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Female refugees can be a vulnerable population, often having suffered through traumatic events that pose risks to their health, especially during pregnancy. Pregnancy can be an entry point into the health care system, providing health care professionals the opportunity to gain women’s trust, connect refugees with resources, and optimize the health of mother and child. Policies surrounding the provision and funding of health care services to refugees can impact access to and quality of care. The aim of our study was to understand the experiences of health care professionals caring for pregnant refugee women in Calgary, AB. Health care providers described several barriers when caring for pregnant refugees, including language barriers, difficulty navigating the health care system, and cultural barriers such as managing traditional gender dynamics, only wanting a female provider and differences in medical practices. Providers managed these barriers through using a team-based approach to care, coordinating the patient’s care with other services, and addressing both the medical and social needs of the patient. The federal funding cuts added additional challenges, as many refugees were left without adequate health coverage and the system was complicated to understand. Health care providers developed creative strategies to maximize coverage for their patients including paying out of pocket or relying on donations to care for uninsured refugees. Finally, the recent Syrian refugee influx has increased the demand on service providers and further strained already limited resources. Female refugees can be a vulnerable population, often having suffered through traumatic events that pose risks to their health, especially during pregnancy. Pregnancy can be an entry point into the health care system, providing health care professionals the opportunity to gain women’s trust, connect refugees with resources, and optimize the health of mother and child. Policies surrounding the provision and funding of health care services to refugees can impact access to and quality of care. The aim of our study was to understand the experiences of health care professionals caring for pregnant refugee women in Calgary, AB. Health care providers described several barriers when caring for pregnant refugees, including language barriers, difficulty navigating the health care system, and cultural barriers such as managing traditional gender dynamics, only wanting a female provider and differences in medical practices. Providers managed these barriers through using a team-based approach to care, coordinating the patient’s care with other services, and addressing both the medical and social needs of the patient. The federal funding cuts added additional challenges, as many refugees were left without adequate health coverage and the system was complicated to understand. Health care providers developed creative strategies to maximize coverage for their patients including paying out of pocket or relying on donations to care for uninsured refugees. Finally, the recent Syrian refugee influx has increased the demand on service providers and further strained already limited resources.
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Syrian refugees resettling in Alberta face complex integration challenges. Social connections are a key foundation to successful integration. The goal of this study was to better understand the nature of social networks, social support and social capital among Syrian refugees arriving in Alberta in 2015 and in 2016. The study also focused on comparing the resettlement experience of refugees from larger centers and small centers in Alberta, differentiating the experience of government assisted refugees (GARs), privately sponsored refugees (PSRs) and blended visa office referred (BVOR) refugees. The study found that social relationships are crucial to settlement and integration. The importance of ethno-cultural communities, sponsors and community organizations in settlement and integration is discussed. Overall, the study found that while newcomers were making friends and building ties, these were still nebulous and largely focused on settlement needs or linking to socio-cultural community. GARs had stronger links to settlement agencies as compared to PSRs who were more closely linked to community networks. Refugees in smaller centers reported a higher level of belonging and reported more engagement with settlement or community organizations, but had lower rates of participation in recreation or religious activities. While most participants experienced a certain sense of belonging to Canada, they simultaneously felt challenged while managing settlement concerns and combatting racism and social exclusion. Syrian refugees resettling in Alberta face complex integration challenges. Social connections are a key foundation to successful integration. The goal of this study was to better understand the nature of social networks, social support and social capital among Syrian refugees arriving in Alberta in 2015 and in 2016. The study also focused on comparing the resettlement experience of refugees from larger centers and small centers in Alberta, differentiating the experience of government assisted refugees (GARs), privately sponsored refugees (PSRs) and blended visa office referred (BVOR) refugees. The study found that social relationships are crucial to settlement and integration. The importance of ethno-cultural communities, sponsors and community organizations in settlement and integration is discussed. Overall, the study found that while newcomers were making friends and building ties, these were still nebulous and largely focused on settlement needs or linking to socio-cultural community. GARs had stronger links to settlement agencies as compared to PSRs who were more closely linked to community networks. Refugees in smaller centers reported a higher level of belonging and reported more engagement with settlement or community organizations, but had lower rates of participation in recreation or religious activities. While most participants experienced a certain sense of belonging to Canada, they simultaneously felt challenged while managing settlement concerns and combatting racism and social exclusion.
