Turning around the intergenerational impact of residential schools on Aboriginal people: implications for health policy and practice.
This paper reports on the first wave of results from a study exploring the views and experiences of community-based stakeholders on improving care for pregnant and parenting Aboriginal people in Canada. The issue of poor access to prenatal care by Aboriginal women and families is viewed through a post-colonial lens within a historical and social location. This case study was guided by participatory research principles. Data were collected through exploratory interviews and small-group discussions. The sample comprised purposively selected community leaders, providers, and community members affiliated with 2 Aboriginal health-care organizations in a mainly rural region. Participants from all 3 stakeholder groups expressed the view that care should be based on an understanding of the priorities and experiences of the pregnant and parenting Aboriginal women and families themselves. Therefore the research question What are Aboriginal parents' views of the importance of pregnancy and parenting? was added to highlight the views and life experiences of Aboriginal parents. "Turning around" the intergenerational impact of residential schools was identified as pivotal to care. The results suggest that pregnancy and parenting must be understood as reflecting both the unique individual and family experiences of Aboriginal people and the intergenerational impact of residential schools as an instrument of collective violence and as a key factor in Aboriginal Canadians' inequitable health status and access to health services.
University of Ottawa, Ontario, Canada.
Dawn
D
Smith
Colleen
C
Varcoe
Nancy
N
Edwards
D000069:Acculturation; D000328:Adult; D001294:Attitude to Health / Q000208:ethnology*; D002170:Canada; D018595:Colonialism; D003256:Community Participation; D035881:Compensation and Redress; D018864:Cultural Diversity; D005260:Female; D017144:Focus Groups; D006291:Health Policy; D006301:Health Services Needs and Demand; D006303:Health Services, Indigenous / Q000458:organization & administration; D006801:Humans; D007198:Indians, North American / Q000208:ethnology*; D016901:Intergenerational Relations / Q000208:ethnology*; D008297:Male; D015404:Nursing Methodology Research; D010290:Parents / Q000523:psychology*; D011203:Poverty / Q000208:ethnology; D011287:Prejudice; D011295:Prenatal Care / Q000458:organization & administration*; D011638:Public Housing; D012574:Schools / Q000458:organization & administration*; D012945:Social Values; D019966:Substance-Related Disorders / Q000208:ethnology; D014754:Violence / Q000208:ethnology