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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Colombians who acquire a university degree in Colombia may still face challenges finding employment. They may choose to immigrate to Canada because the opportunities that this country offers. However, these immigrants may have to apply various strategies to overcome obstacles in their path to success. So, when they immigrate permanently to their host country (Canada as their country of settlement), they may have to overcome barriers, such as discrimination (Quillian et al., 2019) while finding a place in their professional field and integrating into their host communities (community of settlement). As a result, immigrants may find that having a career and speaking the target language is not enough to communicate effectively and build meaningful connections in their host communities. Thus, the purpose of this qualitative study with narrative inquiry methodology was to explore the journeys of eight professional Colombian immigrants who felt successful in Calgary, AB, Canada and had two or more years of adaptation and integration to answer the following question: To what extent did professional Colombian immigrants experience holistic Transformative Learning (TL) and enhance Intercultural Communicative Competence (ICC) after living in Canada for two or more years, in their path to professional success? The study findings have the potential to inform the professional field of adult learning. Colombians who acquire a university degree in Colombia may still face challenges finding employment. They may choose to immigrate to Canada because the opportunities that this country offers. However, these immigrants may have to apply various strategies to overcome obstacles in their path to success. So, when they immigrate permanently to their host country (Canada as their country of settlement), they may have to overcome barriers, such as discrimination (Quillian et al., 2019) while finding a place in their professional field and integrating into their host communities (community of settlement). As a result, immigrants may find that having a career and speaking the target language is not enough to communicate effectively and build meaningful connections in their host communities. Thus, the purpose of this qualitative study with narrative inquiry methodology was to explore the journeys of eight professional Colombian immigrants who felt successful in Calgary, AB, Canada and had two or more years of adaptation and integration to answer the following question: To what extent did professional Colombian immigrants experience holistic Transformative Learning (TL) and enhance Intercultural Communicative Competence (ICC) after living in Canada for two or more years, in their path to professional success? The study findings have the potential to inform the professional field of adult learning.
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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.
This publication has no Abstract to dispaly

The purpose of this study was to explore the experiences of depression among African immigrant men in Southern Alberta. The study adopted an exploratory descriptive qualitative research design using focused semi-structured interviews with ten African immigrant men. Thematic analysis showed that African men went through episodes of sadness and frustrations due to intersection of challenges post-migration, which negatively impacted both their physical and mental health. However, instead of seeking professional help, they employed a series of coping mechanisms to mitigate, tolerate, or overcome the mental distress. It was evident that African men’s cultural constructions around masculinity influenced how they perceived, interpreted, and expressed their mental distress. Culture and masculinity also shaped their strategies for coping with the mental distress and behaviour towards help-seeking. It is recommended that stakeholders and policy makers apply cultural safety approaches to support African immigrant men to enhance their mental well-being. The purpose of this study was to explore the experiences of depression among African immigrant men in Southern Alberta. The study adopted an exploratory descriptive qualitative research design using focused semi-structured interviews with ten African immigrant men. Thematic analysis showed that African men went through episodes of sadness and frustrations due to intersection of challenges post-migration, which negatively impacted both their physical and mental health. However, instead of seeking professional help, they employed a series of coping mechanisms to mitigate, tolerate, or overcome the mental distress. It was evident that African men’s cultural constructions around masculinity influenced how they perceived, interpreted, and expressed their mental distress. Culture and masculinity also shaped their strategies for coping with the mental distress and behaviour towards help-seeking. It is recommended that stakeholders and policy makers apply cultural safety approaches to support African immigrant men to enhance their mental well-being.
This publication has no Abstract to dispaly

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

This qualitative study aimed to explore the perception of skilled Black immigrants’ workplace experiences and diversity strategies to mitigate discriminatory practices. Thematic analysis indicated that increased diversity was perceived as a solution to inequality. The findings identified a perceived need for a paradigm shift from understanding diversity as a standalone concept to seeing these workplace issues as a polarity dilemma—to better balance the diversity/equality polarity. The shift in thinking could address the ubiquitous challenge of paradoxes in diversity outcomes, which may have a positive social change implication for increased diversity in policy formulation and implementation. This qualitative study aimed to explore the perception of skilled Black immigrants’ workplace experiences and diversity strategies to mitigate discriminatory practices. Thematic analysis indicated that increased diversity was perceived as a solution to inequality. The findings identified a perceived need for a paradigm shift from understanding diversity as a standalone concept to seeing these workplace issues as a polarity dilemma—to better balance the diversity/equality polarity. The shift in thinking could address the ubiquitous challenge of paradoxes in diversity outcomes, which may have a positive social change implication for increased diversity in policy formulation and implementation.
This publication has no Abstract to dispaly

