An Analysis of the Evacuation Policy for Pregnant First Nations Women in Canada
A Canadian policy requires the routine evacuation of pregnant First Nations women who live on-reserve in rural and remote regions to larger centres to gain access to perinatal services. Despite this access, First Nations women's health remains poor and the First Nations infant mortality rate re...
Published in: | AlterNative: An International Journal of Indigenous Peoples |
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Online Access: | http://dx.doi.org/10.1177/117718011200800308 http://journals.sagepub.com/doi/pdf/10.1177/117718011200800308 |
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crsagepubl:10.1177/117718011200800308 2024-09-09T19:40:11+00:00 An Analysis of the Evacuation Policy for Pregnant First Nations Women in Canada Lawford, Karen Giles, Audrey R. 2012 http://dx.doi.org/10.1177/117718011200800308 http://journals.sagepub.com/doi/pdf/10.1177/117718011200800308 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license AlterNative: An International Journal of Indigenous Peoples volume 8, issue 3, page 329-342 ISSN 1177-1801 1174-1740 journal-article 2012 crsagepubl https://doi.org/10.1177/117718011200800308 2024-07-08T04:29:47Z A Canadian policy requires the routine evacuation of pregnant First Nations women who live on-reserve in rural and remote regions to larger centres to gain access to perinatal services. Despite this access, First Nations women's health remains poor and the First Nations infant mortality rate remains high. In this paper, we employ First Nations feminist theory to understand why the evacuation policy does not result in good health, especially for First Nations women. Four themes emerge: decolonization, self-determination, land, and community. Based on these results, we argue that First Nations’ concepts of health are largely incongruent with the Euro-Canadian bio-medical model, a model that is foundational to the evacuation policy. Until health policies incorporate and are congruent with First Nations’ epistemologies and related health practices, their health will continue to suffer. Policy recommendations are offered to promote First Nations health in a way that is consistent with First Nations’ epistemologies. Article in Journal/Newspaper First Nations SAGE Publications Canada AlterNative: An International Journal of Indigenous Peoples 8 3 329 342 |
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SAGE Publications |
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English |
description |
A Canadian policy requires the routine evacuation of pregnant First Nations women who live on-reserve in rural and remote regions to larger centres to gain access to perinatal services. Despite this access, First Nations women's health remains poor and the First Nations infant mortality rate remains high. In this paper, we employ First Nations feminist theory to understand why the evacuation policy does not result in good health, especially for First Nations women. Four themes emerge: decolonization, self-determination, land, and community. Based on these results, we argue that First Nations’ concepts of health are largely incongruent with the Euro-Canadian bio-medical model, a model that is foundational to the evacuation policy. Until health policies incorporate and are congruent with First Nations’ epistemologies and related health practices, their health will continue to suffer. Policy recommendations are offered to promote First Nations health in a way that is consistent with First Nations’ epistemologies. |
format |
Article in Journal/Newspaper |
author |
Lawford, Karen Giles, Audrey R. |
spellingShingle |
Lawford, Karen Giles, Audrey R. An Analysis of the Evacuation Policy for Pregnant First Nations Women in Canada |
author_facet |
Lawford, Karen Giles, Audrey R. |
author_sort |
Lawford, Karen |
title |
An Analysis of the Evacuation Policy for Pregnant First Nations Women in Canada |
title_short |
An Analysis of the Evacuation Policy for Pregnant First Nations Women in Canada |
title_full |
An Analysis of the Evacuation Policy for Pregnant First Nations Women in Canada |
title_fullStr |
An Analysis of the Evacuation Policy for Pregnant First Nations Women in Canada |
title_full_unstemmed |
An Analysis of the Evacuation Policy for Pregnant First Nations Women in Canada |
title_sort |
analysis of the evacuation policy for pregnant first nations women in canada |
publisher |
SAGE Publications |
publishDate |
2012 |
url |
http://dx.doi.org/10.1177/117718011200800308 http://journals.sagepub.com/doi/pdf/10.1177/117718011200800308 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
AlterNative: An International Journal of Indigenous Peoples volume 8, issue 3, page 329-342 ISSN 1177-1801 1174-1740 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/117718011200800308 |
container_title |
AlterNative: An International Journal of Indigenous Peoples |
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8 |
container_issue |
3 |
container_start_page |
329 |
op_container_end_page |
342 |
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1809909493487632384 |