Exploring Shifts in Indigenous Primary Health Care Policy Development in Alberta, Canada: A Case Study Analysis ...

• Main Author: Goveas, Danika Riva
• Format: Text
• Language: unknown
• Published: University of Alberta Library 2023
• Subjects: First Nations; inuit
• Online Access: https://dx.doi.org/10.7939/r3-zmry-kp96; https://era.library.ualberta.ca/items/99783248-c07f-430e-8110-65b0f57b39e2

Primary health care (PHC) transformation continues to be identified as a key pathway to achieve health equity for Indigenous peoples across the globe. In the province of Alberta, Canada, varying degrees of PHC services exist within First Nations, Métis, and urban contexts that are fragmented, under-resourced, and disconnected from each other, exacerbating existing health inequities. This thesis research aimed to explore historical and present-day policy shifts or changes that have shaped Indigenous PHC delivery in Alberta; and examine the engagement of Indigenous peoples in PHC policy and decision-making. Prior to and into the early 1960s, the federal government assumed financial responsibilities and decision-making for First Nations and Inuit health. However, by the end of the decade, the federal government attempted to devolve their responsibilities to First Nation and Inuit to reduce their fiduciary role in health care delivery and relationship with Indigenous peoples. Fast forward to the late 1970s, the ...