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Social Determinants of Health

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From:
robert14 robert <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Fri, 7 Sep 2007 10:46:06 -0400
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Amanda,

Have you seen the Communities and Diamonds Reports of
the Government of the NWT
<http://www.gov.nt.ca/research/publications/pdfs/CD_2005%20final.pdf>
and the West Kitikmeot Slave Study 
<http://www.wkss.nt.ca/>?  There may be something in
those that you're looking for.

For example, the communities that had well developed
governance regimes in advance of the NWT diamond
industry growth appear to have weathered (in terms of
community well-being) the diamond industry rush
'somewhat better' than those that had low community
control, at least based on what little information
exists (ie. communities and diamonds indicators).

As for a health based argument, Brenda Parlee
developed a good citizen based participatory process
for the WKSS work.  Look on the wkss website under
'projects and research reports' and there you'll find
several reports under the 'Community Based Monitoring
- Lutselk'e Dene First Nation' heading. See for
example 'A Community Based Monitoring System in the
Slave Geological Province (1997)'

I've modified her framework to develop a theoretical
approach to (well-being) indicators development and
applied it to health impact assessment work, and used
some of this to assess the consequences of diamond
mining on Aboriginal community well-being. (this
latter work is summarised on my website under reports
(www.ncf.ca/~at758)

As far as 'proof' is concerned, you'll need to apply a
reasonably broad definition of health/well-being I
suspect.

If you'd like to email me off list, I can pass along a
few contact names.

Robert

--- Amanda Sheedy <[log in to unmask]> wrote:

> Hello-
> 
> Last year I was introduced to the work of Chandler
> and
> Lalonde who looked at suicide rates in Aboriginal
> communities in relationship to community control /
> self-governance of various organizations.  The
> Ottawa
> Charter claims that: "Health promotion is the
> process
> of enabling people to increase control over, and to
> improve, their health."  While I strongly believe in
> this principle, I have seen little 'proof' of the
> relationship between health and increased community
> control of programs, resources or policy
> development,
> glimmers of which I saw in the work of Chandler and
> Lalonde.
> 
> I am looking to build a health based argument to
> promote citizen engagement, one of many theories /
> processes to increase citizen control and am having
> a
> hard time finding 'proof'.
> 
> If you know of any research / reports that speak to
> this issue, I would be thankful if you could share
> the
> references with me.
> 
> Thank you,
> 
> Amanda Sheedy
> MHSc Candidate in Health Promotion
> University of Toronto
> 
> 
>      
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