Please note, this is not an open access database or repository. We have focused on creating simple summaries of reports and articles that we have accessed through websites and academic journals, with a focus on key findings, so that even if a full report is not free to access you can reference it. When possible, we include a link to wherever the original document is hosted (which may or may not be open-access). If you come across a link that is no longer active, please let us know and we can update it. There are also some reports that will have been submitted directly to the project. In this case, these reports are uploaded directly with permission from the author or publisher. Any original documents found on this site are stored in Canada on our secure servers

Health care for all: Undocumented migrants and the COVID-19 pandemic in Alberta, Canada—A scoping review

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

Impact of the COVID-19 pandemic on Muslim older immigrants in Edmonton, Alberta: A community-based participatory research project with a local mosque

Older Muslim immigrants experience multiple vulnerabilities living in Canada. This study explores the experiences of Muslim older adults in Edmonton, AB during the COVID-19 pandemic to identify ways to build community resilience. Three major themes were: 1) loneliness, 2) decreased access to resources for connection, 3) capacity limits on services. The COVID-19 pandemic exacerbated challenges associated with aging in the Muslim population and contributed to further marginalization, with mosques being sites of support during times of crises. Policymakers and service providers must explore ways of engaging mosque-based support systems in meeting the needs of older Muslim adults during pandemics. Older Muslim immigrants experience multiple vulnerabilities living in Canada. This study explores the experiences of Muslim older adults in Edmonton, AB during the COVID-19 pandemic to identify ways to build community resilience. Three major themes were: 1) loneliness, 2) decreased access to resources for connection, 3) capacity limits on services. The COVID-19 pandemic exacerbated challenges associated with aging in the Muslim population and contributed to further marginalization, with mosques being sites of support during times of crises. Policymakers and service providers must explore ways of engaging mosque-based support systems in meeting the needs of older Muslim adults during pandemics.
This publication has no Abstract to dispaly

Prevalence and associated factors of maternal depression and anxiety among african immigrant women in Alberta, Canada: Quantitative cross-sectional survey study

The purpose of this study was to investigate the prevalence and associated factors of maternal depression and anxiety among African immigrant women living in Alberta, Canada up to 2 years postpartum. This cross-sectional study surveyed 120 African immigrant women within 2 years of delivery in Alberta, Canada from January 2020 to December 2020. The researchers found that social support and community belonging initiatives may improve the maternal mental health outcomes of African immigrant women. Given the complexities immigrant women face, more research is needed on a comprehensive approach for public health and preventive strategies regarding maternal mental health after migration, including increasing access to family doctors. The purpose of this study was to investigate the prevalence and associated factors of maternal depression and anxiety among African immigrant women living in Alberta, Canada up to 2 years postpartum. This cross-sectional study surveyed 120 African immigrant women within 2 years of delivery in Alberta, Canada from January 2020 to December 2020. The researchers found that social support and community belonging initiatives may improve the maternal mental health outcomes of African immigrant women. Given the complexities immigrant women face, more research is needed on a comprehensive approach for public health and preventive strategies regarding maternal mental health after migration, including increasing access to family doctors.
This publication has no Abstract to dispaly

Immigrant women’s experiences of domestic violence in Canada: a qualitative file audit

Domestic violence (DV) experienced by immigrant women is a global health concern. Precarious immigration status, language barriers, and discrimination can lead to reluctance in seeking support. Is a non-profit charitable organization and support center for immigrant women. Participants in this study were immigrant women who attended Changing Together. The aim of this study is to illustrate immigrant women’s experiences of DV and identify the community services they access. Domestic violence (DV) experienced by immigrant women is a global health concern. Precarious immigration status, language barriers, and discrimination can lead to reluctance in seeking support. Is a non-profit charitable organization and support center for immigrant women. Participants in this study were immigrant women who attended Changing Together. The aim of this study is to illustrate immigrant women’s experiences of DV and identify the community services they access.
This publication has no Abstract to dispaly

Navigating biases and distrust of systems: American and Canadian intimate partner violence service providers’ experiences with trans and immigrant women clients