About one in five Canadians is a former immigrant. In 2019, Canada welcomed over 340,000 permanent residents, 43,000 of whom came to Alberta.2 Starting in 2021, Canada proposes an ambitious plan to welcome even more permanent residents to Canada, increasing Canada’s population by more than 1 per cent every year for the next three years. Newcomers are an integral part of Canada; they support the local economy in towns and cities across the country by filling employment gaps and contributing their knowledge, skills and experiences to the community. Educated, skilled economic newcomers allow Canada to build its future economic capacity to address a shrinking labour force in the country. To help newcomers integrate in Canada, achieve their full potential and participate in the labour market and in society, the Government of Canada supports newcomers through settlement and integration services. The Settlement Program is characterized by a public-private partnership between the Department of Immigration, Refugees and Citizenship Canada (IRCC), provinces and territories, municipalities and many partner organizations. Settlement services are delivered by a network of local organizations and service providers to all newcomers arriving in Canada, removing barriers to their full participation in life and work in Canada and providing them with the tools needed for a smooth and fast integration into their new home – Canada. To evaluate the success of its Settlement Program, the IRCC developed a Performance Measurement Strategy. The Strategy outlines some immediate and intermediate desired outcomes of newcomer settlement and integration, including newcomers’ labour market participation and income, their ability to use the official languages, their uptake of services, participation in the community and the program’s ability to meet and adapt to their needs. To measure the level of integration by newcomers and estimate the direct and measurable outputs of program delivery, the government often uses proxy variables (such as service uptake, naturalization rate, labour market indicators and newcomers’ own sense of belonging). The introduction of Express Entry system in 2015 changed the way Canada selects immigrants. Canada now prioritizes younger, educated individuals with work experience, strong English or French language skills and the ability to integrate in Canada. These immigrants have high human capital (intangible personal attributes such as knowledge, skills, training and experience). These highly-educated skilled economic newcomers prioritize employment integration above all in the hopes of putting their knowledge, education and skills into use upon arrival in Canada. However, once in Canada, many skilled economic immigrants struggle to quickly and effectively integrate economically. This varied economic integration occurs in part because Canada’s Settlement Program is slow to respond to the needs of high skilled economic immigrants. Additional opportunities of on-the job training and improvements to the system of professional accreditation would allow newcomers to contribute their knowledge and skills to the Canadian society while enhancing their skills and easing their integration. To achieve this, settlement services must be made more accessible for all types of newcomers by offering services much sooner in the immigration process and expanding the eligibility criteria for services beyond permanent residents to include temporary residents and naturalized Canadians. To understand newcomer integration from a local perspective, I address settlement and integration services in Calgary, Alberta. As a result of the COVID-19 pandemic and a cooling off of the natural resources market, the city is experiencing unemployment levels much higher than the national average. Newcomers in Calgary are especially impacted by the recession as they tend to experience higher rates of unemployment and underemployment. With the economy predicted to be sluggish for the next few years, settlement programs are more important than ever, especially as the Government of Canada prepares to welcome over 400,000 of newcomers annually until at least 2023, some of whom will arrive in Calgary. Afterwards, I also give a preliminary overview and evaluation of the Alberta Gateway Project. About one in five Canadians is a former immigrant. In 2019, Canada welcomed over 340,000 permanent residents, 43,000 of whom came to Alberta.2 Starting in 2021, Canada proposes an ambitious plan to welcome even more permanent residents to Canada, increasing Canada’s population by more than 1 per cent every year for the next three years. Newcomers are an integral part of Canada; they support the local economy in towns and cities across the country by filling employment gaps and contributing their knowledge, skills and experiences to the community. Educated, skilled economic newcomers allow Canada to build its future economic capacity to address a shrinking labour force in the country. To help newcomers integrate in Canada, achieve their full potential and participate in the labour market and in society, the Government of Canada supports newcomers through settlement and integration services. The Settlement Program is characterized by a public-private partnership between the Department of Immigration, Refugees and Citizenship Canada (IRCC), provinces and territories, municipalities and many partner organizations. Settlement services are delivered by a network of local organizations and service providers to all newcomers arriving in Canada, removing barriers to their full participation in life and work in Canada and providing them with the tools needed for a smooth and fast integration into their new home – Canada. To evaluate the success of its Settlement Program, the IRCC developed a Performance Measurement Strategy. The Strategy outlines some immediate and intermediate desired outcomes of newcomer settlement and integration, including newcomers’ labour market participation and income, their ability to use the official languages, their uptake of services, participation in the community and the program’s ability to meet and adapt to their needs. To measure the level of integration by newcomers and estimate the direct and measurable outputs of program delivery, the government often uses proxy variables (such as service uptake, naturalization rate, labour market indicators and newcomers’ own sense of belonging). The introduction of Express Entry system in 2015 changed the way Canada selects immigrants. Canada now prioritizes younger, educated individuals with work experience, strong English or French language skills and the ability to integrate in Canada. These immigrants have high human capital (intangible personal attributes such as knowledge, skills, training and experience). These highly-educated skilled economic newcomers prioritize employment integration above all in the hopes of putting their knowledge, education and skills into use upon arrival in Canada. However, once in Canada, many skilled economic immigrants struggle to quickly and effectively integrate economically. This varied economic integration occurs in part because Canada’s Settlement Program is slow to respond to the needs of high skilled economic immigrants. Additional opportunities of on-the job training and improvements to the system of professional accreditation would allow newcomers to contribute their knowledge and skills to the Canadian society while enhancing their skills and easing their integration. To achieve this, settlement services must be made more accessible for all types of newcomers by offering services much sooner in the immigration process and expanding the eligibility criteria for services beyond permanent residents to include temporary residents and naturalized Canadians. To understand newcomer integration from a local perspective, I address settlement and integration services in Calgary, Alberta. As a result of the COVID-19 pandemic and a cooling off of the natural resources market, the city is experiencing unemployment levels much higher than the national average. Newcomers in Calgary are especially impacted by the recession as they tend to experience higher rates of unemployment and underemployment. With the economy predicted to be sluggish for the next few years, settlement programs are more important than ever, especially as the Government of Canada prepares to welcome over 400,000 of newcomers annually until at least 2023, some of whom will arrive in Calgary. Afterwards, I also give a preliminary overview and evaluation of the Alberta Gateway Project.
This publication has no Abstract to dispaly

