scholarly journals Negotiation, Reciprocity, and Reality: The Experience of Collaboration in a Community-Based Primary Health Care (CBPHC) Program of Research with Eight Manitoba First Nations

2019 ◽  
Vol 10 (4) ◽  
Author(s):  
Wanda Phillips-Beck ◽  
Grace Kyoon-Achan ◽  
Josée G. Lavoie ◽  
Nicholas Krueger ◽  
Kathi Avery Kinew ◽  
...  
Keyword(s):  
First Nations ◽  
Research Collaboration ◽  
Lessons Learned ◽  
First Nation ◽  
Community Based ◽  
Roles And Responsibilities ◽  
Meaningful Participation ◽  
Primary Health ◽  
University Of Manitoba ◽  
The University

This article shares experiences and lessons learned through a collaboration between the University of Manitoba, the First Nation Health and Social Secretariat of Manitoba (FNHSSM), and eight First Nation communities in Manitoba. We employed a participatory approach from planning the research project, to data collection, and to the analysis, interpretation, and implementation of results. We learned that successful collaborations require: a) investing time and resources into developing respectful research relationships; b) strong leadership and governance; c) clearly defined roles and responsibilities; d) meaningful participation of First Nations; e) multiple opportunities for community engagement; and f) commitment to multiple, ongoing, and consistent forms of communication. All factors are integral to creating and maintaining the integrity of the research collaboration.

scholarly journals Policy Forum: Implementing the Chippewas of Georgina Island First Nation Property Tax System—Opportunities, Challenges, and Lessons Learned

2021 ◽  
Vol 69 (3) ◽  
pp. 857-872
Author(s):  
Kate McCue ◽  
Bill McCue
Keyword(s):  
First Nations ◽  
Property Tax ◽  
Lessons Learned ◽  
First Nation ◽  
Property Taxes ◽  
Tax System ◽  
Fiscal Management ◽  
Local Services ◽  
Policy Forum ◽  
Do So

In 2018, the Chippewas of Georgina Island First Nation (GIFN) implemented a First Nation property tax system under the First Nations Fiscal Management Act (FMA)—one of the earliest First Nations in Ontario to do so. Implementation of a property tax system gave GIFN an opportunity to improve funding for and expand local services, and provide a more equitable sharing of local service costs between cottagers leasing First Nation land and the First Nation. Key challenges encountered when implementing the property tax system were building consensus around the need for a tax system, building an appropriate administrative infrastructure, carrying out property assessments, and professionals lacking knowledge of First Nation property tax. These challenges, however, presented opportunities to create a knowledge base around property taxation within GIFN, among cottage leaseholders, and in the wider community. Key lessons learned were (1) start as soon as possible; (2) First Nations Tax Commission support and standards are important; (3) staff training is important; (4) communicate early and often; (5) hold open houses; (6) local services are more than garbage collection; (7) property taxes do not harm lease rates or cottage sales; (8) educate lawyers, real estate agents, and other professionals; (9) startup costs were significant; (10) coordinate laws and standards with provincial variations; (11) modernize systems; and (12) utilize other parts of the FMA.

scholarly journals Sustainable Implementation of Interprofessional Education Using an Adoption Model Framework

2017 ◽  
Vol 46 (4) ◽  
pp. 76-93
Author(s):  
Ruby Grymonpre ◽  
Christine Ateah ◽  
Heather Dean ◽  
Tuula Heinonen ◽  
Maxine Holmqvist ◽  
...  
Keyword(s):  
Interprofessional Education ◽  
Healthcare Delivery ◽  
Lessons Learned ◽  
Academic Programs ◽  
Key Factors ◽  
Model Framework ◽  
Implementation Framework ◽  
Sustainable Implementation ◽  
University Of Manitoba ◽  
The University

Interprofessional education (IPE) is a growing focus for educators in health professional academic programs. Recommendations to successfully implement IPE are emerging in the literature, but there remains a dearth of evidence informing the bigger challenges of sustainability and scalability. Transformation to interprofessional education for collaborative person-centred practice (IECPCP) is complex and requires “harmonization of motivations” within and between academia, governments, healthcare delivery sectors, and consumers. The main lesson learned at the University of Manitoba was the value of using a formal implementation framework to guide its work. This framework identifies key factors that must be addressed at the micro, meso, and macro levels and emphasizes that interventions occurring only at any single level will likely not lead to sustainable change. This paper describes lessons learned when using the framework and offers recommendations to support other institutions in their efforts to enable the roll out and integration of IECPCP.  

