Relevant bibliographies by topics / Indigenous health services

Academic literature on the topic 'Indigenous health services'

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Published: 4 June 2021
Last updated: 30 July 2024

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Journal articles on the topic "Indigenous health services"

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Durie, M. "Providing health services to indigenous peoples." BMJ 327, no. 7412 (August 23, 2003): 408–9. http://dx.doi.org/10.1136/bmj.327.7412.408.

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Mashford-Pringle, Angela, Ian Ring, Fadwa Al-Yaman, John Waldon, and Michelle Chino. "Rethinking health services measurement for Indigenous populations." Statistical Journal of the IAOS 35, no. 1 (March 19, 2019): 139–46. http://dx.doi.org/10.3233/sji-180465.

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Barnabe, Cheryl. "Towards attainment of Indigenous health through empowerment: resetting health systems, services and provider approaches." BMJ Global Health 6, no. 2 (February 2021): e004052. http://dx.doi.org/10.1136/bmjgh-2020-004052.

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Colonial policies and practices have introduced significant health challenges for Indigenous populations in commonwealth countries. Health systems and models of care were shaped for dominant society, and were not contextualised for Indigenous communities nor with provision of Indigenous cultural approaches to maintain health and wellness. Shifts to support Indigenous health outcomes have been challenged by debate on identifying which system and service components are to be included, implementation approaches, the lack of contextualised evaluation of implemented models to justify financial investments, but most importantly lack of effort in ensuring equity and participation by affected communities to uphold Indigenous rights to health. Prioritising the involvement, collaboration and empowerment of Indigenous communities and leadership are critical to successful transformation of healthcare in Indigenous communities. Locally determined priorities and solutions can be enacted to meet community and individual needs, and advance health attainment. In this paper, existing successful and sustainable models that demonstrate the empowerment of Indigenous peoples and communities in advocating for, designing, delivering and leading health and wellness supports are shared.
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McConkey, Stephanie. "Indigenous access barriers to health care services in London, Ontario." University of Western Ontario Medical Journal 86, no. 2 (December 3, 2017): 6–9. http://dx.doi.org/10.5206/uwomj.v86i2.1407.

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Introduction: Indigenous peoples in Canada suffer higher rates of health inequalities and encounter a number of health services access barriers when compared to their non-Indigenous counterparts. Indigenous peoples experience social and economic challenges, cultural barriers, and discrimination when accessing mainstream health services. Methods: In London, Ontario, 21 interviews and 2 focus groups (n = 25) with service providers were completed, each session spanning approximately 1 to 1.5 hours. Interviews were voice recorded and transcribed verbatim. Themes were identified using NVIVO 10 software. Findings: Approximately 2 to 5% of clients are Indigenous in hospital-based services. There are a number of social factors that influence whether Indigenous peoples access health services. Indigenous peoples do not have access to adequate pain medications because physicians are reluctant to provide Indigenous patients with pain medications due to common perceptions of addiction. Indigenous peoples also have barriers accessing a family physician because physicians are reluctant to take on new patients with complex health needs. Conclusion: Systemic discrimination is still alive in the health care system; therefore, there is a need for cultural safety training among physicians to increase awareness of access barriersand challenges that many Indigenous patients face when seeking health care.
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Devadasan, N. "Health of indigenous people: Use of health services by indigenous population can be improved." BMJ 327, no. 7421 (October 25, 2003): 988. http://dx.doi.org/10.1136/bmj.327.7421.988.

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Whelan, Stephen, and Donald J. Wright. "Health services use and lifestyle choices of Indigenous and non-Indigenous Australians." Social Science & Medicine 84 (May 2013): 1–12. http://dx.doi.org/10.1016/j.socscimed.2013.02.013.

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Scrimgeour, David. "Funding for community control of indigenous health services." Australian and New Zealand Journal of Public Health 20, no. 1 (February 1996): 17–18. http://dx.doi.org/10.1111/j.1467-842x.1996.tb01330.x.

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Davis, Jenny, and Janis Shaw. "Indigenous status a key issue for health services." New South Wales Public Health Bulletin 11, no. 12 (2000): 203. http://dx.doi.org/10.1071/nb00090.

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Lavoie, Josée, Derek Kornelsen, Yvonne Boyer, and Lloy Wylie. "Lost in Maps: Regionalization and Indigenous Health Services." HealthcarePapers 16, no. 1 (July 29, 2016): 63–73. http://dx.doi.org/10.12927/hcpap.2016.24773.

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Wright, A., O. Wahoush, M. Ballantyne, C. Gabel, and S. M. Jack. "Selection and Use of Health Services for Infants’ Needs by Indigenous Mothers in Canada: Integrative Literature Review." Canadian Journal of Nursing Research 50, no. 2 (February 19, 2018): 89–102. http://dx.doi.org/10.1177/0844562118757096.

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In Canada, Indigenous infants experience significant health disparities when compared to non-Indigenous infants, including significantly higher rates of birth complications and infant mortality rates. The use of primary health care is one way to improve health outcomes; however, Indigenous children may use health services less often than non-Indigenous children. To improve health outcomes within this growing population, it is essential to understand how caregivers, defined here as mothers, select and use health services in Canada. This integrative review is the first to critique and synthesize what is known of how Indigenous mothers in Canada experience selecting and using health services to meet the health needs of their infants. Themes identified suggest both Indigenous women and infants face significant challenges; colonialism has had, and continues to have, a detrimental impact on Indigenous mothering; and very little is known about how Indigenous mothers select and use health services to meet the health of their infants. This review revealed significant gaps in the literature and a need for future research. Suggestions are made for how health providers can better support Indigenous mothers and infants in their use of health services, based on what has been explored in the literature to date.
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Dissertations / Theses on the topic "Indigenous health services"

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Block, Corey, Kim Bulkeley, and Michelle Lincoln. "Occupational Therapy with Australian Indigenous children and their families: A rural and remote perspective." Thesis, Discipline of Occupational Therapy, 2016. http://hdl.handle.net/2123/14325.