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

The issue of refugee housing affordability in Calgary is one which needs attention. In the coming years, Canada is expected to increase its refugee resettlement targets to approximately 15% of its total immigration quota. Data provided by CCIS shows a concentration of refugees living in the far north part of Calgary, some small portions in the Southwest, and a large concentration in the Forest Lawn/Northeast part of Calgary. This study assumes that the largest motivating factor for resettlement in these areas is housing affordability, constrained largely by refugee settlement funding. A survey of refugee budgets, when compared to available mean and lower quartile rental data, mostly corroborates this assumption. Single refugees are likely to face housing affordability issues far more than their counterparts with children, primarily due to the lack of child benefits. Refugee claimants, those seeking asylum in Canada, were at the greatest risk for homelessness in Calgary. It is recommended that the federal government consider granting refugee claimants benefits, and that the primary mechanism for increasing refugee housing affordability should be increasing cash transfers, including the possibility of a national housing benefit, to all Canadians. The issue of refugee housing affordability in Calgary is one which needs attention. In the coming years, Canada is expected to increase its refugee resettlement targets to approximately 15% of its total immigration quota. Data provided by CCIS shows a concentration of refugees living in the far north part of Calgary, some small portions in the Southwest, and a large concentration in the Forest Lawn/Northeast part of Calgary. This study assumes that the largest motivating factor for resettlement in these areas is housing affordability, constrained largely by refugee settlement funding. A survey of refugee budgets, when compared to available mean and lower quartile rental data, mostly corroborates this assumption. Single refugees are likely to face housing affordability issues far more than their counterparts with children, primarily due to the lack of child benefits. Refugee claimants, those seeking asylum in Canada, were at the greatest risk for homelessness in Calgary. It is recommended that the federal government consider granting refugee claimants benefits, and that the primary mechanism for increasing refugee housing affordability should be increasing cash transfers, including the possibility of a national housing benefit, to all Canadians.
This publication has no Abstract to dispaly