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 If you come across a link that is no longer active, please let us know and we can update it.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

An ethnographic investigation of the maternity healthcare experience of immigrants in rural and urban Alberta, Canada

Canada is among the top immigrant-receiving nations in the world. The aims of the study were to (1) create a new understanding of the processes that disadvantage immigrants in maternity healthcare, and (2) propose changes that might improve maternity experiences and outcomes for immigrant women in Canada. The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care. These challenges include lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock. Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination. Canada is among the top immigrant-receiving nations in the world. The aims of the study were to (1) create a new understanding of the processes that disadvantage immigrants in maternity healthcare, and (2) propose changes that might improve maternity experiences and outcomes for immigrant women in Canada. The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care. These challenges include lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock. Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination.
This publication has no Abstract to dispaly

Sub-Saharan African immigrants living with HIV in Canada: a narrative inquiry

Canadian epidemiological data suggest an increasing number of HIV infections among people from HIV-endemic countries, including sub-Saharan Africa. The purpose of this paper is to study the lived experiences of African immigrants living with HIV in Canada. The researchers found several narrative threads related to: stigma, social, and family exclusion; as well as HIV illness as a complex personal, familial, and social experience. Also, narratives across different geographic and social spaces shaped the complex experience among African immigrants living with HIV in Canada. The intent of this research was to demonstrate a deeper understanding of lived experience, among African immigrants living with HIV in Canada. It is important to understand social factors and the experience of HIV-related stigma because such experiences impact access to health and social services, as well as health and social outcomes of immigrants living with HIV. Based on the findings of this study, further research is needed to: study more closely the familial contexts of African families affected by HIV in Canada; explore the social and political landscapes that impact the experience of HIV illness and related stigma in Canada, in the context of migration and settlement; and examine the relationship between these experiences and the health and social outcomes of African immigrants living with HIV in Canada. Canadian epidemiological data suggest an increasing number of HIV infections among people from HIV-endemic countries, including sub-Saharan Africa. The purpose of this paper is to study the lived experiences of African immigrants living with HIV in Canada. The researchers found several narrative threads related to: stigma, social, and family exclusion; as well as HIV illness as a complex personal, familial, and social experience. Also, narratives across different geographic and social spaces shaped the complex experience among African immigrants living with HIV in Canada. The intent of this research was to demonstrate a deeper understanding of lived experience, among African immigrants living with HIV in Canada. It is important to understand social factors and the experience of HIV-related stigma because such experiences impact access to health and social services, as well as health and social outcomes of immigrants living with HIV. Based on the findings of this study, further research is needed to: study more closely the familial contexts of African families affected by HIV in Canada; explore the social and political landscapes that impact the experience of HIV illness and related stigma in Canada, in the context of migration and settlement; and examine the relationship between these experiences and the health and social outcomes of African immigrants living with HIV in Canada.
This publication has no Abstract to dispaly

Understanding Job Status Decline among Newcomers to Canada

Problems related to the recognition of skills and education acquired by immigrants abroad and their ability to translate them into similar work and income in Canada are well-known. This paper attempts to quantify, insofar as possible the mismatch between education and skills attained abroad by comparing pre-arrival and post-arrival job statuses amongst newcomers to Canada who have been in the country for five years or less. Our results reveal that there is, in fact, a significant decline in job status for newcomers, which is influenced by province of residence, place of education attainment, and length of time in Canada. Problems related to the recognition of skills and education acquired by immigrants abroad and their ability to translate them into similar work and income in Canada are well-known. This paper attempts to quantify, insofar as possible the mismatch between education and skills attained abroad by comparing pre-arrival and post-arrival job statuses amongst newcomers to Canada who have been in the country for five years or less. Our results reveal that there is, in fact, a significant decline in job status for newcomers, which is influenced by province of residence, place of education attainment, and length of time in Canada.
This publication has no Abstract to dispaly

Feasibility of implementing a community-based oral health educational tool for newcomers in Alberta: perspectives of frontline community leaders

