Envisioning Health: Anishanabee and Dakota Case Studies
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Date
2017-08-04
Authors
Krueger, Nicholas
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Abstract
Historically, Indigenous communities in Canada have had to rely on a primary healthcare system
developed and controlled by the Canadian government. Community action and research has shown the
importance and benefit of community designed primary healthcare. These models of primary healthcare
do not fit into conventional definitions. Within the context of a the larger Innovation Supporting
Transformation in Community Based Primary Healthcare in First Nation and Rural and Remote
Communities in Manitoba (iPHIT) study, two Manitoban case studies in an Anishanabee and Dakota
community examined the Indigenous development of primary healthcare. Specifically, the case studies
sought to describe current primary healthcare issues in each community and determine how communities
innovate towards self determined community health goals. Data was gathered through a combination of
focus groups, interviews, and phone conversations with the communities. Data was analyzed through
grounded theory. Each community described a context of a health resource deplete environment and
continuing effects of colonialism. However, both communities demonstrated a strong community identity
which was critical to both defining and taking action on their primary healthcare goals within this context.
The respectful research relationship that iPHIT has fostered was key for allowing Indigenous self
determination in this project.
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Keywords
Innovation Supporting Transformation in Community Based Primary Healthcare in First Nation and Rural and Remote Communities in Manitoba (iPHIT), Indigenous, Self Determination, iPHIT, health