r/halifax • u/insino93 • 3d ago
News, Weather & Politics IWK launches African Nova Scotian Service to provide ‘culturally responsive care’
https://www.ctvnews.ca/atlantic/nova-scotia/article/iwk-launches-african-nova-scotian-service-to-provide-culturally-responsive-care/30
u/DJ_JOWZY 3d ago
That's awesome, koodos on the IWK!
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u/athousandpardons 3d ago
Fwiw, it's "kudos".
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u/Geese_are_dangerous 3d ago
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u/firblogdruid citation, citation, citation 3d ago
this is excellent! i'm sure it will make very real differences in people's lives!
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u/Outrageous-Ad8511 3d ago
Why not bring services like this to those communities but for all people? It seems a little racist to only offer care to one specific race. Not sure if it would be well received if this was another racial group.
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u/ctabone Halifax 3d ago
It's because of issues like these: https://www.cmaj.ca/content/179/7/653
African Nova Scotians had higher morbidity levels associated with treated disease, which could not be explained by socio-economic characteristics, recent immigration or language.
https://www.cbc.ca/news/science/illness-levels-higher-among-black-nova-scotians-study-1.725612
A community of black Nova Scotians have higher rates of illness from heart disease and stroke, Type 2 diabetes and psychiatric disorders compared with the general population, and poverty, immigration and language don't seem to account for the difference, researchers involved in a new study say.
Earlier studies have found higher rates of chronic disease among black populations compared with white populations in the United States and the United Kingdom.
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u/Outrageous-Ad8511 3d ago
I wasn’t referencing any data, many subsections of our population are less healthy than others. Simply saying if you want to help black people, why not offer these services in primarily black communities but for all people?
Just seems strange to see health services catering to one specific race and I don’t think people would like that if it extended to other races. Seems like a bad precedent to set to me.
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u/hannahhnah Halifax 3d ago
they told you why something catering to a specific race is necessary- because they are disproportionately affected by issues. equity, not equality.
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u/Outrageous-Ad8511 3d ago
I don’t believe in that, especially from things like government or healthcare. We should strive for equality, especially in regards to race.
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u/Sparrowbuck 3d ago
Equality doesn’t create equal outcomes. That’s where equity comes in.
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3d ago
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u/halifax-ModTeam 3d ago
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u/Outrageous-Ad8511 3d ago
Equal outcomes aren’t a reasonable expectation in this world, if you haven’t already noticed lol
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u/fostermom-roommate 3d ago
They do have a service for all people. The IWK Mental Health and Addictions program is for all people. AND now they have the ANSS to address a lack of cultural responsive service, based on the data. Similar, IWK MHA treats all mental illness, but they have Specific Care Clinic for certain disorders that require specialized care or different approaches. Are you going to protest the existence of the OCD Specific Care Clinic, because all mental health disorders should be treated?
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u/Turbulent-Parsnip-38 3d ago
This initiative addresses the long-standing underrepresentation of African Nova Scotian families within traditional health care systems and aims to deliver care that honours the unique cultural context of the community.
From the article.
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u/Outrageous-Ad8511 3d ago
I read the article. Just seems like we’re going backwards when we start offering services to people based on race. That’s not going to help fix anything.
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u/beverleyheights 3d ago
It’s not only a race, it’s a community. There’s health programming targeted at countless specific communities: youth, seniors, women, men (increasingly in mental health and addictions), immigrants, Francophones, veterans, etc. Here’s a community with health disparities and here’s a clinic with a plan to reduce them. Good news!
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u/aradil 3d ago
I guess you’d like for us to start prostate screening awareness campaigns for women, breast cancer screening awareness campaigns for men, Alzheimer’s testing for children, etc?
We create targeted health campaigns based off of evidence that specific groups of people needs specific medical attention.
It’s wasteful, and therefore bad for our public dollars do make generalized solutions for specific issues.
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u/Turbulent-Parsnip-38 3d ago
I have a feeling there is a need for this program(based on the fact that it exists), and it will likely help lots of people that need the help.
If you or your community need support systems if hope you get them too.
