An online training program is aiming to educate health-care professionals about biases Indigenous women may experience as highlighted by allegations of recent coerced sterilizations.
Dr. Naana Jumah, an obstetrician-gynecologist in Thunder Bay and assistant professor at the Northern Ontario School of Medicine, says the idea came in 2011 when she was doing her residency.
“It originally started as a project to understand what residents in obstetrics and gynecology knew about Indigenous women’s health and … I also asked program directors across Canada what resources they had and what expertise they had to provide a curriculum,” Jumah says.
“Residents really didn’t have an understanding, but they were interested. And program directors wanted to provide a curriculum, but they didn’t have the resources, the know-how and the contacts in the community to do that.”
The program, which starts Tuesday, incorporates feedback from 11 Indigenous women’s organizations from across Canada. Jumah also worked with Dr. Lisa Richardson, a strategic adviser in Indigenous Health at the University of Toronto’s Faculty of Medicine and an associate professor in the Department of Medicine. They led a research team of mostly Indigenous women to develop the curriculum.
“It asks the person who is taking it to really critically look at themselves and understand who they are and their biases,” says Jumah.
Jumah says she hopes the training can also be used in areas such as law.
“These women opened my eyes to the fact that this isn’t a journey about medicine or medical practice,” Jumah says. “It’s really about exploring our relationships with each other as Canadians and how we got to be in the situation that we’re in today.”
Richardson, who is Indigenous, says major breaches continue today in Indigenous women’s health.
In December, the United Nations committee against torture demanded Canada stop forced or coerced sterilization of Indigenous women and girls. The House of Commons health committee has also heard of Indigenous women alleging they were coerced into sterilization after childbirth. A class-action lawsuit alleges one woman believed she had no choice but to sign a consent form moments after receiving an epidural at a Saskatchewan hospital in 2018.
“The program isn’t specifically about forced sterilization, but of course the underpinning of understanding trauma and why trauma-informed care is important,” Richardson said.
“Going into a hospital environment can be traumatic, particularly if you are hearing ongoing stories from your auntie, your sister, your mother or your friends who continue to experience this violence.”
Daniela Germano, The Canadian Press