scholarly journals High Tuberculosis Disease Burden among Indigenous People of the Paraguayan Chaco and Associated Community Characteristics, 2002–2004: An Ecological Study

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Amanda VanSteelandt ◽  
Ana Magdalena Hurtado ◽  
Miriam Rolón ◽  
Antonieta Rojas de Arias ◽  
Juan Carlos Jara

Indigenous populations are generally reported to suffer greater active tuberculosis (TB) disease burden. The objective of this study was to examine ecological associations between cases of active adult and pediatric TB reported from 2002 to 2004 and community characteristics in indigenous communities of the Paraguayan Chaco. Adult and pediatric models were examined by negative binomial and Poisson GLM regression, respectively. Active TB prevalence in indigenous people was eight times higher than the nonindigenous population. Communities with a health post were more than twice as likely to report active adult TB (RR = 2.07, 95% confidence interval (CI) [1.14–3.83], and p<0.05). Each additional average year of education in the community was associated with nearly 50% less likelihood of active pediatric TB (RR = 0.53, 95% CI [0.38–0.73], and p<0.001). Although nonsignificant, the presence of nonindigenous community members had a strong protective association in both the adult (RR = 0.56, 95% CI [0.30–1.03], and p=0.06) and pediatric models (RR = 0.64, 95% CI [0.34–1.14], and p=0.14). These results reinforce the importance of increasing epidemiologic surveillance and investigating the social determinants of TB disease among vulnerable indigenous populations.

2017 ◽  
Vol 29 (4) ◽  
pp. 49-60 ◽  
Author(s):  
Phuong Lan Do

INTRODUCTION: The participation rates of Indigenous Australians in disability services were significantly lower than the prevalence of disability in Indigenous communities. The Australia’s National Disability Insurance Scheme (NDIS) promises changes to the lives of Australians with disability in general and particularly for the Indigenous population living with disability. This article presents research exploring how the NDIS takes into consideration the issues challenging Indigenous people’s access to, and use of, disability services.METHODS: The theoretical underpinning of the research drew on the social model of disability and post-colonial theory, which informed a systematic review of disability services for Indigenous people, an analysis of the current policy-making process and current NDIS legislation.FINDINGS: The systematic literature review revealed the social, attitudinal, physical and communication barriers experienced by Indigenous people accessing and using disability services; however, the policy analysis of the NDIS indicates that the new legislation does not address these challenges faced by this multi-disadvantaged Australian population group.CONCLUSION: This research highlights the urgent need for disability policy improvements and promotes further design of culturally appropriate healthcare for Indigenous populations, who are still “disabled”, not only by colonised histories but also through contemporary socio-economic marginalization.   


Author(s):  
Tahir Ali ◽  
Petra Topaz Buergelt ◽  
Douglas Paton ◽  
James Arnold Smith ◽  
Elaine Lawurrpa Maypilama ◽  
...  

The Sendai Framework of Action 2015–2030 calls for holistic Indigenous disaster risk reduction (DRR) research. Responding to this call, we synergized a holistic philosophical framework (comprising ecological systems theory, symbolic interactionism, and intersectionality) and social constructionist grounded theory and ethnography within a critical Indigenous research paradigm as a methodology for exploring how diverse individual and contextual factors influence DRR in a remote Indigenous community called Galiwinku, in the Northern Territory of Australia. Working together, Indigenous and non-Indigenous researchers collected stories in local languages using conversations and yarning circles with 20 community members, as well as participant observations. The stories were interpreted and analysed using social constructivist grounded theory analysis techniques. The findings were dialogued with over 50 community members. The findings deeply resonated with the community members, validating the trustworthiness and relevance of the findings. The grounded theory that emerged identified two themes. First, local Indigenous knowledge and practices strengthen Indigenous people and reduce the risks posed by natural hazards. More specifically, deep reciprocal relationships with country and ecological knowledge, strong kinship relations, Elder’s wisdom and authority, women and men sharing power, and faith in a supreme power/God and Indigenous-led community organizations enable DRR. Second, colonizing practices weaken Indigenous people and increase the risks from natural hazards. Therefore, colonization, the imposition of Western culture, the government application of top-down approaches, infiltration in Indigenous governance systems, the use of fly-in/fly-out workers, scarcity of employment, restrictions on technical and higher education opportunities, and overcrowded housing that is culturally and climatically unsuitable undermine the DRR capability. Based on the findings, we propose a Community-Based DRR theory which proposes that facilitating sustainable Indigenous DRR in Australian Indigenous communities requires Indigenous and non-Indigenous partners to genuinely work together in two-directional and complementary ways.


