The Portal brings together a broad selection of resources from all six of the National Collaborating Centres (NCCs). Search for resources by clicking on NCC, Type, Topic and Core Competency.
Please note: the Portal is not exhaustive and not all resources are indexed by PHAC Core Competency.
Introduction - Digital Story Research Project
The short video mite achimowin: Heart Talk – First Nations Women’s Expressions of Heart Health Digital Story Research Project, provides an introduction to the project and Indigenous and biomedical models that lend to heart health and wellness.
Indigenous peoples generally, and First Nations women specifically, are experiencing disproportionately higher rates of chronic conditions and cardiovascular disease compared to the general Canadian population. This paper examines the context of First Nations women’s heart health, with a particular view to understanding the role of colonization in the prevalence of and risk factors for heart diseases, and in diagnosing and treating them. Beyond colonization, authors Diffey, Fontaine and Schultz situate First Nations women’s burden of heart-related illness and risk factors for the disease within a determinants of health framework, including racism and gender. They weave first hand narratives of First Nations women into the paper in order to highlight their unique perspectives and experiences of surviving cardiovascular disease as well as their cultural understandings of heart health. The paper concludes by identifying a number of strategies for closing the gap in First Nations women’s heart health, as well as the challenges and barriers that still need to be addressed.Read More
Guest Blog: Training and Support for Managing Drinking Water Systems in First Nations Communities in Ontario
As of September 2019, there were 56 long-term drinking water advisories (LTDWA) for public systems on First Nations reserves across Canada. These are either Boil Water advisories or Do Not Consume advisories that have been in effect for more than a year. Of these 56 LTDWA, more than half have been in effect for over a decade and while this is a cross-Canada issue, there is a greater number in Ontario (42) than all other provinces combined.Read More
This fact sheet explores family violence as a determinant of health for First Nations, Inuit, and Métis individuals, families and communities. It provides an overview of the potential physical health, mental health and social impacts of family violence on individuals across the life span. It also examines the prevalence of various types of family violence, the risk factors that contribute to family violence generally, and the unique context that increases the vulnerability of Indigenous women to family violence specifically.
Addressing family violence in Indigenous communities is a complex issue because of the diverse socio-economic, geographic, political, cultural and historical barriers that operate at the individual, family, community and system levels. The fact sheet then examines barriers that inhibit Indigenous victims of violence from reporting it, prevent them from leaving violent situations, and constrain efforts to effectively reduce family violence within Indigenous communities. The fact sheet concludes by presenting a wide-array of promising approaches for family violence prevention and intervention in these settings. These approaches are multi-faceted and multi-dimensional, targeted at the level of individuals, communities, systems and policy and operating across multiple domains (legal, education, health and social services).Read More
First Nations communities may be disproportionately impacted by a variety of emergencies and disasters, including floods, wildfires, and crude oil spills in their traditional territories.The aim of this topic page is to provide Indigenous communities and environmental health professionals with resources that describe and improve upon the current state of emergency response at the community-, provincial-, and federal-level. Case studies are provided to show the ways in which standard practice has been problematic (e.g., effects of evacuation on kin relationships and land-based activities). Finally, we have included a number of reports that reflect on past events in Indigenous communities, and provide powerful examples for Indigenous and non-Indigenous communities alike trying to recover from disasters.Read More
This annotated online Oxford Bibliographies, written by NCCAH staff Regine Halseth, Roberta Stout, and Donna Atkinson, aims to enhance understanding of ‘cultural safety’ in health care by providing a brief overview of the most relevant literature in this field, including what cultural safety is and how it differs from other related concepts, methods to enhance learning about cultural safety, and the various health contexts in which it can be applied (policy, practice and research).
DOI: 10.1093/0B0/9780199756797-0192 | Oxford Bibliographies subscription required to accessRead More
Overcoming barriers to culturally safe and appropriate dementia care services and supports for Indigenous peoples in Canada
As individuals age, memory loss can sometimes occur, resulting from both the natural aging process as well as from medical conditions like Alzheimer’s disease and other dementias that are progressively degenerative and irreversible. Dementias can affect an individual’s daily functioning and quality of life, as well as place a significant burden on family caregivers. While little is known about dementias among Indigenous populations in Canada, they are recognized as an emerging health issue in these communities. The Indigenous seniors population, while proportionately smaller than the general Canadian population, has been growing rapidly and rates of dementias are expected to increase due to a higher prevalence of risk factors in the development of the disease, including diabetes, midlife hypertension and obesity, physical inactivity, lower levels of education, and smoking. Further, Indigenous people face a host of barriers in accessing health care, including access to dementia care services and supports.
This paper aims to identify the challenges and burdens Indigenous people in Canada face in accessing culturally safe and appropriate dementia care services and supports, and suggests ways of overcoming these challenges. It begins by providing an overview of the general challenges Indigenous seniors face in accessing health services, then summarizes the literature on Indigenous perspectives of aging well and caring for loved ones with dementia, as understanding these perspectives is essential for developing programs and services that are responsive to their needs. Key elements of a culturally safe framework for dementia care for Indigenous communities and examples of innovative dementia care services for Indigenous peoples concludes the paper.Read More
This report from Northern Health explores how resource extraction and development can influence the social, cultural and economic determinants of health, including the cumulative impact on the health and well-being of individuals and communities.Read More