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减轻 COVID-19 大流行对曼尼托巴省因纽特人生活的影响:社区应对措施。

Mitigating the impact of the COVID-19 pandemic on Inuit living in Manitoba: community responses.

机构信息

Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

Ongomiizwin Indigenous Institute for Health and Healing, University of Manitoba, Winnipeg, Manitoba, Canada.

出版信息

Int J Circumpolar Health. 2023 Dec;82(1):2259135. doi: 10.1080/22423982.2023.2259135. Epub 2023 Sep 26.

DOI:10.1080/22423982.2023.2259135
PMID:37752773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10538448/
Abstract

We document community responses to the COVID-19 pandemic among Inuit living in the province of Manitoba, Canada. This study was conducted by the Manitoba Inuit Association and a Council of Inuit Elders, in partnership with researchers from the University of Manitoba. We present findings from 12 health services providers and decision-makers, collected in 2021.Although Public Health orders led to the closure of the Manitoba Inuit Association's doors to community events and drop-in activities, it also created opportunities for the creation of programming and events delivered virtually and through outreach. The pandemic exacerbated pre-existing health and social system's shortcomings (limited access to safe housing, food insecurity) and trauma-related tensions within the community. The Manitoba Inuit Association achieved unprecedented visibility with the provincial government, receiving bi-weekly reports of COVID-19 testing, results and vaccination rates for Inuit. We conclude that after over a decade of advocacy received with at best tepid enthusiasm by federal and provincial governments, the Manitoba Inuit Association was able effectively advocate for Inuit-centric programming, and respond to Inuit community's needs, bringing visibility to a community that had until then been largely invisible. Still, many programs have been fueled with COVID-19 funding, raising the issue of sustainability.

摘要

我们记录了加拿大马尼托巴省因纽特人对 COVID-19 大流行的社区反应。这项研究是由马尼托巴因纽特协会和因纽特长老理事会与马尼托巴大学的研究人员合作进行的。我们展示了来自 12 名卫生服务提供者和决策者的调查结果,这些调查结果是在 2021 年收集的。尽管公共卫生命令导致马尼托巴因纽特协会关闭了社区活动和临时活动的大门,但它也为虚拟和外展提供的编程和活动创造了机会。大流行加剧了社区内现有的健康和社会系统的缺陷(安全住房机会有限、粮食不安全)和与创伤相关的紧张局势。马尼托巴因纽特协会与省政府建立了前所未有的联系,每周收到两次因纽特人 COVID-19 检测、结果和疫苗接种率的报告。我们的结论是,在经过十余年的宣传之后,联邦和省政府最多只是表示了温和的热情,马尼托巴因纽特协会能够有效地倡导以因纽特人为中心的项目,并回应因纽特社区的需求,使一个以前基本上不为人知的社区获得了可见度。尽管如此,许多项目都得到了 COVID-19 资金的支持,这引发了可持续性问题。

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本文引用的文献

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Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic.跨境大流行管理:努纳武特因纽特人在 COVID-19 大流行期间在马尼托巴省获得服务的经验之谈。
Int J Circumpolar Health. 2023 Dec;82(1):2259122. doi: 10.1080/22423982.2023.2259122. Epub 2023 Sep 20.
2
Kivalliq Inuit women travelling to Manitoba for birthing: findings from the Qanuinngitsiarutiksait study.基瓦利纳因纽特妇女前往马尼托巴省分娩:夸纳因纽格特研究的结果。
BMC Pregnancy Childbirth. 2022 Nov 23;22(1):870. doi: 10.1186/s12884-022-05214-9.
3
Trends in Inuit health services utilisation in Manitoba: findings from the study.曼尼托巴因纽特人健康服务利用趋势:研究结果。
Int J Circumpolar Health. 2022 Dec;81(1):2073069. doi: 10.1080/22423982.2022.2073069.
4
Unforeseen benefits: outcomes of the Qanuinngitsiarutiksait study.意料之外的获益:Qanuinngitsiarutiksait 研究结果。
Int J Circumpolar Health. 2022 Dec;81(1):2008614. doi: 10.1080/22423982.2021.2008614.
5
Experiences of Inuit in Canada who travel from remote settings for cancer care and impacts on decision making.加拿大因纽特人从偏远地区前往接受癌症治疗的经历及其对决策的影响。
BMC Health Serv Res. 2021 Apr 13;21(1):328. doi: 10.1186/s12913-021-06303-9.
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Unpacking vulnerability: towards language that advances understanding and resolution of social inequities in public health.剖析脆弱性:探寻推动理解与解决公共卫生领域社会不平等问题的语言。
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