Abstract:
OBJECTIVES:To trace the historical development of the Rankin Inlet Birthing Centre since its inception in 1993 in the context of plans to make it the nucleus of a system of community birthing centres throughout Nunavut. STUDY DESIGN:This is an analytical historical study using a combination of oral history interviews, government documents and existing literature. METHODS:Oral history interviews with current and former employees of the Birthing Centre, founding organizers and women who gave birth there were combined with a review of the literature using MEDLINE, Anthropology PLUS, CINAHL and Historical Abstracts, as well as a search of the records of the Nunavut Government and the debates of the Nunavut Legislature and its predecessor, the NWT Legislature. Results. The Rankin Inlet Birthing Centre has been successful, but only marginally so. The majority of births for residents of this region still occur in southern hospitals, either in Churchill or Winnipeg. Although the long-term plan for the Centre is to train and employ Inuit midwives, thus far only two maternity care workers are employed at the Centre. All the midwives are from southern Canada and rotate through the Centre and the community on fixed terms. The Centre has been very successful at gaining and retaining support at the political level, with a strong official commitment to it from the Nunavut Legislature, and active support from the medical communities in the Kivalliq and in Manitoba through the Northern Health Unit at the University of Manitoba. Community support within Rankin Inlet is less apparent and has been halting. Plans to extend the model of the Centre to other communities are long-standing, but have been slow to come to fruition. DISCUSSION:The Rankin Inlet Birthing Centre has remained an important, but peripheral, institution in Rankin Inlet. It is in many ways a southern institution located in the Arctic; for this reason, and due to the social networks present in Rankin Inlet itself, it has suffered from a lack of enthusiastic support from the community. However, the staff at the Birthing Centre are aware of its shortcomings and explicitly support more community-centred approaches in other communities. CONCLUSIONS:The staff and clients of the Rankin Inlet Birthing Centre have broadly recognized the challenges it faces. Future expansion is likely to adapt to local traditions and requirements, leading to new birthing centres that will be integrated into their communities.
journal_name
Int J Circumpolar Healthjournal_title
International journal of circumpolar healthauthors
Douglas VKdoi
10.3402/ijch.v70i2.17803subject
Has Abstractpub_date
2011-04-01 00:00:00pages
178-85issue
2eissn
1239-9736issn
2242-3982pii
1085journal_volume
70pub_type
杂志文章abstract:OBJECTIVES:To describe the attitudes about and experiences with cervical cancer, Pap smear screenings and the HPV vaccine among a sample of Inuit women from Nunavik, Quebec, Canada. We also evaluated demographic and social predictors of maternal interest in HPV vaccination. STUDY DESIGN:A mixed method design was used ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.17996
更新日期:2012-03-19 00:00:00
abstract::Climate change could cause changes in the incidence of infectious diseases in Arctic regions. Higher ambient temperatures in the Arctic may result in an increase in some temperature sensitive foodborne diseases such as gastroenteritis, paralytic shellfish poisoning and botulism. An increase in mean temperature may als...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v64i5.18029
更新日期:2005-12-01 00:00:00
abstract::The reasons for the rapidly increasing prevalence of diabetes (NIDDM) among Alaskan Eskimos are only partly understood. This study examines the association of fatty acid metabolism in 68 Alaskan Eskimos with NIDDM or impaired glucose tolerance (IGT) and 386 with normal glucose tolerance > 24 years old. The prevalence ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Primary care in remote communities in northern Canada is delivered primarily by nurses who receive clinical support from physicians in regional centres and the patient transportation system. To improve continuity, quality and access to care in remote northern communities, it is important to understand the pe...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.32159