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We studied how the gender of a medical provider affects the experience of immigrant women with obstetrical care. We interviewed 38 immigrant women from one hospital in Edmonton, Alberta. These women came from varied educational and ethnic backgrounds (predominately North/East African, Middle Eastern, and South Asian), but most were Muslim and married. Their average age was 27 years old. All of the women stated that they preferred a female provider. They explained their preference because they placed a high value on modesty, often as part of the Muslim faith. At the same time, the women deemed provider competency and having safe childbirth more important. Many said that they would accept care from a male provider if necessary. A small minority of the women reported experiencing psychological stress as a consequence of having received care from a male provider. Overall, women who participated in our study stated that they accepted care from male providers. But for some of them this compromise came at a price, and a small minority of women perceived it as hurtful. With this in mind, we see a need to identify those women for whom gender of provider is important. It will help with providing them with optimal care. We studied how the gender of a medical provider affects the experience of immigrant women with obstetrical care. We interviewed 38 immigrant women from one hospital in Edmonton, Alberta. These women came from varied educational and ethnic backgrounds (predominately North/East African, Middle Eastern, and South Asian), but most were Muslim and married. Their average age was 27 years old. All of the women stated that they preferred a female provider. They explained their preference because they placed a high value on modesty, often as part of the Muslim faith. At the same time, the women deemed provider competency and having safe childbirth more important. Many said that they would accept care from a male provider if necessary. A small minority of the women reported experiencing psychological stress as a consequence of having received care from a male provider. Overall, women who participated in our study stated that they accepted care from male providers. But for some of them this compromise came at a price, and a small minority of women perceived it as hurtful. With this in mind, we see a need to identify those women for whom gender of provider is important. It will help with providing them with optimal care.
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The home language environment and language abilities were compared between children with autism spectrum disorder (ASD) and children with typical development, both from newcomer families in Edmonton. Children were in elementary school, mostly 6 and 7 year olds. The goal was to understand if there were differences in bilingual development between children with ASD and children with typical development at the same age. Specifically, we wanted to understand if children with ASD have the capacity to become bilingual and whether this is supported by their communities, clinicians and educators. We conclude that children with ASD are more at risk than children with typical development for losing their heritage language. In other words, children with ASD have the capacity to be bilingual, but have limited opportunities to develop their heritage language. The home language environment and language abilities were compared between children with autism spectrum disorder (ASD) and children with typical development, both from newcomer families in Edmonton. Children were in elementary school, mostly 6 and 7 year olds. The goal was to understand if there were differences in bilingual development between children with ASD and children with typical development at the same age. Specifically, we wanted to understand if children with ASD have the capacity to become bilingual and whether this is supported by their communities, clinicians and educators. We conclude that children with ASD are more at risk than children with typical development for losing their heritage language. In other words, children with ASD have the capacity to be bilingual, but have limited opportunities to develop their heritage language.
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This publication has no Abstract to dispaly

The purpose of this survey was to better understand why Calgarians who were born outside of Canada do or do not access Canadian settlement services during their migration process. Many people advocated for more relevant, accurate information to be provided pre-arrival. They really wanted to know more about living in Canada and the realities of daily life in Calgary. This related to different social and economic systems in Canada—banking, housing, childcare, children’s education, health care, transit, and how to dress for Calgary’s weather—as well as social norms about environmental protection and recycling. Respondents also recommended various way to advertise settlement services and to help newcomers to effectively navigate the local service system upon arrival in Calgary. Helping newcomers find the programs that exist to help them is critical. More widespread, however, is the disconnection between the attraction of skilled workers and professionals to Canada and the realities of the job market in Calgary. Respondents lamented that they arrived with hope and optimism, only to find they had little chance of working in their chosen field upon arrival. Moreover, they found few if any appropriate supports to help them transition quickly or easily into the work they were trained to do. What this survey has shown is that better advertising of existing programs and services is essential. In addition, different kinds of services and supports are needed for professional and non-skilled migrants. The purpose of this survey was to better understand why Calgarians who were born outside of Canada do or do not access Canadian settlement services during their migration process. Many people advocated for more relevant, accurate information to be provided pre-arrival. They really wanted to know more about living in Canada and the realities of daily life in Calgary. This related to different social and economic systems in Canada—banking, housing, childcare, children’s education, health care, transit, and how to dress for Calgary’s weather—as well as social norms about environmental protection and recycling. Respondents also recommended various way to advertise settlement services and to help newcomers to effectively navigate the local service system upon arrival in Calgary. Helping newcomers find the programs that exist to help them is critical. More widespread, however, is the disconnection between the attraction of skilled workers and professionals to Canada and the realities of the job market in Calgary. Respondents lamented that they arrived with hope and optimism, only to find they had little chance of working in their chosen field upon arrival. Moreover, they found few if any appropriate supports to help them transition quickly or easily into the work they were trained to do. What this survey has shown is that better advertising of existing programs and services is essential. In addition, different kinds of services and supports are needed for professional and non-skilled migrants.
