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Reports

MMF Health & Wellness Department - Annual Report 2012

Research

It's a Long Way from Here - Health Consumer Experiences of Northern Metis (2013)

This research began because Metis in The Pas MMF Region felt it was important to better understand the experience of accessing health services for Metis citizens in their region. During this study we spoke with a number of Metis citizens who live in communities in The Pas MMF Region. We also spoke with several nurses and doctors who provide health care in communities in that region. 

From listening to the stories and experiences of those we spoke with, we learned that many of the issues they face are similar to other northern residents. In particular challenges such as transportation, distance to specialized health services, access to healthy foods, and need for programming in communities are common to many residents of the north.

Experiences we heard about that were unique to Metis were that Metis receive more informal than formal support with respect to health care. Often, friends and family are the primary supports for health care and travel to access health care.  Participants also spoke about the impact of Bill C-31 on Metis communities as well as the support that many Metis receive from their Locals.  

This study presents the first Metis-specific information about access to health services for Metis who live in northern Manitoba. It is hoped that this report will assist in the improvement of the health and well-being of Metis in Manitoba.

Summary of the Report

Full Report

Depression, Anxiety Disorders, and Related Health Care Utilization in the Manitoba Metis Population (2013)

Mental health issues are experiences by many Metis in our province. In the Profile of Metis Health Status and Healthcare Utilization in Manitoba report, rates of depression (22.0% vs. 20.4%) and anxiety disorders (9.4% vs. 8.0%) were reported in Metis compared to other Manitobans. Some areas of the province had much higher rates than others. This report is the result of concerns voiced by Metis for more detail on depression and anxiety disorders than was available in the first report. In the current study age- and sex-specific rates of depression, and anxiety disorders, as well as co-occuring diseases, health service and medication use will be presented.

This study will present important information about mental illnesses, illnesses that affect many Metis families today. It is hoped that this report will help us to continue this discussion in our communities and to assist in the improvement of the health and well-being of Manitoba Metis.

Summary of the Report

Full Report

Ischemic Heart Disease and Related Health Care Utilization in Metis in Manitoba (2012)

In the Profile of Metis Health Status and Healthcare Utilization in Manitoba (the first comprehensive Metis-specific report of its type in Canada) cancer and diseases of the circulatory system (including heart disease) were the leading causes of death. In that study 26.9% of deaths in Metis were due to diseases of the circulatory system. Metis also had much higher rates of heart disease than did other Manitobans. Based on that information Metis citizens wanted to know more about heart disease in our population. In the current study, age- and sex-specific rates of heart disease, as well as rates of heart attack, stroke, and hypertension are presented. Additional information about hospital and physician use is provided.

This report will further build the Metis chronic surveillance program and assist in the improvement of the health and well-being of Manitoba Metis.

Summary of the Report

Full Report

"There's No Place Like Home": The Experience of Metis Aging in Place (2012)

Aging in place refers to the ability of an individual to remain in their home and home community as they age. This research began because Metis citizens felt it was important to better understand the experience of their seniors aging in place, and to become informed of any unmet needs for Metis seniors currently aging in place.

In this study we gathered stories from 45 Metis seniors, as well as paid and unpaid caregivers, in the Northwest MMF Region. We heard that there were many benefits of staying in one's own home. We also heard that the influence of Metis culture, their families, and community, plays an important role for seniors aging in place. We also were told that there were some challenges including house and yard maintenance, transportation, and lack of services in rural areas. Despite the challenges, participants felt that there really is "no place like home".

This study presents the first Metis-specific information about aging in place. It is hoped that this report will help us to continue to support our seniors and to assist in the improvement of the health and well-being of Manitoba Metis.

Summary of the Report

Full Report

Cancer and Related Health Care Utilization in the Manitoba Metis Population (2011)

In the Profile of Metis Health Status and Healthcare Utilization in Manitoba (the first comprehensive Metis-specific report of its type in Canada) cancer was the leading cause of death in Metis. In that study 30.6% of deaths in Metis were due to cancer. Metis citizens wanted to know more about cancer in our population. In the current study age- and sex- specific rates of five types of cancer, as well as overall non-invasive cancer, are presented. Additionally information about what point cancer was diagnosed and cancer treatment is also provided.

