Research Library

As Canada and other high-income countries continue to welcome newcomers, this study aimed to 1) understand newcomer parents’ attitudes towards routine-childhood vaccinations (RCVs), and 2) identify barriers newcomer parents face when accessing RCVs in Alberta (Calgary, Edmonton and High River). Overall, parents in the focus groups were motivated and willing to vaccinate their children but experienced several barriers related to their capability and opportunity to access RCVs. Five main themes emerged: 1) lack of reputable information about RCVs, 2) language barriers when looking for information and asking questions about RCVs, 3) lack of access to a primary care provider (PCP), 4) lack of affordable and convenient transportation options, and 5) due to the COVID-19 pandemic, lack of available vaccine appointments. The findings highlight that several barriers faced by newcomer families ultimately stem from issues related to accessing information about RCVs and the challenges families face once at vaccination clinics, highlighting opportunities for health systems to better support newcomers in accessing RCVs. As Canada and other high-income countries continue to welcome newcomers, this study aimed to 1) understand newcomer parents’ attitudes towards routine-childhood vaccinations (RCVs), and 2) identify barriers newcomer parents face when accessing RCVs in Alberta (Calgary, Edmonton and High River). Overall, parents in the focus groups were motivated and willing to vaccinate their children but experienced several barriers related to their capability and opportunity to access RCVs. Five main themes emerged: 1) lack of reputable information about RCVs, 2) language barriers when looking for information and asking questions about RCVs, 3) lack of access to a primary care provider (PCP), 4) lack of affordable and convenient transportation options, and 5) due to the COVID-19 pandemic, lack of available vaccine appointments. The findings highlight that several barriers faced by newcomer families ultimately stem from issues related to accessing information about RCVs and the challenges families face once at vaccination clinics, highlighting opportunities for health systems to better support newcomers in accessing RCVs.
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What can be learned about the healthcare access of undocumented workers? How can health equity be advanced through sensitivity to the process of precaritization and the precarities informing their lives? Thailand and Spain are the only countries in the world that offer the same healthcare access to undocumented migrants as citizens. Most European countries only offer emergency services: France, the Netherlands, Portugal, Spain, and Switzerland allow undocumented migrants to access similar services to citizens if they meet conditions (proof of identity; length of residence in the country). European cities such as Ghent, Frankfurt, and Dusseldorf, offer barrier-free healthcare. Throughout the USA, Federally Qualified Health Centers support care to the uninsured regardless of immigration status. In Canada, Ontario and Quebec, provide a base level of healthcare access to undocumented migrants, and a small number of stand-alone community-based clinics offer additional care and specialized services. To promote healthcare for undocumented migrants in Alberta, barrier-free access to vaccination, COVID-19 treatment, and proof of vaccinations are essential, but an equity lens to healthcare service— informed by analytic understanding and robust approach to precaritization as a social determinant, is most needed. What can be learned about the healthcare access of undocumented workers? How can health equity be advanced through sensitivity to the process of precaritization and the precarities informing their lives? Thailand and Spain are the only countries in the world that offer the same healthcare access to undocumented migrants as citizens. Most European countries only offer emergency services: France, the Netherlands, Portugal, Spain, and Switzerland allow undocumented migrants to access similar services to citizens if they meet conditions (proof of identity; length of residence in the country). European cities such as Ghent, Frankfurt, and Dusseldorf, offer barrier-free healthcare. Throughout the USA, Federally Qualified Health Centers support care to the uninsured regardless of immigration status. In Canada, Ontario and Quebec, provide a base level of healthcare access to undocumented migrants, and a small number of stand-alone community-based clinics offer additional care and specialized services. To promote healthcare for undocumented migrants in Alberta, barrier-free access to vaccination, COVID-19 treatment, and proof of vaccinations are essential, but an equity lens to healthcare service— informed by analytic understanding and robust approach to precaritization as a social determinant, is most needed.
