000 03103nab a22002657a 4500
003 BCACCS
005 20161130103322.0
008 141024s2016 |||||s|||| 00| 0 eng d
040 _aBCACCS
100 1 _aSmylie, Janet
_9424
245 1 0 _aUnderstanding the role of indigenous community participation in indigenous prenatal and infant-toddler health promotion programs in Canada
_cJanet Smylie, Maritt Kirst, Kelly McShane, Michelle Firestone, Sara Wolfe, Patricia O'Campo
_h[electronic resource] :
_ba realist review /
260 _c2016
300 _a1 online resource (p. 128-143) :
_bdigital, PDF file
520 3 _aPurpose Striking disparities in Indigenous maternal-child health outcomes persist in relatively affluent nations such as Canada, despite significant health promotion investments. The aims of this review were two-fold: 1. To identify Indigenous prenatal and infant-toddler health promotion programs in Canada that demonstrate positive impacts on prenatal or child health outcomes. 2. To understand how, why, for which outcomes, and in what contexts Indigenous prenatal and infant-toddler health promotion programs in Canada positively impact Indigenous health and wellbeing. Methods We systematically searched computerized databases and identified non-indexed reports using key informants. Included literature evaluated a prenatal or child health promoting program intervention in an Indigenous population in Canada. We used realist methods to investigate how, for whom, and in what circumstances programs worked. We developed and appraised the evidence for a middle range theory of Indigenous community investment-ownership-activation as an explanation for program success. Findings Seventeen articles and six reports describing twenty programs met final inclusion criteria. Program evidence of local Indigenous community investment, community perception of the program as intrinsic (mechanism of community ownership) and high levels of sustained community participation and leadership (community activation) was linked to positive program change across a diverse range of outcomes including: birth outcomes; access to pre- and postnatal care; prenatal street drug use; breast-feeding; dental health; infant nutrition; child development; and child exposure to Indigenous languages and culture. Conclusions These findings demonstrate Indigenous community investment-ownership-activation as an important pathway for success in Indigenous prenatal and infant-toddler health programs. Keywords Indigenous; Prenatal health promotion; Child health promotion; Program evaluation; Realist review
650 0 _aChild health services
_zCanada
_xEvaluation
_93023
650 0 _aPrenatal care
_zCanada
_93024
700 1 _aKirst, Maritt
_93025
700 1 _aFirestone, Michelle
_93026
700 1 _aMcShane, Kelly
_93027
700 1 _aWolfe, Sara
_93028
700 1 _aO'Campo, Patricia
_93029
773 0 _tSocial Science & Medicine
_gVol. 150 (2016), p.128-143
856 4 0 _uhttp://www.sciencedirect.com/science/article/pii/S0277953615302793
_zFull text
942 _2z
_cARTICLE
999 _c1632
_d1632