Northern Medical Program, University of Northern British Columbia, Prince George, British Columbia, Canada.
Carrier Sekani Family Services, Prince George, British Columbia, Canada.
Int J Gynaecol Obstet. 2021 Nov;155(2):211-219. doi: 10.1002/ijgo.13915. Epub 2021 Sep 17.
To examine the unique and diverse strengths held by rural and remote Indigenous communities in northern British Columbia, including multi-generational support systems in health and wellness, profound connections to the land, and strong cultural foundations, and harness these strengths, allowing communities to engage in innovative and empowering health and wellness programs.
Building on these pre-existing and fundamental strengths, an alternative option to cervical cancer screening was introduced to nine Carrier Sekani health centers located in northern interior British Columbia in response to disparities in screening rates. Introduced in 2019, CervixCheck uses a self-collection approach that is private, safe, convenient, and offered at local community health centers by trained and supportive health staff.
Using a strengths-based and community directed and descriptive approach, the process was outlined for a successful and ongoing health screening opportunity that is put into the hands of community members within Indigenous communities in the region of northern British Columbia.
Through collaborative partnerships, in-person engagement sessions, and the utilization of pre-existing infrastructure and health and wellness teams, this project was successfully integrated into primary care centers using culturally safe and community-based approaches.
探讨不列颠哥伦比亚省北部农村和偏远地区的原住民社区所拥有的独特和多样化的优势,包括在健康和保健方面的多代支持系统、与土地的深厚联系以及强大的文化基础,并利用这些优势,使社区能够参与创新和赋权的健康和保健计划。
在这些现有的和基本的优势基础上,针对不列颠哥伦比亚省北部内陆地区的九个 Carrier Sekani 健康中心,引入了一种替代宫颈癌筛查的方法,以应对筛查率的差异。CervixCheck 于 2019 年推出,采用自我采集的方式,私密、安全、方便,由经过培训和支持的卫生工作人员在当地社区卫生中心提供。
采用基于优势、以社区为导向和描述性的方法,概述了在不列颠哥伦比亚省北部地区的原住民社区中,为社区成员提供成功和持续的健康筛查机会的过程。
通过合作伙伴关系、面对面的参与会议以及利用现有的基础设施和健康与保健团队,该项目成功地融入了初级保健中心,采用了文化安全和基于社区的方法。