Understanding the role of Indigenous community participation in Indigenous prenatal and infant-toddler health promotion programs in Canada: A realist review
| Autor: | Patricia O'Campo, Maritt Kirst, Sara Wolfe, Janet Smylie, Kelly McShane, Michelle Firestone |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Program evaluation
Gerontology Canada Economic growth medicine.medical_specialty Health (social science) Prenatal health promotion Child health promotion Population Alternative medicine Health Promotion Indigenous Health(social science) 03 medical and health sciences 0302 clinical medicine Population Groups History and Philosophy of Science Pregnancy medicine Humans 030212 general & internal medicine education Realist review 2. Zero hunger education.field_of_study 030505 public health business.industry Community Participation Infant Prenatal Care Community ownership Child development Health promotion Child Preschool Female 0305 other medical science business Inclusion (education) |
| Zdroj: | Social Science & Medicine. 150:128-143 |
| ISSN: | 0277-9536 |
| DOI: | 10.1016/j.socscimed.2015.12.019 |
| Popis: | Purpose Striking disparities in Indigenous maternal-child health outcomes persist in relatively affluent nations such as Canada, despite significant health promotion investments. The aims of this review were two-fold: 1. To identify Indigenous prenatal and infant-toddler health promotion programs in Canada that demonstrate positive impacts on prenatal or child health outcomes. 2. To understand how, why, for which outcomes, and in what contexts Indigenous prenatal and infant-toddler health promotion programs in Canada positively impact Indigenous health and wellbeing. Methods We systematically searched computerized databases and identified non-indexed reports using key informants. Included literature evaluated a prenatal or child health promoting program intervention in an Indigenous population in Canada. We used realist methods to investigate how, for whom, and in what circumstances programs worked. We developed and appraised the evidence for a middle range theory of Indigenous community investment-ownership-activation as an explanation for program success. Findings Seventeen articles and six reports describing twenty programs met final inclusion criteria. Program evidence of local Indigenous community investment, community perception of the program as intrinsic (mechanism of community ownership) and high levels of sustained community participation and leadership (community activation) was linked to positive program change across a diverse range of outcomes including: birth outcomes; access to pre- and postnatal care; prenatal street drug use; breast-feeding; dental health; infant nutrition; child development; and child exposure to Indigenous languages and culture. Conclusions These findings demonstrate Indigenous community investment-ownership-activation as an important pathway for success in Indigenous prenatal and infant-toddler health programs. |
| Databáze: | OpenAIRE |
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