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6 Cards in this Set
- Front
- Back
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Jurisdictional problems
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Multiple Federal Departments (incl First Nation and Inuit Health Branch, that doesnt incl Metis)
Strict policy of delivering service on reserves (but not off-reserve) Remaining health delivery considered a provincial responsibility (by not accepted as such by the Provinces) Jurisdictional disputes and lack of recognition of autonomy and self-government of aboriginal nations Lack of recognition of treaty rights to health care Transfer of responsibility for service delivery to First Nations (but not authority) |
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Aboriginal Health Issues
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Mortality: high infant death rate, postneonatal mortality (SIDS, injuries, respiratory illnesses, infectious diseases), increased risk of death from alcoholism, homicide, suicide, pneumonia
Infectious diseases (e.g. TB, Hep A & B, meningitis) Chronic disease: Diabetes, kidney disease, cardiovascular disease, lower incidence of cancer, except kidney, cervix, gallbladder Social & mental health problems: Suicide, substance abuse, conduct disorder, depression |
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Aboriginal health Determinants
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high unemployment,
below avg. income/ POVERTY environmental contaminants, poor access to care (incl. lack of coordination), high rates of obesity, Nutrition (iron deficiency, vitamin D deficiency,) poor maternal health (incl. alcohol) Cultural factors (assimilation) |
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Four Principles of Royal Commission
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To form basis of a renewed relationship:
Recognition Respect Sharing Responsibilty |
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Royal Commission on Aboriginal People
Recommendations on health |
Whole health – balance and vitality to body, mind, emotions and spirit
More illness care services will not turn the tide Suggest a reorganization of health and social services into a system of health and healing centres under Aboriginal control, educate and train Aboriginal people to staff these services, adapt mainstream services to accommodate Aboriginal people as clients, community infrastructure to deal with urgent problems (e.g., water, waste management) |
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Royal Commission on Aboriginal People
General Recommendations |
Self Government (Nation, public, Community of interest)
Redistribution of lands and rsources (traditional pursuits, economic self-reliance, contribute to financing self-gov) Economic development Promote human capacity building Rehabilitate families for parents, essential for community healing; Preventative services, End family violence, reform existing services Improve education Protect Aboriginal arts, heritage, language |
