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Health Soc Care Community. 2017 Nov;25(6):1763-1773. doi: 10.1111/hsc.12450. Epub 2017 Jun 1.

Engaging Indigenous families in a community-based Indigenous early childhood programme in British Columbia, Canada: A cultural safety perspective.

Author information

1
National Collaborating Centre for Aboriginal Health, University of Northern British Columbia, Prince George, British Columbia, Canada.
2
School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
3
First Nations Studies, University of Northern British Columbia, Prince George, British Columbia, Canada.

Abstract

This article is part of a larger study that explored how an Indigenous early intervention programme in British Columbia (BC), Canada, known as the 'Aboriginal Infant Development Program' (AIDP), influenced family and children's health and well-being and was responsive to child health inequities. Postcolonial feminist and Indigenous feminist perspectives provided a critical analytical lens to this qualitative inquiry. The study was undertaken with AIDPs based in diverse community organisations located in off-reserve urban municipalities throughout the province of BC. From September 2013 to March 2014, in-depth, semi-structured interviews were undertaken with: Indigenous primary caregivers (n = 10), Indigenous Elders (n = 4), AIDP workers (n = 18) and administrative leaders (n = 3). The purpose of this article is to examine and analyse the findings that focus on how AIDP workers supported family and children's health and well-being by transforming their routine policies and practices in ways that fostered caregivers' active engagement in their programmes. Findings centre on three main themes: (i) overcoming mistrust; (ii) 'being willing to move a step forward' and (iii) resisting what's taken-for-granted. These inter-related themes are examined and discussed in relation to the concept of cultural safety. The findings have international relevancy for social and healthcare community-based programmes that are questioning how to engage with parents who may be hard to reach as a result of multi-faceted social and structural factors.

KEYWORDS:

Indigenous children; critical perspectives; cultural safety; early child development; family engagement; health equity

PMID:
28569385
DOI:
10.1111/hsc.12450

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