Research Library

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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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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In this report, Edmonton City Council is being asked to approve the Anti-Racism Strategy to support the equity of racialized communities in Edmonton, structural changes within the City of Edmonton Administration, as well as the development of an implementation and financing plan to activate the Strategy. This work will be prioritized in Administration’s work for the long-term City Plan alignment. The proposed anti-racism strategy outlines 3 elements to advance anti-racism in Edmonton, and is asking Council for both approval of the strategy as well as an increase in operating expenditure budget. In this report, Edmonton City Council is being asked to approve the Anti-Racism Strategy to support the equity of racialized communities in Edmonton, structural changes within the City of Edmonton Administration, as well as the development of an implementation and financing plan to activate the Strategy. This work will be prioritized in Administration’s work for the long-term City Plan alignment. The proposed anti-racism strategy outlines 3 elements to advance anti-racism in Edmonton, and is asking Council for both approval of the strategy as well as an increase in operating expenditure budget.
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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.
This publication has no Abstract to dispaly

The Vital Signs Report 2022 is a comprehensive document that sheds light on the issue of systemic racism in Edmonton. The report highlights the demographics of the city and the historical factors that have contributed to the systemic racism that exists today. It emphasizes the need to acknowledge the existence of discrimination and take action to eliminate it. The report also acknowledges the limitations of available data and language used in the report. The document encourages individuals and organizations to start conversations and take action to combat systemic racism. It provides a list of organizations working to improve the community and offers guidance on how individuals can make a difference. The report also features profiles of poet laureates, BIPOC, QTIBPOCs, Bear Clan Beaver Hills House, YEG the Come Up, 1884 Fellowship, and African Canadian Civic Engagement Council. Overall, the Vital Signs Report 2022 is a valuable resource for anyone interested in understanding and addressing systemic racism in Edmonton. The Vital Signs Report 2022 is a comprehensive document that sheds light on the issue of systemic racism in Edmonton. The report highlights the demographics of the city and the historical factors that have contributed to the systemic racism that exists today. It emphasizes the need to acknowledge the existence of discrimination and take action to eliminate it. The report also acknowledges the limitations of available data and language used in the report. The document encourages individuals and organizations to start conversations and take action to combat systemic racism. It provides a list of organizations working to improve the community and offers guidance on how individuals can make a difference. The report also features profiles of poet laureates, BIPOC, QTIBPOCs, Bear Clan Beaver Hills House, YEG the Come Up, 1884 Fellowship, and African Canadian Civic Engagement Council. Overall, the Vital Signs Report 2022 is a valuable resource for anyone interested in understanding and addressing systemic racism in Edmonton.
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This dissertation challenges the narrative of Canada as a welcoming and inclusive nation. Critical race theory and intersectional feminism provide a framework that assesses newcomer labour market experiences from the perspectives of two different stakeholder groups, immigrant professionals and service providers within the immigration settlement sector. The experiences of immigrant professionals, particularly people of colour, demonstrate a disproportionate risk of labour market exclusion. Sixty semi-structured interviews held in two mid-sized Canadian cities (Winnipeg and Edmonton) with immigrant professionals and settlement workers provided two different positions for understanding the barriers, challenges, opportunities and advantages thatencompass the immigration journey. Upon settlement, while many immigrants do well and secure career-related employment, over half of immigrant participants in this study experienced significant labour market barriers, disappointed expectations and un- or under-employment. Additionally, settlement services provided valuable assistance, but not necessarily the type of anti-oppression advocacy or specialized supports that immigrant professionals required. This dissertation also acknowledges the inherent conflicts that result from colonial capitalism itself. I argue that while this colonial project must be disrupted, newcomers should be able to live fulfilling and socio-economically stable lives and enjoy meaningful career-related employment opportunities. This dissertation challenges the narrative of Canada as a welcoming and inclusive nation. Critical race theory and intersectional feminism provide a framework that assesses newcomer labour market experiences from the perspectives of two different stakeholder groups, immigrant professionals and service providers within the immigration settlement sector. The experiences of immigrant professionals, particularly people of colour, demonstrate a disproportionate risk of labour market exclusion. Sixty semi-structured interviews held in two mid-sized Canadian cities (Winnipeg and Edmonton) with immigrant professionals and settlement workers provided two different positions for understanding the barriers, challenges, opportunities and advantages thatencompass the immigration journey. Upon settlement, while many immigrants do well and secure career-related employment, over half of immigrant participants in this study experienced significant labour market barriers, disappointed expectations and un- or under-employment. Additionally, settlement services provided valuable assistance, but not necessarily the type of anti-oppression advocacy or specialized supports that immigrant professionals required. This dissertation also acknowledges the inherent conflicts that result from colonial capitalism itself. I argue that while this colonial project must be disrupted, newcomers should be able to live fulfilling and socio-economically stable lives and enjoy meaningful career-related employment opportunities.
This publication has no Abstract to dispaly