Week 1: Promoting Health of Childbearing Individuals

health inequities is the difference in:

 health status or in the distribution of health resources between different population groups, arising from the social conditions in which people are born, grow, live, work and age 

Health inequalities are _____ and could be ____ with the right mix of government policies 

unfair

reduced

Focuses on the advantage that some groups or individuals have relative to others; the need to understand the root causes of inequalities, and the need to take responsible action to eliminate inequalities  

social justice 

UN goal 3.1 

 Reduce maternal mortality

UN goal 3.2

End all preventable deaths under 5 years of age

Un Goal 3.7

Universal access to sexual and reproductive care, family planning and education

Reproductive RIGHTS

Basic rights of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so, and the right to attain the highest standard of sexual and reproductive health

reproductive JUSTICE

Complete physical, mental, spiritual, political, economic, and social well-being of women and girls, and will be achieved when women and girls have economic, social and political power and resources to make healthy decisions about our bodies, sexuality and reproduction for ourselves, our families and our communities in all areas of our lives

Critical Social Theory

root cause is socio-political, examines power relations

Critical race theory

race is social construct, move away from pathologixing marginialized communities 

Intersectionality

Considers how systems such as racism, classism, sexism, homophobia, and other forms of discrimination overlap and interact with one another to disadvantage some and advantage other

Colonization and dominance of the biomedical model →

lack of culturally appropriate prenatal care

FMG

partial or total removal

Principles of Family Centered Care

1. Family-centred approach is  

optimal 

2. Pregnancy and birth are ____, healthy processes 

normal

3. Early parent-infant _____is critical 

attachment 

4. Family-centred care applies to ____care environments 

all

5. Family-centred care is ____by research evidence 

informed 

6. Family-centred care requires a ____approach 

holistic 

7. Family-centred care involves _______among HCPs

collabortion 

8. _____appropriate care is important in a multicultural society 

culturally 

9. ______ people have distinctive needs during pregnancy and birth 

indigenous

10. Care as _____ to home is ideal

close 

11. _________ maternal and newborn care is recommended 

indiivdualized 

12. Women and their families require _____ about their care 

knowledge

13. Women and their families play integral roles in _____—_____

13. decision-making

14. The attitudes and _______of HCPs have an impact on the family experience 

languages 

15. Family-centred care respects ______ rights 

reproductive

16. Family-centred care functions in a system that requires ongoing ______ 

evaluation

17. Family-centred care best practices from global settings may offer ______options for Canadian consideration

valuable 

4 principles of trauma informed care

1. understand trauma and violance and impats on lives

2. create emotionally and physically safe nevironments 

3. foster opperutnities for choice 

4. provide strength based capacity building 

1. Understand trauma and violence and their impacts on people's lives and behaviours 

1. Acknowledge the root cause of trauma without probing 

2. Listen, validate and validate victims' experiences 

3. Recognize their strengths 

4. Express concern

1. Create emotionally and physically safe environments  

1. Communicate in non-judgmental ways so they feel deserving, understood

2. Foster an authentic sense of connection to build trust 

3. Provide clear information and consistent expectations about services and programs 

4. Encourage patients to bring a supportive person with them to meetings or appointments

1. Foster opportunities for choice, collaboration and connection 

1. Provide choices for treatment and services 

2. Communicate openly 

3. Provide space for feeling expression 

4. Listen carefully to their words

1. Provide a strength-based and capacity-building approach to support coping and resilience 

1. Help Pts identify their strengths through techniques like motivational interviewing 

2. Acknowledging the effects of historical and structural conditions on people's lives 

3. Help understand their response is normal 

4. Teach and model skills for recognizing triggers

• Highlights power imbalances in health care relationships 

cultural safety 

• Process of self-reflection to raise awareness of personal and systemic biases 

cultural humility

SPEAK UP

set limits

practice and prepare

express your concerns 

aplogize

keep improving 

uncover and learn

persuade others

healthy babies, healthy children

free, no ohip

home visits, support and teaching ,breastfeeding, referrals