This publication has no Abstract to dispaly

Canadian refugee healthcare has been impacted by periodic upheavals including federal funding cuts, Syrian and Yazidi resettlement programs, and COVID-19. These upheavals will have undoubtedly led to changes in clinic use, shifts in clinic demographics, or clinic policy. Refugees are a vulnerable population with specific physical health, mental health, and social needs. One model of care that can address these needs is a specialized refugee health clinic. Understanding the impacts of recent upheavals on a specialized refugee health clinic’s utilization, its staff and clinicians is critical for future planning. We studied a specialized refugee health clinic in Calgary, AB from 2011 to 2020, across five time periods: Pre-Interim Federal Health Program (IFHP) Cuts (January 2011 – June 2012), IFHP Cuts (July 2012 – October 2015), Syrian Surge (November 2015- January 2017), Yazidi Period (February 2017 – February 2020), and COVID-19 (March 2020 – December 2020). We analyzed quantitative changes as well as conducted semi-structured interviews with clinic leadership. Utilization increased greatly over different policy changes and a pandemic, at a specialized refugee clinic over ten years. These upheavals challenged clinic leadership and providers to adapt. The stress of these upheavals negatively impacted staff wellness and patient care. Understanding how health and immigration policy changes affect care, especially at specialized refugee clinics, is critical for being able to anticipate and thrive through future upheavals as turmoil globally seems to continue. Canadian refugee healthcare has been impacted by periodic upheavals including federal funding cuts, Syrian and Yazidi resettlement programs, and COVID-19. These upheavals will have undoubtedly led to changes in clinic use, shifts in clinic demographics, or clinic policy. Refugees are a vulnerable population with specific physical health, mental health, and social needs. One model of care that can address these needs is a specialized refugee health clinic. Understanding the impacts of recent upheavals on a specialized refugee health clinic’s utilization, its staff and clinicians is critical for future planning. We studied a specialized refugee health clinic in Calgary, AB from 2011 to 2020, across five time periods: Pre-Interim Federal Health Program (IFHP) Cuts (January 2011 – June 2012), IFHP Cuts (July 2012 – October 2015), Syrian Surge (November 2015- January 2017), Yazidi Period (February 2017 – February 2020), and COVID-19 (March 2020 – December 2020). We analyzed quantitative changes as well as conducted semi-structured interviews with clinic leadership. Utilization increased greatly over different policy changes and a pandemic, at a specialized refugee clinic over ten years. These upheavals challenged clinic leadership and providers to adapt. The stress of these upheavals negatively impacted staff wellness and patient care. Understanding how health and immigration policy changes affect care, especially at specialized refugee clinics, is critical for being able to anticipate and thrive through future upheavals as turmoil globally seems to continue.
This publication has no Abstract to dispaly

Two studies were completed as a part of this Master’s thesis. Study 1: Human papillomavirus vaccine coverage among immigrant children in Alberta: a population-based cohort study concluded that overall, immigrant children in Alberta had higher HPV vaccination coverage in comparison to non-immigrants, which is encouraging given some previous literature has suggested the opposite. This implies that efforts to increase vaccination rates among immigrant children may be having a positive impact. Among immigrants, routine immunization promotion strategies should be targeted to those living in rural residences and from North America, Oceania, and South America, in order to improve HPV vaccination coverage in this group even further. Study 2: Study 2: COVID-19 vaccine coverage among immigrants and refugees in Alberta: A population-based cross-sectional study concluded that high COVID-19 vaccination coverage among immigrant populations in Alberta is an encouraging outcome. However, continued efforts are needed to target public health interventions towards older immigrants, immigrants living in rural areas, and immigrants from specific continental backgrounds in order to improve COVID-19 vaccination coverage. Two studies were completed as a part of this Master’s thesis. Study 1: Human papillomavirus vaccine coverage among immigrant children in Alberta: a population-based cohort study concluded that overall, immigrant children in Alberta had higher HPV vaccination coverage in comparison to non-immigrants, which is encouraging given some previous literature has suggested the opposite. This implies that efforts to increase vaccination rates among immigrant children may be having a positive impact. Among immigrants, routine immunization promotion strategies should be targeted to those living in rural residences and from North America, Oceania, and South America, in order to improve HPV vaccination coverage in this group even further. Study 2: Study 2: COVID-19 vaccine coverage among immigrants and refugees in Alberta: A population-based cross-sectional study concluded that high COVID-19 vaccination coverage among immigrant populations in Alberta is an encouraging outcome. However, continued efforts are needed to target public health interventions towards older immigrants, immigrants living in rural areas, and immigrants from specific continental backgrounds in order to improve COVID-19 vaccination coverage.