Early childhood caries (ECC) is a severe form of tooth decay affecting the primary teeth of preschool children. Canadian surveys have found that children from disadvantaged groups, including recent immigrants, have higher rates of caries and lower rates of dental visits than Canadian-born children and tend to seek dental care for treatment reasons.Oral diseases disproportionally affect immigrant communities. For example, besides financial costs, African new immigrant families face additional barriers, including those related to language and cultural values, which leads to a lower rate of dental care uptake for their children. Therefore, there is a clear need to enhance prevention and treatment of oral diseases among recent immigrant children, especially those from communities with a higher prevalence of dental problems. Dental education for immigrant and refugee families can be accomplished through community leaders with experience in health promotion. These individuals have the potential to reach out to newcomer parents, raise their awareness of oral health and preventive care, and facilitate their children’s access to dental services. Early childhood caries (ECC) is a severe form of tooth decay affecting the primary teeth of preschool children. Canadian surveys have found that children from disadvantaged groups, including recent immigrants, have higher rates of caries and lower rates of dental visits than Canadian-born children and tend to seek dental care for treatment reasons.Oral diseases disproportionally affect immigrant communities. For example, besides financial costs, African new immigrant families face additional barriers, including those related to language and cultural values, which leads to a lower rate of dental care uptake for their children. Therefore, there is a clear need to enhance prevention and treatment of oral diseases among recent immigrant children, especially those from communities with a higher prevalence of dental problems. Dental education for immigrant and refugee families can be accomplished through community leaders with experience in health promotion. These individuals have the potential to reach out to newcomer parents, raise their awareness of oral health and preventive care, and facilitate their children’s access to dental services.
This publication has no Abstract to dispaly

The dynamics of union responses to migrant workers in Canada

This study examines how five unions in the Canadian province of Alberta responded to a sudden influx of temporary foreign workers (TFWs) the mid-2000s. The authors find three types of response to the new TFW members: resistive, facilitative and active. (1) resistive response, which stems from unions’ unwillingness to advocate for TFWs as a part of the union membership and to acknolwedge thier economic vulnerabilities; (2) facilitative response, which is indicated by unions assisting emplyers to hire TFWs even if TFWs are viewed undesirable. This is a strategically advantageous response for unions because cooperation with the employer ‘maintains a steady labour supply to keep projects moving and members employed’; (3) and active response, which is marked by genuine efforts by unions to confront employers and advocate for TFWs’ vulnerability and unique legal status. Furthermore, these responses were dynamic and changing over time. The different responses are best explained not by the unions’ institutional context, but by internal factors shaping each union’s response. This study examines how five unions in the Canadian province of Alberta responded to a sudden influx of temporary foreign workers (TFWs) the mid-2000s. The authors find three types of response to the new TFW members: resistive, facilitative and active. (1) resistive response, which stems from unions’ unwillingness to advocate for TFWs as a part of the union membership and to acknolwedge thier economic vulnerabilities; (2) facilitative response, which is indicated by unions assisting emplyers to hire TFWs even if TFWs are viewed undesirable. This is a strategically advantageous response for unions because cooperation with the employer ‘maintains a steady labour supply to keep projects moving and members employed’; (3) and active response, which is marked by genuine efforts by unions to confront employers and advocate for TFWs’ vulnerability and unique legal status. Furthermore, these responses were dynamic and changing over time. The different responses are best explained not by the unions’ institutional context, but by internal factors shaping each union’s response.
This publication has no Abstract to dispaly