scholarly journals Decolonizing Health in Canada: A Manitoba First Nation Perspective

2021 ◽  
Author(s):  
Rachel Eni ◽  
Wanda Phillips Beck ◽  
Grace Kyoon Achan ◽  
Josée G. Lavoie ◽  
Kathi Avery Kinew ◽  
...  
Keyword(s):  
First Nations ◽  
Primary Healthcare ◽  
Longitudinal Research ◽  
Social Research ◽  
Shared Vision ◽  
First Nation ◽  
Indigenous Populations ◽  
Community Based ◽  
Community Based Research ◽  
Indigenous Wisdom

Abstract Background This paper focuses on a longitudinal research program in Manitoba, Canada, by the Innovation Supporting Transformation in Community-Based Research Project (iPHIT) to learn from First Nations across the province that have developed effective community-based primary healthcare models. The research is relevant and timely as First Nations across the country, and Indigenous populations globally, work towards improvements in population health and health equity via critical analysis and restructuring of health services. The purpose of the paper is to deepen an understanding of decolonization as it is defined within the communities, as a central aspect of health restructuring. Methods The study is a qualitative, grounded theory analysis, which is a constructivist approach to social research that allows for generation of theory in praxis, through interactions and conversations between researchers and research participants. Findings are based on 183 in-depth interviews and eight focus group discussions with participants from 8 Manitoba First Nation communities. The study was designed to understand strengths, limitations and priorities of primary healthcare strategies and frameworks of the communities. The iPHIT team was an active collaborative partnership between the First Nation communities, First Nation Health and Social Secretariat of Manitoba, and the University of Manitoba. The First Nation partners led in all aspects of the research, from development to implementation, data collection, analyses, and dissemination. Respected Elders from the communities also guided in appropriate research and engagement protocols. Results Data was coded and then grouped into 4 interconnecting themes. These are: (1) First Nation control of healthcare, (2) traditional medicine and healing activities, (3) full community participation, and (4) moving out of colonization involves cleaning up and moving beyond the mess that colonization has inflicted. Conclusion Decolonizing health involves a taking back of Indigenous wisdom and traditional activities; connections to the land, resources; intra- and inter-community relationships. Participants emphasized the value of full community engagement with respect to inclusion of different interpretations of and experiences in the world, highlighting creation of a shared vision. The study focused on First Nation community experiences and interests in Manitoba specifically, though the data may be applicable to national and global decolonization efforts.

Hervey Bay in Transition

2004 ◽  
pp. 223-237
Author(s):  
Wayne Pease ◽  
Lauretta Wright ◽  
Malcolm Cooper
Keyword(s):  
Lessons Learned ◽  
City Council ◽  
Community Based ◽  
Community Capacity Building ◽  
Training Project ◽  
Study Approach ◽  
Knowledge Based ◽  
Information Communications Technology ◽  
The University

In regional Australia there is a growing interest and investment in community capacity building and this is beginning to be formalised in a desire to integrate information communications technology opportunities with other forms of community development. This paper explores the opportunity for greater social integration based on the formation of community-based information communication technology (ICT) driven organizations, using a case study approach.  It is suggested that whether disseminating information, collaborating with other communities, assisting the development of new industries, or simply by sharing the lessons learned along the way, community-based IT can assist and support a community’s economic and social development.  Further, the paper supports the view that, where understanding and developing new forms of information technology through community informatics is accepted as an integral part of such development, communities will not just ‘improve the old’ but will more radically restructure themselves towards a knowledge-based future. The case study that underpins these observations is that of the development of Bay Connect, a community-based Internet development and training project, begun in Hervey Bay with Networking the Nation support, and which is now expanding into the adjacent Maryborough and surrounding Shires. It is also supported by the University of Southern Queensland’s Wide Bay and has an emergent role in supporting new and existing IT businesses, Bay Connect and the Hervey Bay City Council, in the creation and nurturing of an IT skills base within the region.

scholarly journals Engage for Equity: A Long-Term Study of Community-Based Participatory Research and Community-Engaged Research Practices and Outcomes

