Disparities and inequities among Indigenous people and non-Indigenous people are well recognised issues even in developed countries, such as New Zealand, Australia, the USA, and Canada. According to previous studies, infant mortality is about twice more likely to occur in First Nations than in the general Canadian population; and infant mortality is four times more likely to happen in Inuit than in the general Canadian population [1]. In 1970s, Canadian Government started to evacuate Aboriginal women at 36s’ gestation or earlier in remote northern Canada to southern hospital for giving birth. Implementation of this policy had not only displaced Aboriginal women away from their families and cared by unfamiliar health care providers, but also …show more content…
The unfavourable result had posed challenges to rural maternity care for Aboriginal women in Canada. First, culture-based, patient-centered, family-centered, cooperative, and respectful rural maternity care policy was lacking. Second, social and emotional needs of Aboriginal women were neglected not only financially but also psychologically. Third, indigenous participation in maternity care was ignored [6]. In order to solve above mentioned issues and to reclaim the experience of giving birth by coordinating midwifery skill, conventional delivery knowledge, and modern maternity care; midwife-led maternity care was introduced to Aboriginal communities lived in rural area. In 1986, community organization by Inuit women has directly led to the open of the first birth center (Inuulitsivik Health Centre) in Puvirnituq to provide maternity care to women of the Hudson coast. Midwifery students were recruited from local community and community-based education was provided. At the beginning, southern midwives were hired to assist the midwifery education due to lack of local …show more content…
Between 2000 and 2007, 86.3% of women gave birth in Nunavik with Inuit midwives in attendance. Inter-disciplinary and inter-cultured teamwork are crucial to the success, for example, Perinatal Review Committee is in charge of risk screening for referral of high-risk women [7]. As for maternal and child health outcome, F Simonet et al. compared the risk of perinatal death between two remote indigenous communities (Hudson Bay communities with midwife-led maternity care and Ungava Bay communities with physician-led maternity care), and the result showed no statistically significant difference in risk of infant mortality with adjusted odds ratios 1.29 (95% CI 0.63 to 2.64) in all Inuit birth. This result suggested that midwife-led maternity care could be a safe option for low-risk pregnant women [8]. Although midwife-led maternity care could improve maternal health of Aboriginal women, more health can be achieved by tackling specific challenge using following recommendations. First, construct a standardized vital registration for indigenous people, which can facilitate comparison, monitor, and evaluation of health outcome in national and international
Healthcare systems are microcosms of the larger society in which they exist. Where there is structural violence or cultural violence in the larger society, so will there be evidence of systematic inequities in the institutions of these societies. The healthcare system in Australia is one example—from a plethora of similarly situated healthcare systems—in which the color of a patient’s skin or the race of his parents may determine the quality of medical received. Life expectancy and infant mortality rates are vastly different for non-Aboriginal, Aboriginal, and Torres Strait Islanders residing in Australia. The life expectancy of Aboriginal men is 21 years shorter than for non-Aboriginal men in Australia. For women, the difference is 19 years. The infant mortality rate of Aboriginal and Torres Strait Islander male infants is 6.8% and the infant mortality rate for female infants is 6.7%. For non-Aboriginal infants, the infant mortality rates are 1% for male infants and 0.8% for female infants. Further, the Aboriginal population is subject to a wide-range of diseases that do not exhibit comparatively high incidence rates in non-Aboriginal Australians.
The over-representation of Aboriginal children in the Canadian Child Welfare system is a growing and multifaceted issue rooted in a pervasive history of racism and colonization in Canada. Residential schools were established with the intent to force assimilation of Aboriginal people in Canada into European-Canadian society (Reimer, 2010, p. 22). Many Aboriginal children’s lives have been changed adversely by the development of residential schools, even for those who did not attend them. It is estimated that Aboriginal children “are 6-8 times more likely to be placed in foster care than non-Aboriginal children (Saskatchewan Child Welfare Review Panel, 2010, p. 2).” Reports have also indicated that First Nations registered Indian children make up the largest proportion of Aboriginal children entering child welfare care across Canada (Saskatchewan Child Welfare Review Panel, p. 2). Consequently, this has negatively impacted Aboriginal communities experience of and relationship with child welfare services across the country. It is visible that the over-representation of Aboriginal children in the child welfare system in Canada lies in the impact of the Canadian policy for Indian residential schools, which will be described throughout this paper.
This wave of sterilization came crashing down on Native American women the hardest. As Sally Torpy asserts in her thesis, Endangered...
In Canada, access to health care is ‘universal’ to its citizens under the Canadian Health Care Act and this system is considered to the one of the best in the world (Laurel & Richard, 2002). Access to health care is assumed on the strong social value of equality and is defined as the distribution of services to all those in need and for the common good and health of all residents (Fierlbeck, 2011). Equitable access to health care does not mean that all citizens are subjected to receive the same number of services but rather that wherever the service is provided it is based on need. Therefore, not all Canadians have equal access to health services. The Aboriginal peoples in Canada in particular are a population that is overlooked and underserved
Despite the decreasing inequalities between men and women in both private and public spheres, aboriginal women continue to be oppressed and discriminated against in both. Aboriginal people in Canada are the indigenous group of people that were residing in Canada prior to the European colonization. The term First Nations, Indian and indigenous are used interchangeably when referring to aboriginal people. Prior to the colonization, aboriginal communities used to be matrilineal and the power between men and women were equally balanced. When the European came in contact with the aboriginal, there came a shift in gender role and power control leading towards discrimination against the women. As a consequence of the colonization, the aboriginal women are a dominant group that are constantly subordinated and ignored by the government system of Canada. Thus today, aboriginal women experiences double jeopardy as they belong to more than one disadvantaged group i.e. being women and belonging to aboriginal group. In contemporary world, there are not much of a difference between Aboriginal people and the other minority groups as they face the similar challenges such as gender discrimination, victimization, and experiences injustice towards them. Although aboriginal people are not considered as visible minorities, this population continues to struggle for their existence like any other visible minorities group. Although both aboriginal men and women are being discriminated in our society, the women tends to experience more discrimination in public and private sphere and are constantly the targeted for violence, abuse and are victimized. In addition, many of the problems and violence faced by aborigin...
