A Dene First Nation's community readiness assessment to take action against HIV/AIDS: a pilot project. Issue 1 (1st January 2019)

• Record Type: Journal Article
• Authors: Larcombe, Linda; McLeod, Albert; Samuel, Sarah; Samuel, Jennifer; Payne, Michael; Van Haute, Stephanie; Singer, Matthew; Ringaert, Laurie; Meyers, Adrienne F. A.; Kinew, Kathi; Keynan, Yoav; MacDonald, Kelly; Antsanen, Joe; Orr, Pamela
• Is Part Of: International journal of circumpolar health. Volume 78:Issue 1(2019)
• Publication Date: 2019-01-01
• Subjects: HIV/AIDS -- community readiness assessment -- First Nation -- community-led research -- pilot study -- culturally appropriate action; Arctic medicine -- Periodicals; Circumpolar medicine -- Periodicals; Médecine arctique -- Périodiques; Médecine polaire -- Périodiques; Arctic medicine; Circumpolar medicine; Gezondheid; Noordpoolgebied; Cold Climate; Medicine; Antarctic Regions; Arctic Regions; Periodicals; 616.9881
• DOI: 10.1080/22423982.2019.1588092
• Languages: English
• ISSNs: 1239-9736

Abstract

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.