Voices Unheard: Stories of Immigrant Teachers in Alberta

This paper presents the stories of four immigrant teachers as they endeavor to resume their teaching careers in Calgary, Alberta. The teachers in this study participated in a six-month professional bridging program in Calgary in 2008 in order to upgrade their professional knowledge and to meet Alberta certification requirements before seeking employment in local school boards. The professional integration consists of challenges and reflection on the teachers part, but they are happy that the bridging program helps them meet the Alberta certification requirements to be able to teach in local schools. The process of relearning through this program has improved their professional teaching and confidence level in terms of teaching methodology and interaction with students and colleagues. In a changing educational Alberta landscape that is becoming increasingly diverse, stories of internationally educated professionals are increasingly relevant, yet seldom found in the literature on teaching. This paper presents the stories of four immigrant teachers as they endeavor to resume their teaching careers in Calgary, Alberta. The teachers in this study participated in a six-month professional bridging program in Calgary in 2008 in order to upgrade their professional knowledge and to meet Alberta certification requirements before seeking employment in local school boards. The professional integration consists of challenges and reflection on the teachers part, but they are happy that the bridging program helps them meet the Alberta certification requirements to be able to teach in local schools. The process of relearning through this program has improved their professional teaching and confidence level in terms of teaching methodology and interaction with students and colleagues. In a changing educational Alberta landscape that is becoming increasingly diverse, stories of internationally educated professionals are increasingly relevant, yet seldom found in the literature on teaching.
This publication has no Abstract to dispaly

The Social Rate of Return to Investing in Character: An Economic Evaluation of Alberta’s Immigrant Access Fund Microloan Program

Skilled immigrants are a key source of labour supply to address the expected labour market shortages in Canada. But immigrants need the accreditation to work at their chosen occupation. However, credential recognition is difficult for many immigrants because they often don’t have access to credit. We analyzed the Immigrant Access Fund (IAF) and estimated how profitable and efficient it is as an investment. IAF is an institution providing small loans on a not-for-profit basis to assist Alberta immigrants in acquiring the Canadian accreditation and training they need to work their field of expertise. We assessed that effectively, each dollar that the government puts towards this program generates $3 or more in GDP. This means that IAF is an efficient program, and it can serve as an example in the improvement of the Canadian immigration policy. Skilled immigrants are a key source of labour supply to address the expected labour market shortages in Canada. But immigrants need the accreditation to work at their chosen occupation. However, credential recognition is difficult for many immigrants because they often don’t have access to credit. We analyzed the Immigrant Access Fund (IAF) and estimated how profitable and efficient it is as an investment. IAF is an institution providing small loans on a not-for-profit basis to assist Alberta immigrants in acquiring the Canadian accreditation and training they need to work their field of expertise. We assessed that effectively, each dollar that the government puts towards this program generates $3 or more in GDP. This means that IAF is an efficient program, and it can serve as an example in the improvement of the Canadian immigration policy.
This publication has no Abstract to dispaly

Exploring Sociocultural Factors During Pregnancy and Postpartum among African-immigrant Women within the Context of a Community-Based Organization

Low socioeconomic status, language difficulties and sociocultural barriers can negatively affect many aspects of a healthy pregnancy, including dietary practices. Various life adversities (e.g., poverty), in the absence of women’s family circle created a sense of isolation and increased stress, which were heightened by pregnancy and postpartum. African-immigrant women discussed that in their home countries regardless of their socioeconomic status they felt supported in pregnancy and postpartum as their kinship provided them with “everything they needed” to be healthy. This included nutritious foods, physical activity opportunities, and adequate time for rest. Once in Canada, without sufficient social support, it becomes extremely challenging to be healthy during pregnancy and postpartum. However, women described that services and supports offered through MCHB (Multicultural Health Brokers Co-operatie) (e.g., childcare, cooking classes) facilitated a healthy pregnancy and postpartum. Community-based organizations (CBOs) appear to foster a sense of kinship women often miss when they immigrate to a new country and become pregnant. Policies that support CBOs, and ensure adequate funding, will enable continuing services that can assist immigrant women in being healthier during pregnancy and postpartum in Canada. Low socioeconomic status, language difficulties and sociocultural barriers can negatively affect many aspects of a healthy pregnancy, including dietary practices. Various life adversities (e.g., poverty), in the absence of women’s family circle created a sense of isolation and increased stress, which were heightened by pregnancy and postpartum. African-immigrant women discussed that in their home countries regardless of their socioeconomic status they felt supported in pregnancy and postpartum as their kinship provided them with “everything they needed” to be healthy. This included nutritious foods, physical activity opportunities, and adequate time for rest. Once in Canada, without sufficient social support, it becomes extremely challenging to be healthy during pregnancy and postpartum. However, women described that services and supports offered through MCHB (Multicultural Health Brokers Co-operatie) (e.g., childcare, cooking classes) facilitated a healthy pregnancy and postpartum. Community-based organizations (CBOs) appear to foster a sense of kinship women often miss when they immigrate to a new country and become pregnant. Policies that support CBOs, and ensure adequate funding, will enable continuing services that can assist immigrant women in being healthier during pregnancy and postpartum in Canada.
This publication has no Abstract to dispaly