更新日期:2016-09-14 00:00:00
abstract:OBJECTIVES:To report on a participatory research process in southwest Alaska focusing on youth involvement as a means to facilitate health promotion. We propose youth-guided community-based participatory research (CBPR) as way to involve young people in health promotion and prevention strategizing as part of translatio...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.18413
更新日期:2012-05-08 00:00:00
abstract::Cold causes cardiopulmonary stress often perceived as shortness of breath or chest pain, and causes exacerbation of these symptoms in persons suffering heart or lung disease. We investigated the prevalence of these symptoms and their association with sex, age and cold exposure in a population-based sample of 1,785 per...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,多中心研究
doi:
更新日期:2000-10-01 00:00:00
abstract::We report further details of the Eurowinter survey of cold related mortalities and protective measures against cold in seven regions of Europe, and review these with other evidence on the relationship of winter mortality to climate. Data for the oldest subject group studied, aged 65-74, showed that in this vulnerable ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,多中心研究
doi:
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Changing Directions, Changing Lives, the Mental Health Strategy for Canada, prioritizes the development of coordinated continuums of care in mental health that will bridge the gap in services for Inuit populations. OBJECTIVE:In order to target ways of improving the services provided in these contexts to ind...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v74.27186
更新日期:2015-05-14 00:00:00
abstract::In the first part of the study the prevalence and incidence of diagnosed Type 2 diabetes among adult rural populations of southern, central and northern areas of the Krasnoyarsk region of Siberia is compared. The six-year mean incidence of diabetes in the southern area was 0.86 per 1000 (95% CI: 0.66-1.06), in the cen...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVES:To determine how residents of the Inuit community of Nain, Nunatsiavut, Canada would like research results disseminated to their community. STUDY DESIGN:Qualitative study using focus groups and key informant interviews. METHODS:As part of a larger study on food safety, one focus group was conducted with hu...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v70i5.17860
更新日期:2011-01-01 00:00:00
abstract::Music as a possible health-promoting agent has attained increasing academic and scientific interest over the last decades. Nonetheless, possible connections between indigenous singing traditions and health beyond traditional ceremonial healing practices are still under-researched worldwide. The Sami, the indigenous pe...
journal_title:International journal of circumpolar health
pub_type: 历史文章,杂志文章,评审
doi:10.1080/22423982.2018.1454784
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:The Brightening Our Home Fires (BOHF) project was conceptualized as an exploratory project to examine the issue of the prevention of foetal alcohol spectrum disorder (FASD) from a women's health perspective in the Northwest Territories (NT). While dominant discourse suggests that FASD is preventable by absten...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21140
更新日期:2013-08-05 00:00:00
abstract:OBJECTIVE:Cochlear implant (CI) treatment was introduced to the world in the 1980s and has become a routine treatment for congenital or acquired severe-to-profound hearing loss. CI treatment requires access to a highly skilled team of ear, nose and throat specialists, audiologists and speech-language pathologists for e...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.20974
更新日期:2013-08-05 00:00:00
abstract::We examined whether dietary supplementation with seal oil influenced the risk factors of atherosclerosis in healthy volunteers. Two intervention studies were carried out as preliminary steps in a larger project which aim at elucidating the disease preventive potential of seal oil. In study I ten healthy volunteers add...
