Research Library

This community-based research study provides new data collected from 25 in-depth individual interviews with immigrant women HCAs who were working in LTC in Calgary, Alberta between January 1 and March 30, 2021. The data, analysed through the lens of intersectional exclusion, highlight how the pandemic has impacted the working lives of immigrant women employed in LTC facilities on a daily basis, as well as their suggestions for enhancing their safety and employment conditions. Two key themes emerged during the process of data analysis: (a) HCA experiences of economic exclusion and workplace precarity—many of which pre-dated the pandemic but have been exacerbated by current policies and practices that prioritize profits over quality of community care, and (b) experiences of broader social exclusion, many of which are tied to being considered “just HCAs” who are doing “immigrant’s work”, rather than including HCAs in broader conversations about how to reform and improve the LTC sector for future. Concluding thoughts discuss how to improve policy to support low wage workers within LTC in order to address intersectional inequalities and to better support front-line care workers during current and future health pandemic recovery efforts. This community-based research study provides new data collected from 25 in-depth individual interviews with immigrant women HCAs who were working in LTC in Calgary, Alberta between January 1 and March 30, 2021. The data, analysed through the lens of intersectional exclusion, highlight how the pandemic has impacted the working lives of immigrant women employed in LTC facilities on a daily basis, as well as their suggestions for enhancing their safety and employment conditions. Two key themes emerged during the process of data analysis: (a) HCA experiences of economic exclusion and workplace precarity—many of which pre-dated the pandemic but have been exacerbated by current policies and practices that prioritize profits over quality of community care, and (b) experiences of broader social exclusion, many of which are tied to being considered “just HCAs” who are doing “immigrant’s work”, rather than including HCAs in broader conversations about how to reform and improve the LTC sector for future. Concluding thoughts discuss how to improve policy to support low wage workers within LTC in order to address intersectional inequalities and to better support front-line care workers during current and future health pandemic recovery efforts.
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Children with disabilities are among the most at-risk groups for marginalization due to compounded disadvantages from the intersection of risk factors such as refugee status and disability status. Despite this high risk, there is no systematic data collected on this group and scant literature on the topic contributing to a feeling of invisibility. We conducted a narrative inquiry on the experiences of two Syrian refugee families with children living with disabilities. Narrative inquiry is a way to understand experience as a storied phenomenon. In order to understand the complexities of the experience as a refugee with a child living with disabilities, attending to the lived and told stories is essential. In hearing the narration of these experiences across time, place, and social contexts various narrative threads emerged. The narrative threads that resonated across the experiences of two families included waiting and a struggle for agency, as well as disruption and continuity. Children with disabilities are among the most at-risk groups for marginalization due to compounded disadvantages from the intersection of risk factors such as refugee status and disability status. Despite this high risk, there is no systematic data collected on this group and scant literature on the topic contributing to a feeling of invisibility. We conducted a narrative inquiry on the experiences of two Syrian refugee families with children living with disabilities. Narrative inquiry is a way to understand experience as a storied phenomenon. In order to understand the complexities of the experience as a refugee with a child living with disabilities, attending to the lived and told stories is essential. In hearing the narration of these experiences across time, place, and social contexts various narrative threads emerged. The narrative threads that resonated across the experiences of two families included waiting and a struggle for agency, as well as disruption and continuity.
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The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy. The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy.
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This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic. This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic.
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People from South Sudan arrived in Edmonton as landed immigrants in the early 1990s from countries that hosted them as refugees from the Second Sudanese Civil War. Today, Edmonton is home to more than 5,000 people from South Sudan. Alberta alone houses almost 30,000, the largest South Sudanese Canadian community in the country. Here, many South Sudanese work in nursing homes and meat-packaging plants. This, alongside high COVID death rates in the community, language barriers, financial strain, and mental health stigma, resulted in Edmonton’s South Sudanese community being disproportionately affected by COVID-19. People from South Sudan arrived in Edmonton as landed immigrants in the early 1990s from countries that hosted them as refugees from the Second Sudanese Civil War. Today, Edmonton is home to more than 5,000 people from South Sudan. Alberta alone houses almost 30,000, the largest South Sudanese Canadian community in the country. Here, many South Sudanese work in nursing homes and meat-packaging plants. This, alongside high COVID death rates in the community, language barriers, financial strain, and mental health stigma, resulted in Edmonton’s South Sudanese community being disproportionately affected by COVID-19.
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Research is lacking on the intersection between being trans or non-binary and a newcomer in Canada. Alberta, in particular, is one of the top 4 provinces where the most trans or non-binary immigrants reside. Reasons for immigration included: persecution, humanitarian claims, to access gender-affirming healthcare, employment, and/or education. Only 1 in 5 trans or non-binary newcomers accessed a settlement service within their first year in Canada. Trans or non-binary newcomers were 2x as likely to NOT have a primary healthcare provider than trans or non-binary second generation immigrants and trans or non-binary immigrants who have been in Canada for more than 5 years. Research is lacking on the intersection between being trans or non-binary and a newcomer in Canada. Alberta, in particular, is one of the top 4 provinces where the most trans or non-binary immigrants reside. Reasons for immigration included: persecution, humanitarian claims, to access gender-affirming healthcare, employment, and/or education. Only 1 in 5 trans or non-binary newcomers accessed a settlement service within their first year in Canada. Trans or non-binary newcomers were 2x as likely to NOT have a primary healthcare provider than trans or non-binary second generation immigrants and trans or non-binary immigrants who have been in Canada for more than 5 years.
