international Delphi study

Stoner

Matheson

Perry

et al. 2017

Preventive Medicine

Self Cite

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The disparity in life expectancy between Indigenous and non-Indigenous populations is being driven by a heightened incidence of cardio-metabolic diseases, and is at least partly underpinned by educational, economic and historical determinants. However, there is a lack of consensus with regards to priorities for tackling these determinants. Therefore, the current study recruited experts in Indigenous cardio-metabolic health from Australia, New Zealand and the United States, in order to establish local consensus opinion and initiate dialogue. A three-round Delphi process was used to consolidate and compare the opinions of 60 experts, 20 from each country. Round one, the experts were asked three open-ended questions: (i) historical, (ii) economic and (iii) socio-cultural factors contributors to cardio-metabolic disease risk. Round two, the experts completed a structured questionnaire based on results from the first round, in which they ranked items according to their importance. Final round, the experts were asked to re-rank the same items after receiving summary feedback about the rank ordering from the previous round. Several key findings were identified: (i) an important historical factor is marginalization and disempowerment; (ii) in terms of economic and sociocultural factors, the panellists came to the consensus that socio-economic status and educational inequalities are important; (iii) while consensus was not reached, economic and educational factors also perceived to be historically influential. These findings support the need for multi-level health promotion policy. For example, tackling financial barriers that limit access to health-promoting resources, and improving literacy skills to permit understanding of health education.

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Should the governments of ‘developed’ countries be held responsible for equalizing the indigenous health gap?

Cited by 4 publications

References 6 publications

Community-based pandemic preparedness: COVID-19 procedures of a Manitoba First Nation community

Community-based pandemic preparedness: COVID-19 procedures of a Manitoba First Nation community

Social contributors to cardiometabolic diseases in indigenous populations: an international Delphi study

Principles and strategies for improving the prevention of cardio-metabolic diseases in indigenous populations: An international Delphi study

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