In Canada, the social and health inequities borne by Indigenous Peoples are deeply rooted in the nation’s colonial context.
Indigenous Canadians have a right to health and wellness, as established in the signing of the Numbered Treaties. Five recommendations were developed to enhance culturally responsive access to local services in FHQTC communities: 1) Rehabilitation Staffing Requirements, 2) Integration with Cultural Care, 3) Practitioner Education and Awareness, 4) Patient and Community-Centered Care, and 5) Feedback and Ongoing Evaluation. Each theme is comprised of numerous subthemes amassed by stories from community members. An overarching theme of culture contextualised five primary themes: 1) Barriers to Rehabilitation Care, 2) Impacts on Family and Quality of Life, 3) Calls for Services, 4) Strength Based Supports, and 5) What Care Should Look Like. Data was analysed using an iterative thematic analysis approach with NVIVO qualitative analysis software. Community stories and experiences were collected via sharing circles and semi-structured interviews. Sharing circles were conducted according to FHQTC COVID-19 policies researchers connected to community members via Webex virtual conferencing software.
A community-directed needs assessment facilitated by FHQTC Health Services was undertaken in the summer of 2021 to identify experiences and barriers of community members in accessing rehabilitation services. The eleven Indigenous communities served by the File Hills Qu’Appelle Tribal Council (FHQTC) in Saskatchewan, Canada have experienced a progressive reduction in access to physical and occupational therapy services.
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