To date, very little is known about intimate partner violence (IPV) service providers’ experiences serving trans and immigrant women (IPV) survivors and their barriers in reporting and/or accessing formal services. Employing constructivist grounded theory, two vignettes were constructed – one featuring a trans woman and the other an immigrant woman, both seeking IPV services. American and Canadian IPV service providers responded to open-ended survey questions about both scenarios, resulting in several emergent themes including, but not limited to: service provider biases, shelter conflicts, and distrust of systems. Policy implications and future research are also addressed. To date, very little is known about intimate partner violence (IPV) service providers’ experiences serving trans and immigrant women (IPV) survivors and their barriers in reporting and/or accessing formal services. Employing constructivist grounded theory, two vignettes were constructed – one featuring a trans woman and the other an immigrant woman, both seeking IPV services. American and Canadian IPV service providers responded to open-ended survey questions about both scenarios, resulting in several emergent themes including, but not limited to: service provider biases, shelter conflicts, and distrust of systems. Policy implications and future research are also addressed.
This publication has no Abstract to dispaly

Health literacy among members of the Nepalese immigrant population in Canada

Health literacy is an important public health concern and can be defined as ‘the degree or extent to which the individuals have the capacity to obtain, process and understand basic health information and services to make appropriate health decisions’. Research on health literacy among recent immigrants to Canada is not that extensive, so this research described health literacy status among Nepalese immigrants residing in Calgary, Alberta. Noteworthy levels of limited health literacy and marginal health literacy were observed among the Nepalese immigrant population. Multidirectional, culturally tailored, community-led, collaborative initiatives are needed to improve health literacy among the immigrant population, to lessen health disparities and to promote better health outcomes. Health literacy is an important public health concern and can be defined as ‘the degree or extent to which the individuals have the capacity to obtain, process and understand basic health information and services to make appropriate health decisions’. Research on health literacy among recent immigrants to Canada is not that extensive, so this research described health literacy status among Nepalese immigrants residing in Calgary, Alberta. Noteworthy levels of limited health literacy and marginal health literacy were observed among the Nepalese immigrant population. Multidirectional, culturally tailored, community-led, collaborative initiatives are needed to improve health literacy among the immigrant population, to lessen health disparities and to promote better health outcomes.
This publication has no Abstract to dispaly

Vaccines for all: A formative evaluation of a multistakeholder community-engaged COVID-19 vaccine outreach clinic for migrant communities

Racialized, low-income, and migrant communities in East and Northeast Calgary were disproportionately impacted by COVID-19, yet faced vaccine access barriers. This article is a formative evaluation of a low-barrier, community-engaged vaccine outreach clinic in Calgary, Alberta, Canada, on June 5–6, 2021. Stakeholder respondents felt the clinic was effective (99.2%), efficient (96.9%), patient-centered (92.3%), and safe (90.8%), and that the outreach model was scalable 94.6% (123/130). Suggested improvements include increased time for clinic planning and promotion, more multilingual staff, and further efforts to reduce accessibility barriers, such as priority check-in for people with disabilities. These findings support the value of community-engaged outreach to improve vaccine equity among other marginalized newcomer communities. Racialized, low-income, and migrant communities in East and Northeast Calgary were disproportionately impacted by COVID-19, yet faced vaccine access barriers. This article is a formative evaluation of a low-barrier, community-engaged vaccine outreach clinic in Calgary, Alberta, Canada, on June 5–6, 2021. Stakeholder respondents felt the clinic was effective (99.2%), efficient (96.9%), patient-centered (92.3%), and safe (90.8%), and that the outreach model was scalable 94.6% (123/130). Suggested improvements include increased time for clinic planning and promotion, more multilingual staff, and further efforts to reduce accessibility barriers, such as priority check-in for people with disabilities. These findings support the value of community-engaged outreach to improve vaccine equity among other marginalized newcomer communities.
This publication has no Abstract to dispaly

The making of ideal immigrant settlement workers: examining the technologies of ruling power in Canadian immigrant service organisations