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
Walter, M. (2007). Aboriginality, poverty and health-exploring the connections. Beyond bandaids: exploring the underlying social determinants of aboriginal health. [online] Retrieved from: http://www.lowitja.org.au/sites/default/files/docs/Beyond-Bandaids-CH5.pdf/ [Accessed 10 Apr 2014]
... To provide Indigenous people with adequate health care, emphasis needs to be placed on understanding indigenous beliefs and the social detriments Indigenous communities are faced with. Applying a suitable model of health to each individual situation will provide the best outcome. This was evident in the case study discussed in the essay. Rodney’s experiences within the medical world ended with a positive and desirable result, but if the appropriate transcultural care was not given, that positive result would have created a negative outcome, which could have been detrimental to Rodney’s future health.
...fficient training for health workers, communication barriers, a general mistrust in the health care system and culture shock has contributed to issues in delivering services to many Indigenous communities. The reason to why these issues have emerged is a result of two main factors, the lack of health services that are needed to address the issue and the silence of Indigenous communities which leads to misunderstanding between the government and Indigenous communities. Indigenous Australian’s experience this major disadvantage and neglect in the Australian society due to the poor healthcare system and policies that haven’t had a positive effect on the issue. For the issue of Indigenous health to be resolved, the Government and social policies need to address and meet the need of Indigenous people to overcome the poor health conditions that these communities suffer.
Health care inequities can be elucidated by the research that identifies the social, economic and political ideologies that reflect aspects of cultural safety (Crandon, 1986; O’Neil, 1989 as cited in Browne & Fiske, 2001). There are various factors that affect the mistreatment of aboriginal peoples as they access health care in local health care facilities such as hospitals and clinics. Aboriginal women face many barriers and are discriminated against as a result based on their visible minority status such as race, gender and class (Gerber, 1990; Dion Stout, 1996; Voyageur, 1996 as cited in Browne & Fiske, 2001). A study done on Aboriginal peoples in Northern B.C. showed high rates of unemployment, underemployment and dependency on social welfare monies (Browne & Fiske, 2001). This continued political economic marginalisation of aboriginal peoples widens the gap between the colonizers and the colonized. The existence of racial profiling of aboriginal peoples by “Indian status” often fuels more stigmatization of these people because other Canadians who do not see the benefits of compensations received with having this status often can be resentful in what they may perceive is another compensation to aboriginal peoples. The re...
As we learned throughout the duration of the course through lecture, readings and discussions, Indigenous Canadians are faced with many determinants of health.
Health care services are important to all, but what happens when our First Nations are allowed to those services but they themselves don’t always use it? In Canada, the health care system is supposed to be a ‘discrimination-free envornment’ (Tang, 2008) but that is not always the case. The right to an adequate health is all ours, but then for many nurses and physicians ethnic groups such as Aboriginal people are victims of racial gestures. Therefore, the health of the Aboriginal population is much worse than the non-Aboriginal people.
Sorensen, J., & Abbott, E. (2004). The Maternity and Infancy Revolution. Maternal & Child Health Jounal, 8(3), 107-110. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=14089739&site=ehost-live
Her book focuses on the myriads of issues and struggles that Indigenous men and women have faced and will continue to face because of colonialism. During her speech, Palmater addressed the grave effects of the cultural assimilation that permeated in Indigenous communities, particularly the Indian Residential School System and the Indian Act, which has been extensively discussed in both lectures and readings. Such policies were created by European settlers to institutionalize colonialism and maintain the social and cultural hierarchy that established Aboriginals as the inferior group. Palmater also discussed that according to news reports, an Aboriginal baby from Manitoba is taken away every single day by the government and is put in social care (CTVNews.ca Staff, 2015). This echoes Andrea Smith’s argument in “Heteropatriarchy and the Three Pillars of White Supremacy: Rethinking Women of Color Organizing” that colonialism continues to affect Aboriginals through genocide (2006, p. 68). Although such actions by the government are not physical acts of genocide, where 90% of Aboriginal population was annihilated, it is this modern day cultural assimilation that succeeded the Indigenous Residential School System and the Indian Act embodies colonialism and genocide (Larkin, November 4,
From 2001-2005, deaths of Indigenous infants represented 6.4% of the total Indigenous male deaths and 5.7% of the total Indigenous female deaths. While only 0.9% and 0.8% for the total non-Indigenous deaths. (A statistical overview of Aboriginal peoples in Australia, < http://www.hreoc.gov.au/social_justice/statistics/index.html>)