Our Children, Our Future: The Health and Well-being of First Nations Children in Manitoba
Chartier M, Brownell M, Star L, Murdock N, Campbell R, Phillips-Beck W, Meade C, Au W, Schultz J, Bowes JM, Cochrane B
The purpose of this report is to provide a sound baseline measure of how First Nations children are doing in order to determine if children’s lives are improving as a result of the Truth and Reconciliation Commission’s Calls to Action. The present report was requested by the Healthy Child Committee of Cabinet to focus on First Nations children in Manitoba and to provide valuable information on their health and well-being – similar to Child Health Atlas reports previously prepared by Manitoba Centre for Health Policy (MCHP). The research team includes members from MCHP, First Nations Health and Social Secretariat of Manitoba (FNHSSM) and Manitoba First Nations Education Resource Centre (MFNERC). The analyses provide comparisons between First Nations children and all other Manitoba children, comparisons between on and off reserve First Nations, and regional comparisons by Regional Health Authority and by Tribal Council Areas. Large disparities between First Nations children and other Manitoba children were found in birth outcomes, physical health, mental health, health & prevention services, education, social services, justice system involvement and mortality. These results must be understood within the broader historical, social, legal and political context.Type 2 Diabetes in Manitoba
Ruth C, Sellers E, Chartrand C, McLeod L, Prior H, Sirski M, Dragan R, Chen H, McDougall C, Schultz J
This deliverable, undertaken in partnership with The First Nation Health and Social Secretariat of Manitoba provides an analysis of trends in incidence and prevalence of for all types of non-gestational diabetes from the 1985 to 2017 allowing comparison to national and international statistics. Then, using the wealth of data within the Repository, especially the Diabetes Education Resource for Children and Adolescents (DER-CA) clinical database, Manitobans diagnosed with type 2 diabetes mellitus (T2DM) were identified and their outcomes over the last 6 years were described. This includes diabetes control, complications, mortality and health service use including hospitalizations, continuity of primary care and specialist care. Multiple analyses were undertaken to examine whether the care received by Manitobans living with T2DM met current guidelines. There are also a number of special analyses in cohorts of people matched to those without diabetes for childhood onset T2DM, T2DM in pregnancy, and for mental health outcomes in adults. Information is presented for different age groups, by sex, by health region and by Tribal Council Area and results were compared between registered First Nation Manitobans and all other Manitobans.
The Health Status of and Access to Healthcare by Registered First Nation Peoples in Manitoba
Katz A, Avery Kinew K, Star L, Taylor C, Koseva I, Lavoie J, Burchill C, Urquia M, Basham A, Rajotte L, Ramayanam V, Jarmasz J, Burchill S
This deliverable is the product of a strong and developing relationship between MCHP and the First Nations Health and Social Secretariat of Manitoba. It looks at health and healthcare use patterns of First Nations people living in Manitoba. The analyses provide comparisons between First Nations and all other Manitobans, comparisons between on and off reserve First Nations, and regional comparisons by Regional Health Authority and by Tribal Council Areas. It is the first study to use the Regional Health Survey which includes on-reserve First Nation peoples. The results demonstrate the widening gap between the health of First Nations and all other Manitobans and point to inequities in service provision.
Profile of Metis Health Status and Healthcare Utilization in Manitoba: A Population-Based Study
Martens PJ, Bartlett J, Burland E, Prior H, Burchill C, Huq S, Romphf L, Sanguins J, Carter S, Bailly A
It's widely known that the health of aboriginal populations in Canada lags behind that of other Canadians. In 2002, the Manitoba Centre for Health Policy (MCHP) published a report titled The Health and Health Care Use of Registered First Nations People Living in Manitoba: A Population-Based Study. The research project demonstrated that Registered First Nations people have shorter life expectancy and higher morbidity than other Manitobans, however, little has been published on the health of Aboriginals who do not have Status, such as Metis. This collaborative study between Manitoba Health, MCHP and the Manitoba Metis Federation (MMF) examines the health of the Metis population of Manitoba with indicators such as physical illness, hospital services, educational success, and the use of social services. There are some good findings and some that are troubling.
The Health and Health Care Use of Registered First Nations People Living in Manitoba: A Population-Based Study
Martens PJ, Bond R, Jebamani L, Burchill C, Roos NP, Derksen S, Beaulieu M, Steinbach C, MacWilliam L, Walld R, Dik N, Sanderson D, Health Information and Research Committee AoMC, Tanner-Spence M, Leader A, Elias B, O'Neil J
MCHP worked collaboratively with the Health Information and Research Committee of the Assembly of Manitoba Chiefs to provide indicators about the health of Registered First Nations people in Manitoba. Unique to this study was the opportunity to work with updated and complete information on all persons having band membership in a Manitoba First Nations community.
Manitoba Centre for Health Policy
Community Health Sciences, Max Rady College of Medicine,
Rady Faculty of Health Sciences,
Room 408-727 McDermot Ave.
University of Manitoba
Winnipeg, MB R3E 3P5 Canada