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Background/aim: Occupational therapy service delivery must be adapted when working with Indigenous communities, as there is a diversity of beliefs, values and customs. There are currently no evidence-based models of therapy service delivery to rural and remote Indigenous children and their families. This study aims to explore occupational therapy service delivery to rural and remote Indigenous children and their families. Methods: Semi-structured telephone interviews were conducted with seven occupational therapists with experience with Australian rural and remote Indigenous children and their families. A thematic analysis was conducted on each interview with constant comparison to refine themes across interviews. Results: A total of six service delivery themes emerged from the data gathered in the interviews; flexible and accessible services; tailored services; culturally sensitive therapist; culturally inclusive services; occupational therapy awareness; and collaboration. These results linked with the need for long-term solutions, as the limited access to occupational therapy within these communities is a social injustice. Conclusion: The findings demonstrate that each Indigenous community is unique. Therapists work in collaboration with the community and use their critical reasoning skills to adjust practice accordingly. Significance of the study: This study contributes to growing knowledge about occupational therapy service provision in rural and remote Indigenous communities with children and their families. The findings will assist therapist in these communities to provide culturally aligned services. They also advocate for these communities by emphasising the basic human right violations that Indigenous communities are experiencing by not having access to consistent and culturally appropriate occupational therapy services.
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Winroth, AnnCristin. "Boteberättelser : en etnologisk studie av boteprocesser och det omprövande patientskapet /." Umeå : Institutionen för kultur och medier, Umeå universitet, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-360.

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Ojelade, Ifetayo Iyajoke. "Use of Indigenous African Healing Practices as a Mental Health Intervention." Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/cps_diss/36.

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The purpose of this qualitative study was to describe the ways in which Orìsà priests and their clients conceptualize issues and concerns described by Western based approaches as mental health problems. The two research questions guiding this inquiry included: (a) how do Orìsà priests and their clients conceptualize issues and concerns associated with mental health problems in Western psychology and (b) what methods and techniques do Orìsà priests and their clients use to address issues or concerns associated with mental health problems in Western psychology? This study was grounded in African-centered theory by providing a cultural lens to guide the research design, data collection, and analysis. Data were collected during semi-structured individual interviews with four Orisa priests in a three phase model, for a total of 12 interviews. The study also included three focus groups (six informants per group), who did not participate in the individual interviews. Each group met for two sessions, for a total of six focus groups. Bracketing of assumptions by research team members and use of a reflexive journal was used to ensure credibility and dependability of the data (Creswell, 1998). Data analysis consisted of a recursive process divided into multiple steps, to help strengthen methodological rigor and verification of study procedures. The three part process included codebook development, code application, and data analysis. Three major themes emerged from the data. The first theme, The Conceptualization of Mental Health Problems as Spiritual Matters included one subtheme, Transgenerational Transmission. The second theme, Origins of Mental Health Problems, included three subthemes (Western Socialization, Spiritual Forces, and Ifa as a Healing System). The final theme, Addressing Mental Health Problems, included three subthemes (The Divination Process, Referrals, and Western Therapy). Results of this study indicate that respondents primarily conceptualize mental health problems as spiritual matters and seek to address these problems with the help of an Orìsà priest. In addition, some respondents sought the services of a Western trained therapist for the same issue. Practice and research implications are discussed.
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Jackson, Pulver Lisa Rae. "An argument on culture safety in health service delivery: towards better health outcomes for Aboriginal peoples." Thesis, The University of Sydney, 2003. http://hdl.handle.net/2123/609.

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The bureaucratic measure of health service, health performance indicators, suggest that we are not effective in our legislative responsibility to deliver suitable health care to some of the populations we are meant to serve. Debate has raged over the years as to the reasons for this, with no credible explanation accepted by those considered stakeholders. One thing is clear though, we have gone from being a culture believing that the needs of the many far outweigh those of the few, to one where we are barely serving the needs of the 'any'. This is most evident in the care delivered to the Aboriginal and Torres Strait Islander people of Australia.
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Best, Odette Michel, and n/a. "Community Control Theory and Practice: a Case Study of the Brisbane Aboriginal and Islander Community Health Service." Griffith University. School of Arts, Media and Culture, 2004. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20060529.144246.

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It is accepted protocol among Indigenous communities to identify one's link to land. I was born and raised in Brisbane. My birth grandmother is a Goreng Goreng woman, my birth grandfather is a Punthamara man. However, I was adopted by a Koombumberri man and an anglo-celtic mother after being removed at birth under the Queensland government policy of the day. The action of my removal and placement has had profound effects upon my growing and my place within my community today. For the last 15 years I have worked in the health sector. My current position is as a Lecturer within the Department of Nursing, Faculty of Science, University of Southern Queensland, Toowoomba. My areas of expertise are Indigenous Health and Primary Health Care. I have been employed in this capacity since January 2000. Prior to my full time employment as a nursing academic I have primarily been located within three areas of health which have directly impacted upon my current research. I was first positioned within health by undertaking my General Nurse Certificate through hospital-based training commenced in the late 1980s. For me this training meant being immersed within whiteness and specifically the white medical model. This meant learning a set of skills in a large institutionalised health care service with the provision of doctors, nurses, and allied medical staff through a hospital. Within this training there was no Indigenous health curriculum. The lectures provided on 'differing cultures' and health were on Muslim and Hindu beliefs about death. At that point I was painfully aware of the glaring omission of any representation of Indigenous health and of acknowledgment of the current outstanding health differentials between Indigenous and non-Indigenous Australians. I knew that the colonisation process inflicted upon Indigenous Australians was one of devastation. The decline in our health status at the time of colonisation had been felt immediately. Since this time our health has been in decline. While in the 1980s it was now no longer acceptable to shoot us, poison our waterholes, and incarcerate us on missions, we were still experiencing the influence of the colonisation process, which had strong repercussions for our current health status. Our communities were and remain rife with substance abuse, violence, unemployment, and much more. For Indigenous Australians these factors cannot be separated from our initial experience of the colonisation process but are seen as the continuation of it. However, there was no representation of this and I received my first health qualification.
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Best, Odette Michel. "Community Control Theory and Practice: a Case Study of the Brisbane Aboriginal and Islander Community Health Service." Thesis, Griffith University, 2004. http://hdl.handle.net/10072/366110.

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It is accepted protocol among Indigenous communities to identify one's link to land. I was born and raised in Brisbane. My birth grandmother is a Goreng Goreng woman, my birth grandfather is a Punthamara man. However, I was adopted by a Koombumberri man and an anglo-celtic mother after being removed at birth under the Queensland government policy of the day. The action of my removal and placement has had profound effects upon my growing and my place within my community today. For the last 15 years I have worked in the health sector. My current position is as a Lecturer within the Department of Nursing, Faculty of Science, University of Southern Queensland, Toowoomba. My areas of expertise are Indigenous Health and Primary Health Care. I have been employed in this capacity since January 2000. Prior to my full time employment as a nursing academic I have primarily been located within three areas of health which have directly impacted upon my current research. I was first positioned within health by undertaking my General Nurse Certificate through hospital-based training commenced in the late 1980s. For me this training meant being immersed within whiteness and specifically the white medical model. This meant learning a set of skills in a large institutionalised health care service with the provision of doctors, nurses, and allied medical staff through a hospital. Within this training there was no Indigenous health curriculum. The lectures provided on 'differing cultures' and health were on Muslim and Hindu beliefs about death. At that point I was painfully aware of the glaring omission of any representation of Indigenous health and of acknowledgment of the current outstanding health differentials between Indigenous and non-Indigenous Australians. I knew that the colonisation process inflicted upon Indigenous Australians was one of devastation. The decline in our health status at the time of colonisation had been felt immediately. Since this time our health has been in decline. While in the 1980s it was now no longer acceptable to shoot us, poison our waterholes, and incarcerate us on missions, we were still experiencing the influence of the colonisation process, which had strong repercussions for our current health status. Our communities were and remain rife with substance abuse, violence, unemployment, and much more. For Indigenous Australians these factors cannot be separated from our initial experience of the colonisation process but are seen as the continuation of it. However, there was no representation of this and I received my first health qualification.
Thesis (Masters)
Master of Philosophy (MPhil)
School of Arts, Media and Culture
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Dzidowska, Monika. "A Cluster Randomised Trial to Support Screening and Treatment for Unhealthy Alcohol Use in Aboriginal Community Controlled Health Services." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29409.

