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Indicators of Northern Health: a Resource for Northern Manitobans and the Bayline Regional Round Table

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Indicators of Northern Health: a Resource for Northern Manitobans and the Bayline Regional Round Table INDICATORS OF NORTHERN HEALTH: A RESOURCE FOR NORTHERN MANITOBANS AND THE BAYLINE REGIONAL ROUND TABLE FINAL REPORT January 2009 Rural Development Institute, Brandon University Brandon University established the Rural Development Institute in 1989 as an academic research centre and a leading source of information on issues affecting rural communities in Western Canada and elsewhere. RDI functions as a not-for-profit research and development organization designed to promote, facilitate, coordinate, initiate and conduct multi-disciplinary academic and applied research on rural issues. The Institute provides an interface between academic research efforts and the community by acting as a conduit of rural research information and by facilitating community involvement in rural development. RDI projects are characterized by cooperative and collaborative efforts of multi-stakeholders. The Institute has diverse research affiliations, and multiple community and government linkages related to its rural development mandate. RDI disseminates information to a variety of constituents and stakeholders and makes research information and results widely available to the public either in printed form or by means of public lectures, seminars, workshops and conferences. For more information, please visit www.brandonu.ca/rdi. INDICATORS OF NORTHERN HEALTH: A RESOURCE FOR NORTHERN MANITOBANS AND THE BAYLINE REGIONAL ROUND TABLE Prepared by: Katherine Pachkowski Alison Moss Fran Racher Robert C. Annis Rural Development Institute Brandon University Brandon, MB R7A 6A9 Acknowledgements The Rural Development Institute gratefully acknowledges the contributions of the many partners of the Manitoba component of the Community Collaboration to Improve Health Care Access of Northern Residents 2004-2007 project. Over the course of this research project, many individuals made contributions to the project and to this document. The authors of this report wish to acknowledge the contributions of Marian Beattie, Myles Ferguson, Ryan Gibson, and Beth Peers; students Alex Martin, Anisa Zehtab- Martin and Laine Mosset; and administrative staff Sylvia Henry and Beverley Lischka of the Rural Development Institute, Brandon University. This project was supported by the Canadian Institutes of Health Research, Aboriginal Peoples’ Health Grant # RLO – 74175. Indicators of Northern Health: A Resource for Northern Manitobans and the Bayline Regional Round Table i Table of Contents Acknowledgements.......................................................................................................................... i Executive Summary....................................................................................................................... iv List of Tables / Figures .................................................................................................................. vi I Introduction ................................................................................................................................. 1 Research Project.......................................................................................................................... 1 Organization of the Report.......................................................................................................... 1 Sources of the Data ..................................................................................................................... 2 Limitations of the Data ............................................................................................................... 3 Health Indicators......................................................................................................................... 4 II Provincial Health Status and Health Care.................................................................................. 5 Provincial Health Indicators ....................................................................................................... 5 Provincial Health Expenditures ..................................................................................................7 III Health of Northern Canadians .................................................................................................. 9 Canadian Health Regions Comprise Peer Groups ...................................................................... 9 Health of Peer Groups............................................................................................................... 10 Peer Group C (with Burntwood Region) .............................................................................. 11 Peer Group F (with Nor-Man Region).................................................................................. 11 IV Manitoba First Nations Health................................................................................................ 15 Registered First Nations Health and Health Care Indicators.................................................... 17 Health Status ............................................................................................................................. 18 Measures of Illness and Injury.................................................................................................. 19 Preventive Care Measures......................................................................................................... 20 Health Care Utilization ............................................................................................................. 21 Jurisdictional Factors in First Nations Health Care Delivery ................................................... 22 Framework of Health Service Delivery in Manitoba............................................................ 22 Areas of Agreement .............................................................................................................. 23 Areas of Ambiguity............................................................................................................... 24 V Health in Northern Manitoba ................................................................................................... 27 Health Status ............................................................................................................................. 27 Measures of Illness ................................................................................................................... 29 Preventive Care Measures......................................................................................................... 30 Health Care Utilization ............................................................................................................. 30 Mental Health............................................................................................................................ 32 Treatment Prevalence............................................................................................................ 33 Use of Physician Services..................................................................................................... 36 VI Burntwood Region and Bayline Communities....................................................................... 39 Health Status ............................................................................................................................. 40 Measures of Illness ................................................................................................................... 41 Preventative Care Measures...................................................................................................... 42 Health Care Utilization ............................................................................................................. 43 Mental Health............................................................................................................................ 46 Treatment Prevalence............................................................................................................ 46 Use of Physician Services..................................................................................................... 48 Demographics of Burntwood Region ....................................................................................... 50 Indicators of Northern Health: A Resource for Northern Manitobans and the Bayline Regional Round Table ii Population by Age and Gender............................................................................................. 50 Legal Marital and Common-Law Status............................................................................... 52 Language Characteristics...................................................................................................... 53 Level of Schooling................................................................................................................ 54 Earnings and Income Characteristics.................................................................................... 55 Occupation Characteristics ................................................................................................... 57 Family, Household, and Private Dwelling Characteristics ................................................... 58 Demographics of Division 22 ............................................................................................... 60 VII Nor-Man Region and Bayline Communities......................................................................... 63 Health Status ............................................................................................................................
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