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Indigenous Health Promotion - Coggle Diagram
Indigenous Health Promotion
Recognize that utilizing diverse means to produce research generates deeper and more vibrant knowledge.
a. Documentary filmmaking as a research process
b. Utilizing participatory methods
c. Using qualitative research methods
d. Community led research designs
e. Building long term trust is a requirement
f. Conducting research with/by the community not on the community, community members as co-researchers
g. Prioritize and create opportunities for self determination
Relational thinking is fundamental to Indigenous ways of knowing and to Indigenous health promotion.
a. Getting back to the roots of health promotion, the onto-epistemological assumptions of the discipline
b. "Human health is profoundly interconnected with the health of the land" (Durie, 2014; IUHPE, 2019)
c. Supporting values: respect, self-determination, and non-judgemental approaches to service delivery
d. Example: Results from the M’Wikwedong Indigenous Friendship Centre
i. Connecting youth with the M’Wikwedong
ii. Connecting youth with their sense of self
iii. Connecting youth with Indigenous cultures
iv. Connecting youth with the city
v. Ethos of connection
"Egalitarianism and inclusiveness of knowledge"
"Restoring the balance in a set of interconnected relationships that are meaningful for youth, such as connections to the land, community, culture, language, and spirituality"
Strong Indigenous leadership
e. Health promotion should not only be oriented towards the direct recipients of the program delivery, but rather understood through relationships, ie. how did that health promotion intervention impact the broader community?
Cultural safety as a key concept for health promotion
a. "It must be recognized that many of the public health strategies developed also increase social inequities and cultural insecurity because they are blind to the specific needs of Indigenous peoples (Collin-Ve ́zina et al., 2020; Power et al., 2020)
i. "Manifestation of systemic racism that increases vulnerability and insecurity for Indigenous populations" (Tremblay, 2021)
c. It is critical to acknowledge the impact of colonialism and racism on Indigenous health, and accept Indigenous difference, exceptionality and expertise (Tremblay, 2021)
b. Fundamentally about dismantling colonialism and systemic racism in the health care system, promoting equity in health, self determination and empowering Indigenous populations (Tremblay, 2021)
d. health promotion must engage with cultural safety through the development and implementation of participatory, empowering and decolonizing approaches to research and practice (Tremblay, 2021)
Western world views favour reductionist approaches to health promotion
a. "Notion of 'control' underpins theoretical and practical development" (Sanchez-Pimienta et al, 2020)
b. Decolonizing health promotion and overcoming limitations of western approaches involves creating space for Indigenous health promotion
Many difficulties exist in operationalizing Indigenous health promotion.
a. Indigenous urbanization and cities upholding segregated geographies of entrenched racism (Peters, 2002)
i. Racism at the individual level
ii. Systemic racism
iii. Dominance of built infrastructure that doesn't account for Indigenous priorities or world views
b. Continuing history of colonialism
c. Western views dominate