“Teaching Somebody to Fish”: Implications for Immigrant-Serving Organizations and Employment in Edmonton and Winnipeg

Provincial governments increasingly develop strategies that attract immigrants to settle in the Prairie Provinces. Although considerable research examines the role of settlement services in larger cities such as Toronto, Montreal, and Vancouver, there is less information regarding mid-sized cities. Increasingly, newcomers are moving to Manitoba and Alberta due to real or perceived economic opportunities. Unfortunately, some immigrants experience difficulties during their settlement process, and their varied needs create challenges for immigrant-serving organizations as they develop programs. This study explores how philosophies of empowerment influence service providers and their programs for working with professional newcomers searching for meaningful employment. Semi-structured interviews with 21 service providers in Edmonton and Winnipeg illustrate how tensions between competing notions of empowerment and neoliberal ideologies interact to guide how service providers assist immigrants. Although empowerment is a goal of service provision, limited funding and resources may constrain the advocacy role of organizations. Provincial governments increasingly develop strategies that attract immigrants to settle in the Prairie Provinces. Although considerable research examines the role of settlement services in larger cities such as Toronto, Montreal, and Vancouver, there is less information regarding mid-sized cities. Increasingly, newcomers are moving to Manitoba and Alberta due to real or perceived economic opportunities. Unfortunately, some immigrants experience difficulties during their settlement process, and their varied needs create challenges for immigrant-serving organizations as they develop programs. This study explores how philosophies of empowerment influence service providers and their programs for working with professional newcomers searching for meaningful employment. Semi-structured interviews with 21 service providers in Edmonton and Winnipeg illustrate how tensions between competing notions of empowerment and neoliberal ideologies interact to guide how service providers assist immigrants. Although empowerment is a goal of service provision, limited funding and resources may constrain the advocacy role of organizations.
This publication has no Abstract to dispaly

An ethnographic study of communication challenges in maternity care for immigrant women in rural Alberta

Many immigrant and ethno-cultural groups in Canada face substantial barriers to accessing health care including language barriers. This study identified the nature of communication difficulties in maternity services from the perspectives of immigrant women, health care providers and social service providers in a small city in southern Alberta, Canada. We identified four main themes including verbal communication, unshared meaning, non-verbal communication to build relationships, and trauma, culture and open communication. Communication difficulties extended beyond matters of language competency to those encompassing non-verbal communication and its relation to shared meaning as well as the interplay of underlying pre-migration history and cultural factors which affect open communication, accessible health care and perhaps also maternal outcomes. Communication challenges may be experienced by all parties, yet those within health care management and professional bodies are responsible to ensure that providers are equipped with the skills necessary to facilitate culturally appropriate care. Many immigrant and ethno-cultural groups in Canada face substantial barriers to accessing health care including language barriers. This study identified the nature of communication difficulties in maternity services from the perspectives of immigrant women, health care providers and social service providers in a small city in southern Alberta, Canada. We identified four main themes including verbal communication, unshared meaning, non-verbal communication to build relationships, and trauma, culture and open communication. Communication difficulties extended beyond matters of language competency to those encompassing non-verbal communication and its relation to shared meaning as well as the interplay of underlying pre-migration history and cultural factors which affect open communication, accessible health care and perhaps also maternal outcomes. Communication challenges may be experienced by all parties, yet those within health care management and professional bodies are responsible to ensure that providers are equipped with the skills necessary to facilitate culturally appropriate care.
This publication has no Abstract to dispaly