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In this thesis, I consider ethnographic conversations I had during fieldwork in Fort McMurray and Edmonton, Alberta, Canada, in 2016 with two sets of workers: Albertan trades-workers employed in the oil sands (pipe-fitters, welders and boilermakers) and Filipino/a Temporary Foreign Workers (TFWs) employed in the local service sector (cooks, caregivers and kitchen helpers). I analyse these workers’ self-reflections on their own work routines as providing a sightline into the ways labour market processes and regulatory frameworks are manifest in and negotiated through their lives. I suggest this is of broader significance for our understanding of the ways state-regulated labour markets re-fashion, and are re-fashioned by, the cultural identities of workers. In this thesis, I consider ethnographic conversations I had during fieldwork in Fort McMurray and Edmonton, Alberta, Canada, in 2016 with two sets of workers: Albertan trades-workers employed in the oil sands (pipe-fitters, welders and boilermakers) and Filipino/a Temporary Foreign Workers (TFWs) employed in the local service sector (cooks, caregivers and kitchen helpers). I analyse these workers’ self-reflections on their own work routines as providing a sightline into the ways labour market processes and regulatory frameworks are manifest in and negotiated through their lives. I suggest this is of broader significance for our understanding of the ways state-regulated labour markets re-fashion, and are re-fashioned by, the cultural identities of workers.
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This study examines stakeholders’ perspectives on the health and well-being of temporary foreign workers (TFWs) and their families in Alberta, Canada. Stakeholders involved in providing services to TFWs perceived that the workers experience (1) barriers in accessing mental health services, (2) mental health challenges, (3) family health challenges, (4) occupational health challenges, and (5) income and social status as a social determinant of health. Immigration and class status intersect to influence the health of this vulnerable population in Canada. This study examines stakeholders’ perspectives on the health and well-being of temporary foreign workers (TFWs) and their families in Alberta, Canada. Stakeholders involved in providing services to TFWs perceived that the workers experience (1) barriers in accessing mental health services, (2) mental health challenges, (3) family health challenges, (4) occupational health challenges, and (5) income and social status as a social determinant of health. Immigration and class status intersect to influence the health of this vulnerable population in Canada.
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Canada is a country with a complex linguistic and cultural landscape characterized by two official languages (English and French), a steady influx of immigrants, and a number of aboriginal communities. In a broader global environment bilingualism and multilingualism are increasingly recognized as a norm. In this paper, I review language background profiling practices at publicly funded Canadian elementary schools. While school boards recognize some aspects of bilingualism and multilingualism, most registration forms do not allow explicitly for the possibility of a child having more than one first/native language. Based on this paper’s analysis, I recommend (a) allowing parents to include more than one native language in registration forms, (b) include questions related to students’ dominance, primary language or most frequently used language; (c) distinguish between exposure to a language and spoken ability in a language. Canada is a country with a complex linguistic and cultural landscape characterized by two official languages (English and French), a steady influx of immigrants, and a number of aboriginal communities. In a broader global environment bilingualism and multilingualism are increasingly recognized as a norm. In this paper, I review language background profiling practices at publicly funded Canadian elementary schools. While school boards recognize some aspects of bilingualism and multilingualism, most registration forms do not allow explicitly for the possibility of a child having more than one first/native language. Based on this paper’s analysis, I recommend (a) allowing parents to include more than one native language in registration forms, (b) include questions related to students’ dominance, primary language or most frequently used language; (c) distinguish between exposure to a language and spoken ability in a language.
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Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians. Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians.
This publication has no Abstract to dispaly