Trends in Inuit health services utilisation in Manitoba: findings from the<i>Qanuinngitsiarutiksait</i>study

Clark, Wayne; Lavoie, Josée G.; McDonnell, Leah; Nickel, Nathan; Anawak, Jack; Brown, Levinia; Clark, Grace Voisey; Evaluardjuk-Palmer, Maata; Ford, Frederick; Dutton, Rachel J.; Wong, Sabrina T.; Sanguins, Julianne; Katz, Alan

doi:10.1080/22423982.2022.2073069

Cited by 8 publications

(7 citation statements)

References 22 publications

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“…Statistics Canada reports that 27.2% of Inuit live outside of Nunangat [ 1 ]. Urban Inuit communities have emerged primarily in St John’s Newfoundland; Montreal Quebec, Ottawa Ontario, Winnipeg Manitoba; and Edmonton Alberta: these cities are southern locales where Nunavut Inuit have been accessing specialised medical care and other services for decades [ 2 , 3 ]. Our previous work suggests that mobility between Nunangat and southern locales is recurrent for many, with extended times in southern locales and Nunangat.…”

Section: Introductionmentioning

confidence: 99%

“…The word Qanuinngitsiarutiksait means tools for the well-being/safety of Inuit/people. Our collaboration has yielded in a number of publications [ 2 , 3 , 8–11 ]. At the beginning of the pandemic, we mobilised to support MIA’s COVID-19 response [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…At the time, MIA was facing considerable barriers to develop services to meet the needs of Inuit living in Manitoba and for Inuit from the Kivalliq region accessing services, and had since its creation in 2008 (see [ 2 , 3 , 10 ]for more detail). The Government of Manitoba did not acknowledge a responsibility towards Inuit based on their identity and Indigenous rights, and federal sources of funding for Inuit in urban centres did not exist [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…Finally, one of every 10 Inuit children is being followed by Manitoba Child and Family Services, either because families requested support to improve their parenting skills, or for child protection [ 3 ]. We also documented the top reasons for which Inuit living in Manitoba are being hospitalised, and identified that mental disorders as the leading cause [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Mitigating the impact of the COVID-19 pandemic on Inuit living in Manitoba: community responses

Lavoie,

Clark,

McDonnell

et al. 2023

International Journal of Circumpolar Health

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We document community responses to the COVID-19 pandemic among Inuit living in the province of Manitoba, Canada. This study was conducted by the Manitoba Inuit Association and a Council of Inuit Elders, in partnership with researchers from the University of Manitoba. We present findings from 12 health services providers and decision-makers, collected in 2021.Although Public Health orders led to the closure of the Manitoba Inuit Association’s doors to community events and drop-in activities, it also created opportunities for the creation of programming and events delivered virtually and through outreach. The pandemic exacerbated pre-existing health and social system’s shortcomings (limited access to safe housing, food insecurity) and trauma-related tensions within the community. The Manitoba Inuit Association achieved unprecedented visibility with the provincial government, receiving bi-weekly reports of COVID-19 testing, results and vaccination rates for Inuit. We conclude that after over a decade of advocacy received with at best tepid enthusiasm by federal and provincial governments, the Manitoba Inuit Association was able effectively advocate for Inuit-centric programming, and respond to Inuit community’s needs, bringing visibility to a community that had until then been largely invisible. Still, many programs have been fueled with COVID-19 funding, raising the issue of sustainability.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Mitigating the impact of the COVID-19 pandemic on Inuit living in Manitoba: community responses

Lavoie,

Clark,

McDonnell

et al. 2023

International Journal of Circumpolar Health

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“…Inuit from the eastern part of Nunavut travel to Ottawa Ontario. For Inuit from the Kivalliq region, care is accessed in Winnipeg, Manitoba [14]. Services provided outside of Nunavut are billed back to Nunavut.…”

Section: Introductionmentioning

confidence: 99%

Kivalliq Inuit women travelling to Manitoba for birthing: findings from the Qanuinngitsiarutiksait study

Lavoie

Clark

McDonnell

et al. 2022

BMC Pregnancy Childbirth

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Background The Qanuinngitsiarutiksait study aimed to develop detailed profiles of Inuit health service utilization in Manitoba, by Inuit living in Manitoba (approximately 1,500) and by Inuit from the Kivalliq region of Nunavut who travel to Manitoba to access care not available in Nunavut (approximately 16,000 per year). Methods We used health administrative data routinely collected in Manitoba for all services provided and developed an algorithm to identify Inuit in the dataset. This paper focused on health services used by Inuit from the Kivalliq for prenatal care and birthing. Results Our study found that approximately 80 percent of births to women from the Kivalliq region occur in Manitoba, primarily in Winnipeg. When perinatal care and birthing are combined, they constitute one third of all consults happening by Kivalliq residents in Manitoba. For scale, hospitalizations for childbirths to Kivalliq women about to only 5 percent of all childbirth-related hospitalizations in Manitoba. Conclusions The practice of evacuating women from the Kivalliq for perinatal care and birthing is rooted in colonialism, rationalized as ensuring that women whose pregnancy is at high risk have access to specialized care not available in Nunavut. While defendable, this practice is costly, and does not provide Inuit women a choice as to where to birth. Attempts at relocating birthing to the north have proven complex to operationalize. Given this, there is an urgent need to develop Inuit-centric and culturally appropriate perinatal and birthing care in Manitoba.

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Indigenous data governance approaches applied in research using routinely collected health data: a scoping review

Engstrom,

Lobo,

Watego

et al. 2024

npj Digit. Med.

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Globally, there is a growing acknowledgment of Indigenous Peoples’ rights to control data related to their communities. This is seen in the development of Indigenous Data Governance standards. As health data collection increases, it’s crucial to apply these standards in research involving Indigenous communities. Our study, therefore, aims to systematically review research using routinely collected health data of Indigenous Peoples, understanding the Indigenous Data Governance approaches and the associated advantages and challenges. We searched electronic databases for studies from 2013 to 2022, resulting in 85 selected articles. Of these, 65 (77%) involved Indigenous Peoples in the research, and 60 (71%) were authored by Indigenous individuals or organisations. While most studies (93%) provided ethical approval details, only 18 (21%) described Indigenous guiding principles, 35 (41%) reported on data sovereignty, and 28 (33%) addressed consent. This highlights the increasing focus on Indigenous Data Governance in utilising health data. Leveraging existing data sources in line with Indigenous data governance principles is vital for better understanding Indigenous health outcomes.

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Trends in Inuit health services utilisation in Manitoba: findings from theQanuinngitsiarutiksaitstudy

Cited by 8 publications

References 22 publications

Mitigating the impact of the COVID-19 pandemic on Inuit living in Manitoba: community responses

Mitigating the impact of the COVID-19 pandemic on Inuit living in Manitoba: community responses

Kivalliq Inuit women travelling to Manitoba for birthing: findings from the Qanuinngitsiarutiksait study

Indigenous data governance approaches applied in research using routinely collected health data: a scoping review

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