Tag Archives: Culture

Planning and delivery of health services – an article review on urban aboriginal mobility in Canada: examining the association with healthcare utilization

Author: Ankit Dhawan

Abstract

An article from Social Science and Medicine, written by Snyder and Wilson (2012), examined the use of healthcare services by urban Aboriginal populations in Canada. Using the Behavioural Model of Health Services Use (BMHSU), predisposing, enabling, and need factors were organized and used for data analysis. Specifically, a comparison was made between conventional (physicians and nurses) and traditional (traditional healers) health service utilization in Toronto and Winnipeg. In addition to the geographical and educational factors, the results of the research recognized mobility as a significant predisposing complement to healthcare utilization.

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Critique of a Community-Based Population Health Intervention in a First Nations Community: Public Health and Medical Anthropology Perspectives

Author: Selim M. Khan

Abstract

Launched as a community-based partnership endeavour, the Sandy Lake Health and Diabetes Project (SLHDP) aimed to prevent diabetes in a First Nations community (FNC) in Northern Ontario. With active engagement of the key stakeholders, SLHDP conducted a series of studies that explored public health needs, priorities, and the contexts. These led to the adoption of a variety of culturally appropriate health interventions, addressing several health determinants such as health education, physical environments, nutrition, personal health practices, health services, and FNC culture. SLHDP built reciprocal capacity for both the community stakeholders and academic partners, thus evolved as a model of population health intervention. The school components are being scaled-up in other parts of FNCs in Canada. This paper presents a critique from public health and medical anthropology perspectives and draws evidence-based recommendations on how such programs can do better.

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Culture

 Culture is defined as a set of guidelines (both explicit and implicit) that inform behaviour in a particular society or group. This dynamic and adaptive system of values, norms, beliefs and practices is socially acquired and transmitted intergenerationally, rather than by genetic means. Ethnic identity, for example, is a socially defined category grounded on common ancestry, language, and social experience. Other cultural groups can be based on social class, religion, age, occupation, location, and leisure-time activity, to name a few. In light of this, it is not uncommon for individuals to identify with several cultural groups simultaneously.

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