Research Library

This qualitative inquiry delved into the healthcare needs and experiences of Afghan refugee women resettled in Edmonton, AB, Canada, addressing three primary research questions. Employing a community-based participatory research approach alongside qualitative narrative inquiry, the study explored the lived experiences of Afghan women refugees accessing healthcare services, at the New Canadians Health Centre (NCHC). Through focus groups with six NCHC staff and semi-structured interviews with three Afghan women clients, a nuanced understanding of their healthcare journeys emerged. Their insights offered valuable recommendations for culturally sensitive service provision. Ultimately, this study highlighted the imperative of culturally safe healthcare practices and underscored the transformative role of community and empowerment in shaping the healthcare experiences of Afghan refugee women in Canada. This qualitative inquiry delved into the healthcare needs and experiences of Afghan refugee women resettled in Edmonton, AB, Canada, addressing three primary research questions. Employing a community-based participatory research approach alongside qualitative narrative inquiry, the study explored the lived experiences of Afghan women refugees accessing healthcare services, at the New Canadians Health Centre (NCHC). Through focus groups with six NCHC staff and semi-structured interviews with three Afghan women clients, a nuanced understanding of their healthcare journeys emerged. Their insights offered valuable recommendations for culturally sensitive service provision. Ultimately, this study highlighted the imperative of culturally safe healthcare practices and underscored the transformative role of community and empowerment in shaping the healthcare experiences of Afghan refugee women in Canada.
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Due to the ongoing conflict in Syria, approximately 50,000 Syrian refugees arrived in Canada between 2015 and 2020. Upon arrival, Syrians needed to find housing, employment, healthcare, and language training. They also had to address psychosocial needs, such as cultivating social supports and establishing a sense of safety, which are critical for mitigating trauma and stress related to resettlement. In March 2020, the global COVID-19 pandemic was declared, and disproportionately impacted refugees by compounding pre-existing and systemic health, social, and economic inequities. Refugees are identified as particularly vulnerable during the pandemic due to the precarious working, living, economic, and health conditions they often face. Only three Canadian studies to date have explored Syrian refugee experiences during COVID-19: one used quantitative methods, the other focused on postnatal women, and one explored housing stability. Therefore, there is a dearth of qualitative information regarding how Syrian refugees in Canada have been impacted by the pandemic, especially regarding their psychosocial adaptation during this period. This study explored the impact of the COVID-19 pandemic for Syrian refugees in Canada and identified supports needed, from the perspectives of Syrian refugees themselves. This study is embedded within a broader community-based participatory research project investigating psychosocial adaptation with the Syrian refugee community and used qualitative description and thematic analysis to examine semi-structured interviews conducted with 10 Syrian refugees. Due to the ongoing conflict in Syria, approximately 50,000 Syrian refugees arrived in Canada between 2015 and 2020. Upon arrival, Syrians needed to find housing, employment, healthcare, and language training. They also had to address psychosocial needs, such as cultivating social supports and establishing a sense of safety, which are critical for mitigating trauma and stress related to resettlement. In March 2020, the global COVID-19 pandemic was declared, and disproportionately impacted refugees by compounding pre-existing and systemic health, social, and economic inequities. Refugees are identified as particularly vulnerable during the pandemic due to the precarious working, living, economic, and health conditions they often face. Only three Canadian studies to date have explored Syrian refugee experiences during COVID-19: one used quantitative methods, the other focused on postnatal women, and one explored housing stability. Therefore, there is a dearth of qualitative information regarding how Syrian refugees in Canada have been impacted by the pandemic, especially regarding their psychosocial adaptation during this period. This study explored the impact of the COVID-19 pandemic for Syrian refugees in Canada and identified supports needed, from the perspectives of Syrian refugees themselves. This study is embedded within a broader community-based participatory research project investigating psychosocial adaptation with the Syrian refugee community and used qualitative description and thematic analysis to examine semi-structured interviews conducted with 10 Syrian refugees.
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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.
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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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Hosts Karbon and Emily share personal experiences of how they came out to their immigrant families, particularly when they come from homophobic countries. They then share key tips and strategies to safely come out to immigrant families regardless of the outcome. Hosts Karbon and Emily share personal experiences of how they came out to their immigrant families, particularly when they come from homophobic countries. They then share key tips and strategies to safely come out to immigrant families regardless of the outcome.
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Interview with Jose (they/he), a queer, non-binary Mexican immigrant living in St. Albert, AB. Jose talks about how their supportive parents changed their entire coming out experience, especially as a Catholic immigrant. Interview with Jose (they/he), a queer, non-binary Mexican immigrant living in St. Albert, AB. Jose talks about how their supportive parents changed their entire coming out experience, especially as a Catholic immigrant.