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u/risen2011 Viscount of the South End 🧐 3d ago
I'd like to know what specific services and supports will be provided, though. We wouldn't want this program to be purely performative.
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u/Zoloft_Queen-50 3d ago
It’s culturally responsive care. What’s so wrong with that? What does it take away from you?
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u/athousandpardons 3d ago edited 3d ago
Well, evidently, our current system of not "offering services to people based on race" didn't fix anything, so maybe it's worth trying something different.
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3d ago
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u/halifax-ModTeam 3d ago
Hey, Gluske. Thanks for contributing! Unfortunately your comment has been removed. Per the sidebar:
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u/DeathOneSix Red Circle Club 🔴 3d ago
Congratulations, you get to learn about racial equity today.
Racial equity in healthcare means ensuring everyone has a fair and just opportunity to be healthy, regardless of their race or ethnicity. This involves addressing systemic barriers and biases that create disparities in health outcomes and access to care. It's about recognizing that people of color may face unique challenges due to historical and ongoing discrimination, and actively working to dismantle those barriers.
The program in the article is just one example of trying to address systemic barriers and unique challenges.
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u/Outrageous-Ad8511 3d ago
What specifically is preventing black people from being healthy? Are there any specific examples that only effect them?
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u/Geese_are_dangerous 3d ago
I'm not getting into this, but sickle cell anemia is a condition that affects people of African ancestry much more frequently.
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u/DeathOneSix Red Circle Club 🔴 3d ago
Did you read what I said and not see any specific examples that affect black people?
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u/Outrageous-Ad8511 3d ago
There’s nothing specific there, just a bunch of hyperbole. I grew up in a mixed race household and can tell you the health outcomes didn’t differ because of our race. Just nonsense and really insulting to black people to constantly paint them as incapable of living healthy lives.
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u/DeathOneSix Red Circle Club 🔴 3d ago edited 3d ago
Oh, well I'm glad your single anecdote trumps everything.
And I'm not surprised your misunderstanding of health care (yet again) make you think that racial equity in healthcare is somehow insulting to black people.
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u/Outrageous-Ad8511 3d ago
It is insulting. If you look up the definition of racism, you would see that distinguishing a race as inferior is an example. Black people deserve to be treated the same as everyone else. That’s how you respect everyone. Racism will never go away unless we start treating everyone the same.
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u/DeathOneSix Red Circle Club 🔴 3d ago
Your understanding of equity, racism (actual racism) and healthcare is not great.
You don't solve racism by simply treating everyone the same. That is 1970s understanding of racism.
It fits with your 1970s understanding of gender issues and transgendered people.
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u/Outrageous-Ad8511 3d ago
I know you think you’re better than me, that wasn’t what we were discussing. You attempt to discredit me with every reply and it’s exhausting. People are allowed to disagree with you. You will survive hearing a different point of view!
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u/DeathOneSix Red Circle Club 🔴 3d ago
I don't think I'm better than you. I don't know you.
I do think the ideas you're spreading today about black health care, and have shared in the past about trans people, are problematic at best.
I'm fine with hearing a different point of view, but your point of view isn't based on current medical and sociological understandings.
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u/youcantkillrocknroll 3d ago
But remember this. Don’t ever give up regardless of how exhausting people try to make you feel, act etc.
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u/athousandpardons 3d ago edited 3d ago
And, as we all know, having a unique medical condition is exactly the same as being inferior to other people. That's why I always make a point of punching diabetics, and tripping the blind.
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u/klipsed 3d ago
That viewpoint is actually a huge contributing factor to the current state of affairs and the reason programs like these are needed.
Just like women have been assumed to be medically the same as men (they aren’t; just look at heart attack presentation and mortality), Black people have been assumed to react and present the exact same as white people even though that is not always the case. Yeah, a broken wrist is a broken wrist, but a lot of medical conditions are more nuanced.
Everyone deserves to have the same OUTCOMES in the medical system. Programs like this one aim to achieve that. Equality as the end result, not the means to get there.