journal_title:International journal of circumpolar health
pub_type: 临床试验,杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:To review suicide patterns among Inuit in Canada and highlight new developments in Inuit-driven and community-based suicide prevention. Study design. Narrative overview of suicide among Inuit in Canada, strides towards Inuit autonomy, and community and government action towards suicide prevention. METHODS:R...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v68i3.18330
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVES:Characterize and examine the prevalence of food insecurity in Qeqertarsuaq, Greenland, and identify stressors affecting the food system. STUDY DESIGN:A mixed-methods study using quantitative food security surveys and semi-structured interviews. METHODS:Food security surveys (n=61) were conducted with a ran...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v69i3.17616
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:With invasive Haemophilus influenzae serotype b (Hib) disease controlled by vaccination with conjugate Hib vaccines, there is concern that invasive disease due to non-serotype b strains may emerge. OBJECTIVE:This study characterized invasive H. influenzae (Hi) isolates from Nunavut, Canada, in the post-Hib ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.29798
更新日期:2016-01-12 00:00:00
abstract::Emerging infections have in recent years caused enormous health problems. About 70% of these infections are zoonotic e.g. arise from natural foci in the environment. As climate change impacts ecosystems there is an ongoing transition of infectious diseases in humans. With the fastest changes of the climate occurring i...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2019.1601991
更新日期:2019-12-01 00:00:00
abstract::Problems with alcohol, marijuana and gambling are major public health challenges in Greenland but their prevalence in a hospital setting has not been explored. Healthcare facilities play a significant role in Greenland. One important aspect is their provision of both primary and secondary healthcare services to a smal...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2020.1771950
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:Experiences in one's family of origin, especially the relationship to one's parents, supposedly form the basis of relationships in adulthood. The connection between traumatic childhood events and later life has been studied intensively, whereas average childhood growth experiences have been given less attent...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v70i2.17805
更新日期:2011-04-01 00:00:00
abstract::It is well documented that dietary patterns have been changing for northern indigenous peoples as they adapt to a contemporary lifestyle. Recent dietary research among Chukotka Native adults showed a higher intake of saturated fatty acids (15% of energy) and sugar, and lower content of polyunsaturated fatty acids (5%)...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::The Eeyouch are a First Nations (Cree) population that live above 49.6°N latitude in Eeyou Istchee in northern Quebec. Eeyouch rely on traditional foods (TF) hunted, fished or gathered from the land. The overarching aim of this study was to achieve an understanding of the factors associated with TF intake among Eeyouc...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2018.1536251
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:There is a paucity of research on Alaska Natives and their views on whether or not they believe they will age successfully in their home and community. There is limited understanding of aging experiences across generations. OBJECTIVE:This research explores the concept of successful aging from an urban Alask...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21186
更新日期:2013-08-05 00:00:00
abstract::Over the last 60 years, Alaska's mean annual temperature has increased by 1.6°C, more than twice the rate of the rest of the United States. As a result, climate change impacts are more pronounced here than in other regions of the United States. Warmer temperatures may allow some infected host animals to survive winter...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.19562
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to develop a dietary instrument (food frequency questionnaire [FFQ]) that measured total dietary intake over 1 year among Alaska Native people in 2 regions. Ways of assessing diet are needed in order to accurately evaluate how the diets of Alaska Natives relate to their health. ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v68i2.18319
更新日期:2009-04-01 00:00:00
abstract::The article describes national, regional and community-level activities that contributed to the Manitoba First Nation partnership in maternal and child health programming. The activities reveal a potential for health change that is possible through working together across jurisdictional boundaries. Although we are onl...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v70i4.17837
更新日期:2011-09-01 00:00:00
abstract:PURPOSE:The Behavioral Risk Factor Surveillance System (BRFSS) is a nationally developed and state-administered telephone survey which monitors the health behaviors and practices of adults aged 18 and older. One use of the survey is to monitor progress towards some of the Year 2000 Health Objectives for the United Stat...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:The aim of the Tromstannen-Oral Health in Northern Norway (TOHNN) study was to investigate oral health and dental-related diseases in an adult population. This article provides an overview of the background of the study and a description of the sample characteristics and methods employed in data collection. ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.30169
更新日期:2016-02-19 00:00:00
abstract::In the Russian Arctic, alarming trends (shortage of nomadic Indigenous women, high reproductive loss, child mortality rates) indicate long-term changes towards demographic decline. This study aimed at comparing some indicators of the reproductive health (childbirth rates, number of pregnancies, pregnancy loss) of Indi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2020.1855913
更新日期:2021-12-01 00:00:00
abstract:OBJECTIVES:Provide an introduction to national IT strategies for the health and social sectors, and point out major challenges for the future of eHealth and Telemedicine in Norway. METHODS:The information provided in this article is based on reviews of national strategies and plans, and contact with projects and users...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:10.3402/ijch.v63i4.17751
更新日期:2004-12-01 00:00:00