Political Advocacy and Research Both Needed to Address Federal-Provincial Gaps in Service: Manitoba First Nations Personal Care Homes
BACKGROUND: First Nation residents within Personal Care Homes (PCHs) are the most vulnerable segment of First Nations society and are in need of continuing care. Recent conditions imposed through unilateral decision-making by the federal government are placing the existence and continued operations...
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976217/ http://www.ncbi.nlm.nih.gov/pubmed/15686155 https://doi.org/10.1007/BF03405318 |
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ftpubmed:oai:pubmedcentral.nih.gov:6976217 2023-05-15T16:14:02+02:00 Political Advocacy and Research Both Needed to Address Federal-Provincial Gaps in Service: Manitoba First Nations Personal Care Homes Roscelli, Margaret 2005-01-01 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976217/ http://www.ncbi.nlm.nih.gov/pubmed/15686155 https://doi.org/10.1007/BF03405318 en eng Springer International Publishing http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976217/ http://www.ncbi.nlm.nih.gov/pubmed/15686155 http://dx.doi.org/10.1007/BF03405318 © The Canadian Public Health Association 2005 Article Text 2005 ftpubmed https://doi.org/10.1007/BF03405318 2020-02-09T01:23:05Z BACKGROUND: First Nation residents within Personal Care Homes (PCHs) are the most vulnerable segment of First Nations society and are in need of continuing care. Recent conditions imposed through unilateral decision-making by the federal government are placing the existence and continued operations of PCHs in jeopardy. METHODS: This article documents the current state of First Nation PCHs in Manitoba. In January 2003, the federal Minister of Indian and Northern Affairs Canada (INAC) announced conditions with which First Nation PCHs must comply or face closure. For instance, none of the PCHs were licensed in accordance with provincial legislation. Such provincial licensing would enable them to access provincial funding. However, provinces are wary of licensing on-reserve PCHs, and First Nations are reluctant to come under provincial health authority. First Nations continue to press for recognition of their own jurisdiction to set standards which emphasize their own culturally-based responsibilities and rights. RESULTS: As of October 2003, on-reserve PCHs have undergone infrastructure assessments to determine upgrades required to meet provincial building codes and standards in preparation for licensing. The First Nations plan to develop their own standards and licensing. Conditional licensing would ensure that PCHs continued to operate while renovations are made and funding allocations worked out. CONCLUSIONS: PCHs are a critical component in the spectrum of health care offered in First Nations communities. The imposition of conditions on the continued provision of federal funding to on-reserve PCHs is seen by First Nations as a restriction of the accessibility of culturally appropriate care for the most vulnerable segment of the First Nations population. Key elements in pursuing positive change include First Nations involvement in research and policy decision-making. Text First Nations PubMed Central (PMC) Canada Indian Canadian Journal of Public Health 96 S1 S55 S59 |
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Article Roscelli, Margaret Political Advocacy and Research Both Needed to Address Federal-Provincial Gaps in Service: Manitoba First Nations Personal Care Homes |
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Article |
description |
BACKGROUND: First Nation residents within Personal Care Homes (PCHs) are the most vulnerable segment of First Nations society and are in need of continuing care. Recent conditions imposed through unilateral decision-making by the federal government are placing the existence and continued operations of PCHs in jeopardy. METHODS: This article documents the current state of First Nation PCHs in Manitoba. In January 2003, the federal Minister of Indian and Northern Affairs Canada (INAC) announced conditions with which First Nation PCHs must comply or face closure. For instance, none of the PCHs were licensed in accordance with provincial legislation. Such provincial licensing would enable them to access provincial funding. However, provinces are wary of licensing on-reserve PCHs, and First Nations are reluctant to come under provincial health authority. First Nations continue to press for recognition of their own jurisdiction to set standards which emphasize their own culturally-based responsibilities and rights. RESULTS: As of October 2003, on-reserve PCHs have undergone infrastructure assessments to determine upgrades required to meet provincial building codes and standards in preparation for licensing. The First Nations plan to develop their own standards and licensing. Conditional licensing would ensure that PCHs continued to operate while renovations are made and funding allocations worked out. CONCLUSIONS: PCHs are a critical component in the spectrum of health care offered in First Nations communities. The imposition of conditions on the continued provision of federal funding to on-reserve PCHs is seen by First Nations as a restriction of the accessibility of culturally appropriate care for the most vulnerable segment of the First Nations population. Key elements in pursuing positive change include First Nations involvement in research and policy decision-making. |
format |
Text |
author |
Roscelli, Margaret |
author_facet |
Roscelli, Margaret |
author_sort |
Roscelli, Margaret |
title |
Political Advocacy and Research Both Needed to Address Federal-Provincial Gaps in Service: Manitoba First Nations Personal Care Homes |
title_short |
Political Advocacy and Research Both Needed to Address Federal-Provincial Gaps in Service: Manitoba First Nations Personal Care Homes |
title_full |
Political Advocacy and Research Both Needed to Address Federal-Provincial Gaps in Service: Manitoba First Nations Personal Care Homes |
title_fullStr |
Political Advocacy and Research Both Needed to Address Federal-Provincial Gaps in Service: Manitoba First Nations Personal Care Homes |
title_full_unstemmed |
Political Advocacy and Research Both Needed to Address Federal-Provincial Gaps in Service: Manitoba First Nations Personal Care Homes |
title_sort |
political advocacy and research both needed to address federal-provincial gaps in service: manitoba first nations personal care homes |
publisher |
Springer International Publishing |
publishDate |
2005 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976217/ http://www.ncbi.nlm.nih.gov/pubmed/15686155 https://doi.org/10.1007/BF03405318 |
geographic |
Canada Indian |
geographic_facet |
Canada Indian |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976217/ http://www.ncbi.nlm.nih.gov/pubmed/15686155 http://dx.doi.org/10.1007/BF03405318 |
op_rights |
© The Canadian Public Health Association 2005 |
op_doi |
https://doi.org/10.1007/BF03405318 |
container_title |
Canadian Journal of Public Health |
container_volume |
96 |
container_issue |
S1 |
container_start_page |
S55 |
op_container_end_page |
S59 |
_version_ |
1765999870298030080 |