Cuts to Aboriginal Health Research


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What are the impacts of cuts to Aboriginal health research? Creative Commons Photo Credit: Flicker image by apoxapox

What are the impacts of cuts to Aboriginal health research? Creative Commons Photo Credit: Flicker image by apoxapox

The Question
Given recent cuts to Aboriginal health research, how does the government plan to include Aboriginal expertise, opinions, lived realities, values, and traditional practices in public health research?
The Background
In 2012 the Canadian Government cut funding to the National Aboriginal Health Organization (NAHO). More recently they have proposed cuts to the Institute for Aboriginal Peoples Health (IAPH). What impact will these cuts have on health research by and for Aboriginal community members? The Public Health Agency of Canada claims to be promoting health equity and the Canadian Institutes of Health Research (CIHR) are championing a model of “two-eyed seeing” designed to balance the strengths of both Western science and Aboriginal ways of understanding health. Such efforts are crucial for ensuring the development and implementation of culturally sensitive and culturally appropriate policies and health interventions. These are admirable goals, since Aboriginal health research can only be successful if it is based on mutual respect, co-equal power relations, and collaboration between Aboriginal community members and healthcare professionals.  What will happen to Aboriginal knowledge in health research as CIHR begins to phase out its Aboriginal-specific peer review process? What is Canada doing to foster a research culture that takes seriously the unique social, political and environmental factors contributing to major Aboriginal health concerns? See below for more information.
Your Letter to Federal Scientists and Ministers
Dear Dr. Nicolas Gilbert,

Your research on stillbirth and infant mortality rates within Aboriginal communities in Quebec highlights some of the unique challenges facing researchers charged with understanding and communicating health risks and best practices to Canadian Aboriginal populations. As your work points out, Aboriginal communities “are disadvantaged in relation to the rest of the province’s population” (Gilbert et al. 2015: 6) in terms of maternal and infant health. Your research comes at a troubling time when Aboriginal issues seem to be underrepresented in Canadian health research. With recent cuts to funding for the National Aboriginal Health Organization and the Institute for Aboriginal Peoples Health, it is unclear how systemic issues such as poverty, education, lack of access to public health resources, and other social determinants of health can be addressed and overcome if Aboriginal community members are not actively engaged in the research process itself.

Given your role as a senior epidemiologist working for the Public Health Agency of Canada, what are the impacts of these cuts on your efforts to include of Aboriginal expertise, opinions, lived realities, values, and traditional practices in your research? With these cuts how can we guarantee that Aboriginal community members are actively involved in the process of defining both health risks and best practices in Canadian health research?

I am writing this email as part of Write2Know (https://write2know.ca) a letter-writing campaign that aims to mobilize public awareness and inquiry into federal research programs. We want to let you know that we value federal science and scientists, and that our questions arise out of genuine concerns about the health and well-being of Canadians.

We remain concerned about the legacy of constraints on access to federal scientists and the results of their research, the elimination of essential research programs, and the closure of libraries and archives. These constraints and closures have impacted what Canadians can and cannot know about the health of their bodies, communities, and environments. We are hopeful that a new government will address our concerns.

We are posing questions to federal scientists about their research and findings, and forwarding our letters to federal Ministers and Members of Parliament to call attention to serious gaps between scientific evidence and government policy.

I look forward to your response.

Sincerely,

[Your name]

cc

Hon. Jane Philpott, Minister of Health
Hon. Carolyn Bennett, Minister of Indigenous and Northern Affairs
Hon. Patty Hajdu, Minister of Status of Women

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31 Sabrina Scott Toronto, Ontario Mar 15, 2015
30 Jillian Smith Mar 15, 2015
29 Christianne Stephens Hamilton, Ontario Mar 14, 2015
28 Ailsa Craig St. John's, NL Mar 14, 2015
27 Michael Oman-Reagan Mar 13, 2015
26 Stuart Basden Toronto, Ontario Mar 13, 2015
25 Marilyn Marshall Stratford, ON Mar 13, 2015
24 Michael Zryd Toronto, Ontario Mar 13, 2015
23 carol farkas toronto, Ontario Mar 13, 2015
22 Bret Hampton Kimberley, BC Mar 13, 2015
21 Sheila Moini Ottawa, Ontario Mar 13, 2015
20 Lisa Howse Saskatoon, Saskatchewan Mar 13, 2015
19 Troy Ogden Regina, SK Mar 13, 2015
18 Max Liboiron St. John's, Newfoundland Mar 13, 2015
17 Magdalena Kazubowski-Houston Toronto, ON Mar 12, 2015
16 Margrit Eichler Toronto, Ontario Mar 12, 2015
15 Alison Syme Toronto, Ontario Mar 12, 2015
14 Miguel Daraîche-Leblanc Montréalq, Quebec Mar 12, 2015
13 Sara Komarnisky Edmonton, Alberta (AB) Mar 12, 2015
12 Mara Mills New York, NY Mar 11, 2015
11 Thomas Klie-Cribb Toronto, Ontario Mar 11, 2015
10 Callum C. J. Sutherland Toronto, Ontario Mar 11, 2015
9 Brit Cruise Mar 11, 2015
8 Michael Brewer Toronto, On Mar 11, 2015
7 Ayelen Liberona Toronto Mar 11, 2015
6 Lauren Smith Whitby, Ontario Mar 11, 2015
5 Devon Molleson Whitby, Ontario Mar 11, 2015
4 Natasha Myers Toronto, Ontario Mar 11, 2015
3 Samantha Reid Oshawa, Ontario Mar 11, 2015
2 Gina Molleson St. John's, Newfoundland and Labrador Mar 11, 2015
1 Pat Murray ridgetown, on Mar 11, 2015

More Information


“National Aboriginal Health Organizations funding cut” CBC News, April 9, 2012.

Triana Roache, “Scientists sound alarm on looming aboriginal health research crisis” APTN News, December 4, 2015.

Paul Christopher Webster, “Aboriginal health programming under siege, critics charge” Canadian Medical Association Journal, September 2012.

Aboriginal Health Research Steering Committee Response to emerging crisis between CIHR and the Aboriginal health research community November 2014.

Gilbert, et al (2015). “Stillbirth and infant mortality rates in Aboriginal communities in Quebec” Statistics Canada Health Reports, 26(2), 3-8

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