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Background: Evidence-based management of unhealthy alcohol use in primary care has been advocated since 1979. Few studies focus on improving implementation of alcohol screening and treatment in Indigenous primary care, despite greater harms from alcohol in that population group. Aims: To examine: (i) approaches used to improve screening and treatment for unhealthy alcohol use in primary care internationally; (ii) the effects of the 24-months’ support offered to 22 Aboriginal Community Controlled Health Services on screening and treatment for unhealthy alcohol use. Methods: Study 1 (systematic review) describes strategies to improve alcohol screening and treatment in primary care and investigates if they employed elements of continuous quality improvement. Studies 2 and 3 test the effect of the 24-month support on: (i) rates of screening and any alcohol treatment provision; (ii) recommended frequency of screening. Results: Study 1 found that few implementation strategies focussed on screening and treatments for the full spectrum of unhealthy alcohol use. About 20% of the studies employed the essential elements of continuous quality improvement. Study 2 showed significant improvement in the odds of screening. The effect on provision of any treatment as well as on individual treatment types was not clear and varied greatly between participating services. Study 3 was not able to show significant increases in the odds of first-time or annual screening. There were 841 (2%) clients who were screened four or more times annually. Conclusion: Support provided to Aboriginal Community Controlled Health Services over 24 months can improve the rates of alcohol screening. More focus is needed on screening frequency for individual clients. Further support for the delivery and accurate recording of alcohol treatment is needed. The thesis discusses practice, policy, and research recommendations for future directions in improving screening and treatment for unhealthy alcohol use.
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Fellner, Karlee Dawn. "Returning to our medicines : decolonizing and indigenizing mental health services to better serve Indigenous communities in urban spaces." Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/57562.

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While mental health services continue to make efforts toward greater cultural sensitivity, research, education, and practice in these fields remain grounded primarily in Western Eurosettler principles that have been applied in colonization. Addressing the dearth of culturally relevant and appropriate research in Indigenous mental health, the current project applied isîhcikêwin – the author’s Indigenist nehiyaw-otipemisiwak (Cree/Métis) research paradigm to address the question: How can mental health services (be shaped so as to) better serve Indigenous peoples living in urban spaces? isîhcikêwin is based in the author’s lived experiences as a mobile nehiyaw-otipemisiwak woman who is an oskâpêwis (helper) and participant in traditional ceremonies. This framework draws on Wilson’s (2008) conceptualization of research as ceremony alongside the work of other Indigenous scholars (e.g., Archibald, 2008; Castellano, 2000; Graveline, 2000; Holmes, 2000; Kovach, 2009; Marsden, 2005; Smith, 1999). Following isîhcikêwin ethics and protocols, the author had conversations with sixteen Indigenous mental health professionals and hosted a talking circle. The author used Indigenous holistic meaning making in coming to understand iyinisiwak (knowledge holders’) perspectives, weaving together the stories of iyinisiwak, her interpretive synthesis of their knowledges, and her own personal narratives. The findings comprise a decolonizing framework that is presented as a braid of sweetgrass consisting of three strands: (a) what isn’t working in mental health service provision, (b) restor(y)ing approaches to wellness as ways forward in Indigenous health service provision, and (c) how services can make these transformations. Findings address how approaches to Indigenous wellness in urban spaces may be transformed through the adaptation and application of a medicine bundle framework that incorporates community-based perspectives on love, good relationships, Indigenous knowledges, living a good life, responsibility, identity and belonging, and land. These findings include critical implications for researchers, educators, theorists, practitioners, policy-makers, and other stakeholders whose work involves an aim to contribute to healing and wellness with Indigenous communities. Consistent with isîhcikêwin, the current dissertation alternates between a scripted dialogue and a conversational style with the reader. This form of representation honours the voices of the author and iyinisiwak, and contributes to research that is congruent with isîhcikêwin from conception to completion.
Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
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Jackson, Pulver Lisa Rae. "An argument on culture safety in health service delivery towards better health outcomes for Aboriginal peoples /." University of Sydney. Public Health and Community Medicine, 2003. http://hdl.handle.net/2123/609.

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The bureaucratic measure of health service, health performance indicators, suggest that we are not effective in our legislative responsibility to deliver suitable health care to some of the populations we are meant to serve. Debate has raged over the years as to the reasons for this, with no credible explanation accepted by those considered stakeholders. One thing is clear though, we have gone from being a culture believing that the needs of the many far outweigh those of the few, to one where we are barely serving the needs of the 'any'. This is most evident in the care delivered to the Aboriginal and Torres Strait Islander people of Australia.
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Peiris, Priyajit David. "Building better primary care systems for indigenous peoples : a multimethods analysis." Thesis, The University of Sydney, 2010. http://hdl.handle.net/2123/12717.

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Books on the topic "Indigenous health services"

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Castro-, Palaganas Erlinda, and University of the Philippines. Center for Integrative and Development Studies., eds. Mainstreaming indigenous health knowledge and practices. Diliman, Quezon City: University of the Philippines, Center for Integrative and Development Studies, 2001.

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Gray, M. C. Health Expenditure, Income and Health Status Among Indigenous and Other Australians. Canberra: ANU Press, 2004.

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Lavoie, Germain O. Maskikhiwino, the medicine man: The story of a pioneer northern doctor. Beauval, Sask: Amyot Lake Pub., 2005.

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Gray, M. C. Health expenditure, income and health status among indigenous and other Australians. Canberra: Centre for Aboriginal Economic Policy Research, Australian National University, 2002.

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Day, Peter. Indigenous mothers and their babies: Australia 1994-1996. Sydney, NSW: Australian Institute of Health and Welfare, National Perinatal Statistics Unit, 1999.