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The Community Anti-Racism Action Strategy is a comprehensive report developed by the City of Calgary to inform its Anti-Racism Strategic Plan for 2023-2027. The report outlines recommendations for shifting the city as an overall system, including actions that focus on underlying policies, structures, and procedures. It is an invitation to create positive relationships, live in reciprocity, and take action towards a future that includes all of us. The report is committed to creating a Calgary where Indigenous, Black and diverse Racialized communities feel safe, welcome, included and are treated with dignity. It incorporates Indigenous teachings and perspectives into its anti-racism framework and provides guidance for individuals and communities to actively participate in anti-racism efforts in Calgary. The Community Anti-Racism Action Strategy is a comprehensive report developed by the City of Calgary to inform its Anti-Racism Strategic Plan for 2023-2027. The report outlines recommendations for shifting the city as an overall system, including actions that focus on underlying policies, structures, and procedures. It is an invitation to create positive relationships, live in reciprocity, and take action towards a future that includes all of us. The report is committed to creating a Calgary where Indigenous, Black and diverse Racialized communities feel safe, welcome, included and are treated with dignity. It incorporates Indigenous teachings and perspectives into its anti-racism framework and provides guidance for individuals and communities to actively participate in anti-racism efforts in Calgary.
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The Youth and Anti-Racism (YARI) Collective, a research project by Dr. Pallavi Banerjee and Dr. Pratim Sengupta at the University of Calgary, connects racialized refugee and newcomer youth to art, anti-racism and community experiences. On March 28, 2023 YARI hosted an interactive art and technology installation titled ‘Landings: Anti-Racist Futures in Stories’ highlighting the youth’s stories of love, friendships, grief and pain through various artistic mediums (e.g. stop motion animation). The Youth and Anti-Racism (YARI) Collective, a research project by Dr. Pallavi Banerjee and Dr. Pratim Sengupta at the University of Calgary, connects racialized refugee and newcomer youth to art, anti-racism and community experiences. On March 28, 2023 YARI hosted an interactive art and technology installation titled ‘Landings: Anti-Racist Futures in Stories’ highlighting the youth’s stories of love, friendships, grief and pain through various artistic mediums (e.g. stop motion animation).
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Composing lives that have a sense of coherence is part of the identity making of refugee families and shapes their attempts for social inclusion. Their struggles for narrative coherence are shaped by the bumping places and tensions that they experience as their lives bump against dominant narratives that structure the policies and practices of many institutions including schools. Using narrative inquiry, we inquired into the experiences of three Syrian refugee families as they bumped against institutional policies and practices. Composing lives that have a sense of coherence is part of the identity making of refugee families and shapes their attempts for social inclusion. Their struggles for narrative coherence are shaped by the bumping places and tensions that they experience as their lives bump against dominant narratives that structure the policies and practices of many institutions including schools. Using narrative inquiry, we inquired into the experiences of three Syrian refugee families as they bumped against institutional policies and practices.
