Self-determination in relation to health is often reflected in a community having ownership and control over their health programs. Self-governance structures often play a role in self-determination in health services however not all nations/communities have this advantage as in order to gain self-government, they often give-up funding and other benefits. It is important to recognize that colonial structures have purposely sought to undermine self-determination (Ladner, 2009). Webster (2011) highlights that health outcomes improve when First Nations communities have control over their health care.
Community-control offers the integration of services based on Indigenous models, values and skills (E.g. holistic connections to health, Indigenous
Research indicates that colonial policies related to residential schools, reserve communities, loss of traditional lands, and erosion of language and cultural traditions that lead to cultural continuity have created a loss of cohesion and identity in Indigenous communities which have impacted family health behaviors (MacNeil 6). Although this may
Victorian Aboriginal Community Controlled Health Organisation (VACCHO) acts as the representative of all the Aboriginal Community Controlled Health Organizations in Victoria (Australia) where it provides guidance on the Aboriginal Health policies. Furthermore, the organization supports local initiatives, but it does not contain any health services. The organization is involved in numerous programs that aimed at promoting member organizations in providing excellent healthcare which may include sexual health, chronic care, maternity and mental health. This article gives an overview of the policies that are made and have an impact on the Aboriginal people’s health and also the impact it has on other people’s health (Fletcher, 2011). Furthermore,
The first paper by Ladner and Orsini, (2003) gives a detailed account, review and analysis of the First nations governance act. The paper reflects on the act and provides arguments supporting the fact that it is an example of a gentler, subtle form of colonialism that is still in practice today. It argues that although the government has well researched the problems affecting the first nations, it has not efficiently advocated the involvement of these people in their own welfare and improvement.
The health status of aboriginals in Ontario is very poor. There are a lot of health care needs for aboriginals that live in Northwest Ontario, also because the population is so high. The first nations population is the largest (958,000) Followed by the Metis (266,000) and the Inuit (51,000). Every year the
Since the 1970’s, many Indigenous communities have established their own independent, community-controlled health services (ACCHs) and an over-arching representatives advocacy body, the National Aboriginal Controlled Community Health Organisation (NACCHO previously NAIHO) was formed in 1975.
Socioeconomic issues and cultural care preservation hinders Aboriginal to access quality health care. First, primary socioeconomic problem of
The National Aboriginal Community Controlled Health Organisation (NACCHO) was established in 1992, as the new national ACCHS umbrella organisation replaced the NAIHO. Many Indigenous communities have recognized their own independent since the 1970’s. In 1975, The Community-controlled health services (ACCHs) and an
Aboriginal self-government is a long standing issue that continues to be a struggle for the First Nations People. To truly understand the scope of Aboriginal self-government within First Nations communities, more effort is needed to understand the legislative system that runs Canada. This issue of self-governance has been very destructive in First Nations communities. After signing the Treaties, First Nations People was stripped of their livelihood and from that point on to abide by the Dominion of Canadas legislative policies. One current issue that would be a perfect example is the Nisga People in British Columbia who is no longer under the protection of the
Carson, B., Dunbar, T., Chenhall, R. D., & Bailie, R. (2007). Social determinants of Indigenous health. Allen & Unwin.
The inequalities in today’s indigenous communities are still strongly evident. Heard, Khoo & Birrell (2009), argued that while there has been an attempt in narrowing the gap between Indigenous and non Indigenous Australians, a barrier still exists in appropriate health care reaching indigenous people. The Indigenous people believe, health is more than the individual, it is
Access to the communities is provided year round by Wasaya Airline and airstrips that are maintained by the Ontario Ministry of Transportation. Of course, each Aboriginal community is unique with its own set of traditions and ways of healing but my observation after working within the communities for over ten years is that they all suffer from improperished conditions and substandard housing. The local economies are primarily based upon government services (Indian and Northern Affairs) (INAC) and small business. Most of the reserves have six hundred people or less, and each community has a nursing station. The nursing stations are well-maintained functional buildings built in or about the early 1960’s and are maintained by Health Canada. First Nations and Inuit Health (FNIH) maintains responsibility for primary care services in the majority of the northwest Ontario reserve communities. In the north, nurses are the primary care givers working in an extended scope of practice, and client care is centrally coordinated by nurses working within interdisciplinary teams. The majority of the nursing and medical staff working for FNIH in the Sioux Lookout zone are Caucasian and do not come from local communities. This could outwardly appear as a reinforcement of power relations in the racial identities. There is only very limited cultural training given to employees when they are employed by FNIH. Medical advice and
Theory analysis offers a systematic method for identifying the strengths and weaknesses of a theory that ultimately helps validate its usefulness in directing and influencing clinical practice (Linder, 2010). Using the seven-step process outlined by Walker and Avant (2011), this paper will provide a theory analysis of the self-determination theory (SDT) to examine its meaningfulness and contribution to the nursing discipline with special attention to work engagement among nurses. Self-determination theory is a motivational and personality theory that explores the socioenvironmental causes that influence a person’s tendency toward psychological health and wellbeing, enhanced performance, and self-motivated behavior (Podlog & Brown, 2016). SDT analyzes intrinsic and extrinsic motivations to explain why people behave the way they do; specifically, when the basic psychological needs of autonomy, relatedness, and competence are met, self-motivated behaviors and effective performance will be actualized (Podlog & Brown, 2016).
In order to propogate the knowledge of above determinants and improve health status of Canadians, Health Canada has set up a number of community heath organizations and agencies. The work of these agencies can consist of creating awareness, improving socio-economic status, advocating better working conditions and so on. Unfortunately, many groups such as aboriginal people, recent immigrants and people with disabilities experience challenges in accessing these resources and still cotinue to lead an unhealthy life.
The disproportionate, poor health outcomes experienced by First Nations Canadians have been attributed to an uncoordinated and fragmented health care system. This system is rooted in colonial legislation and social policies that have created jurisdictional ambiguity and long-standing confusion among federal, provincial and First Nations governments as to who is responsible for First Nations health care (Kelly, 2011; Lavoie, 2013). The responsibility of healthcare resembles a “political football and while it is being passed back and forth, the health status of First Nations people remains the lowest of any segment of the population (Cook, 2011, p. 40). Despite attempts over the last 40 years to address this pressing social issue, the absence
Following the fall of the great Roman Empire a new age was born, the age of knights in shining amour and the great kings in stone castles. Yet, it was also a chaotic time, War and plague was a disease upon Europe. Countries fought for land, resources, and above all, the attention of God. The world was young and so was the English Language. Few writers wrote in English, the language of the commoners, as French and Latin was the Language of the powerful élite. Yet one writer dared to speak against the feudal society of which he was born into. Geoffrey Chaucer served most of his life in the employment of the crown, as both a soldier and a clerk. Yet through all of these titles, Chaucer would be forever immortalized as Geoffrey Chaucer the