Taking Action to Improve Indigenous Health in the Cities of Québec and elsewhere in Canada

The Example of the Minowé Clinic at the Val-d’Or Native Friendship Centre

Authored by: Carole Lévesque , Édith Cloutier , Ioana Radu , Dominique Parent-Manseau , Stéphane Laroche , Natasha Blanchet-Cohen

Handbook of Global Urban Health

Print publication date:  May  2019
Online publication date:  May  2019

Print ISBN: 9781138206250
eBook ISBN: 9781315465456
Adobe ISBN:


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In Canada, there are significant gaps and disparities between the health conditions of the urban Indigenous population and those who live on reserves, as well as those of the Canadian population as a whole. Far from being limited to epidemiological or biomedical manifestations, health issues as related to Indigenous people necessarily evoke dimensions that are of a systemic and structural nature, where their legal status, constitutional recognition, capacity toward self-determination, and legitimate role within society are all at stake. The initiatives to curb these inequalities must ensure a real contribution from these peoples in decision-making and the governance of their social and public affairs; these initiatives must propose a real division of powers and be based on a collective, democratic, and global vision of health for the benefit of those directly concerned. These are the founding principles of the Minowé Clinic project established in a small Mid-Northern Québec town by the Val-d’Or Native Friendship Centre.

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