Fricke M, Achtemichuk M, Cooper J, Martin B, Macaulay A, Durcan A
JA Hildes Northern Medical Unit, University of Manitoba, Winnipeg, Canada.
Int J Circumpolar Health. 2004;63 Suppl 2:101-6. doi: 10.3402/ijch.v63i0.17867.
In 2000, the University of Manitoba and the Department of Health and Social Services of Nunavut, Canada, jointly embarked upon the development of a community-based medical rehabilitation programme in the Kivalliq Region of Canada's central Arctic. Two main objectives were identified in moving forward with the implementation of a rehabilitation programme. Firstly, to conduct a region wide community needs assessment for rehabilitation services for all age groups of all residents of the Kivalliq Region of Nunavut. Secondly, to provide information from which a community-based rehabilitation therapy programme could be developed.
A community needs assessment of the Kivalliq Region was carried out to guide the implementation of physiotherapy, occupational therapy and speech language pathology services.
There are now two physiotherapists, one occupational therapist, and one speech language pathologist providing rehabilitation services to the residents of the Kivalliq Region of Nunavut. The results of this needs assessment, the challenges and successes of this medical rehabilitation programme are discussed.
The total population of the service area is approximately 8,000 people, the significant majority of whom self-report as Inuit, and are widely dispersed over eight communities. Despite the challenges in terms of culture, geography and recruitment of introducing a rehabilitation program in Canada's north, the residents of the Kivalliq Region now have a viable model of receiving rehabilitative intervention in their home communities.
2000年，加拿大曼尼托巴大学与努纳武特地区卫生和社会服务部联合着手在加拿大北极中部的基瓦利克地区开展一项基于社区的医疗康复项目。在推进康复项目实施过程中确定了两个主要目标。其一，对努纳武特地区基瓦利克地区所有居民的所有年龄组进行全地区范围的康复服务社区需求评估。其二，提供信息，以便制定一个基于社区的康复治疗项目。
对基瓦利克地区进行了社区需求评估，以指导物理治疗、职业治疗和言语病理学服务的实施。
目前有两名物理治疗师、一名职业治疗师和一名言语病理学家为努纳武特地区基瓦利克地区的居民提供康复服务。讨论了该需求评估的结果、这个医疗康复项目的挑战与成功之处。
服务区域的总人口约为8000人，其中绝大多数自称是因纽特人，他们广泛分布在八个社区。尽管在加拿大北部引入康复项目在文化、地理和人员招募方面存在挑战，但基瓦利克地区的居民现在有了一个在其家乡社区接受康复干预的可行模式。
