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Canada First Nations Strengths in Community-Based Primary Healthcare
Grace Kyoon Achan1, Rachel Eni2, Wanda Phillips-Beck3
1Education Indigenous Institute of Health and Healing, University of Manitoba, Winnipeg, MB R3E 3P4, Canada.
International Journal of Environmental Research and Public Health
|October 27, 2022
Summary
First Nation communities leverage cultural, community, and family strengths to develop community-based primary healthcare (CBPHC) strategies. These locally led initiatives enhance health and wellbeing, fostering self-determination and transforming healthcare delivery.
Area of Science:
- Indigenous Health
- Primary Healthcare
- Community-Based Research
Background:
- First Nation (FN) communities in Canada face ongoing health and social inequities due to colonization.
- These disparities impact healthcare access and responsiveness, necessitating internal strengths for resilience and self-determination.
Purpose of the Study:
- To identify cultural, community, and family strengths supporting FN communities.
- To understand how these strengths facilitate the development of community-based primary healthcare (CBPHC) strategies.
Main Methods:
- A partnership between university researchers and eight FN communities in Manitoba.
- Community-based participatory research with 183 key informant interviews (2014-2016).
- Grounded theory analysis of data from healthcare providers and service users.
Main Results:
- CBPHC models rooted in local strengths improve care access, reduce wait times, and enhance compassionate delivery.
- Key strengths include community cooperation, youth engagement, responsive leadership, economic development, and strong cultural/spiritual foundations.
- Supportive resources like homecare and medical transportation are beneficial.
Conclusions:
- Locally led, self-determined care strengthens FN communities.
- These approaches are pivotal for sustainable, long-term transformation of primary healthcare.
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