scholarly journals Community-Based Sexual and Reproductive Health Promotion and Services for First Nations People in Urban Australia

2021 ◽  
Vol Volume 13 ◽  
pp. 467-478
Author(s):  
Sophie Hickey ◽  
Yvette Roe ◽  
Caroline Harvey ◽  
Sue Kruske ◽  
Anton Clifford-Motopi ◽  
...  
Keyword(s):  
Health Promotion ◽  
Reproductive Health ◽  
First Nations ◽  
Sexual And Reproductive Health ◽  
Community Based ◽  
Nations People ◽  
First Nations People

scholarly journals Traditional Knowledge: Considerations for Protecting Water in Ontario

2012 ◽  
Vol 3 (3) ◽  
Author(s):  
Deborah McGregor
Keyword(s):  
First Nations ◽  
Traditional Knowledge ◽  
Indigenous Peoples ◽  
Indigenous Communities ◽  
Community Based ◽  
Regulatory Documents ◽  
Nations People ◽  
Decision Making Processes ◽  
First Nations People ◽  
Ways Of Life

In Canada, the water crisis increasingly felt around the world is being experienced primarily in small, usually Indigenous, communities. At the heart of this issue lies an ongoing struggle to have Indigenous voices heard in the decision-making processes that affect their lives, lands, and waters. As part of ancient systems of Traditional Knowledge (TK), Indigenous people bear the knowledge and the responsibility to care for the waters upon which they depend for survival. A series of internationally developed documents has supported Indigenous peoples’ calls for increased recognition of the importance of TK in resolving environmental crises, including those involving water. Ontario provincial and Canadian federal governments have been developing legislative and regulatory documents to help fend off further water-related catastrophes within their jurisdictions. Despite such efforts, a number of barriers to the successful and appropriate involvement of TK in water management remain. Based on years of community-based and policy-related research with First Nations people involved in water-related undertakings, this article highlights progress made to date, and provides Indigenous viewpoints on what further steps need to be taken. Key among these steps are the need to restore and maintain Indigenous access to traditional territories and ways of life, and the requirement for mutually respectful collaboration between TK and Western science.

scholarly journals Feasibility and Outcomes of a Community-Based Taper-to-Low- Dose-Maintenance Suboxone Treatment Program for Prescription Opioid Dependence in a Remote First Nations Community in Northern Ontario

2013 ◽  
Vol 9 (1) ◽  
pp. 52
Author(s):  
Mae Katt ◽  
Claudette Chase ◽  
Andriy V. Samokhvalov ◽  
Elena Argento ◽  
Jürgen Rehm ◽  
...  
Keyword(s):  
First Nations ◽  
Opioid Dependence ◽  
Low Dose ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Community Based ◽  
Northern Ontario ◽  
Major Health Problem ◽  
Nations People ◽  
First Nations People

<p>Objective: Non-medical prescription opioid use (NMPOU) is a major health problem in North America and increasingly prevalent among First Nations people. More than 50% of many Nishnawbe Aski Nation communities in northern Ontario report NMPOU, resulting in extensive health and social problems. Opioid substitution therapy (OST) is the most effective treatment for opioid dependence yet is unavailable in remote First Nations communities. Suboxone (buprenorphine and naloxone) specifically has reasonably good treatment outcomes for prescription opioid (PO) dependence. A pilot study examining the feasibility and outcomes of a community-based Suboxone taper-to-low-dose-maintenance program for PO-dependent adults was conducted in a small NAN community as a treatment option for this particular setting.</p><p>Design: Participants (N = 22, ages 16–48 years) were gradually stabilized on and tapered off Suboxone (provided on an outpatient and directly-observed basis) over a 30-day period. Low dose maintenance was offered post-taper to patients with continued craving and relapse risk; community-based aftercare was provided to all participants. Results: Of 22 participants, 21 (95%) completed the taper phase of the program. Fifteen (88%) of 17 participants tested by urine toxicology screening had no evidence of PO use on day 30. No adverse side effects were observed. All but one of the taper completers were continued on low-dose maintenance. Conclusion: Community-based Suboxone taper-to-low-dose-maintenance is feasible and effective as an initial treatment for PO-dependence in remote First Nations populations, although abstinence is difficult to achieve and longer term maintenance may be required. More research on OST for First Nations people is needed; existing OST options, however, should be made available to First Nations communities given the acute need for treatment.</p>

Should we change the focus of health promotion in sexual health clinics?

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 407 ◽  
Author(s):  
Rudiger Pittrof ◽  
Elizabeth Goodburn
Keyword(s):  
Risk Factors ◽  
Health Promotion ◽  
Cost Effectiveness ◽  
Reproductive Health ◽  
Sexual Health ◽  
Sexual And Reproductive Health ◽  
Health Clinics ◽  
Unknown Risk ◽  
Sexual Health Clinics ◽  
The Cost

The effectiveness of sexual behaviour change interventions in sexual health clinics is unknown. Risk factors for poor sexual and reproductive health such as depression, violence, alcohol and smoking in sexual health clinics are all common and can be identified easily in sexual health services. Targeting these risk factors could be as effective as traditional sexual health promotion and could have additional benefits. The authors propose a pilot to assess the cost-effectiveness and acceptability of incorporating screening and interventions for these risk factors.

scholarly journals Cultural safety for First Nations people in aged care

2021 ◽  
pp. 1-7
Author(s):  
Linda Michelle Deravin ◽  
Judith Anderson ◽  
Nicole Mahara
Keyword(s):  
First Nations ◽  
Aged Care ◽  
Cultural Safety ◽  
Nations People ◽  
First Nations People

Estimating risks from exposure to methylmercury: Application to first nations people in Canada

1997 ◽  
Vol 97 (1-2) ◽  
pp. 107-118 ◽  
Author(s):  
Sara Hoover ◽  
Ryan Hill ◽  
Tom Watson
Keyword(s):  
First Nations ◽  
Nations People ◽  
First Nations People

First Nations’ Survivance and Sovereignty in Canada during a Time of COVID-19

2020 ◽  
Vol 44 (2) ◽  
pp. 89-100
Author(s):  
Robyn K. Rowe ◽  
Julia Rowat ◽  
Jennifer D. Walker
Keyword(s):  
First Nations ◽  
Healthcare System ◽  
Scarlet Fever ◽  
Nations People ◽  
Vulnerable People ◽  
History Of ◽  
Negative Impacts ◽  
First Nations People

First Nations people in Canada have demonstrated and continue to demonstrate persistent and resilient cultural, linguistic, and traditional endurance: survivance. The devastation resulting from centuries of health pandemics such as smallpox, influenza, cholera, tuberculosis, measles, and scarlet fever reinforce the ongoing resilience of First Nations people, cultures, and traditions in Canada. Despite the history of pandemic-related trauma and a myriad of social, political, environmental, and health challenges, as well as the added burden that COVID-19 is placing on the healthcare system in Canada, First Nations’ organizations and leadership are enacting their inherent rights to sovereignty and governance. While First Nations are bracing for the expected negative impacts of COVID-19, they are doing so in ways that respect and honor their histories, cultures, languages, and traditions. First Nations are acting to protect some of the most vulnerable people in their communities including elders, knowledge keepers, and storytellers who carry with them irreplaceable traditional and cultural knowledges.

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