Grant: Catalyst Grant: Moving Upstream - Structural Determinants of Health - General

Hepatitis C (HCV) is the first curable chronic viral infection. Treatment is effective and prevents progressive liver disease and liver cancer, and yet it remains a public health threat leading to more life years lost than any other infectious disease in Ontario. This research contextualizes living experiences of HCV awareness, and the path to HCV care by First Nations People in Ontario as experienced through current social and structural barriers. These system level drivers impact the uptake of HCV testing and care which has been demonstrated through previous First Nation data on engagement in current options for testing and treatment. In alignment with Indigenous knowledge sharing, this Indigenous-led research will focus on partnerships, collaborations, reciprocity and consider upstream sources of disparate HCV care experiences by listening to the living experiences of First Nation community members who have sought HCV testing or care in Ontario, and healthcare providers in First Nation communities or organizations. Analyzing for themes in experienced barriers or gaps in HCV care toward shaping transdisciplinary and equitable implementation strategies framing HCV care within cultural wellness contexts to positively impact access and equity.