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Kate, Leeds, ed. Indigenous mothers and their babies: Australia 2001-2004. Canberra: Australian Institute of Health and Welfare, 2007.

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Charon, Asetoyer, Cronk Katharine, Hewakapuge Samanthi, and Native American Women's Health Education Resource Center., eds. Indigenous women's health book, within the sacred circle. Lake Andes, S.D: Indigenous Women's Press, 2003.

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Bureau, Pan American Sanitary, World Health Organization, and Canadian Society for International Health, eds. Indigenous Peoples & Health: Workshop '93 = Pueblos Indígenas y Salud : Taller '93 : Villa Maria, Winnipeg, Canada, April 13-18, 1993. Winnipeg, Manitoba?]: [Canadian Society for International Health?], 1993.

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(Canada), Aboriginal Healing Foundation, ed. Addictive behaviours among aboriginal people in Canada. Ottawa: Aboriginal Healing Foundation, 2007.

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Waite, Gloria Martha. A history of traditional medicine and health care in pre-colonial East-Central Africa. Lewiston, N.Y: E. Mellen Press, 1992.

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Book chapters on the topic "Indigenous health services"

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Carey, Timothy A., and Dennis R. McDermott. "Engaging Indigenous People in Mental Health Services in Australia." In The Palgrave Handbook of Sociocultural Perspectives on Global Mental Health, 565–88. London: Palgrave Macmillan UK, 2017. http://dx.doi.org/10.1057/978-1-137-39510-8_27.

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Lucas, Cherie, and Tamara Power. "Ensuring Cultural Safety for Indigenous Peoples Accessing Medicines." In Encyclopedia of Evidence in Pharmaceutical Public Health and Health Services Research in Pharmacy, 1–14. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-50247-8_21-1.

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Lucas, Cherie, and Tamara Power. "Ensuring Cultural Safety for Indigenous Peoples Accessing Medicines." In Encyclopedia of Evidence in Pharmaceutical Public Health and Health Services Research in Pharmacy, 288–301. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-030-64477-2_21.

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Martinez, Art, and Brittney Wolfe. "Healing From Generations of Trauma and the California Mental Health Services Act." In Indigenous Ways of Knowing in Counseling, 129–52. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-33178-8_7.

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Islam, Rakibul, and Mashhood Ahmed Sheikh. "Cultuial and Socio-Economic Factors in Health, Health Services and Prevention for Indigenous People." In Antrocom: Journal of Anthropology, edited by Marco Menicocci and Moreno Tiziani, 177–83. Piscataway, NJ, USA: Gorgias Press, 2010. http://dx.doi.org/10.31826/9781463233983-024.

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Meneses-Navarro, Sergio, David Meléndez-Navarro, and Alejandro Meza-Palmeros. "Contraceptive Counseling and Family Planning Services in the Chiapas Highlands: Challenges and Opportunities for Improving Access for the Indigenous Population." In Global Maternal and Child Health, 271–300. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71538-4_14.

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Colom, Alejandra, and Marcela Colom. "Poverty, Local Perceptions, and Access to Services: Understanding Obstetric Choices for Rural and Indigenous Women in Guatemala in the Twenty-First Century." In Global Maternal and Child Health, 617–33. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71538-4_32.

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Quintero-Angel, Andrés, Andrés López-Rosada, Mauricio Quintero-Angel, David Quintero-Angel, Diana Mendoza-Salazar, Sara Catalina Rodríguez-Díaz, and Sebastian Orjuela-Salazar. "Linking Biocultural Memory Conservation and Human Well-Being in Indigenous Socio-Ecological Production Landscapes in the Colombian Pacific Region." In Biodiversity-Health-Sustainability Nexus in Socio-Ecological Production Landscapes and Seascapes (SEPLS), 35–59. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-16-9893-4_3.

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AbstractThe Colombian Pacific region is one of the most biodiverse areas in the world; however, it is severely threatened by anthropogenic pressures. In addition, armed conflict and poverty are compounding factors causing the loss of biodiversity and cultural identity. In response to this situation, the Wounaan-Nonam original people of Puerto Pizario and Santa Rosa de Guayacán declared five Indigenous Protected Areas (IPA) in 2008. We conducted a study to highlight the link between the conservation of biocultural memory and contributions to human well-being, particularly to human health, in indigenous socio-ecological production landscapes and seascapes (SEPLS). Since 2013, the research-action-participation methodology has been applied to recover ecological traditional knowledge on how ancestors managed nature and elements associated with their cosmovision. Following the TNC conservation of areas methodology, eight biological and cultural conservation values were identified for the IPAs and 5-year management plans for conservation were formulated. As a result of this process, we created a tool that involves traditional knowledge to administer the total 1850 hectares covered by the five IPAs. We also found that the main challenges faced by indigenous communities in the management of IPAs as an integral part of the indigenous SEPLS are associated with weak organisational and governance processes. Additionally, we identified the main opportunities ecosystem services offer in the IPAs, which enhance the quality of life and health of the original peoples and ecosystems at a regional level. Finally, the making of handicrafts is identified as an opportunity in these SELPS, as it represents an alternative for generating income through sustainable productive chains in biotrade strategies.
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Navarro, Sergio Meneses, Blanca Pelcastre Villafuerte, and Marisol Vega Macedo. "Maternal Mortality and the Coverage, Availability of Resources, and Access to Women’s Health Services in Three Indigenous Regions of Mexico: Guerrero Mountains, Tarahumara Sierra, and Nayar." In Global Maternal and Child Health, 169–88. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71538-4_9.

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Maundu, Patrick, and Yasuyuki Morimoto. "Safeguarding the Biodiversity Associated with Local Foodways in Traditionally Managed Socio-Ecological Production Landscapes in Kenya." In Biodiversity-Health-Sustainability Nexus in Socio-Ecological Production Landscapes and Seascapes (SEPLS), 199–225. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-16-9893-4_10.

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AbstractTraditionally managed socio-ecological production landscapes (SEPLs) provide communities with a range of goods and services vital for livelihoods, including nutrition and health. In Kenya, many of these landscapes, encompassing the resources therein and the indigenous knowledge vital for optimising their value, are now under threat.Utilising diverse traditional foods for the benefit of local communities has often been hampered by insufficient knowledge about the foods and negative attitudes towards them. For over two decades, a team from the National Museums of Kenya, Bioversity International, and their partners has been working with local communities to find out how local food resources can contribute more to community livelihoods, especially with regard to nutrition, health, and income. Understanding local food systems is a vital step. The team developed a methodology for involving local communities, and the youth in particular, to inventory their foodways. The documentation opened opportunities for research and development interventions. This chapter highlights three development and conservation case studies founded on foodways documentation: (1) promoting African leafy vegetables in Kenya; (2) safeguarding kitete (bottle gourd) by Kyanika Women’s Group in Kitui, Kenya; and (3) utilising digital technology to educate consumers about healthy eating using local foods.All cases have shown that converting underutilised local foods into main sources of nutrition and income opportunities, as well as conserving these foods in their environment, requires foodways documentation, community participation, and multi-stakeholder and multidisciplinary collaboration. Awareness on the nutritional and health benefits of local foods was a key incentive for their conservation and a catalyst for the change in attitudes and eating habits.
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Conference papers on the topic "Indigenous health services"

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Skyllstad, Kjell. "Giving People a Voice." In GLOCAL Conference on Asian Linguistic Anthropology 2019. The GLOCAL Unit, SOAS University of London, 2019. http://dx.doi.org/10.47298/cala2019.6-5.

