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
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
Across Canada, syphilis continues to mostly affect men who have sex with men, but on the Prairies, rates are also high among heterosexual women. In this conversation, the last in a series produced by the National Collaborating Centre for Infectious Diseases in conjunction with the National Collaborating Centre for Aboriginal Health, we’ll hear from Dr. Jared Bullard, a paediatric infectious disease specialist at the University of Manitoba who works primarily out of the Children’s Hospital in Winnipeg. He’ll discuss recent increases in cases of congenital syphilis, the risks it poses to a foetus, as well as prevention strategies. He spoke with NCCID’s Jami Neufeld.Read More
In 2015, the United Nations released a new 15-year agenda, the Sustainable Development Goals (SDGs). Unlike its predecessor, the Millennium Development Goals Agenda, which focused on eradicating hunger and poverty in only the poorest countries, the SDGs Agenda aims to eradicate poverty in all its forms everywhere, while also addressing the global challenge of sustainable development. This report provides a brief history of the SDGs and an overview of Indigenous peoples in Canada. It then assesses the current state of progress on the SDG targets for Indigenous peoples in Canada and suggests ways that the SDG agenda can be used to improve Indigenous peoples’ socio-economic and health outcomes. The report underscores the role that poverty plays in the health disparities Indigenous people face and the need for comprehensive poverty alleviation strategies that address the various situations that lead to and result from poverty to ensure Indigenous people in Canada are not left behind during the period of the SDGs. This includes addressing issues related to environmental conservation and development, Indigenous peoples’ self-determination, governance, and land rights, as well as socio-economic inequities.Read More
The Health Equity Clicks: Community is an online community where members can collaborate with like-minded colleagues working across Canada, ask questions in a safe space, share work and experiences, and participate in networking events.Read More
The NCCDH Resource Library is a repository of evidence-informed health equity resources from Canada and abroad that are essential for public health practice.Read More
Reaching Underserved Populations: Leveraging Point-of-Care Tests for Sexually Transmitted and Blood-Borne Infections to Explore New Program Options in Canada
Point-of-care testing (POCT) is one solution for rethinking testing and screening strategies. POCT offers the flexibility to perform medical diagnostic testing outside the clinical laboratory in close proximity to where the patient is receiving care. It can be performed in a variety of settings including hospitals, clinics, physician’s offices, pharmacies, ambulances, nursing and long-term care facilities, or the patient’s residence, bringing diagnostics closer to people, especially to populations who are not currently using health services for many different reasons including, stigma, discrimination, criminalization, and geographic isolation.
While there is interest in expanding POCT in Canada, translating research and evidence into POCT policies and programs remains a challenge. To support national efforts to improve sexually transmitted and blood borne infections (STBBIs) screening and support awareness building for equitable access to and uptake of new diagnostic technologies for STBBIs, the National Collaborating Centre for Infectious Diseases (NCCID) commissioned this evidence review on POCT as it relates to the Canadian context. This review is the first of several projects NCCID is conducting, and is intended to summarize POC technologies and devices that are currently used, on the market, approved or available in Canada, or in the pipeline.
Commentary on POCT for HIV/STBBI : an analysis of contextual factors impeding implementation in Canada
As Canada gears up to achieving the UNAIDS 90-90-90 targets for HIV/AIDS, an underlying obstacle remains: detecting HIV in the 20% of individuals who remain unaware of their HIV sero-status. In this commentary, we make a case for a greater use of point-of-care technologies (POCTs) , their versatility of use across Canada, and potential for decentralized deployment, which will increase access and improve detection rates, and thus help achieve UNAIDS 90-90-90 targets.
Further, to effectively control HIV/STBBI syndemics, we call for the following: i) increased funding for combined POCT initiatives, ii) scale-up of successful POCT pilots into provincial screening programs, iii) approval of POCTs to increase choice, availability, reduce costs, iv) training/certification of professionals on POCTs, and finally, v) making POCTs widely available nationwide for expanded access and health equity.