Underpinned by neoliberal rationalities, the contractual relationship between government funders and immigrant-serving organisations (ISOs) has led these agencies to promote neoliberal values of competition in the business market, prioritising quantity over quality in their services in order to secure government funding. Informed by Foucault’s concept of governmentality as its theoretical framework and institutional ethnography (IE) as its methodology, our study investigates the work experiences of 18 immigrant settlement workers (ISWs) at three ISOs in western Canada. This study identifies how following an outcomes-driven evaluation approach, as required by the federal government, produces a series of textually mediated accountabilities, constructing translocal textual social relations that further coordinate and govern ISWs’ conduct in their local ISO workplaces. This evaluation approach, as analyzed in our study, is exercised as the technologies of ruling power, which is strengthened by the ruling of systems, workplace knowledge, social relations, and the governed-self, producing ideal ISWs who are self-accountable, self-regulated, adaptable, and productive. This process of making ideal ISWs legitimises ISWs’ apparatus role in reinforcing technologies of ruling power from the individual, organisational and institutional perspectives to better serve the agenda of the state. Underpinned by neoliberal rationalities, the contractual relationship between government funders and immigrant-serving organisations (ISOs) has led these agencies to promote neoliberal values of competition in the business market, prioritising quantity over quality in their services in order to secure government funding. Informed by Foucault’s concept of governmentality as its theoretical framework and institutional ethnography (IE) as its methodology, our study investigates the work experiences of 18 immigrant settlement workers (ISWs) at three ISOs in western Canada. This study identifies how following an outcomes-driven evaluation approach, as required by the federal government, produces a series of textually mediated accountabilities, constructing translocal textual social relations that further coordinate and govern ISWs’ conduct in their local ISO workplaces. This evaluation approach, as analyzed in our study, is exercised as the technologies of ruling power, which is strengthened by the ruling of systems, workplace knowledge, social relations, and the governed-self, producing ideal ISWs who are self-accountable, self-regulated, adaptable, and productive. This process of making ideal ISWs legitimises ISWs’ apparatus role in reinforcing technologies of ruling power from the individual, organisational and institutional perspectives to better serve the agenda of the state.
This publication has no Abstract to dispaly

COVID-19 vaccine coverage among immigrants and refugees in Alberta: A population-based cross-sectional study

Administrative data was used to study COVID-19 vaccine coverage in immigrants and refugees compared to the Canadian-born population. Broadly, immigrants and refugees (78.2%) had comparable vaccine coverage to Canadian-born individuals (76%). However, initiatives to improve vaccine coverage is needed for older immigrants, immigrants in rural areas, and immigrants from certain ethnicities. Administrative data was used to study COVID-19 vaccine coverage in immigrants and refugees compared to the Canadian-born population. Broadly, immigrants and refugees (78.2%) had comparable vaccine coverage to Canadian-born individuals (76%). However, initiatives to improve vaccine coverage is needed for older immigrants, immigrants in rural areas, and immigrants from certain ethnicities.
This publication has no Abstract to dispaly

Patient-reported experiences in primary health care access of Nepalese immigrant women in Canada

Accessible primary health care is essential for the health of immigrant populations in Canada. This study explored barriers to accessing care among a relatively less studied immigrant population group, Nepalese immigrant women, which will help effectively shape public policy and improve access to primary health care for the wider immigrant population in Canada. Community-engaged focus groups were conducted in Calgary, AB. The focus groups identified long wait times as a major barrier to receiving PHC services, along with lack of proficiency in English, lack of access to medical records, competing responsibilities and unfamiliarity with the Canadian healthcare system. Accessible primary health care is essential for the health of immigrant populations in Canada. This study explored barriers to accessing care among a relatively less studied immigrant population group, Nepalese immigrant women, which will help effectively shape public policy and improve access to primary health care for the wider immigrant population in Canada. Community-engaged focus groups were conducted in Calgary, AB. The focus groups identified long wait times as a major barrier to receiving PHC services, along with lack of proficiency in English, lack of access to medical records, competing responsibilities and unfamiliarity with the Canadian healthcare system.
This publication has no Abstract to dispaly