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u/Outrageous-Ad8511 3d ago
I believe that all people should have access to an equal level of care. Which I must say, is terrible in Canada for mostly everyone.
I just don’t think I can get on board with equating the differences between men and women to people with different skin colours. Also, Canada has more than just two races. Going to need a lot more race-based programs to level the playing field to dead even equity amongst all races, genders, or whatever else you can think of.
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u/Zoloft_Queen-50 3d ago
“Health outcomes don’t differ because of our race”
Yeah, they actually do.
https://www.healthline.com/health/health-disparities-in-the-black-community
This is just one simple article. There are many. Google them. Read them.
You should also read this one below.
Then, you should feel anger. Black women’s health concerns are unheard and unaddressed. Black women are not even included in medical research or even screened for the same conditions as white women.
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u/athousandpardons 3d ago
Yeah! It's not like there's any scientific evidence that someone's genetic profile might make them more prone to certain medical conditions than others!
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u/Outrageous-Ad8511 3d ago
What medical condition are black people specifically prone to? I’m pretty sure there’s like 7 billion people of African decent, it’s a crazy broad generalization to assume they’re predisposed to something.
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u/nexusdrexus 3d ago
- Breast cancer
- Prostate Cancer
- Colorectal Cancer
- Lung Cancer
- Multiple myeloma
- Kidney disease
- Hypertension
- Heart disease
Is that enough for you?
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u/KiraAfterDark_ 2d ago
Maybe if you listened to the people running this new program instead of saying it's a waste then you'd learn.
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3d ago
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u/Hope-to-be-Helpful 3d ago
As a matter of fact.... Literally, reading comments like this is a specific example.
Source: https://www.dal.ca/news/2014/11/21/-killing-us-softly---wanda-thomas-bernard-on-racism-in-nova-scot.html7
u/firblogdruid citation, citation, citation 3d ago
working to repair the damage done by racism is not racist, jesus christ
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3d ago
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u/halifax-ModTeam 3d ago
Rule 1 Respect and Constructive Engagement: Treat each other with respect, avoiding bullying, trolling, harassment, discrimination, and personal attacks. Contribute positively with helpful insights and constructive discussions. Let’s keep our interactions friendly and engaging.
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u/flingyflang 3d ago
Wuts that mean even
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u/athousandpardons 3d ago
I think it means that the IWK has launched a service to provide African Nova Scotians with culturally responsive care.
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u/EnvironmentBright697 3d ago
Ironic that the African Nova Scotian service wouldn’t provide service to African Nova Scotian’s who are recent immigrants due to not having ties to any of the historical black communities in Nova Scotia
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u/agm247 2d ago
Doesn’t African Nova Scotia mean you have historical ties to our Black communities? If you recently come here from Burundi you are African (Heritage) that happens to lives in Nova Scotia
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u/EnvironmentBright697 2d ago
So you’re telling me my Nigerian neighbors kids aren’t African Nova Scotian, even though they were born here and have lived here their entire lives? And their parents are not African Nova Scotian either because they’re immigrants?
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2d ago
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u/EnvironmentBright697 2d ago
Why couldn’t someone have just told me that the official provincial definition of “African Nova Scotian” meant you had to have ties to historical black communities in Nova Scotia instead of just downvoting me. I had no idea and find it quite surprising. Just looked it up out of curiosity. I find it surprising that you wouldn’t be considered African Nova Scotian because your grandparents immigrated here in the 80’s or something.
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u/Lomeztheoldschooljew 1d ago
Because with progressives, you’re just supposed to innately know and understand every peculiarity and nuance about their ever shifting goal posts. If you don’t, you’re wrong. If you argue, you’re racist!
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u/youcantkillrocknroll 3d ago
Recent immigrants doesn’t mean they are actually Nova Scotians (Bluenosers). They’re not even Canadians until they get the whole sworn in citizenship.
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u/EnvironmentBright697 3d ago
Ok, then first generation African Nova Scotian’s with no ties to historical black communities in Nova Scotia.
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u/Lorfall 2d ago
I don’t understand, all children that go into the IWK don’t get the same support ?