Research Library

This evaluation plan provides a basic framework and steps for assessing the new immigrant service programs conducted at ASSIST Community Services Center and AHC (Action for Healthy Community) in Edmonton. It includes important and typical indicators as examples. The plan primarily applies the Impact Evaluation Process theory (Guerra-López & Toker, 2007) and a program logic model to design and plan the evaluation. The goal is to conduct these assessment steps to provide applicable suggestions or updates for these programs. This will help improve new immigrant settlement programs, enabling them to better address existing and upcoming challenges and optimize their outcomes as expected. This evaluation plan provides a basic framework and steps for assessing the new immigrant service programs conducted at ASSIST Community Services Center and AHC (Action for Healthy Community) in Edmonton. It includes important and typical indicators as examples. The plan primarily applies the Impact Evaluation Process theory (Guerra-López & Toker, 2007) and a program logic model to design and plan the evaluation. The goal is to conduct these assessment steps to provide applicable suggestions or updates for these programs. This will help improve new immigrant settlement programs, enabling them to better address existing and upcoming challenges and optimize their outcomes as expected.
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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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The City of Calgary Anti-Racism Maturity Model provides a 5 Level pathway to achieving an anti-racist Calgary. The 5 Levels are: 1) compliance, 2) complacency, 3) awareness, 4) integration, and 5) anti-racist. Since the 2022 assessment, Calgary is currently at Level 2: complacency. The City of Calgary Anti-Racism Strategic Plan 2023-2027 aims to reach Level 5: anti-racist. The City of Calgary Anti-Racism Maturity Model provides a 5 Level pathway to achieving an anti-racist Calgary. The 5 Levels are: 1) compliance, 2) complacency, 3) awareness, 4) integration, and 5) anti-racist. Since the 2022 assessment, Calgary is currently at Level 2: complacency. The City of Calgary Anti-Racism Strategic Plan 2023-2027 aims to reach Level 5: anti-racist.
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The City of Calgary Public Safety Anti-Racism Action Strategy aims to prevent and mitigate systemic racism and racialization in public safety and City programs and services. The strategy highlights the need to examine policies, bylaws, and legislation that regulate behaviors, statements, or decisions that cause or sustain racism and racialization. It also emphasizes the importance of community engagement in supporting The City’s efforts to become anti-racist. This Action Strategy is instrumental in the development of The City of Calgary Anti-Racism Strategic Plan 2023-2027, which provides an overview of strategic actions to create equitable and fair protection, treatment, and outcomes for all Calgarians by enhancing public safety, dignity, order, and peace. The City of Calgary Public Safety Anti-Racism Action Strategy aims to prevent and mitigate systemic racism and racialization in public safety and City programs and services. The strategy highlights the need to examine policies, bylaws, and legislation that regulate behaviors, statements, or decisions that cause or sustain racism and racialization. It also emphasizes the importance of community engagement in supporting The City’s efforts to become anti-racist. This Action Strategy is instrumental in the development of The City of Calgary Anti-Racism Strategic Plan 2023-2027, which provides an overview of strategic actions to create equitable and fair protection, treatment, and outcomes for all Calgarians by enhancing public safety, dignity, order, and peace.
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This strategy outlines the City of Calgary’s commitment to creating a racially-just community. It emphasizes the importance of collective anti-racism work, organizational stamina, anti-racist leadership, and intentional centering of the lived experiences of Indigenous, Black, and diverse Racialized employees. The strategy also highlights the need for a focused approach to address the root causes of systemic racism and oppression. It emphasizes accountability as a public service organization and aims to embed it into the change process. Overall, this strategy serves as a roadmap for the City of Calgary’s efforts towards creating an inclusive and equitable community for all its residents. This strategy outlines the City of Calgary’s commitment to creating a racially-just community. It emphasizes the importance of collective anti-racism work, organizational stamina, anti-racist leadership, and intentional centering of the lived experiences of Indigenous, Black, and diverse Racialized employees. The strategy also highlights the need for a focused approach to address the root causes of systemic racism and oppression. It emphasizes accountability as a public service organization and aims to embed it into the change process. Overall, this strategy serves as a roadmap for the City of Calgary’s efforts towards creating an inclusive and equitable community for all its residents.
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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.
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This document provides questions for organizations to assess how well they are addressing organizational racism and anti-racism within their staff, mission, and clients. This document provides questions for organizations to assess how well they are addressing organizational racism and anti-racism within their staff, mission, and clients.
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