2020 ◽  
Vol 47 (3) ◽  
pp. 380-390 ◽  
Author(s):  
Nina Wallerstein ◽  
John G. Oetzel ◽  
Shannon Sanchez-Youngman ◽  
Blake Boursaw ◽  
Elizabeth Dickson ◽  
...  
Keyword(s):  
Participatory Research ◽  
Community Based Participatory Research ◽  
Community Support ◽  
Lessons Learned ◽  
Theory Of Change ◽  
Community Based ◽  
Community Engaged Research ◽  
The Past ◽  
Long Term Study ◽  
The University

Community-based participatory research (CBPR) and community-engaged research have been established in the past 25 years as valued research approaches within health education, public health, and other health and social sciences for their effectiveness in reducing inequities. While early literature focused on partnering principles and processes, within the past decade, individual studies, as well as systematic reviews, have increasingly documented outcomes in community support and empowerment, sustained partnerships, healthier behaviors, policy changes, and health improvements. Despite enhanced focus on research and health outcomes, the science lags behind the practice. CBPR partnering pathways that result in outcomes remain little understood, with few studies documenting best practices. Since 2006, the University of New Mexico Center for Participatory Research with the University of Washington’s Indigenous Wellness Research Institute and partners across the country has engaged in targeted investigations to fill this gap in the science. Our inquiry, spanning three stages of National Institutes of Health funding, has sought to identify which partnering practices, under which contexts and conditions, have capacity to contribute to health, research, and community outcomes. This article presents the research design of our current grant, Engage for Equity, including its history, social justice principles, theoretical bases, measures, intervention tools and resources, and preliminary findings about collective empowerment as our middle range theory of change. We end with lessons learned and recommendations for partnerships to engage in collective reflexive practice to strengthen internal power-sharing and capacity to reach health and social equity outcomes.

Supervising Community Health Workers in Community-Based Delivery of Primary Health/Family Planning Services: Experiences in Mexico, 1977–1982

1986 ◽  
Vol 6 (4) ◽  
pp. 309-322 ◽  
Author(s):  
Michele G. Shedlin ◽  
Joe D. Wray ◽  
Sergio Correu
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Program ◽  
Health Workers ◽  
Community Based ◽  
Family Planning Services ◽  
Roles And Responsibilities ◽  
Primary Health ◽  
Wide Range

The supervision of CHWs in the Mexican Rural Health Program (1977–82) illustrates a wide range of problems and strengths because it was developed within a program based on a strong political mandate to deliver services to an extremely large, as well as culturally and geographically diverse population. This article presents an in-depth perspective on the issues involved in the supervision of community health workers with a focus on the myriad roles and responsibilities which are expected from supervisory personnel. The information and observations which are offered come from program evaluation materials as well as the long-term, first hand experience of the authors with the program discussed.

Innovating for Transformation in First Nations Health Using Community-Based Participatory Research

2018 ◽  
Vol 28 (7) ◽  
pp. 1036-1049 ◽  
Author(s):  
Grace Kyoon-Achan ◽  
Josée Lavoie ◽  
Kathi Avery Kinew ◽  
Wanda Phillips-Beck ◽  
Naser Ibrahim ◽  
...  
Keyword(s):  
First Nations ◽  
Participatory Research ◽  
Qualitative Interviews ◽  
Community Based Participatory Research ◽  
Study Data ◽  
Lessons Learned ◽  
Research Approach ◽  
Sustainable Change ◽  
Community Based ◽  
Participatory Research Approach

Community-based participatory research (CBPR) provides the opportunity to engage communities for sustainable change. We share a journey to transformation in our work with eight Manitoba First Nations seeking to improve the health of their communities and discuss lessons learned. The study used community-based participatory research approach for the conceptualization of the study, data collection, analysis, and knowledge translation. It was accomplished through a variety of methods, including qualitative interviews, administrative health data analyses, surveys, and case studies. Research relationships built on strong ethics and protocols to enhance mutual commitment to support community-driven transformation. Collaborative and respectful relationships are platforms for defining and strengthening community health care priorities. We further discuss how partnerships were forged to own and sustain innovations. This article contributes a blueprint for respectful CBPR. The outcome is a community-owned, widely recognized process that is sustainable while fulfilling researcher and funding obligations.

scholarly journals Development of a Community-Engaged Classroom for Teaching Health Communications: Lessons Learned From Nine Semesters of Implementation