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Scandinavian countries, in particular northern Scandinavia, have developed unique sociolinguistic frameworks which aim to preserve local indigenous languages. These models have acted to protect the cultural heritages of these ethnicities. As such, these models of preservation have offered a framework to be applied to other contexts, and hence in regions where language and cultural preservation and revitalization have become a salient factor. This current study presents an evaluation of the Norwegian State Action Plan for the preservation of indigenous languages in the region of tribal northern Scandinavia. The study produces the several recommendations as a comparative framework between northern Scandinavia and ASEAN countries. With respect to education, the study suggests establishing kindergartens for tribal children led by tribal communities, developing teacher training programs for indigenous instructors, developing educational materials and curricular guides in the local languages, establishing networks of distance learning, arranging language and cultural learning summer camps for tribal children and youth, and mapping mother tongue illiteracy among adults so as to assist in the action planning of these projects. With respect to the daily use of languages, the study suggests a development of interpreter training programs, the implementation procedures for translation of official documents, the development of minority language proficiency in the health services and judicial system, incorporating indigenous language in digital technologies and likewise promoting digital literacy, developing dictionaries for minority languages, and instigating the promotion of place names in local languages. The study employs a literature analysis, and a comparison of contexts, to determine the appropriation and effectiveness of the application of the Scandinavian preservation system to ASEAN. The study contributes to thought in Linguistic Anthropology, in that it suggests that, despite the uniqueness of sociolinguistic practices, preservation methods and government mandates may, at least in part, offer transferability.
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Mullane, Tania, Shayola Koperu, and Leanne Pool. "Indigenisation of the nursing curriculum: Peeling back to reveal the unspoken." In Rangahau: Te Mana o te Mahi Kotahitanga / Research: The Power of Collaboration. Unitec/MIT Research Symposium 2022. Unitec ePress, 2023. http://dx.doi.org/10.34074/proc.2301005.

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Globally, there is an underrepresentation of Indigenous populations in higher education (United Nations, n.d.). The Aotearoa experience by Māori and tagata Pasifika of marginalisation in education is a consequence of a plethora of challenges, hegemonic ideation and strategic assimilation authorised by the government of the day (Smith, 2003). A move in tertiary education, including nursing education, towards indigenised curricula heralds an opportunity to address inequity and structures that have oppressed education experiences for Indigenous peoples. This article prefaces a research project that will investigate how Whitireia | Te Pūkenga has successfully indigenised nursing curricula over the last 17 years. The Bachelor of Nursing Māori (BNM) and Bachelor of Nursing Pacific (BNP) programmes offer unique indigenised curricula with the Bachelor of Nursing (BN) running alongside these programmes to assimilate this new indigenised nursing curriculum approach. This article focuses on the scoping phase of this research that seeks to demystify, unpack and clarify how the indigenisation of a national nursing curriculum is relational at the local level. Ngāti Toarangatira and hāpori Māori were involved as co-designers, having kuia koroua as consultants in all aspects of the programme life, from decision making, to complaints to marketing to engaging on marae, and the services provided by iwi and hapori Māori. Working in partnership has been successfully achieved, with each programme retaining its autonomy. The heads of each programme are the researchers, who also founded Te Kawenata Tapuhi, which has at its core principles that govern our working relationships that are mana animating. The researchers share the path thus far as part of their poutama, the weaving of a whāriki. This article and research are a deliberate attempt to provide evidence to support successful indigenisation and to counter the recent ferocious debate that has resulted from this process. This debate has resulted in exposing an underbelly of white fragility (DiAngelo, 2011) and entrenched institutional racism within the leadership and structures of nursing education. This reaction (which lacked any informed discourse nationally or with tāngata whenua and tagata Pasifika1) seems to directly oppose the urgency and opportunity for nursing education to lead the way in indigenisation, instead presenting a polarising public debate. The researchers will offer some insights from their experiences of Kawenata that may support the transformation needed throughout all health provision to better meet the health outcomes of their communities. Working under the leadership of tāngata whenua, tagata Pasifika and their allies is critical to success.
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Lee, Yen-Liang, An-Cheng Chen, Kai-Lung Wang, Cheng-Mei Chen, Chien-Yeh Hsu, KuoYuan Hwa, Hsiao-Hsien Rau, Yi-Chun Chen, Hung-Wen Chiu, and Cheng-Jheng Yao. "Establishing a Cloud-Based Indigenous Elementary School E-Learning System Assimilating into Indigenous Culture for Health Science Education - South-Paiwan Tribe Experience." In 2016 International Conference on Platform Technology and Service (PlatCon). IEEE, 2016. http://dx.doi.org/10.1109/platcon.2016.7456798.

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Hwa, Kuo-Yuan, and Kai-Lung Wang. "The Effectiveness of Cultural Inclusive Health Education Pedagogy for Taiwan Indigenous Elementary Students through E-Platform: An Case in Tayal, Paiwan and Bunun Tribes." In 2016 International Conference on Platform Technology and Service (PlatCon). IEEE, 2016. http://dx.doi.org/10.1109/platcon.2016.7456830.

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Jha, Pranab Narayan. "An Innovative Solution for Debris Mapping and Health Assessment of Oil and Gas Pipelines." In ASME 2023 India Oil and Gas Pipeline Conference. American Society of Mechanical Engineers, 2023. http://dx.doi.org/10.1115/iogpc2023-119201.

