Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens tool
This study examines the allocation of COVID-19 funding for Indigenous Peoples in Canada, Australia, New Zealand, and the United States during the pandemic’s first wave. Indigenous communities, already facing health disparities, systemic discrimination, and historical forces of colonisation, found th...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | International Journal of Circumpolar Health |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/22423982.2024.2361987 |
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| author | Sean A. Hillier Elias Chaccour Hamza Al-Shammaa Bernice Downey Laura C. Senese Jill. Tinmouth Naana Afua Jumah |
| author_facet | Sean A. Hillier Elias Chaccour Hamza Al-Shammaa Bernice Downey Laura C. Senese Jill. Tinmouth Naana Afua Jumah |
| author_sort | Sean A. Hillier |
| collection | DOAJ |
| description | This study examines the allocation of COVID-19 funding for Indigenous Peoples in Canada, Australia, New Zealand, and the United States during the pandemic’s first wave. Indigenous communities, already facing health disparities, systemic discrimination, and historical forces of colonisation, found themselves further vulnerable to the virus. Analysing the funding policies of these countries, we employed a Health Equity Impact Assessment (HEIA) tool and an Indigenous Lens Tool supplement to evaluate potential impacts. Our results identify three major funding equity issues: unique health and service needs, socioeconomic disparities, and limited access to community and culturally safe health services. Despite efforts for equitable funding, a lack of meaningful consultation led to shortcomings, as seen in Canada’s state of emergency declaration and legal disputes in the United States. New Zealand stood out for integrating Māori perspectives, showcasing the importance of consultation. The study calls for a reconciliation-minded path, aligning with Truth and Reconciliation principles, the UN Declaration on the Rights of Indigenous Peoples, and evolving government support. The paper concludes that co-creating equitable funding policies grounded in Indigenous knowledge requires partnership, meaningful consultation, and organisational cultural humility. Even in emergencies, these measures ensure responsiveness and respect for Indigenous self-determination. |
| format | Article |
| id | doaj-art-c1a211ac02b4447abded1f0efb1324b2 |
| institution | Kabale University |
| issn | 2242-3982 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Circumpolar Health |
| spelling | doaj-art-c1a211ac02b4447abded1f0efb1324b22024-11-29T19:53:25ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822024-12-0183110.1080/22423982.2024.2361987Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens toolSean A. Hillier0Elias Chaccour1Hamza Al-Shammaa2Bernice Downey3Laura C. Senese4Jill. Tinmouth5Naana Afua Jumah6School of Health Policy & Management, York University, Toronto, ON, CanadaSchool of Health Policy & Management, York University, Toronto, ON, CanadaSchool of Health Policy & Management, York University, Toronto, ON, CanadaSchool of Nursing, McMaster University, Hamilton, ON, CanadaSunnybrook Health Sciences Centre, Toronto, ON, CanadaSunnybrook Health Sciences Centre, Toronto, ON, CanadaInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, CanadaThis study examines the allocation of COVID-19 funding for Indigenous Peoples in Canada, Australia, New Zealand, and the United States during the pandemic’s first wave. Indigenous communities, already facing health disparities, systemic discrimination, and historical forces of colonisation, found themselves further vulnerable to the virus. Analysing the funding policies of these countries, we employed a Health Equity Impact Assessment (HEIA) tool and an Indigenous Lens Tool supplement to evaluate potential impacts. Our results identify three major funding equity issues: unique health and service needs, socioeconomic disparities, and limited access to community and culturally safe health services. Despite efforts for equitable funding, a lack of meaningful consultation led to shortcomings, as seen in Canada’s state of emergency declaration and legal disputes in the United States. New Zealand stood out for integrating Māori perspectives, showcasing the importance of consultation. The study calls for a reconciliation-minded path, aligning with Truth and Reconciliation principles, the UN Declaration on the Rights of Indigenous Peoples, and evolving government support. The paper concludes that co-creating equitable funding policies grounded in Indigenous knowledge requires partnership, meaningful consultation, and organisational cultural humility. Even in emergencies, these measures ensure responsiveness and respect for Indigenous self-determination.https://www.tandfonline.com/doi/10.1080/22423982.2024.2361987Health equityindigenous healthCOVID-19health equity impact assessment (HEIA) toolfunding allocationhealth disparities |
| spellingShingle | Sean A. Hillier Elias Chaccour Hamza Al-Shammaa Bernice Downey Laura C. Senese Jill. Tinmouth Naana Afua Jumah Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens tool International Journal of Circumpolar Health Health equity indigenous health COVID-19 health equity impact assessment (HEIA) tool funding allocation health disparities |
| title | Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens tool |
| title_full | Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens tool |
| title_fullStr | Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens tool |
| title_full_unstemmed | Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens tool |
| title_short | Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens tool |
| title_sort | funding the pandemic response for indigenous peoples an equity based analysis of covid 19 using a health equity impact assessment heia indigenous lens tool |
| topic | Health equity indigenous health COVID-19 health equity impact assessment (HEIA) tool funding allocation health disparities |
| url | https://www.tandfonline.com/doi/10.1080/22423982.2024.2361987 |
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