This is the first study in which the Manitoba Metis Federation Health & Wellness Department has collaborated with CancerCare Manitoba. This report will further build the Metis chronic disease surveillance program and assist in the improvement of the health and well-being of Manitoba Metis.

Summary of the Report

Full Report

Errata

Diabetes and Related Health Care Utilization in the Manitoba Metis Population (2011)

This report is the result of concerns voiced by Metis for more detail on diabetes than was available in the first Metis population health report in Canada, the Profile of Metis Health Status and Healthcare Utilization in Manitoba where a higher rate of diabetes in Metis compared to all Other Manitobans (11.8% vs. 8.8%) was seen. In the current study age- and sex- specific rates of diabetes and some co-occurring diseases are presented.

This is the first independent study that the Manitoba Metis Federation Health & Wellness Department has done. It is hoped that this report will assist in the improvement of the health and well-being of Manitoba Metis.

Summary of the Report

Full Report

Errata

Errata List

Profile of Metis Health Status and Health Care Utilization in Manitoba: A Population-Based Study (2010)

This study presents health information for 73,000 Metis people in Manitoba. It is the first of its kind in Canada and provides a comprehensive and scientifically reliable baseline for planning and monitoring trends in health status of Metis over time.

Summary of the Report

Full Report

Other

Metis Experience with Chronic Disease in Manitoba: A Discussion Paper

Rates of chronic disease in the world are increasing. Until recently little was known about chronic disease in Metis in Manitoba. The recently released Profile of Metis Health Status and Healthcare Utilization in Manitoba: A Population-Based Study (Metis Atlas), showed higher prevalence rates of many chronic diseases in the Metis population compared to all other Manitobans. In order to supplement the empirical data from the Metis Atlas, the Manitoba Metis Federation - Health & Wellness Department (MMF-HWD) sought additional sources of information to better understand the risk and protective factors for chronic disease in the Metis population.

Using a Metis-specific holistic approach, Wellness Workshops were structured to gather Metis stories and experiences with chronic disease and the health system. Participants in the workshops were Metis individuals (youths, adults, or seniors) who had experience with a chronic disease. Some were living with the disease; others were family members and caregivers of individuals with the disease. Participants were asked questions based on Wellness Areas© and their responses are reflected as such in this discussion paper. Several individuals took the opportunity to reflect on their experiences, some for the first time.

The information gained from the Wellness Workshops was analyzed and themes were identified and linked to risk and protective factors. Behavioural limitations, influential family and friends, barriers to risk modification, ineffective programs and services, gaps in support services, medical personnel related factors, and a limited understanding of the chronic disease were each identified and in many cases were found to act as a deterrent to seeking help to prevent complications and disability related to their disease. Protective factors included family and friends, health system supports and services, self-help groups, cultural competency, educational resources for understanding chronic disease, and advocacy.

MMF-HWD led a working group to further analyze these themes. The working group adjusted its focus from risk and protective factors, found to be confining, to a broader analysis of the health and wellbeing of Manitoba Metis through the inclusion of the Wellness Areas©. Utilizing the Wellness Areas© facilitated the application of a holistic approach to Metis knowledge deriving key observations and determining action that addressed all areas of experience. Based on our findings conclusions and recommendations were defined according to corresponding Wellness Areas©.

Combining experiential knowledge with the findings from the Metis Atlas has resulted in a more holistic base of information to provide direction to Knowledge Networks to work toward improving the health and wellbeing of Metis in Manitoba. We will have opportunity to confirm and build on these ideas as we continue to engage with Metis citizens in Manitoba about chronic disease in future Wellness Workshops and in knowledge mobilization with regional Knowledge Networks.

Full Discussion Paper