{"id":142,"date":"2021-04-30T10:57:02","date_gmt":"2021-04-30T14:57:02","guid":{"rendered":"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/?page_id=142"},"modified":"2021-05-22T17:50:17","modified_gmt":"2021-05-22T21:50:17","slug":"infant-health","status":"publish","type":"page","link":"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/arctic-issues-and-policy-ideas\/infant-health\/","title":{"rendered":"Infant Health in Arctic Indigenous Communities: Nunavut Case Study"},"content":{"rendered":"<p>Living in the Arctic, particularly in a post-colonialism world, often comes with a number of challenges. Those who live in the Arctic often face higher rates of poverty, lower life expectancies, and health disparities that do not reflect their national trends. Infant health, which has long been used as an indicator of the overall health of a region, is not exempt from the challenges of living in the Arctic.<\/p>\n<p>When looking at infant health, it is important to look holistically at the issue. Community infrastructure, maternal health, education attainment rates, and poverty can all contribute to high infant mortality rates. It is also important to acknowledge the social norms of a community that may differ from western health standards, and respect the traditional knowledge of indigenous communities.<\/p>\n<p>For this case study, we chose to look specifically at the Canadian territory of Nunavut because of the notably high difference in Infant Mortality Rate between the territory and the rest of Canada. For this analysis, we are looking at the reasons for such a high discrepancy in health and ways to address this problem effectively.<\/p>\n<h3>Key Background Information:<\/h3>\n<ul>\n<li><strong>Infant Mortality Rate<\/strong> (IMR) is the number of <strong>infant<\/strong> <strong>deaths per 1,000 live births<\/strong><\/li>\n<li>IMR is often an indicator of overall <strong>health in a community<\/strong>, often showing <strong>unmet needs<\/strong> of <strong>sanitation<\/strong>, <strong>infrastructure<\/strong>, <strong>medical<\/strong> <strong>services<\/strong>, <strong>nutrition<\/strong>, and <strong>education<\/strong><\/li>\n<li>High IMR across i<strong>ndigenous communities in the Arctic<\/strong> but particularly high in<strong> Nunavut, Canada\u00a0<\/strong><\/li>\n<li>Nunavut currently has an IMR that is <strong>five times<\/strong> that of the Canadian national average<\/li>\n<\/ul>\n<figure id=\"attachment_233\" aria-describedby=\"caption-attachment-233\" style=\"width: 212px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-233\" src=\"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/arctic_infant_mortality-212x300.jpeg\" alt=\"\" width=\"212\" height=\"300\" srcset=\"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/arctic_infant_mortality-212x300.jpeg 212w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/arctic_infant_mortality-725x1024.jpeg 725w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/arctic_infant_mortality-768x1085.jpeg 768w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/arctic_infant_mortality-1087x1536.jpeg 1087w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/arctic_infant_mortality-1449x2048.jpeg 1449w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/arctic_infant_mortality-624x882.jpeg 624w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/arctic_infant_mortality-scaled.jpeg 1812w\" sizes=\"auto, (max-width: 212px) 100vw, 212px\" \/><figcaption id=\"caption-attachment-233\" class=\"wp-caption-text\">Arctic infant mortality map (Turunen, 2019)<\/figcaption><\/figure>\n<h3>Current Health Concerns:<\/h3>\n<ul>\n<li>A number of regions in Nunavut are only accessible by <strong>air or sea<\/strong>: <strong>45%<\/strong> of births occur <strong>out of the territory<\/strong><\/li>\n<li>Many citizens need to take an airplane to receive <strong>sufficient medical care<\/strong>, which is <strong>financially<\/strong> and <strong>logistically<\/strong> <strong>limiting<\/strong><\/li>\n<li>Healthcare needs are <strong>not being met<\/strong>: currently there is a high demand for <strong>healthcare workers and hospitals<\/strong> that can provide <strong>adequate health services<\/strong><\/li>\n<li>High rates of <strong>poverty<\/strong>, lower <strong>educational attainment<\/strong>, and\u00a0 the average <strong>maternal age<\/strong> trending <strong>low<\/strong> all <strong>increase<\/strong> the rates of infant mortality<\/li>\n<\/ul>\n<h3>Current Actions &amp; Challenges:<\/h3>\n<ul>\n<li>Small scale <strong>training programs<\/strong> for new <strong>healthcare workers<\/strong> in Nunavut\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>these programs are <strong>limited by a lack of funding<\/strong> and <strong>available workers<\/strong> in the territory<\/li>\n<li>has a potential to meet the <strong>high demand for healthcare workers<\/strong> but still limited by a <strong>lack of infrastructure in the region<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<figure id=\"attachment_235\" aria-describedby=\"caption-attachment-235\" style=\"width: 294px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-235\" src=\"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunavut-health-map-294x300.png\" alt=\"\" width=\"294\" height=\"300\" srcset=\"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunavut-health-map-294x300.png 