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Week 7: Indigenous Health Promotion - Coggle Diagram
Week 7: Indigenous Health Promotion
by Beth Clark
The Indigenous "ethos of connection" ought to replace the Western idea of "control."
To fortify the "ethos of connection" it is necessary to have egalitarianism of knowledge and relationships along with leadership by Indigenous people.
Increasingly health promotion tactics are being rejected by Indigenous communities if the approach has a sense of "control" in some way.
Since the time colonizers arrived in Canada, Indigenous health has been impacted and continues to be impacted by colonization, colonialism, and racism.
Distrust in health institutions stems from this.
Decolonization processes include community control, community engagement, and cultural relevance.
A pluralistic approach that incorporates both Indigenous and Western paradigm perspectives can lead to more successful programs.
Health promotion needs to embed cultural safety in order to have better health outcomes for Indigenous people.
Systemic racism already leads to unjust treatment of Indigenous patients, with the COVID-19 pandemic only increasing inequalities and cultural insecurities.
Public health strategies continue to be blind to the particular needs of Indigenous peoples, whereby increasing inequities.
Given the inherent power structures within healthcare systems, cultural safety is a concept that requires cultural awareness by providers and allows Indigenous patients to be empowered through self-determined decisions in their receiving of health services.
A pressing need for health promotion is an increasing embedding of an ecological view and sustainable development.
While in theory health promotion supports the link between human health and the environment, practice and research have lacked this because of their entrenchment in a Western worldview (filled with injustice, colonization, dualistic views) instead of a more holistic, pluralistic, and connected worldview held by Indigenous peoples.
Indigenous health promotion relies on both ancient and modern knowledge and wisdom that promotes human health and wellbeing within ecological and social contexts.
Indigenous worldviews are as plentiful as the number of peoples, yet there is a strong connection between specific peoples and their ancestral lands - the land is important.
Documentary filmmaking is both a research process and an output, leading to education about how we see and position ourselves in the world.
It can be considered as part of qualitative research as it includes immersive and extended involvement in a particular social world.
Guba and Lincoln created quality criteria that can be used as a framework for the documentary filmmaking approach to be used as a research method.