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RaricaNow CEO, Adebayo Katiti, is a Ugandan refugee and a Black trans man. He speaks about the importance of Trans Day of Remembrance and the inequities that trans people, especially Black trans people, continue to face in Canada. RaricaNow is an organization in Edmonton, AB that provides settlement supports for 2SLGBTQIA+ refugees and newcomers. RaricaNow CEO, Adebayo Katiti, is a Ugandan refugee and a Black trans man. He speaks about the importance of Trans Day of Remembrance and the inequities that trans people, especially Black trans people, continue to face in Canada. RaricaNow is an organization in Edmonton, AB that provides settlement supports for 2SLGBTQIA+ refugees and newcomers.
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Canada’s National Housing Strategy (2017) identifies LGBTQ2 people and newcomers (including refugees) as vulnerable groups within Canada’s housing system. Members of each group are known to experience significant barriers to housing in Canada. However, the unique experiences of LGBTQ refugees—who fall into both groups—have yet to be investigated. This thesis asks: To what extent are LGBTQ refugees able to access safe, stable and affordable housing in Alberta, Canada? Interviews and policy analysis found that LGBTQ refugees do not have adequate access to safe, stable and affordable housing in the province. They continue to experience significant barriers related to affordability, social housing supply, and discrimination, among other factors. Policy recommendations are also included in this thesis. Canada’s National Housing Strategy (2017) identifies LGBTQ2 people and newcomers (including refugees) as vulnerable groups within Canada’s housing system. Members of each group are known to experience significant barriers to housing in Canada. However, the unique experiences of LGBTQ refugees—who fall into both groups—have yet to be investigated. This thesis asks: To what extent are LGBTQ refugees able to access safe, stable and affordable housing in Alberta, Canada? Interviews and policy analysis found that LGBTQ refugees do not have adequate access to safe, stable and affordable housing in the province. They continue to experience significant barriers related to affordability, social housing supply, and discrimination, among other factors. Policy recommendations are also included in this thesis.
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Immigrant and refugee (im/migrant) families settled in Alberta (AB) are often challenged to overcome structural barriers (i.e., accent discrimination, English as a foreign language, culture shock) in the way of navigating and actively utilizing vaccination services. Research is scarce on the impact of childhood vaccination policies on children of im/migrants in Alberta. The objective of this study was to use an intersectionality-based evaluation framework, inclusive of health equity principles, to critically analyze and investigate current Alberta jurisdictional (AJ) childhood vaccination policies and policy guidance. More specifically, the focus of this research was to examine equity considerations in the policies as it relates to vaccinations of im/migrant children. This critical policy analysis inquired and sought to find out to what extent vaccination of children of im/migrants are equitably accounted for in the Alberta context. Relevant sources on Alberta childhood vaccination policies and policy guidance were retrieved from the Government of Alberta (GoA) and the Government of Canada (GoC) websites. Initial and retroactive searches, within a 15 year range, led to the content analysis of a total of 25 eligible GoA and GoC-AJ document(s) using an intersectionality-based health equity lens (acknowledgment of impact of immigration status and race/ethnicity on health). All of the childhood vaccination policies and policy guidance were found to lack acknowledgement of the existence of structural barriers that im/migrant families face. Recommendations for more inclusive vaccination policies are discussed. Immigrant and refugee (im/migrant) families settled in Alberta (AB) are often challenged to overcome structural barriers (i.e., accent discrimination, English as a foreign language, culture shock) in the way of navigating and actively utilizing vaccination services. Research is scarce on the impact of childhood vaccination policies on children of im/migrants in Alberta. The objective of this study was to use an intersectionality-based evaluation framework, inclusive of health equity principles, to critically analyze and investigate current Alberta jurisdictional (AJ) childhood vaccination policies and policy guidance. More specifically, the focus of this research was to examine equity considerations in the policies as it relates to vaccinations of im/migrant children. This critical policy analysis inquired and sought to find out to what extent vaccination of children of im/migrants are equitably accounted for in the Alberta context. Relevant sources on Alberta childhood vaccination policies and policy guidance were retrieved from the Government of Alberta (GoA) and the Government of Canada (GoC) websites. Initial and retroactive searches, within a 15 year range, led to the content analysis of a total of 25 eligible GoA and GoC-AJ document(s) using an intersectionality-based health equity lens (acknowledgment of impact of immigration status and race/ethnicity on health). All of the childhood vaccination policies and policy guidance were found to lack acknowledgement of the existence of structural barriers that im/migrant families face. Recommendations for more inclusive vaccination policies are discussed.
This publication has no Abstract to dispaly

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.
This publication has no Abstract to dispaly