294w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunavut-health-map-1002x1024.png 1002w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunavut-health-map-768x785.png 768w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunavut-health-map-624x637.png 624w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunavut-health-map.png 1024w\" sizes=\"auto, (max-width: 294px) 100vw, 294px\" \/><figcaption id=\"caption-attachment-235\" class=\"wp-caption-text\">Map showing the necessary travel distance in order to receive medical care (2017 March Report of the Auditor General of Canada)<\/figcaption><\/figure>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li style=\"list-style-type: none\"><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>Limitations To Our Knowledge:<\/h3>\n<ul>\n<li>Currently there are <strong>large gaps<\/strong> in the research that <strong>prevent access<\/strong> to a fully comprehensive <strong>understanding of the problem<\/strong><\/li>\n<li>A <strong>language barrier<\/strong> makes it difficult to work with the communities to both <strong>understand<\/strong> and <strong>address the problem<\/strong><\/li>\n<li><strong>Small populations<\/strong> and land that is <strong>difficult to access<\/strong> means <strong>small sample sizes<\/strong> in research\n<p><figure id=\"attachment_250\" aria-describedby=\"caption-attachment-250\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-250\" src=\"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunanvut-airplane-300x188.jpeg\" alt=\"\" width=\"300\" height=\"188\" srcset=\"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunanvut-airplane-300x188.jpeg 300w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunanvut-airplane-1024x640.jpeg 1024w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunanvut-airplane-768x480.jpeg 768w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunanvut-airplane-624x390.jpeg 624w, https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-content\/uploads\/sites\/524\/2021\/05\/nunanvut-airplane.jpeg 1200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-250\" class=\"wp-caption-text\">A medical airlift out of Nunavut (Paul Annigat via UpHere, 2018)<\/figcaption><\/figure><\/li>\n<\/ul>\n<h3>Policy Recommendations:<\/h3>\n<ul>\n<li>Build more birthing centers and hospitals:\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>work with <strong>national agencies<\/strong> and <strong>local government<\/strong> to <strong>allocate funding<\/strong> and create a <strong>plan for its continuation<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Establish medical training programs:\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Partner with<strong> private institutions<\/strong> that will work with local hospitals to<strong> incentivize young medical students<\/strong> to study and work in <strong>rural areas<\/strong><\/li>\n<li>Give students<strong> experience in rural areas<\/strong> and a <strong>place to live in communities<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>Watch a lecture on this topic to learn more:<\/h3>\n<p>[ensemblevideo version=&#8221;5.6.0&#8243; content_type=&#8221;video&#8221; id=&#8221;056221a8-ca6a-41f9-a9b6-cf46136a8737&#8243; width=&#8221;412&#8243; height=&#8221;360&#8243; displaytitle=&#8221;true&#8221; autoplay=&#8221;false&#8221; showcaptions=&#8221;false&#8221; hidecontrols=&#8221;true&#8221; displaysharing=&#8221;false&#8221; displaycaptionsearch=&#8221;true&#8221; displayattachments=&#8221;true&#8221; audiopreviewimage=&#8221;true&#8221; isaudio=&#8221;false&#8221; displaylinks=&#8221;true&#8221; displaymetadata=&#8221;false&#8221; displaydateproduced=&#8221;true&#8221; displayembedcode=&#8221;false&#8221; displaydownloadicon=&#8221;false&#8221; displayviewersreport=&#8221;false&#8221; embedasthumbnail=&#8221;false&#8221; displayaxdxs=&#8221;false&#8221; embedtype=&#8221;responsive&#8221; forceembedtype=&#8221;false&#8221; name=&#8221;Robyn Walker-Spencer Infant Health in Nunavut&#8221;]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Living in the Arctic, particularly in a post-colonialism world, often comes with a number of challenges. Those who live in the Arctic often face higher rates of poverty, lower life expectancies, and health disparities that do not reflect their national trends. Infant health, which has long been used as an indicator of the overall health [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":230,"parent":138,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-142","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-json\/wp\/v2\/pages\/142","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-json\/wp\/v2\/comments?post=142"}],"version-history":[{"count":0,"href":"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-json\/wp\/v2\/pages\/142\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-json\/wp\/v2\/pages\/138"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-json\/wp\/v2\/media\/230"}],"wp:attachment":[{"href":"https:\/\/courses.bowdoin.edu\/gov-2577-spring-2021-healthy-arctic-communities\/wp-json\/wp\/v2\/media?parent=142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}