Research Library

The World Health Organization stresses the need for tailored COVID-19 models of vaccination to meet the needs of diverse populations and ultimately reach high rates of vaccination. However, little evidence exists on how COVID-19 models of vaccination operated in the novel context of the pandemic, how vulnerable populations, such as refugees, experience COVID-19 vaccination systems in high-income countries, and what lessons may be learned from vaccination efforts with vulnerable populations. To address this gap, this study explored COVID-19 vaccine delivery models available to newcomer refugees and immigrants, and refugee experiences across diferent COVID-19 vaccine delivery models in Calgary, Canada, and surrounding area in 2021 and 2022, to understand the barriers, strengths, and strategies of models to support access to COVID-19 vaccination for newcomer refugees and immigrants. Structured interviews with Government Assisted Refugees (n=39), and semistructured interviews with Privately Sponsored Refugees (n=6), private refugee sponsors (n=3), and stakeholders involved in vaccination systems (n=13) were conducted in 2022. Thematic analysis was conducted to draw out themes related to barriers, strengths, and strategies of vaccine delivery models and the intersections with patient experiences. Newcomer refugee and immigrant focused vaccination models and strategies were explored. They demonstrated how partnerships between organizations, multi-pronged approaches, and culturally responsive services were crucial to navigate ongoing and emergent factors, such as vaccine hesitancy, mandates, and other determinants of under-vaccination. Many vaccination models presented through interviews were not specific to refugees and included immigrants, temporary residents, ethnocultural community members, and other vulnerable populations in their design. Increasing COVID-19 vaccine uptake for newcomer refugees and immigrants, is complex and requires trust, ongoing information provision, and local partnerships to address ongoing and emerging factors. Three key policy implications were drawn. The World Health Organization stresses the need for tailored COVID-19 models of vaccination to meet the needs of diverse populations and ultimately reach high rates of vaccination. However, little evidence exists on how COVID-19 models of vaccination operated in the novel context of the pandemic, how vulnerable populations, such as refugees, experience COVID-19 vaccination systems in high-income countries, and what lessons may be learned from vaccination efforts with vulnerable populations. To address this gap, this study explored COVID-19 vaccine delivery models available to newcomer refugees and immigrants, and refugee experiences across diferent COVID-19 vaccine delivery models in Calgary, Canada, and surrounding area in 2021 and 2022, to understand the barriers, strengths, and strategies of models to support access to COVID-19 vaccination for newcomer refugees and immigrants. Structured interviews with Government Assisted Refugees (n=39), and semistructured interviews with Privately Sponsored Refugees (n=6), private refugee sponsors (n=3), and stakeholders involved in vaccination systems (n=13) were conducted in 2022. Thematic analysis was conducted to draw out themes related to barriers, strengths, and strategies of vaccine delivery models and the intersections with patient experiences. Newcomer refugee and immigrant focused vaccination models and strategies were explored. They demonstrated how partnerships between organizations, multi-pronged approaches, and culturally responsive services were crucial to navigate ongoing and emergent factors, such as vaccine hesitancy, mandates, and other determinants of under-vaccination. Many vaccination models presented through interviews were not specific to refugees and included immigrants, temporary residents, ethnocultural community members, and other vulnerable populations in their design. Increasing COVID-19 vaccine uptake for newcomer refugees and immigrants, is complex and requires trust, ongoing information provision, and local partnerships to address ongoing and emerging factors. Three key policy implications were drawn.
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Available evidence in Canada suggests children born to immigrants face a greater risk of poor mental health outcomes. However, these comparisons often mask important ethno-racial differences in mental health risks and outcomes among immigrant populations. Recent evidence suggests African immigrant children have some of the poorest social and mental health outcomes in Canada. Despite this awareness, research has yet to identify community-based strategies for addressing the stressors underpinning such outcomes. This study used data obtained from focus groups with African immigrant parents in Edmonton, AB and surrounding towns to identify child mental health stressors and child mental health promotion strategies in the African immigrant community. Available evidence in Canada suggests children born to immigrants face a greater risk of poor mental health outcomes. However, these comparisons often mask important ethno-racial differences in mental health risks and outcomes among immigrant populations. Recent evidence suggests African immigrant children have some of the poorest social and mental health outcomes in Canada. Despite this awareness, research has yet to identify community-based strategies for addressing the stressors underpinning such outcomes. This study used data obtained from focus groups with African immigrant parents in Edmonton, AB and surrounding towns to identify child mental health stressors and child mental health promotion strategies in the African immigrant community.
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This study sought to examine the challenges encountered by immigrant-serving agencies in meeting the health needs of temporary foreign workers and their families in one Canadian province. Some of the challenges that agencies face in delivering programs and services for temporary foreign workers and their families include the time required to build trust with this population, temporary foreign workers’ reluctance to use services due to fear that it will affect their immigration status, and the emotional labor associated with working with temporary foreign workers. This study sought to examine the challenges encountered by immigrant-serving agencies in meeting the health needs of temporary foreign workers and their families in one Canadian province. Some of the challenges that agencies face in delivering programs and services for temporary foreign workers and their families include the time required to build trust with this population, temporary foreign workers’ reluctance to use services due to fear that it will affect their immigration status, and the emotional labor associated with working with temporary foreign workers.
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On May 3rd, 2016, a wildfire swept through the Northern Alberta resource community of Fort McMurray, scouring the political-economic landscape and leading to the largest prolonged evacuation in Canadian history. In serving as the primary service centre for the Athabasca tar sands— the world’s third-largest known oil deposit— Fort McMurray has also become a notable outpost of transnational labour. Migrant caregivers, in particular, are precariously tied to this ‘land of opportunity’— bound by short-term employment contracts tied to single employers. Thus, in following the assertion that “there is no such thing as a natural disaster,” this thesis draws upon their experiences to reveal how the everyday manifestations of capitalist crisis that exist in this place were responsible for rendering the wildfire into a disaster in the lives of tens of thousands of people. In drawing upon the experiences of this social reproductive workforce, I argue that the crisis of social reproduction (i.e. biological reproduction, the reproduction of the labouring class, and provisioning and carework), in particular, is the thread of capitalist crisis capable of illuminating the other strands of crisis at the foundation of this disaster and explicating the interconnections between them. Moreover, it is in specifically focusing on the crisis of social reproduction, I argue, that we are able to not only understand the political-economic foundation of this disaster but also how its impacts were reabsorbed into everyday life through the social reproductive labour of this largely disposable workforce. In drawing upon the concept of surplus value, I argue that in much the same way that this value is extracted from workers to rebuild the physical infrastructure of communities in the wake of disaster, families extracted migrant caregivers’ social reproductive surplus value in order to rebuild the social infrastructure of their everyday lives and re-establish the crises at the foundation of this disaster. On May 3rd, 2016, a wildfire swept through the Northern Alberta resource community of Fort McMurray, scouring the political-economic landscape and leading to the largest prolonged evacuation in Canadian history. In serving as the primary service centre for the Athabasca tar sands— the world’s third-largest known oil deposit— Fort McMurray has also become a notable outpost of transnational labour. Migrant caregivers, in particular, are precariously tied to this ‘land of opportunity’— bound by short-term employment contracts tied to single employers. Thus, in following the assertion that “there is no such thing as a natural disaster,” this thesis draws upon their experiences to reveal how the everyday manifestations of capitalist crisis that exist in this place were responsible for rendering the wildfire into a disaster in the lives of tens of thousands of people. In drawing upon the experiences of this social reproductive workforce, I argue that the crisis of social reproduction (i.e. biological reproduction, the reproduction of the labouring class, and provisioning and carework), in particular, is the thread of capitalist crisis capable of illuminating the other strands of crisis at the foundation of this disaster and explicating the interconnections between them. Moreover, it is in specifically focusing on the crisis of social reproduction, I argue, that we are able to not only understand the political-economic foundation of this disaster but also how its impacts were reabsorbed into everyday life through the social reproductive labour of this largely disposable workforce. In drawing upon the concept of surplus value, I argue that in much the same way that this value is extracted from workers to rebuild the physical infrastructure of communities in the wake of disaster, families extracted migrant caregivers’ social reproductive surplus value in order to rebuild the social infrastructure of their everyday lives and re-establish the crises at the foundation of this disaster.
This publication has no Abstract to dispaly

