Abstract

Background: Among Indigenous people in Canada the incidence of HIV is 3.5 times higher than other ethnicities. In Manitoba First Nations, Metis and Inuit people are disproportionately represented (40%) among people who are new to HIV care. Northlands Denesuline First Nation (NDFN) identified the need to revisit their level of knowledge and preparedness for responding to the increasing rates of HIV. NDFN piloted a community readiness assessment (CRA) tool to assess its appropriateness for use in northern Manitoba.

Methods: A First Nation and non-First Nation research team trained to administer the CRA tool at NDFN in Manitoba. Five informants were interviewed using the CRA tool and the responses were scored, analysed and reviewed at community workshops and with stakeholders to develop a 1-year action plan.

Results: CRA training was best conducted in the community. Using the readiness score of 2.4 along with feedback from two workshops, community members, the research team and stakeholders, we identified priorities for adult education and youth involvement in programmes and planning.

Conclusions: In response to the increasing incidence of HIV, a northern First Nation community successfully modified and implemented a CRA tool to develop an action plan for culturally appropriate interventions and programmes.

Details

Title
A Dene First Nation’s community readiness assessment to take action against HIV/AIDS: a pilot project
Author
Larcombe, Linda 1 ; McLeod, Albert 2 ; Samuel, Sarah 3 ; Samuel, Jennifer 3 ; Payne, Michael 4 ; Stephanie Van Haute 5 ; Singer, Matthew 1 ; Ringaert, Laurie 5   VIAFID ORCID Logo  ; Meyers, Adrienne F A 6 ; Kinew, Kathi 7 ; Keynan, Yoav 1 ; MacDonald, Kelly 1 ; Antsanen, Joe 3 ; Orr, Pamela 1 

1  Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba 
2  Two-Spirited Peoples of Manitoba, Winnipeg, Manitoba 
3  Northlands Denesuline First Nation, Lac Brochet, Manitoba 
4  Nine Circles Community Health Centre/MB HIV Collective Impact Network, Winnipeg, Manitoba 
5  Manitoba HIV Program, Winnipeg, Manitoba 
6  National HIV and Retrovirology Laboratories, JC Wilt Infectious Diseases Research Centre, Public Health Agency of Canada, Winnipeg, Manitoba 
7  First Nation Health and Social Secretariat, Winnipeg, Manitoba 
Publication year
2019
Publication date
Dec 2019
Publisher
Taylor & Francis Ltd.
e-ISSN
22423982
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1080/22423982.2019.1588092
ProQuest document ID
2369910364
Copyright
© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons  Attribution – Non-Commercial License http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.