The rights of Indigenous children around the world - still far from a reality

Woolley, Sarah

doi:10.1136/adc.2007.131995

Cited by 3 publications

(6 citation statements)

References 6 publications

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“…First Nation children have a basic human right to the best possible culturally safe health care [ 8 , 33 ]. There have been many studies and research papers written about the burden of chronic conditions and injury in First Nation children [ 13 , 17 , 18 , 30 , 33 – 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…Notably, there were no studies identified for First Nations peoples of the United States, suggesting significant research gaps exist [ 34 , 41 ]. This review builds on what is known about barriers to accessing acute health care such as the transgenerational fears from past treatment of First Nation people due to institutionalised racism from health service, the parent’s fear of their child being removed from home by the welfare system and the lack of cultural sensitivity and awareness in health care services [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…First Nation people are one of the most researched populations in the world [ 43 ]. Despite this, the existing health disparities and unavailability of culturally appropriate and inclusive health care services are still evident today [ 8 , 12 ]. Studies of First Nation children with a chronic condition, have typically been conducted using Western paradigms based on Western philosophies and western concepts of health [ 1 , 44 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…This in turn can lead to a loss of self-determination [ 5 ] and other adverse outcomes, such as alcohol and substance abuse, domestic violence, poverty, poor health outcomes and higher mortality rates, high out-of-home care cases, high rates of incarceration and suicide [ 6 , 7 ]. These accumulated difficulties have had a significant impact on the health and well-being of First Nation children and their children’s children for many generations [ 2 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Factors that impact access to ongoing health care for First Nation children with a chronic condition

Coombes

Hunter

Mackean

et al. 2018

BMC Health Serv Res

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BackgroundAccess to multidisciplinary health care services for First Nation children with a chronic condition is critical for the child’s health and well-being, but disparities and inequality in health care systems have been almost impossible to eradicate for First Nation people globally. The objective of this review is to identify the factors that impact access and ongoing care for First Nation children globally with a chronic condition.MethodsAn extensive systematic search was conducted of nine electronic databases to identify primary studies that explored factors affecting access to ongoing services for First Nation children with a chronic disease or injury. Due to the heterogeneity of included studies the Mixed Method Appraisal Tool (MMAT) was used to assess study quality.ResultsA total of six studies from Australia, New Zealand and Canada were identified and included in this review. Four studies applied qualitative approaches using in-depth semi structured interviews, focus groups and community fora. Two of the six studies used quantitative approaches. Facilitators included the utilisation of First Nation liaison workers or First Nation Health workers. Key barriers that emerged included lack of culturally appropriate health care, distance, language and cultural barriers, racism, the lack of incorporation of First Nation workers in services, financial difficulties and transport issues.ConclusionThere are few studies that have identified positive factors that facilitate access to health care for First Nation children. There is an urgent need to develop programs and processes to facilitate access to appropriate health care that are inclusive of the cultural needs of First Nation children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Factors that impact access to ongoing health care for First Nation children with a chronic condition

Coombes

Hunter

Mackean

et al. 2018

BMC Health Serv Res

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“…The indicators that enquire after this relationship are birth registration, whether tamariki live in a multigenerational household, and the sort of relationship they have with their family (see Table 1). Woolley (2009) describes birth registration as "the permanent, official record of a child's existence" (p. 398). It is a first step in the recognition of a new life, and a new life force.…”

Section: Kia Mau I a Ratou Te Ihimentioning

confidence: 99%

Measuring Māori children’s wellbeing: A discussion paper

Cram¹

2019

MAI Journal

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The Annual Child Poverty Monitor reports on child poverty measures and child-poverty-related indicators. Around one in three Mäori children are defined as living in poverty. While the Monitor is a prompt for government action to reduce child poverty, it has been criticised as presenting a negative view of the lives of Mäori children and whänau. This paper considers whether a fuller picture of the lived realities of Mäori children can be gained from routinely collected data, using a lens of tamariki Mäori wellbeing. A mauri framing for the indicator set is proposed, with three components reflecting the ihi, wehi and wana of tamariki. This paper is intended as a resource that can inform discussion of Mäori-centric indicators of Mäori children's wellbeing as individuals, within the context of whänau and wider society.

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Understanding Overrepresentation of Indigenous Children in Child Welfare Data

Cram¹,

Gulliver

Ota³

et al. 2015

Child Maltreat

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Child welfare data collected for administrative purposes are often used as a source of information for understanding the population impact of child abuse and neglect (CA/N). This study used administrative data linked at the individual level for a cohort of Aotearoa New Zealand (NZ) children to follow and extend a model developed by Drake et al. In this investigation, we aimed to build an understanding of the high representation of indigenous NZ children in administratively sourced measures of CA/N. Variation in rate ratios (RRs) within infant mortality and birth outcomes considered as possible proxies for actual CA/N RRs leaves open a range of interpretations. Our findings indicate that a more nuanced interpretation of the overrepresentation of indigenous children in administratively recorded maltreatment statistics is required. Rather than considering risk and bias as competing explanations, we suggest an acknowledgment of the impact of colonization and the existence of systemic bias generating increased risk as key drivers. As linked administrative data are increasingly used for research and evaluation, and considered for use in supporting decision making, there is a need for a deeper understanding of the drivers of administratively recorded CA/N in order to effectively address the needs of indigenous populations.

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The rights of Indigenous children around the world - still far from a reality

Cited by 3 publications

References 6 publications

Factors that impact access to ongoing health care for First Nation children with a chronic condition

Factors that impact access to ongoing health care for First Nation children with a chronic condition

Measuring Māori children’s wellbeing: A discussion paper

Understanding Overrepresentation of Indigenous Children in Child Welfare Data

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