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Abstract India has a vast network of pipelines carrying crude oil, petroleum products and natural gas. To accelerate the pace of transformation in the energy sector, there is a need to indigenously develop and deploy sustainable technologies for oil and gas pipelines. The industry spends a significant amount of effort and money in dealing with unwanted debris and wax deposits in pipelines. Early detection of such deposits or blockages is important and useful for optimizing maintenance activities and for remedial actions to avoid catastrophic failures. Bharat Flow Analytics is a startup that is developing innovative Industry 4.0 products and services that promote safe and reliable operations, energy efficiency, and reducing operating costs of transporting hydrocarbons through pipelines. iPTran, the solution for determining internal diameter changes in a pipeline due to debris and wax deposition resulting in partial or complete blockages, has been indigenously developed and currently undergoing field trials with pipeline operators. iPTran uses a combination of pipeline hydraulics models, Artificial Intelligence (AI) and Industrial Internet of Things (IIoT) sensors for data collection, analysis, and prognosis. It gives an advantage in accuracy and effort over traditional models and data acquisition systems. iPTran is a non-intrusive technology that can analyse hundreds of kilometres of pipeline sections quickly and provide near real-time status to the operator. A trial of iPTran was conducted on Indian Oil’s 148 km 28-inch diameter section (Viramgam to Koyali) with promising results. This technology helps to determine the efficiency of transportation which directly impacts pumping costs. It also helps to reduce the risk of stuck pigs during inline inspection and can be utilized to improve the efficiency of the pigging program.
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Smith, Valance, James Smith-Harvey, and Sebastian Vidal Bustamante. "Ako for Niños: An animated children’s series bridging migrant participation and intercultural co-design to bring meaningful Tikanga to Tauiwi." In LINK 2021. Tuwhera Open Access, 2021. http://dx.doi.org/10.24135/link2021.v2i1.142.

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This presentation advances a case study for an ongoing intercultural animation project which seeks to meaningfully educate New Zealand Tauiwi (the country's diverse groups, including migrants and refugees) on the values, customs and protocols (Tikanga) of Māori (the indigenous people of Aotearoa New Zealand). Ako For Niños (‘education for children’), implemented by a migrant social services organisation and media-design team, introduces Latin American Tauiwi to Tikanga through an animated children’s series, developed with a community short story writing competition and co-design with a kaitiaki (Māori guardian/advisor). Māori are recognised in Te Tiriti o Waitangi (the founding document of New Zealand) as partners with Pākeha (European New Zealanders), and Māori knowledge and Tikanga are important to society and culture in Aotearoa. Notwithstanding, there has been a historic lack of attention paid to developing meaningful understandings of Māori perspectives for New Zealand Tauiwi. Ako For Niños endeavours to address current shortages of engaging resources on Māori worldviews for Tauiwi communities, create opportunities for Tauiwi to benefit from Māori epistemologies, and foster healthy community relationships between Māori and Latin American Tauiwi. Through the project’s short story competition, Tauiwi were given definitions of Tikanga through a social media campaign, then prompted to write a children’s tale based on one of these in their native language. This encouraged Tauiwi to gain deeper comprehension of Māori values, and interpret Tikanga into their own expressions. Three winning entries were selected, then adapted into stop-motion and 2D animations. By converting the stories into aesthetically pleasing animated episodes, the Tikanga and narratives could be made more captivating for young audiences and families, appealing to the senses and emotions through visual storytelling, sound-design, and music. The media-design team worked closely with a kaitiaki during this process to better understand and communicate the Tikanga, adapting and co-designing the narratives in a culturally safe process. This ensured Māori knowledge, values, and interests were disseminated in correct and respectful ways. We argue for the importance of creative participation of Tauiwi, alongside co-design with Māori to produce educational intercultural design projects on Māori worldviews. Creative participation encourages new cultural knowledge to be imaginatively transliterated into personal interpretations and expressions of Tauiwi, allowing indigenous perspectives to be made more meaningful. This meaningful engagement with Māori values, which are more grounded in relational and human-centred concepts, can empower Tauiwi to feel more cared for and interconnected with their new home and culture. Additionally, co-design with Māori can help to honour Te Tiriti, and create spaces where Tauiwi, Pākeha and Māori interface in genuine partnership with agency (rangatiratanga), enhancing the credibility and value of outcomes. This session unpacks the contexts informing, and methods undertaken to develop the series, presenting current outcomes and expected directions (including a screening and exhibition). We will also highlight potential for the methodology to be applied in new ways in future, such as with other Tauiwi communities, different cultural knowledge, and increased collaborative co-design with Māori.
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Reports on the topic "Indigenous health services"

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O'Neill, John, Judith Bartlett, and Javier Mignone. Best Practices in Intercultural Health. Inter-American Development Bank, June 2007. http://dx.doi.org/10.18235/0008901.

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This paper presents some of the background research that contributed to the discussions within the Inter-American Development Bank's policy and strategy regarding indigenous health issues. The paper's conceptual approach and good practice research helped focus the discussion on the importance of intercultural health practices to promote indigenous peoples' access to allopathic health as well as to strengthen those traditional health practices based on indigenous peoples' own knowledge, culture, social networks, institutions and ways of life, that have shown their effectiveness. The paper presents five intercultural health experiences (in Suriname, Guatemala, Chile, Ecuador and Colombia) that are considered best practices in the field. Although poorly financed, these experiences highlight the significance to indigenous peoples of health models that bridge the gap between state-financed allopathic health services and their own indigenous health systems. This study however, does not represent a medical trial on the efficacy or efficiency of intercultural health models.
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Lounsbury, Kathleen, Monica Friesen, Ayumi Sasaki, Reilly Baldwin, Paul Foth, Kendra L. Rieger, and Rick Sawatzky. Indigenous social determinants of health measurement for health and social services: A systematic review protocol following a hermeneutic approach. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2023. http://dx.doi.org/10.37766/inplasy2023.7.0083.

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Bustelo, Monserrat, Verónica Frisancho, and Mariana Viollaz. Unequal Opportunities for Indigenous Peoples and African Descendants. Inter-American Development Bank, December 2023. http://dx.doi.org/10.18235/0005340.

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The indigenous peoples and African descendants in Latin America and the Caribbean are far behind the rest of the population in terms of access to education, health services, and financial services, something that is reflected in poor labor outcomes and high poverty rates. Indigenous peoples and African descendants achieve lower levels of education in their lifetime. In recent decades, the region has narrowed the years-of-education gap between the indigenous peoples and the non-indigenous population, but the differences are still large. The gaps in access to health services are clear in the maternal and infant mortality rates, which are higher for the indigenous peoples compared to the non-indigenous population, as well as in the deteriorated health indicators for children under the age of five. The labor situation is no better, with the indigenous peoples holding jobs in low-skilled occupations to a larger extent than the non-indigenous population. The poverty rates are alarming. In total, 43% of the regions indigenous persons and 25% of the African descendants are poor, and with very few exceptions, the poverty rates among African descendants and indigenous peoples are more than twice the rate of the white population.
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Friesen, Monica, Kathleen Lounsbury, Ayumi Sasaki, Reilly Baldwin, Paul Foth, Kendra L. Rieger, and Rick Sawatzky. Indigenous quality of life measurement for health and social services: A systematic review protocol following a hermeneutic approach. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2023. http://dx.doi.org/10.37766/inplasy2023.7.0082.

