Towards healthier Indigenous health policies? Navigating the labyrinth for answers
This research is based on two years of community-based participatory research that draws on Indigenous understandings of health policy in five First Nations in Ontario, Canada. While a number of policies have been put in place to increase Indigenous control over community health services, we argue t...
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ftjoiw:oai:ojs.joiw.localhost:article/66 2023-05-15T16:16:43+02:00 Towards healthier Indigenous health policies? Navigating the labyrinth for answers Gabel, Chelsea A. DeMaio, Peter Powell, Alicia 2017-06-29 application/pdf http://manage.journalindigenouswellbeing.com/index.php/joiw/article/view/66 eng eng Te Rau Ora http://manage.journalindigenouswellbeing.com/index.php/joiw/article/view/66/55 http://manage.journalindigenouswellbeing.com/index.php/joiw/article/view/66 Copyright (c) 2017 Chelsea A. Gabel, Peter DeMaio, Alicia Powell Journal of Indigenous Wellbeing; Volume 2, Issue 1, June 2017; 47-59 2463-5049 Indigenous people North America health and wellbeing health care administration health policy/policy analysis social equality/inequality self-determination qualitative research info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2017 ftjoiw 2020-09-02T19:36:58Z This research is based on two years of community-based participatory research that draws on Indigenous understandings of health policy in five First Nations in Ontario, Canada. While a number of policies have been put in place to increase Indigenous control over community health services, we argue that policies enacted to promote Indigenous self-determination in health care have been counterproductive and detrimental to Indigenous health and wellbeing. Instead, we suggest that Indigenous health policy exists on a continuum and aim to balance the need for including diverse Indigenous groups with comprehensive control from program funding and design to implementation. This poses some difficult questions: How do Indigenous peoples perceive the concept of self-determination, community-controlled health care and the efforts of the Canadian government to form collaborative arrangements between Indigenous communities, organisations and government? What does an inclusive and comprehensive Indigenous community-controlled health care system look like? The purpose of this article is to explore how Indigenous people and community stakeholders in Canada understand terms such as self-determination and health and draw conclusions about collaborative efforts between the government and Indigenous communities to support community-controlled health care. It further explores participant narratives and describes their experiences, particularly, the strengths and weaknesses of community-government health policy developments. Article in Journal/Newspaper First Nations Journal of Indigenous Wellbeing Canada Labyrinth ENVELOPE(160.833,160.833,-77.550,-77.550) |
institution |
Open Polar |
collection |
Journal of Indigenous Wellbeing |
op_collection_id |
ftjoiw |
language |
English |
topic |
Indigenous people North America health and wellbeing health care administration health policy/policy analysis social equality/inequality self-determination qualitative research |
spellingShingle |
Indigenous people North America health and wellbeing health care administration health policy/policy analysis social equality/inequality self-determination qualitative research Gabel, Chelsea A. DeMaio, Peter Powell, Alicia Towards healthier Indigenous health policies? Navigating the labyrinth for answers |
topic_facet |
Indigenous people North America health and wellbeing health care administration health policy/policy analysis social equality/inequality self-determination qualitative research |
description |
This research is based on two years of community-based participatory research that draws on Indigenous understandings of health policy in five First Nations in Ontario, Canada. While a number of policies have been put in place to increase Indigenous control over community health services, we argue that policies enacted to promote Indigenous self-determination in health care have been counterproductive and detrimental to Indigenous health and wellbeing. Instead, we suggest that Indigenous health policy exists on a continuum and aim to balance the need for including diverse Indigenous groups with comprehensive control from program funding and design to implementation. This poses some difficult questions: How do Indigenous peoples perceive the concept of self-determination, community-controlled health care and the efforts of the Canadian government to form collaborative arrangements between Indigenous communities, organisations and government? What does an inclusive and comprehensive Indigenous community-controlled health care system look like? The purpose of this article is to explore how Indigenous people and community stakeholders in Canada understand terms such as self-determination and health and draw conclusions about collaborative efforts between the government and Indigenous communities to support community-controlled health care. It further explores participant narratives and describes their experiences, particularly, the strengths and weaknesses of community-government health policy developments. |
format |
Article in Journal/Newspaper |
author |
Gabel, Chelsea A. DeMaio, Peter Powell, Alicia |
author_facet |
Gabel, Chelsea A. DeMaio, Peter Powell, Alicia |
author_sort |
Gabel, Chelsea A. |
title |
Towards healthier Indigenous health policies? Navigating the labyrinth for answers |
title_short |
Towards healthier Indigenous health policies? Navigating the labyrinth for answers |
title_full |
Towards healthier Indigenous health policies? Navigating the labyrinth for answers |
title_fullStr |
Towards healthier Indigenous health policies? Navigating the labyrinth for answers |
title_full_unstemmed |
Towards healthier Indigenous health policies? Navigating the labyrinth for answers |
title_sort |
towards healthier indigenous health policies? navigating the labyrinth for answers |
publisher |
Te Rau Ora |
publishDate |
2017 |
url |
http://manage.journalindigenouswellbeing.com/index.php/joiw/article/view/66 |
long_lat |
ENVELOPE(160.833,160.833,-77.550,-77.550) |
geographic |
Canada Labyrinth |
geographic_facet |
Canada Labyrinth |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Journal of Indigenous Wellbeing; Volume 2, Issue 1, June 2017; 47-59 2463-5049 |
op_relation |
http://manage.journalindigenouswellbeing.com/index.php/joiw/article/view/66/55 http://manage.journalindigenouswellbeing.com/index.php/joiw/article/view/66 |
op_rights |
Copyright (c) 2017 Chelsea A. Gabel, Peter DeMaio, Alicia Powell |
_version_ |
1766002569670295552 |