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This report presents findings from the 2020 Family Violence (FV) Broker & Apartment 1310 program evaluations. This year’s evaluation was completed by Habitus Collective and covers the period from January 1, 2020 to December 31, 2020. The Family Violence Brokers are a supplementary, gender-based support to CCIS Cultural Brokerage Program (CCBP) families who present with family violence concerns. Apartment 1310 provides temporary accommodation and immediate programming for low-risk perpetrators of family violence who are mandated to separate from the family. Beginning in March 2020, the programs had to adapt to frequently changing circumstances and public health regulations resulting from the COVID-19 pandemic. This resulted in office closures, work from home mandates, and periods when in-person contact with families was limited or not possible requiring adaptation to virtual or hybrid service delivery. Furthermore, families were and will continue to be facing pandemic-related challenges and stress, which may increase the likelihood or severity of family violence. From the period January 1, 2020 – December 31, 2020, the Family Violence Brokers supported a total of 234 families, including 267 adults and 154 children. This was a 28.6% increase from the year prior despite a drop in total CCBP cases. Family Violence clients represented 47 countries of origin and 29 language groups. At the individual level, Canada, India, and the Philippines were the main countries of origin, which aligns to the main countries of origin for recent immigrants to Alberta as a whole. The majority of clients were Canadian Citizens (61%) or Permanent Residents (35%). Due to health restrictions, Apartment 1310 hosted only three residents this year. Evaluation activities revealed that the program along with Apartment 1310 are highly valued by Children’s Services staff, clients, and Brokers. This report presents findings from the 2020 Family Violence (FV) Broker & Apartment 1310 program evaluations. This year’s evaluation was completed by Habitus Collective and covers the period from January 1, 2020 to December 31, 2020. The Family Violence Brokers are a supplementary, gender-based support to CCIS Cultural Brokerage Program (CCBP) families who present with family violence concerns. Apartment 1310 provides temporary accommodation and immediate programming for low-risk perpetrators of family violence who are mandated to separate from the family. Beginning in March 2020, the programs had to adapt to frequently changing circumstances and public health regulations resulting from the COVID-19 pandemic. This resulted in office closures, work from home mandates, and periods when in-person contact with families was limited or not possible requiring adaptation to virtual or hybrid service delivery. Furthermore, families were and will continue to be facing pandemic-related challenges and stress, which may increase the likelihood or severity of family violence. From the period January 1, 2020 – December 31, 2020, the Family Violence Brokers supported a total of 234 families, including 267 adults and 154 children. This was a 28.6% increase from the year prior despite a drop in total CCBP cases. Family Violence clients represented 47 countries of origin and 29 language groups. At the individual level, Canada, India, and the Philippines were the main countries of origin, which aligns to the main countries of origin for recent immigrants to Alberta as a whole. The majority of clients were Canadian Citizens (61%) or Permanent Residents (35%). Due to health restrictions, Apartment 1310 hosted only three residents this year. Evaluation activities revealed that the program along with Apartment 1310 are highly valued by Children’s Services staff, clients, and Brokers.
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Rainbow Railroad, an organization that helps LGBTQ+ asylum-seekers get to a safe(r) country, calls upon the government to make 3 changes to the refugee system to create more pathways to safety for persecuted and displaced LGBTQ+ people. Rainbow Railroad, an organization that helps LGBTQ+ asylum-seekers get to a safe(r) country, calls upon the government to make 3 changes to the refugee system to create more pathways to safety for persecuted and displaced LGBTQ+ people.
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Edmonton and Calgary have gained the status of being friendly cities to LGBTQ+ newcomers. This was started by the Rainbow Refugee Program at the Edmonton Mennonite Centre for Newcomers; followed by the Centre for Newcomers, LGBTQ+ Refugee Centre Calgary, and End of the Rainbow Foundation in Calgary. The history of sexual orientation and gender identity and gender expression (SOGIE) refugees, the impact of the programs, and new barriers due to COVID-19 are discussed in this report. Edmonton and Calgary have gained the status of being friendly cities to LGBTQ+ newcomers. This was started by the Rainbow Refugee Program at the Edmonton Mennonite Centre for Newcomers; followed by the Centre for Newcomers, LGBTQ+ Refugee Centre Calgary, and End of the Rainbow Foundation in Calgary. The history of sexual orientation and gender identity and gender expression (SOGIE) refugees, the impact of the programs, and new barriers due to COVID-19 are discussed in this report.
This publication has no Abstract to dispaly

Research is lacking on the intersection between being trans or non-binary and a racialized immigrant in Canada. Alberta, in particular, is one of the top 4 provinces where the most trans or non-binary immigrants reside. Racialized trans or non-binary participants reported alarmingly high levels of discrimination, violence, assault, fear, and negative experiences with the police and legal system. Findings from this research apply to Canada in general. Research is lacking on the intersection between being trans or non-binary and a racialized immigrant in Canada. Alberta, in particular, is one of the top 4 provinces where the most trans or non-binary immigrants reside. Racialized trans or non-binary participants reported alarmingly high levels of discrimination, violence, assault, fear, and negative experiences with the police and legal system. Findings from this research apply to Canada in general.
This publication has no Abstract to dispaly