Exploration of inter-jurisdictional TB programming and mobility in a Canadian First Nation community ...

• Main Authors: Heendeniya Vidanaral, Apeksha, Long, Richard, Heffernan, Courtney, Abonyi, Sylvia, Clarke, Sherry, Hackett, Paul
• Format: Article in Journal/Newspaper
• Language: unknown
• Published: figshare 2024
• Subjects: Medicine; Biotechnology; Biological Sciences not elsewhere classified; Computational Biology; First Nations
• Online Access: https://dx.doi.org/10.6084/m9.figshare.c.6585419.v1; https://springernature.figshare.com/collections/Exploration_of_inter-jurisdictional_TB_programming_and_mobility_in_a_Canadian_First_Nation_community/6585419/1

Abstract Background Colonially imposed jurisdictional boundaries that have little meaning to Indigenous peoples in Canada may confound tuberculosis (TB) prevention and care activities. This study explores how inter-jurisdictional mobility and the current accommodation of mobility through policies and programming sustain a regional TB epidemic in northwestern Saskatchewan, and northeastern Alberta. Methods A qualitative instrumental case study was performed using a community based participatory approach. Semi-structured interviews were conducted with First Nations peoples from a high-incidence community in Canada including community-based healthcare workers. These interview data are presented in the context of a multi-level document analysis of TB program guidelines. Results The location of the community, and related lack of access to employment, services and care, necessitates mobility across jurisdictional boundaries. There are currently no formal federal or provincial guidelines in place to accommodate ...