70 Sharing Child Health Knowledge in an Urban Inuit Community: A Needs Assessment

Primary Subject area Public Health and Preventive Medicine Background It is well established that significant health disparities continue to affect Canadian Indigenous children living both in remote and urban areas. A critical component of health promotion is health knowledge dissemination. A 2011 Health Council of Canada study identified the need for better community knowledge of parenting and child health as intervention targets among Indigenous communities across Canada. Objectives In the present study, we aimed to explore the perspectives of Inuit parents and caregivers in one urban setting (Ottawa, Ontario) on the dissemination of child health knowledge specifically, with the intention of guiding future community-based child health promotion initiatives. Design/Methods Ottawa, being home to the largest Inuit population living outside Inuit Nunangat, provided an ideal study location. Many Inuit report relocating to Ottawa for employment, education, or for greater access to heath services. We therefore partnered with the Ottawa-based Inuuqatigiit Centre for Children, Youth, and Families, to design and conduct a needs assessment through a series of focus groups. Focus groups explored participants’ current sources of child health knowledge, child health topics of interest, and preferred formats for child health knowledge dissemination. Focus groups were held at Inuuqatigiit and included a meal of country food shared by study participants and research team members to support relationship-building and engagement. Focus groups were analyzed using an inductive approach to qualitative thematic analysis. Results 24 Inuit parents and caregivers participated in 4 focus groups. Factors affecting preferred sources of health knowledge included trustworthiness, fear of discrimination, cultural differences, and having a holistic approach. Participants identified several child health issues that should be the focus of future child health knowledge sharing initiatives, in particular those in which a sense of cultural dissonance was felt between traditional and Western approaches. In-person and online/interactive sessions were preferred over written materials. Many participants agreed that child health knowledge-sharing initiatives should be designed and delivered with involvement of the community. Participants also emphasized the importance of synthesizing traditional knowledge of Elders with that of health professionals. Conclusion There is a need for better child health knowledge dissemination strategies among the Ottawa Inuit community as a crucial aspect of health promotion. Special considerations when designing such initiatives must be given to historical dynamics of trust and mistrust of the health professions, to addressing cultural differences, and to the role of community members in the design and implementation of initiatives.

The Spence Bay Project: Inuit representation, social engagement, and feminist pedagogy in the photographic work of Pamela Harris

This thesis project analyzes the Pamela Harris Spence Bay Collection, held at the Art Gallery of Ontario (AGO). It is comprised of photographic work produced by Harris while in the Inuit community of Spence Bay, in 1972 and 1973, as well as photographs and documents pertaining to the community darkroom Harris initiated. Harris's photographs capture an Inuit community in transition, encompassing both Northern and Southern ways of being, and analyzed within the historical context of photographic representation of Indigenous communities. The community darkroom is examined through a feminist pedagogical framework, and illustrates how community members utilized photography as a tool of empowerment. This project is analyzed within the political and social contexts of the late 1960s and early 1970s, and explores the themes of community engagement, the politics of representation, and empowerment, and argues that Harris's social consciousness contributed to a shift in Indigenous visual discourse.

The Spence Bay Project: Inuit representation, social engagement, and feminist pedagogy in the photographic work of Pamela Harris

This thesis project analyzes the Pamela Harris Spence Bay Collection, held at the Art Gallery of Ontario (AGO). It is comprised of photographic work produced by Harris while in the Inuit community of Spence Bay, in 1972 and 1973, as well as photographs and documents pertaining to the community darkroom Harris initiated. Harris's photographs capture an Inuit community in transition, encompassing both Northern and Southern ways of being, and analyzed within the historical context of photographic representation of Indigenous communities. The community darkroom is examined through a feminist pedagogical framework, and illustrates how community members utilized photography as a tool of empowerment. This project is analyzed within the political and social contexts of the late 1960s and early 1970s, and explores the themes of community engagement, the politics of representation, and empowerment, and argues that Harris's social consciousness contributed to a shift in Indigenous visual discourse.

Why Ross Survived When Franklin Died: Arctic Explorers and the Inuit, 1829–1848

The Franklin expedition disappeared in the High Arctic in the 1840s, looking for the North-West Passage. After a long search, contacts with local Inuit revealed they had all perished. Could the Inuit have saved Franklin’s crews? The experience of John and James Ross is instructive. A decade earlier they led a smaller party to an Arctic region near where Franklin’s crews landed. They made friends with an Inuit community and learnt useful skills in clothing, diet, shelter and transport. This enabled them to survive four Arctic winters and come home safely. But the Franklin expedition was poorly placed to benefit from Inuit contact. They were too numerous and had no interpreters. Trapped in the ice, they did not seek out Inuit villages. Leaving the ships, they turned towards a desert region and abandoned useful equipment. The wrecks of Erebus and Terror were only discovered in 2014 and 2016, again thanks to Inuit guidance. Britain has transferred the wrecks and their contents to Canada. They will be jointly held by the government and the Inuit ­people, whose ­contribution to the Franklin story is finally being recognized.