Educational success for many refugee learners in the Canadian education system has been a difficult if not challenging achievement. Educational institutions mirror the values and practices of the larger society. Similar to the values and practices nationally and internationally, in educational organizations refugees as a specific group of learners have been largely disregarded. The invisibility of refugee learners in educational institutions has resulted in limited academic success of these learners. Through multiple case study analysis, this research examines the underlying reasons for the low educational achievement of refugee learners in the provinces of Alberta and British Columbia. Analysis of data identifies the underlying causes for refugee youths’ failure to succeed as a lack of recognition and cognitive justice as pillars of policy design and enactment. This study concludes with recommendations to improve refugee youths’ educational opportunities by enhancing policy design and implementation based on the conscious recognition of all students’ histories and knowledge. As well as an awareness of epistemic understanding of self and recognition of power relations. Educational success for many refugee learners in the Canadian education system has been a difficult if not challenging achievement. Educational institutions mirror the values and practices of the larger society. Similar to the values and practices nationally and internationally, in educational organizations refugees as a specific group of learners have been largely disregarded. The invisibility of refugee learners in educational institutions has resulted in limited academic success of these learners. Through multiple case study analysis, this research examines the underlying reasons for the low educational achievement of refugee learners in the provinces of Alberta and British Columbia. Analysis of data identifies the underlying causes for refugee youths’ failure to succeed as a lack of recognition and cognitive justice as pillars of policy design and enactment. This study concludes with recommendations to improve refugee youths’ educational opportunities by enhancing policy design and implementation based on the conscious recognition of all students’ histories and knowledge. As well as an awareness of epistemic understanding of self and recognition of power relations.
This publication has no Abstract to dispaly