Anthropology ◽  
2018 ◽  
Author(s):  
Paulette F. Steeves

There are minimally 370 million Indigenous people in the world. The term Indigenous was not used to identify human groups until recently. Indigenous people are often identified as the First People of a specific regional area. Indigeneity as applied to First People came into use in the 1990s, as many colonized communities fought against erasure, genocide, and forced acculturation under colonial regimes. An often-cited definition of Indigenous peoples is one by Jose Martinez Cobo, special rapporteur for the UN Sub-Commission. Cobo’s 1986 report was completed for the United Nations Economic and Social Council, Commission on Human Rights, Sub-Commission on Prevention and Discrimination and Protection of Minorities, thirty-fifth session, item 12 of the provisional agenda, titled, “Study of the Problem of Discrimination against Indigenous Populations.” Cobo described Indigenous people, communities, and nations as groups that have a “historical continuity with pre-colonial societies” within territories they developed, and as communities that “consider themselves distinct from other sectors of societies” now in their territories. Cobo further stressed that Indigenous people and communities are minorities within contemporary populations that work to preserve their ethnic identities and ancestral territories for future generations. It is important to include displaced people whom prior to colonization identified with specific land areas or regional areas as homelands, as well as Indigenous communities that have for decades been in hiding in areas away from their initial homeland areas. Many descendants of Indigenous people were forced to hide their identities for their own safety due to colonization and genocidal policies focused on physical and cultural erasure. That does not make them non-Indigenous. It makes them survivors of genocide, erasure, and forced acculturation. Many Indigenous people are just coming to terms with the impact of ethnic cleansing and the work to reclaim and revive their identities and cultures. Indigenous is both a legal term, and a personal, group, and pan-group identity. Scholars have argued there are at least four thousand Indigenous groups, but that number is likely very low. Indigeneity is not as simple as an opposition to identity erasure or a push back against colonization. Indigeneity is woven through diverse experiences and histories and is often described as a pan-political identity in a postcolonial time. However, that can be misleading, as the world does not yet exist in a postcolonial state, despite ongoing concerted efforts by Indigenous people and their allies in political and academic spheres to decolonize institutions and communities. Diverse Indigenous communities weave Indigeneity through a multifaceted array of space and time to revive identities and cultural practices and to regain or retain land, human rights, heritage, and political standing.


Author(s):  
Nicholas Bainton

Anthropologists have been studying the relationship between mining and the local forms of community that it has created or impacted since at least the 1930s. While the focus of these inquiries has moved with the times, reflecting different political, theoretical, and methodological priorities, much of this work has concentrated on local manifestations of the so-called resource curse or the paradox of plenty. Anthropologists are not the only social scientists who have tried to understand the social, cultural, political, and economic processes that accompany mining and other forms of resource development, including oil and gas extraction. Geographers, economists, and political scientists are among the many different disciplines involved in this field of research. Nor have anthropologists maintained an exclusive claim over the use of ethnographic methods to study the effects of large- or small-scale resource extraction. But anthropologists have generally had a lot more to say about mining and the extractives in general when it has involved people of non-European descent, especially exploited subalterns—peasants, workers, and Indigenous peoples. The relationship between mining and Indigenous people has always been complex. At the most basic level, this stems from the conflicting relationship that miners and Indigenous people have to the land and resources that are the focus of extractive activities, or what Marx would call the different relations to the means of production. Where miners see ore bodies and development opportunities that render landscapes productive, civilized, and familiar, local Indigenous communities see places of ancestral connection and subsistence provision. This simple binary is frequently reinforced—and somewhat overdrawn—in the popular characterization of the relationship between Indigenous people and mining companies, where untrammeled capital devastates hapless tribal people, or what has been aptly described as the “Avatar narrative” after the 2009 film of the same name. By the early 21st century, many anthropologists were producing ethnographic works that sought to debunk popular narratives that obscure the more complex sets of relationships existing between the cast of different actors who are present in contemporary mining encounters and the range of contradictory interests and identities that these actors may hold at any one point in time. Resource extraction has a way of surfacing the “politics of indigeneity,” and anthropologists have paid particular attention to the range of identities, entities, and relationships that emerge in response to new economic opportunities, or what can be called the “social relations of compensation.” That some Indigenous communities deliberately court resource developers as a pathway to economic development does not, of course, deny the asymmetries of power inherent to these settings: even when Indigenous communities voluntarily agree to resource extraction, they are seldom signing up to absorb the full range of social and ecological costs that extractive companies so frequently externalize. These imposed costs are rarely balanced by the opportunities to share in the wealth created by mineral development, and for most Indigenous people, their experience of large-scale resource extraction has been frustrating and often highly destructive. It is for good reason that analogies are regularly drawn between these deals and the vast store of mythology concerning the person who sells their soul to the devil for wealth that is not only fleeting, but also the harbinger of despair, destruction, and death. This is no easy terrain for ethnographers, and engagement is fraught with difficult ethical, methodological, and ontological challenges. Anthropologists are involved in these encounters in a variety of ways—as engaged or activist anthropologists, applied researchers and consultants, and independent ethnographers. The focus of these engagements includes environmental transformation and social disintegration, questions surrounding sustainable development (or the uneven distribution of the costs and benefits of mining), company–community agreement making, corporate forms and the social responsibilities of corporations (or “CSR”), labor and livelihoods, conflict and resistance movements, gendered impacts, cultural heritage management, questions of indigeneity, and displacement effects, to name but a few. These different forms of engagement raise important questions concerning positionality and how this influences the production of knowledge—an issue that has divided anthropologists working in this contested field. Anthropologists must also grapple with questions concerning good ethnography, or what constitutes a “good enough” account of the relations between Indigenous people and the multiple actors assembled in resource extraction contexts.