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Hilbrecht, Margo, and Norah Keating. Migration and Urbanization Trends and Family Wellbeing in Canada: A Focus on Disability and Indigenous Issues. The Vanier Institute of the Family, December 2022. http://dx.doi.org/10.61959/q220119z.

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Discussions of migration and urbanization in Canada and many other nations typically focus on the experiences of individuals. By doing so, the importance of their family relationships and circumstances may be overlooked. A failure to account for broader family networks has wellbeing consequences for both the people who migrate and/or move to urban locations and their family members who have stayed behind. Beyond the individual-level focus, policies related to migration are usually developed as population-level initiatives. This means that families that are considered vulnerable or at-risk due to certain health and/or demographic factors can remain unnoticed and their special needs unaccounted for. The experiences of these families during migration and urbanization merit greater attention so that policy makers and support services can ensure more equitable opportunities and better family wellbeing outcomes. This paper explores migration and urbanization in Canada in relation to family wellbeing with attention to two at-risk population groups: families with a member who has a disability and families that identify as Indigenous. Both groups experience exclusion, that is, systematic actions resulting in being overlooked, ignored, and at-risk. Indigenous families have endured a long history of colonialism, racism, and oppression (Saul, 2014), resulting in a legacy of grievous harm to families and the chronic underfunding of support services such as healthcare, housing, and child welfare (Government of Canada, 2018a; Truth and Reconciliation Commission of Canada, 2015). Families in which there is a member with a disability1 require ready access to affordable healthcare and related services to ensure appropriate support, which is linked to the wellbeing of all family members.
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Ripani, Laura, Néstor Gandelman, and Hugo R. Ñopo. Traditional Excluding Forces: A Review of the Quantitative Literature on the Economic Situation of Indigenous Peoples, Afro-Descendants, and People Living with Disability. Inter-American Development Bank, October 2007. http://dx.doi.org/10.18235/0010984.

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Unequal income distribution in Latin America and the Caribbean is linked to unequal distributions of (human and physical) assets and differential access to markets and services. These circumstances, and the accompanying social tensions, need to be understood in terms of traditional fragmenting forces; the sectors of the population who experience unfavorable outcomes are also recognized by characteristics such as ethnicity, race, gender and physical disability. In addition to reviewing the general literature on social exclusion, this paper surveys several more specific topics: i) relative deprivation (in land and housing, physical infrastructure, health and income); ii) labor market issues, including access to labor markets in general, as well as informality, segregation and discrimination; iii) the transaction points of political representation, social protection and violence; and iv) areas where analysis remains weak and avenues for further research in the region.
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Avis, William. Funding Mechanisms to Local CSOs. Institute of Development Studies, May 2022. http://dx.doi.org/10.19088/k4d.2022.089.

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Civil society can be broadly defined as the area outside the family, market and state. As such, civil society encompasses a spectrum of actors with a wide range of purposes, constituencies, structures, degrees of organisation, functions, size, resource levels, cultural contexts, ideologies, membership, geographical coverage, strategies and approaches.This rapid literature review collates available literature on funding mechanisms and barriers to local CSOs gaining access to funding and the extent to which funding leads towards organisational development and sustainability. Broadly, it is asserted that in terms of funding, local CSOs often struggle to secure funding equivalent to that of INGOs and their local representatives. Kleibl & Munck (2017) reflect that indigenous non-state actors do not receive large shares of development funding. For example, only 10% of the total funding for US-funded health projects in Uganda was allocated to indigenous non-state actors.Given the diversity of CSOs and the variety of contexts, sectors they work in and the services they supply, it is challenging to summarise funding mechanisms available to local CSOs and the barriers to accessing these. Recent analyses of CSO funding report that while the total CSO funding in many contexts has continued to increase in absolute terms since 2015, its relative importance (as a share of total Overseas Development Assistance) has been decreasing (Verbrugge and Huyse, 2018). They continued that ODA funding channelled through CSOs (i.e., funding that is programmed by the donor government) remains far more important in volumes than ODA channelled directly to CSOs (which is programmed by CSOs themselves).The literature identifies three principal mechanisms by which donors provide financial support to civil society actors: a) Direct support to individual or umbrella organisations; b) Via Southern government; c) Via Intermediaries – largely Northern NGOs.
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Hajarizadeh, Behzad, Jennifer MacLachlan, Benjamin Cowie, and Gregory J. Dore. Population-level interventions to improve the health outcomes of people living with hepatitis B: an Evidence Check brokered by the Sax Institute for the NSW Ministry of Health, 2022. The Sax Institute, August 2022. http://dx.doi.org/10.57022/pxwj3682.

