Grant: Project Grant

"When the child is about to arrive, the elderly women performed the delivery and the baby's "otisis" was given to the mother. Elders were part of a welcoming ceremony done later for baby and their family, and the feast prepared by all of the family, friends and community. What's missing [in communities] today is welcoming and honouring the 'gift of life' (teaching from Elder Katherine Whitecloud, MB). Ongoing and historical colonial health practices have systematically diminished the health and well-being of Indigenous communities. One critically important primary healthcare service that shows the impact of colonial relations is maternal/child healthcare. There is the "absence of teachings regarding the 'Sacred Spirit' (child) along with the responsibilities and preparation for 'life-giving' across the childbearing continuum (preconception, pregnancy, birth and post-delivery). Strategies to embrace and include Indigenous knowledge, values, teachings, and stories are essential for a healthy life in Indigenous communities; the absence of these strategies disrupts the relations among youth, young parents, families, and communities. In this study, we explore maternal healthcare delivery systems and services across 4 remote Canadian jurisdictions. Our exploration includes Indigenous and Western world views and aims to improve the health of communities by bringing back the 'Sacred Spirit' [child]. The teaching tells us that achieving this equates to maintaining wellness. We have and will continue to actively engage Indigenous and non-Indigenous members in 4 remote Canadian jurisdictions each involved in delivering or receiving maternal care. Data sources include interviews, focus groups [story-telling], and document analysis. The outcome will be identification of maternity care delivery models that are integrated, cost-efficient, culturally appropriate, and effectively supporting persons to maintain health and wellness within their own community.