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Accounting for almost two-thirds of the country’s land mass, northern Canada is a vast region, host to rich natural resources and a diverse cultural heritage shared across Indigenous and non-Indigenous residents. In this book, the authors analyse health and health care in northern Canada from a perspective that acknowledges the unique strengths, resilience, and innovation of northerners, while also addressing the challenges aggravated by contemporary manifestations of colonialism.Old and new forms of colonial programs and policies continue to create health and health care disparities in the North. Written by individuals who live in and study the region, Health and Health Care in Northern Canada utilizes case studies, interviews, photographs, and more, to highlight the lived experiences of northerners and the primary health issues that they face. In order to maintain resilience, improve the positive outcomes of health determinants, and diminish negative stereotypes, we must ensure that northerners – and their cultures, values, strengths, and leadership – are at the centre of the ongoing work to achieve social justice and health equity.
Rebecca Schiff is a professor and chair in the Department of Health Sciences at Lakehead UniversityHelle Møller is an associate professor in the Department of Health Sciences at Lakehead University
List of Tables and FiguresList of AbbreviationsForeword by Kue YoungPrefaceAcknowledgments1. Introduction: Health and Healthcare in Northern CanadaRebecca Schiff and Helle MøllerSection I: Socio-Ecological Dimensions of Health and Wellness in the North2. Introduction to Section I:Social and Ecological Determinants of Health and Wellness in the NorthRebecca Schiff and Helle Møller3. Education and HealthEducation as a Social Determinant of Health for Inuit in NunavutFiona Walton4. Food and HealthFood security, Food Systems, and Health in Northern CanadaRebecca Schiff and Victoria Schembri5. Housing and HealthHousing and Health Challenges in Rural and Remote CommunitiesCarol Kauppi, Emily Faries, Phyllis Montgomery, Sharolyn Mossey, and Henri Pallard6. Determinants of Infectious Diseases in the North Agent, Host and Environmental Factors in Infectious Diseases Pamela Orr and Linda Larcombe7. Women’s HealthWhat does it mean to ‘be well’?: A qualitative case study to explore Inuit women’s conceptions of wellnessGwen Healey Akearok, Lynn M. Meadows, Theresa Koonoo, and Kathy Michael8. Mining, Resource Development and HealthAssessing Health Impacts of a Mine: Consideration of the Prevailing Epistemoloy and Erasure of Indigenous Well-beingJen Jones and Lesley JohnstonSection II: Healthcare in Northern Canada9. Introduction to Section II:Healthcare Access and Delivery in Northern and Remote Communities Helle Møller10. Physician Supply and SufficiencyIncreasing Physician Supply to Serve Canada’s Northern and Rural PopulationsRaymond Pong11. Nursing in the NorthRecruitment and Retention of Nurses Helle Møller12. Maternal Healthcare and BirthingMaternal Health in Manitoba Northern First Nation Communities:Challenges, Barriers, and SolutionsJaime Cidro and Stephanie Sinclair13. Elder Health and Long-Term CareNorthern Indigenous Elders/Seniors and Long-Term Care ServicesBonita Beatty and Josephine McKay14. Mental Health and Addictions CareA Path Toward Mental Health Care with Northern Indigenous PeoplesAzaad Kassam15. Climate Change and Health Remote Northern Community Health Service Provision in a Rapidly Changing ClimateAshlee Cunsolo, Emily MacLeod, Inez Shiwak, Michele Wood, The Inuit Mental Health and Climate Change Adaptation Team, Rigolet Inuit Community Government, and Sherilee Harper16. Suicide PreventionA Sociocultural Approach to Understanding Suicide Among Inuit: Issues and Prevention StrategiesJosephine TanSection III: Conclusions and New Directions – Innovation, Collaboration, and Resilience17. Introduction to Section III:Conclusions and New Directions to Embrace Collaboration, Resilience, and Innovation in Northern Health and HealthcareRebecca Schiff18. Youth ResilienceResilience Among Indigenous Youth in Northern CanadaKimberly Matheson, Ajani Asokumar, Hymie Anisman, and Janet Gordon19. Innovation for Northern Mental Health and Addiction ServicesIndigenous Frameworks for Northern Mental Health and Addiction ServicesChris Mushquash, Alexandra S. Kruse, and Elaine Toombs20. The Evolving Role of Telemedicine and TelehealthTelemedicine: ‘Tackle Box Emergency Kit’s’… A Journey Beyond our ‘Orbit’Michelle Spadoni, Sally Dampier, Patricia Sevean21. Cultural Safety Training and Education for Healthcare ProvidersUnsettling Healthcare with Inuit in Canada: Cultural Safety Education for Healthcare ProvidersAllison Crawford, Candice Waddell, and Christine Lund22. Integrating Traditional Healing and Northern HealthcareIndigenous Conceptions of Living WellCindy Peltier23. Health and Healthcare Research EthicsHealth Research Ethics in Northern CanadaFern Brunger and Brittany Chubbs24. Rewriting Health Policy for the NorthPatchy and Southern-Centric: Health Policies for Northern and Indigenous CanadiansJosée Lavoie, Derek Kornelsen, and Yvonne Boyer25. Conclusions: Achieving Health Equity in Northern Canada