Comprehensive Primary Health Care in the Island Lake Communities: What does it mean and how does it look?
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Date
2012-03-12
Authors
Scramstad, Carly
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Abstract
Introduction: As part of a global project on Comprehensive Primary Health Care (CPHC), this
project was designed to identify the health beliefs and values of the residents of Garden Hill First
Nation and to design a governance model for a CPHC system that would best reflect these health
beliefs and values.
Methods: The study had three components: First, a research agreement that appropriately
recognized and respected the communities’ rights to own, control, access and possess the
knowledge generated through the research was negotiated and signed. A literature review was
performed to identify any previous articles on First Nations’ conceptualizations of health and on
CPHC, especially in a First Nations’ context. Lastly, community level data gathering was in the
form of modified focus group activities for youth (age 19-29), adults and elders. The focus
groups were recorded and transcribed, and analyzed by three members of the research team for
major themes.
Results: The following themes were identified as either components of, barriers to, or conditions
necessary for health: healthy and affordable food, physical activity, healthy body weights, being
clean (personal hygiene, environmental cleanliness), mental health, substance abuse, prenatal
health, parenting, link to the land, traditional food, traditional medicine, water, housing, expense
of basic necessities, community perspective, community participation/ engagement, community
independence, community leadership responsibilities, advocacy, equity, and safe and accessible
health care. Of the five criterion of a CPHC system, the third tenet regarding the improvement of
social and environmental factors that impact on health was the most significantly emphasized.
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Keywords
medicine