African immigrant children and youth have some of the poorest social and mental health outcomes in Canada. Although parenting challenges have been widely documented as a key driver of these outcomes, this issue has not been properly researched. In this paper, we examine parenting challenges among a sample of African immigrant parents in Alberta, Canada. We discovered main parenting challenges, organized around six overarching themes. Specifically, African immigrant parents deal with cultural incompatibility, family tension, state interference, limited social supports, poor access to services, and low socioeconomic status. Thus the state policy regarding child protection needs to change, and social service organization need to tailor their programmes to cultural specificities of African communities. African immigrant children and youth have some of the poorest social and mental health outcomes in Canada. Although parenting challenges have been widely documented as a key driver of these outcomes, this issue has not been properly researched. In this paper, we examine parenting challenges among a sample of African immigrant parents in Alberta, Canada. We discovered main parenting challenges, organized around six overarching themes. Specifically, African immigrant parents deal with cultural incompatibility, family tension, state interference, limited social supports, poor access to services, and low socioeconomic status. Thus the state policy regarding child protection needs to change, and social service organization need to tailor their programmes to cultural specificities of African communities.
This publication has no Abstract to dispaly

Data on immigrant and refugees’ access to services in Canada does not typically focus on children. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators (things that help) for mental health care for their children in Edmonton, Alberta, Canada. Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications. Data on immigrant and refugees’ access to services in Canada does not typically focus on children. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators (things that help) for mental health care for their children in Edmonton, Alberta, Canada. Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications.
This publication has no Abstract to dispaly

Domestic violence is often framed solely as a cultural and marginal problem within our society, despite its far-reaching impact on women… Domestic violence is often framed solely as a cultural and marginal problem within our society, despite its far-reaching impact on women…
This publication has no Abstract to dispaly

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

The accessibility of domestic violence services for South Asian immigrant women in several Canadian cities (Calgary, Edmonton, Vancouver, Toronto, Montreal) is examined. There are challenges in seeking help for domestic violence in the South Asian community, which is highly unreported due to its private and personal nature. Main topics discussed are: 1) barriers that prevent South Asian immigrant women from seeking help, and 2) the current gaps in domestic violence services. Recommendations for domestic violence organizations to better address the needs of South Asian immigrant women are also included. The accessibility of domestic violence services for South Asian immigrant women in several Canadian cities (Calgary, Edmonton, Vancouver, Toronto, Montreal) is examined. There are challenges in seeking help for domestic violence in the South Asian community, which is highly unreported due to its private and personal nature. Main topics discussed are: 1) barriers that prevent South Asian immigrant women from seeking help, and 2) the current gaps in domestic violence services. Recommendations for domestic violence organizations to better address the needs of South Asian immigrant women are also included.
This publication has no Abstract to dispaly