2021 ◽  
Author(s):  
Jailah Bamba ◽  
Cristela Candelario ◽  
Rosarie Gabuya ◽  
Lhearnie Manongdo

Cognizant of the special needs of indigenous people in the Philippines, the Republic Act No. 8371 of 1997 was established to promote and protect their rights. Over the years, a number of community organizing efforts for the improvement of these communities were conducted by stakeholders from the private and public sectors. However, resistance has been reported due to poor understanding and integration of these indigenous populations' varied cultures and traditions. This study aims to describe the predominant principles and frameworks used for community organizing among indigenous people. Specifically, it seeks to propose a community organizing approach that is culturally sensitive and appropriate for indigenous communities in geographically isolated and disadvantaged areas in the Philippines. A systematic review was conducted on four databases (PubMed, ScienceDirect, ResearchGate, Google Scholar) by four independent researchers. Inclusion criteria involved studies about community organizing protocols in the Philippines, published in peer-reviewed journals from 2010-2020, and written in the English language. Assessment of the quality of included studies was done using the Critical Appraisal Skills Program (CASP) checklist, and narrative synthesis was employed to summarize and report the findings. Thirteen studies met our inclusion criteria out of a total of fifty-five articles searched. Based on the evidence, our proposed approach builds on Groundwork, Indigenous Capacity Building, Community Participation and Ownership, Mobilization, and Sustainability. We highlight the emphasis of harnessing indigenous knowledge and Participatory Monitoring and Evaluation to involve them in all steps of the planning and decision-making processes. Furthermore, we distill tools and methodologies that could strengthen and precipitate successful community organizing endeavors.


Author(s):  
Maryann Lee

This chapter explores how Māori and Indigenous communities are engaging in social media in ways that reflect their cultural aspirations and Indigenous ways of being. Social media provides opportunities for Indigenous people to represent an Indigenous worldview that encompasses cultural, political, and social preferences. Highlighted also in this chapter are the risks inherent within the use of social media for Māori and Indigenous communities: in ways in which the misrepresentation, commodification, and exploitation of Indigenous culture and traditions are amplified through the use of social media that support colonial ideologies and the ongoing practice of colonization.


2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Michelle Firestone ◽  
Jessica Syrette ◽  
Teyohá:te Brant ◽  
Marie Laing ◽  
Steve Teekens

While urban Indigenous populations in Canada are increasing and represent many diverse and culturally vibrant communities, disparities between Indigenous and non-Indigenous people’s experiences of the social determinants of health are significant. The Mino Kaanjigoowin (MK) program at Na-Me-Res (Native Men’s Residence) in Toronto, Ontario, Canada, supports Indigenous men who are experiencing homelessness or are precariously housed and who have complex health and social needs. Using a community-partnered approach that aligns with wise practices for conducting Indigenous health research, a mixed-methods process evaluation of the MK program was conducted in 2017‒2018 by the Well Living House in partnership with Na-Me-Res. Thematic analysis of qualitative data gathered through two focus groups with community members who access the MK program (n = 9) and key informant interviews with staff (n = 11) was carried out using a decolonizing lens. Results indicate that the MK program provides a unique healing model that is grounded in trust, honour, and respect. Strengths of the program include a harm reduction framework, meeting basic needs, and person-centred care. The program could be enhanced through increased human resource capacity and improved infrastructure, including a separate space for MK staff and activities. The evaluation findings demonstrate how the MK program provides specialized and culturally safe services as a best- practice model to meet the complex health and social needs of urban Indigenous people.