95 Child Health Promotion Through Community Educational Sessions in an Urban Inuit Community: A Needs Assessment

Introduction/Background Canadian Inuit children experience significant health disparities compared to their non-Inuit counterparts. Despite almost one-fifth of Canadian Inuit living in urban centres, few studies have explored their health needs. Current literature surveying Indigenous leaders identifies the need for improved access to child health and parenting knowledge. Community-based initiatives have been shown to improve Indigenous maternal and child health outcomes. Our study aimed to describe urban Inuit parents’ perspectives on accessing child health knowledge to guide development of Inuit-specific health knowledge-sharing initiatives. Objectives Design/Methods In conjunction with community partners, we conducted a qualitative needs assessment through focus groups at an urban-situated organization that provides cultural, educational, and social services to Inuit children and families. Participants were parents and caregivers of Inuit children. All focus groups were recorded, transcribed, and imported into NVivo software. Inductive coding was used to identify themes related to participants’ sources of health knowledge, barriers and facilitators to accessing health knowledge, and health topics that participants hoped to learn more about. Results Twenty-four individuals participated in four focus groups, of which twenty-one (88%) identified as Inuit. While participants represented a range of ages (19-40 years), most participants (42%) were 31-40 years old. The majority of participants (88%) identified as female. Participants had lived a median of 15 years in an urban setting (interquartile range 10-23). Seventeen participants (71%) cared for children aged 5 or younger. The main sources of health knowledge reported were Indigenous-focused services, online resources, telehealth and social networks (e.g. family and peers). The most notable barrier to accessing child health information was cultural differences (i.e. lifestyle and parenting practices). Discrimination and challenges with systems navigation also emerged as themes. Key health topics of interest included common childhood complaints (e.g. infections and immunizations), infant care, nutrition, parenting and development, mental health, and sexual education for adolescents. Preferred modes of child health information delivery were in-person sessions, pamphlets, and online videos with preferences for both health care providers and Inuit Elders as facilitators. Key access factors included Inuit language/translation, convenience of location, transportation, scheduling, and presence of food and childcare. Conclusion Our results reveal important factors affecting access to child health knowledge among Inuit families in a large urban setting, as well as key child health topics of interest to this population. Informed by these findings and with help from our community partners, we are co-developing child health knowledge-sharing initiatives specific to the needs of the Inuit community in our region.

Biographical Collage as a Tool in Inuit Community-Based Participatory Research and Capacity Development

As a method in arts-based qualitative research, the collage technique has been previously utilized for data generation, elicitation, analysis, and presentation of results. Collage has also been used as a self-reflective, development exercise within community-based research due to its abstract and creative self-exploratory style. Although previously used in research with a variety of populations, there is limited evidence of applying the collage technique with First Nation, Inuit, or Métis peoples, even though many other arts-based methods, such as photovoice, have been used. This article describes the use of biographical collage as part of a community-based research project in a northern Canadian Inuit community. The technique was used as an exercise for building leadership capacity, as an elicitation technique in cross-cultural qualitative interviews, and as a decolonizing process in community-based participatory research. With the description of an in-depth example, this article showcases many benefits of using the collage technique when engaging in cross-cultural community-based research with Inuit.

Reduced sea ice protection period increases storm exposure in Kivalina, Alaska

On Arctic coasts, erosion is limited by the presence of nearshore sea ice, which creates a protective barrier from storms. In Kivalina, an Alaskan Inupiaq Inuit community, decreasing seasonal sea ice extent and a lengthening of the open-water season may be resulting in fall storms that (1) generate higher, longer, and more destructive waves and (2) cause damage later in the year, resulting in increased flooding and erosion. We assess trends in the duration of nearshore sea ice and their relationship with storm occurrence over the period 1979–2015 in Kivalina. Analysis of passive microwave sea ice concentration data indicates that the open-water season has increased by 5.6 ± 1.2 days/decade over the last 37 years, with moderate evidence that it is extending further into the fall than into the spring. This is correlated with an increased reporting frequency of high-damage storms; 80% of reported storms since 1970 occurred in the last 15 years. Each high-damage storm event occurred during the open-water season for that year. Our findings support Kivalina villagers’ assertions that climate change increases storm exposure and associated damages from flooding and erosion.