Kishaadigeh Collaborative Research Centre, The University of Winnipeg, Winnipeg, MB, Canada.
Department of Peace and Conflict Studies, University of Manitoba, Winnipeg, MB, Canada.
Womens Health (Lond). 2022 Jan-Dec;18:17455057221093928. doi: 10.1177/17455057221093928.
To interview representatives from Indigenous doulas across Canada in order to document how they manage the logistics of providing community-based doula care and understand their challenges. These objectives inform the development of an Indigenous doula pilot programme as part of the project, 'She Walks With Me: Supporting Urban Indigenous Expectant Mothers Through Culturally Based Doulas'.
In 2020, semi-structured interviews were conducted with members of five Indigenous doula collectives across Canada. Interview transcripts were approved by participants and subsequently coded by the entire research team to identify key themes.
Our article explores one of the main themes that emerged from these interviews: sustainable funding for Indigenous doula services. Within this theme we identified two sub-themes: (1) limitations on and regulations for available funding and (2) negative impacts of limited funding on doula service.
A major challenge to providing Indigenous community-based doula services is sustainable funding. Current models of funding for this work often do not provide livable wages and are bound by limited durations and regulations that are unsustainable and can be culturally inappropriate. Due to this lack of sustainable funding, Indigenous doula service in Canada faces challenges that include high staff turnover and burnout and lack of time and resources to provide culturally safe care, pursue professional development and additional training, and keep their services affordable for the families who need them. Future research is needed to ascertain potential programmes and funding streams for sustainable Indigenous doula support in Canada, including possible integration of doula care into the universal public health care system despite the jurisdictional challenges in providing health care for Indigenous peoples.
采访加拿大各地的土著陪产员代表，记录他们如何管理提供基于社区的陪产员护理的后勤工作，并了解他们所面临的挑战。这些目标为作为项目的一部分开发土著陪产员试点计划提供了信息，该项目名为“她与我同行：通过基于文化的陪产员支持城市土著孕妇”。
2020 年，对加拿大五个土著陪产员团体的成员进行了半结构化访谈。采访记录得到了参与者的批准，随后由整个研究团队进行编码，以确定主要主题。
我们的文章探讨了这些访谈中出现的主要主题之一：为土著陪产员服务提供可持续资金。在这个主题中，我们确定了两个子主题：（1）可用资金的限制和规定；（2）有限资金对陪产员服务的负面影响。
为提供基于社区的土著陪产员服务提供可持续资金是一个主要挑战。目前为这项工作提供资金的模式往往无法提供可维持生计的工资，并且受到限制时长和规定的限制，这些限制是不可持续的，并且可能不适合文化。由于缺乏可持续资金，加拿大的土著陪产员服务面临挑战，包括员工高离职率和倦怠、缺乏时间和资源提供文化安全的护理、追求专业发展和额外培训，以及使服务对需要的家庭负担得起。需要进一步研究以确定加拿大可持续的土著陪产员支持的潜在计划和资金来源，包括将陪产员护理纳入普遍的公共医疗保健系统，尽管在为土著人民提供医疗保健方面存在司法挑战。