2020 ◽  
Vol 1 (1) ◽  
pp. 27-36
Author(s):  
Vanessa Ambtman-Smith ◽  
Chantelle Richmond

Among the global Indigenous population, concepts of health and healthy living are wholistically intertwined within social, physical, natural, and spiritual systems. On-going processes of colonization and experiences of environmental dispossession have had the effect of removing Indigenous peoples from the lands, people and knowledge systems that have traditionally promoted their health. In 2014, Big-Canoe and Richmond introduced the idea of environmental repossession. This concept refers to the social, economic, and cultural processes Indigenous people are engaging in to reconnect with their traditional lands and territories, the wider goal being to assert their rights as Indigenous people and to improve their health and well-being. As Indigenous mothers, both who live in urban centres “away” from our families and traditional lands and knowledge systems, we engage with this conceptual model as a hopeful way to reimagine relationships to land, family, and knowledge. We embrace the concept of environmental repossession, and its key elements – land, social relationships, Indigenous knowledge – as a framework for promoting health and healing spaces among those who live “away” from their traditional territory. Drawing on three examples, an urban hospital, a university food and medicine garden, and a men’s prison, we suggest that these spaces do indeed offer important structural proxies for land, social relationships, and Indigenous knowledge, and can be important healing spaces. With increasingly urbanizing Indigenous populations in Canada, and around the world, these findings are important for the development of healing places for Indigenous peoples, regardless of where they live.


2020 ◽  
Author(s):  
Pat Camp ◽  
Mirha Girt ◽  
Alix Wells ◽  
Adeeb Malas ◽  
Maryke Peter ◽  
...  

BACKGROUND Indigenous people in Canada, the United States, Australia, and New Zealand experience an increased burden of chronic diseases compared to non-Indigenous people in these countries. Lack of necessary services and culturally relevant care for Indigenous people contributes to this burden. Many Indigenous communities have implemented systems, such as virtual care, to improve chronic disease management. Virtual care has extended beyond videoconferencing to include more advanced technologies, such as remote biometric monitoring devices. However, given the historical and ongoing Western intrusion into Indigenous day to day life, these technologies may seem more invasive and thus require additional research on their acceptability and utility within Indigenous populations. OBJECTIVE The objective of this paper is to present the protocol for a scoping review, which aims to map existing evidence. This study is based on the following guiding research question: What are the characteristics of virtual care use by Indigenous adult populations in Canada, the United States, Australia, and New Zealand? The subquestions are related to the technology used, health conditions and nature of the virtual care, cultural safety, and key concepts for effective use. METHODS This scoping review protocol is informed by the methodology described by the Joanna Briggs Institute and is supplemented by the frameworks proposed by Arksey and O’Malley and Levac et al. A search for published and gray literature, written in English, and published between 2000 and present will be completed utilizing electronic databases and search engines, including MEDLINE, CINAHL, Embase, Indigenous Peoples of North America, Australian Indigenous HealthInfoNet, Informit, and Native Health Database. Search results will be uploaded to the review software, Covidence, for title and abstract screening before full-text screening begins. This process will be repeated for gray literature. Upon completion, a data abstraction tool will organize the relevant information into categorical formations. RESULTS The search strategy has been confirmed, and the screening of titles and abstracts is underway. As of October 2020, we have identified over 300 articles for full-text screening. CONCLUSIONS Previous reviews have addressed virtual care within Indigenous communities. However, new virtual care technologies have since emerged; subsequently, additional literature has been published. Mapping and synthesizing this literature will inform new directions for research and discussion. CLINICALTRIAL INTERNATIONAL REGISTERED REPORT PRR1-10.2196/21860


2016 ◽  
Vol 6 (2) ◽  
pp. 17-20
Author(s):  
Max Deschner ◽  
Emilie Glanz

ABSTRACTFor decades, Canada’s Indigenous populations have experienced high rates of suicide relative to the general population. This com­mentary suggests that suicide among Indigenous people cannot be explained solely through the causal effects of downstream de­terminants of health; upstream health determinants such as Canada’s colonial past and cultural continuity are equally, if not more, instructive in understanding the tragedy that is taking place in many Indigenous communities across Canada. Medical trainees and physicians can contribute to improvements in Indigenous health by advocating for culturally safe healthcare access and research, as well as Indigenous-oriented medical training. RÉSUMÉPendant des décennies, les populations autochtones au Canada ont connu des taux élevés de suicide comparativement à la popula­tion générale. Ce commentaire suggère que le suicide chez les personnes autochtones ne peut être expliqué uniquement par les effets causaux des déterminants de la santé « en aval » ; les déterminants de la santé « en amont », tels le passé colonial du Canada et la continuité culturelle, sont tout aussi, sinon plus importants pour comprendre la tragédie se déroulant dans plusieurs communautés autochtones à travers le Canada. Les médecins et étudiants en médecine peuvent contribuer à l’amélioration de la santé autochtone en plaidant pour de la recherche et un accès aux soins de santé qui sont culturellement sécuritaires, et pour des formations médicales axées sur la santé autochtone. 


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