2019 ◽  
Vol 5 (4) ◽  
pp. 246-253 ◽  
Author(s):  
Elizabeth M. Felter ◽  
Sara E. Baumann
Keyword(s):  
Graduate School ◽  
Community Organizations ◽  
Course Evaluation ◽  
Lessons Learned ◽  
Health Communications ◽  
Evaluation Design ◽  
Community Based ◽  
Community Based Organizations ◽  
School Of Public Health ◽  
The University

Community-engaged classrooms (CECs) offer many advantages to both students and community-based organizations by creating an environment that enriches student learning and contributes to meeting needs identified by the community. Students who are engaged with communities during their studies report that they learned to apply skills, develop networks, and increase their decision-making skills, confidence, professional portfolio, and ownership of projects. In this article, we report on a CEC model for a graduate-level course called “Overview of Health Communications” at the University of Pittsburgh’s Graduate School of Public Health, which has been sustained for nine semesters. This article outlines the approach for developing the CEC model, steps for implementing the course, course evaluation design, and results. We also present lessons learned from both the community organizations’ and students’ perspectives and recommendations to inform future CEC projects.

scholarly journals Commentary - The Climate Change and Health Adaptation Program: Indigenous Climate Leaders’ Championing Adaptation Efforts

2019 ◽  
Vol 39 (4) ◽  
pp. 127-130 ◽  
Author(s):  
Gabrielle Richards ◽  
Jim Frehs ◽  
Erin Myers ◽  
Marilyn Van Bibber
Keyword(s):  
Climate Change ◽  
First Nations ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
First Nation ◽  
Health Impacts ◽  
Community Based ◽  
Health Canada ◽  
Climate Change And Health ◽  
Impacts Of Climate Change

The Climate Change and Health Adaptation Program (CCHAP) is a program within the First Nations Inuit Health Branch of Indigenous Services Canada (which was previously under the responsibility of Health Canada). The CCHAP supports Inuit and First Nation communities in mitigating and adapting to the health impacts of climate change. The impacts of climate change on Indigenous health can be observed in multiple areas including, but not limited to, food security, cultural medicines, mental health and landbased practices. This program seeks to address the needs of climate change and health in First Nation and Inuit communities to support resiliency and adaptation to a changing climate both now and in the future through its emphasis on youth and capacity building. The commentary is based on the Program’s eleven years of experience working with and for Indigenous communities and provides an overview of the CCHAP model and the work it has and continues to support. This paper demonstrates three examples of community-based projects to mitigate and adapt to the health impacts of climate change to demonstrate climate change resiliency within Indigenous communities.

scholarly journals “Spirit, Safety, and a Stand-off ”: The Research-Creation Process and Its Roles in Relationality and Reconciliation among Researcher and Indigenous Co-Learners in Saskatchewan, Canada

2019 ◽  
Vol 5 (2) ◽  
pp. 37-60
Author(s):  
Myron Neapetung ◽  
Lori Bradford ◽  
Lalita Bharadwaj
Keyword(s):  
First Nations ◽  
Research Process ◽  
Lessons Learned ◽  
Research Information ◽  
Community Members ◽  
Translation Process ◽  
Community Based ◽  
Community Ownership ◽  
Research Findings ◽  
Nations Community

Provision of safe water on reserves is an ongoing problem in Canada that can be addressed by mobilizing water knowledge across diverse platforms to a variety of audiences. A participatory artistic animation video on the lived experiences of Elderswith water in Yellow Quill First Nation, Treaty Four territory, was created to mobilize knowledge beyond conventional peer-review channels. Research findings from interviews with 22 Elders were translated through a collaborative process into a video with a storytelling format that harmonized narratives, visual arts, music, and meaningful symbols. Three themes emerged which centered on the spirituality of water, the survival need for water, and standoffs in water management. The translation process, engagement and video output were evaluated using an autoethnographic approach with two members of the research team. We demonstrate how the collaborative research process and co-created video enhance community-based participatory knowledge translation and sharing. We also express how the video augments First Nations community ownership, control, access and possession (OCAP) of research information that aligns with their storytelling traditions and does so in a youth-friendly, e-compatible form. Through the evaluative process we share lessons learned about the value and effectiveness of the video as a tool for fostering partnerships, and reconciliation. The benefits and positive impacts of the video for the Yellow Quill community and for community members are discussed.

Sign in / Sign up

Export Citation Format

Share Document