NUR1 421 Lecture Notes - Lecture 3: James Bay And Northern Quebec Agreement, Schefferville, Quebec Agreement
11 Jun 2018
School
Department
Course
Professor
NUR1 421 – RESOURCES: SPECIAL POPULATIONS
Lesson 3 ~ January 26th, 2018
GUEST SPEAKER (no PowerPoint)
- Indigenous guest speaker via Skype
o Glenda Sandy
o Registered nurse
o Identifies as Naskapi Indigenous
o Completing her master’s degree at a French University (fourth language)
- Lives in Kawawachikamach, QC
o Community signed a modern-day treaty by Quebec and Canadian government
o Allows more control over education, health services social services, etc.
o Transfer of money from Health Canada to these communities
§ Result is increased determination of own needs and how to organize own health services
o Rare for Indigenous communities, usually more Health Canada dominated
§ Little say in how money is spent
§ Lack of resources
§ Social determinants not matching up
o CLSC Naskapi
§ Glenda works here
§ 4 nurses in community at all times
§ Doctor there 24/7 (3 doctors on rotation)
§ Services result of signed agreement “North Eastern Quebec Agreement”
§ Without agreement, only have access to Public Health Services
• Vaccinations
• Contagious diseases control
- Naskapi nation
o 1971, Naskapi recognized as a band
o 1940s, trading post Naskapi people were in close contact with was closed
§ Naskapi had to move to Kuujjuak
o Succumbed to high rate of poverty, starvation
o 1956: Naskapi’s arrived in Schefferville
§ Nothing had been prepared for their arrival
§ Completely brand-new town
§ Had started not long before because of iron company close by
§ With the arrival of Naskapi, town was rushed as to what would be done with all these
new inhabitants
§ Start of multiple times of being displaced/moved to different areas
§ First: John-Lake Reserve
§ Consisted of rows of houses/shacks
§ Stayed until another community had been built
§ Now known as Matimekush reserve
- James Bay Agreement
o Cree signed with province in 1975
o Naskapi signed their own in 1978
o Purpose to ensure control over hunting, economic development, and health education for the
community
o Not as substantial, but enough to get community going
o Moved into community of Kawawachikamach
o Still live there 40 years later
- Kawawachikamach community
o Has more access to resources than other communities (due to agreement)
o This does not mean faring better in health issues
§ High rates of diabetes and resulting complications
• Increasing numbers transferred to Quebec City for hemodialysis, circulation
problems, etc.
§ Obesity
§ Cardiovascular disease
o Few prevention programs in place
§ Attempts to create programs coming from outsiders
§ Not in line with how the community actually are as a unique population
§ Hypothesis: Prevention programs are not working because no input coming in from
community
§ Questions to facilitate input:
• How do you think?
• What will work?
• What should be done?
- In Naskapi culture, no such thing as a long-term care facility
o Not uncommon to find multigenerational households
o Younger generations take care of grandparents
- Healthcare framework
o Naskapi neomachu model (spelling unclear)
§ Naskapi definition of health and living well
§ More than the absence of disease
- First Naskapi person to become a nurse
o Only 4-5 who have gone on to pursue higher secondary education in nursing
o Dad was Cree from Manitoba
o Both grandparents went to residential school
o Grandfather taken at age of 7-8
o Glenda only heard about residential schools in her early teens
§ Discovered through a movie about residential schools
§ Grandparents refused to discuss their experiences
§ Began sharing about experiences after apology by federal government in 2008
- Naskapi community
o Low education rate and high unemployment rates
o Due to reserve system and policies that create barriers
§ Indian Act
§ Loss of status for many indigenous women if they marry outside the community
§ Residential Schools – “kill the Indian in the child”
§ Government taking over land and pushing people into reserves
§ Treaties that were signed not being respected
§ Being thrown into small spaces that were not part of previous traditional territories
§ Rules put in place to ensure Indigenous stayed in reserves
o These policies are now reflected in social structures and determinants of health that are far from
those of the general population
- Jordan’s Principle
o Clinical case of Indigenous child in Manitoba
o Jordan Anderson had rare neuromuscular disorder
o Hospitalized from birth
o No services available from community
o Provincial and federal government could not decide on who would pay for his homecare services
Document Summary
Indigenous guest speaker via skype: glenda sandy, registered nurse, identifies as naskapi indigenous, completing her master"s degree at a french university (fourth language) Lives in kawawachikamach, qc: community signed a modern-day treaty by quebec and canadian government, allows more control over education, health services social services, etc, transfer of money from health canada to these communities. Result is increased determination of own needs and how to organize own health services: rare for indigenous communities, usually more health canada dominated. Little say in how money is spent. Social determinants not matching up: clsc naskapi. 4 nurses in community at all times. Doctor there 24/7 (3 doctors on rotation) Services result of signed agreement north eastern quebec agreement . Without agreement, only have access to public health services: vaccinations, contagious diseases control. Naskapi nation: 1971, naskapi recognized as a band, 1940s, trading post naskapi people were in close contact with was closed.