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Background An estimated 292 million people are living with chronic hepatitis B virus (HBV) infection globally, including 223,000 people in Australia. HBV diagnosis and linkage of people living with HBV to clinical care is suboptimal in Australia, with 27% of people living with HBV undiagnosed and 77% not receiving regular HBV clinical care. This systematic review aimed to characterize population-level interventions implemented to enhance all components of HBV care cascade and analyse the effectiveness of interventions. Review questions Question 1: What population-level interventions, programs or policy approaches have been shown to be effective in reducing the incidence of hepatitis B; and that may not yet be fully rolled out or evaluated in Australia demonstrate early effectiveness, or promise, in reducing the incidence of hepatitis B? Question 2: What population-level interventions and/or programs are effective at reducing disease burden for people in the community with hepatitis B? Methods Four bibliographic databases and 21 grey literature sources were searched. Studies were eligible for inclusion if the study population included people with or at risk of chronic HBV, and the study conducted a population-level interventions to decrease HBV incidence or disease burden or to enhance any components of HBV care cascade (i.e., diagnosis, linkage to care, treatment initiation, adherence to clinical care), or HBV vaccination coverage. Studies published in the past 10 years (since January 2012), with or without comparison groups were eligible for inclusion. Studies conducting an HBV screening intervention were eligible if they reported proportion of people participating in screening, proportion of newly diagnosed HBV (participant was unaware of their HBV status), proportion of people received HBV vaccination following screening, or proportion of participants diagnosed with chronic HBV infection who were linked to HBV clinical care. Studies were excluded if study population was less than 20 participants, intervention included a pharmaceutical intervention or a hospital-based intervention, or study was implemented in limited clinical services. The records were initially screened by title and abstract. The full texts of potentially eligible records were reviewed, and eligible studies were selected for inclusion. For each study included in analysis, the study outcome and corresponding 95% confidence intervals (95%CIs) were calculated. For studies including a comparison group, odds ratio (OR) and corresponding 95%CIs were calculated. Random effect meta-analysis models were used to calculate the pooled study outcome estimates. Stratified analyses were conducted by study setting, study population, and intervention-specific characteristics. Key findings A total of 61 studies were included in the analysis. A large majority of studies (study n=48, 79%) included single-arm studies with no concurrent control, with seven (12%) randomised controlled trials, and six (10%) non-randomised controlled studies. A total of 109 interventions were evaluated in 61 included studies. On-site or outreach HBV screening and linkage to HBV clinical care coordination were the most frequent interventions, conducted in 27 and 26 studies, respectively. Question 1 We found no studies reporting HBV incidence as the study outcome. One study conducted in remote area demonstrated that an intervention including education of pregnant women and training village health volunteers enhanced coverage of HBV birth dose vaccination (93% post-intervention, vs. 81% pre-intervention), but no data of HBV incidence among infants were reported. Question 2 Study outcomes most relevant to the HBV burden for people in the community with HBV included, HBV diagnosis, linkage to HBV care, and HBV vaccination coverage. Among randomised controlled trials aimed at enhancing HBV screening, a meta-analysis was conducted including three studies which implemented an intervention including community face-to-face education focused on HBV and/or liver cancer among migrants from high HBV prevalence areas. This analysis demonstrated a significantly higher HBV testing uptake in intervention groups with the likelihood of HBV testing 3.6 times higher among those participating in education programs compared to the control groups (OR: 3.62, 95% CI 2.72, 4.88). In another analysis, including 25 studies evaluating an intervention to enhance HBV screening, a pooled estimate of 66% of participants received HBV testing following the study intervention (95%CI: 58-75%), with high heterogeneity across studies (range: 17-98%; I-square: 99.9%). A stratified analysis by HBV screening strategy demonstrated that in the studies providing participants with on-site HBV testing, the proportion receiving HBV testing (80%, 95%CI: 72-87%) was significantly higher compared to the studies referring participants to an external site for HBV testing (54%, 95%CI: 37-71%). In the studies implementing an intervention to enhance linkage of people diagnosed with HBV infection to clinical care, the interventions included different components and varied across studies. The most common component was post-test counselling followed by assistance with scheduling clinical appointments, conducted in 52% and 38% of the studies, respectively. In meta-analysis, a pooled estimate of 73% of people with HBV infection were linked to HBV clinical care (95%CI: 64-81%), with high heterogeneity across studies (range: 28-100%; I-square: 99.2%). A stratified analysis by study population demonstrated that in the studies among general population in high prevalence countries, 94% of people (95%CI: 88-100%) who received the study intervention were linked to care, significantly higher than 72% (95%CI: 61-83%) in studies among migrants from high prevalence area living in a country with low prevalence. In 19 studies, HBV vaccination uptake was assessed after an intervention, among which one study assessed birth dose vaccination among infants, one study assessed vaccination in elementary school children and 17 studies assessed vaccination in adults. Among studies assessing adult vaccination, a pooled estimate of 38% (95%CI: 21-56%) of people initiated vaccination, with high heterogeneity across studies (range: 0.5-93%; I square: 99.9%). A stratified analysis by HBV vaccination strategy demonstrated that in the studies providing on-site vaccination, the uptake was 78% (95%CI: 62-94%), significantly higher compared to 27% (95%CI: 13-42%) in studies referring participants to an external site for vaccination. Conclusion This systematic review identified a wide variety of interventions, mostly multi-component interventions, to enhance HBV screening, linkage to HBV clinical care, and HBV vaccination coverage. High heterogeneity was observed in effectiveness of interventions in all three domains of screening, linkage to care, and vaccination. Strategies identified to boost the effectiveness of interventions included providing on-site HBV testing and vaccination (versus referral for testing and vaccination) and including community education focussed on HBV or liver cancer in an HBV screening program. Further studies are needed to evaluate the effectiveness of more novel interventions (e.g., point of care testing) and interventions specifically including Indigenous populations, people who inject drugs, men who have sex with men, and people incarcerated.
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Turmena, Lucas, Flávia Maia, Flávia Guerra, and Michael Roll. TUC City Profile: Teresina, Brazil. United Nations University - Institute for Environment and Human Security (UNU-EHS), November 2022. http://dx.doi.org/10.53324/eycc5652.

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Climate injustice is obvious in Teresina. Although the city makes a small contribution to national and global emissions, it is situated in a global warming hotspot. Teresina is already affected by extreme heat, and models anticipate that it will become even hotter and drier in the coming years. The city's high vulnerability to climate change particularly affects Black, Indigenous and People of Colour (BIPOC) groups living in low-income neighbourhoods. Social injustice and racism are tied together in the urban development process of Teresina. Flood-prone areas often overlap with vulnerable neighbourhoods at the fringes of the city, resulting in precarious living conditions. Climate action at the city level must simultaneously favour racial and climate justice to promote transformative changes towards sustainability. Teresina will likely have to absorb climate-induced migration from its surroundings, which may increase the challenges of already overloaded basic services and infrastructure. Urban planning in Teresina must accommodate future projections by combining climate mitigation with adaptation to provide low-carbon and resilient development. Urban climate governance is still emerging in Teresina, which makes this a key moment for transformative action towards sustainability. Entry points for transformation in the city include: promoting vertical and horizontal coordination to implement the climate agenda; increasing climate-related technical knowledge within the municipal government and awareness at the community level; fostering collaboration to generate and disseminate municipal climate data and amplify bottom-up climate initiatives; creating new climate narratives; strengthening citizen participation while recognizing and including vulnerable groups; declaring a climate emergency; and leveraging additional public and private funds for climate action.
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Voices of vulnerable and underserved adolescents in Guatemala: A summary of the qualitative study 'Understanding the lives of indigenous young people in Guatemala'. Population Council, 2005. http://dx.doi.org/10.31899/pgy19.1011.

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Governments in developing countries recognize the need for appropriate technology for the treatment of emergencies from incomplete abortion or miscarriage. Numerous studies have investigated the appropriateness of an integrated model of postabortion care (PAC) that includes three essential elements: emergency treatment for spontaneous or induced abortion; counseling and family planning services; and links to other reproductive health services. Many integrated PAC services include replacement of the conventional clinical treatment, sharp curettage (SC), with manual vacuum aspiration (MVA). In 1997 and 1999 the Population Council supported intervention studies in Mexico and Bolivia, respectively, to assess PAC programs in terms of safety, effectiveness, quality of care, cost, and subsequent contraceptive use by clients. Both interventions introduced integrated PAC services and compared the outcomes of MVA and SC use in large public hospitals. To assess changes in service quality and costs, researchers analyzed clinical records and interviewed clients and providers before and after the interventions. As noted in this summary, SC and MVA are equally safe and effective and can be provided on an outpatient basis. Integrating clinical treatment with family planning counseling and services increased clients’ knowledge and contraceptive use.
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