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We investigate discrimination experiences of (1) immigrants and racialized individuals, (2) Indigenous peoples, and (3) comparison White non-immigrants in nine regions of Southwestern Ontario containing small- and mid-sized communities. For each region, representative samples of the three groups were recruited to complete online surveys. In most regions, over 80 percent of Indigenous peoples reported experiencing discrimination in the past 3 years, and in more than half of the regions, over 60 percent of immigrants and racialized individuals did so. Indigenous peoples, immigrants and racialized individuals were most likely to experience discrimination in employment settings and in a variety of public settings, and were most likely to attribute this discrimination to racial and ethnocultural factors, and for Indigenous peoples also their Indigenous identity. Immigrants and racialized individuals who had experienced discrimination generally reported a lower sense of belonging and welcome in their communities. This association was weaker for Indigenous peoples. The findings provide new insight into discrimination experienced by Indigenous peoples, immigrants and racialized individuals in small and mid-sized Canadian communities, and are critical to creating and implementing effective anti-racism and anti-discrimination strategies. We investigate discrimination experiences of (1) immigrants and racialized individuals, (2) Indigenous peoples, and (3) comparison White non-immigrants in nine regions of Southwestern Ontario containing small- and mid-sized communities. For each region, representative samples of the three groups were recruited to complete online surveys. In most regions, over 80 percent of Indigenous peoples reported experiencing discrimination in the past 3 years, and in more than half of the regions, over 60 percent of immigrants and racialized individuals did so. Indigenous peoples, immigrants and racialized individuals were most likely to experience discrimination in employment settings and in a variety of public settings, and were most likely to attribute this discrimination to racial and ethnocultural factors, and for Indigenous peoples also their Indigenous identity. Immigrants and racialized individuals who had experienced discrimination generally reported a lower sense of belonging and welcome in their communities. This association was weaker for Indigenous peoples. The findings provide new insight into discrimination experienced by Indigenous peoples, immigrants and racialized individuals in small and mid-sized Canadian communities, and are critical to creating and implementing effective anti-racism and anti-discrimination strategies.
This publication has no Abstract to dispaly

The City of Calgary Anti-Racism Strategic Framework 2023–2027 outlines the city’s commitment to dismantling systemic racism and promoting racial equity and justice. This framework focuses on amplifying transformative engagement, monitoring and evaluation, centering lived experiences, and adopting an anti-colonial lens. It aims to create a racially-just Calgary through education, engagement, collaboration, and policy changes. The framework outlines various programs, services, policies, and systems that will be implemented to achieve desired results, such as racially equitable programs and services, increased representation of Indigenous, Black, and diverse racialized peoples, and the creation of anti-racist safe spaces and processes. The document also emphasizes the importance of incorporating disaggregated race-based data analysis and developing practices and guidelines to enhance racially responsive interactions in public spaces. Overall, this strategic framework provides a roadmap for the City of Calgary to address systemic racism and transform lives in the community. The City of Calgary Anti-Racism Strategic Framework 2023–2027 outlines the city’s commitment to dismantling systemic racism and promoting racial equity and justice. This framework focuses on amplifying transformative engagement, monitoring and evaluation, centering lived experiences, and adopting an anti-colonial lens. It aims to create a racially-just Calgary through education, engagement, collaboration, and policy changes. The framework outlines various programs, services, policies, and systems that will be implemented to achieve desired results, such as racially equitable programs and services, increased representation of Indigenous, Black, and diverse racialized peoples, and the creation of anti-racist safe spaces and processes. The document also emphasizes the importance of incorporating disaggregated race-based data analysis and developing practices and guidelines to enhance racially responsive interactions in public spaces. Overall, this strategic framework provides a roadmap for the City of Calgary to address systemic racism and transform lives in the community.
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The City of Calgary Public Safety Anti-Racism Action Strategy aims to prevent and mitigate systemic racism and racialization in public safety and City programs and services. The strategy highlights the need to examine policies, bylaws, and legislation that regulate behaviors, statements, or decisions that cause or sustain racism and racialization. It also emphasizes the importance of community engagement in supporting The City’s efforts to become anti-racist. This Action Strategy is instrumental in the development of The City of Calgary Anti-Racism Strategic Plan 2023-2027, which provides an overview of strategic actions to create equitable and fair protection, treatment, and outcomes for all Calgarians by enhancing public safety, dignity, order, and peace. The City of Calgary Public Safety Anti-Racism Action Strategy aims to prevent and mitigate systemic racism and racialization in public safety and City programs and services. The strategy highlights the need to examine policies, bylaws, and legislation that regulate behaviors, statements, or decisions that cause or sustain racism and racialization. It also emphasizes the importance of community engagement in supporting The City’s efforts to become anti-racist. This Action Strategy is instrumental in the development of The City of Calgary Anti-Racism Strategic Plan 2023-2027, which provides an overview of strategic actions to create equitable and fair protection, treatment, and outcomes for all Calgarians by enhancing public safety, dignity, order, and peace.
This publication has no Abstract to dispaly