The impact of COVID-19 on services for Indigenous people who use substances and are living with HIV in Winnipeg, Manitoba
Notice bibliographique
Résumé
Manitoba currently has the second highest rate of HIV in Canada. Among those recently diagnosed, Indigenous people and injection drug users are overrepresented. As the COVID-19 pandemic significantly impacted service delivery, Indigenous people living with HIV (IPLH) who use substances may have been disproportionality negatively impacted. This Master of Social Work thesis focuses on the stories shared within the Gigii-Bapimiin project by IPLH in Winnipeg, Manitoba who use substances and accessed health and social services throughout the COVID-19 pandemic. Stories from those with lived experience as well as service providers were gathered using semi-structured interviews to help facilitate conversation. The goal of the research was two-fold, firstly to advance the understanding of the impact COVID-19 had on service delivery. Secondly, to provide recommendations for change and inform post-pandemic service delivery and policies to optimally support IPLH who use substances in Winnipeg, Manitoba. A decolonizing Two-Eyed Seeing approach and Indigenous Storywork were used as overarching frameworks to guide this research. A community guiding circle comprised of eight IPLH, many of whom previously or currently used substances, were involved in the research from design to dissemination. Elder Albert McLeod and Knowledge Holder Gayle Pruden ensured the project remained grounded in Indigenous ethical space and helped incorporate ceremony into the research process. Due to its epistemological alignment with Indigenous knowledges, stories were analyzed using thematic analysis. Through this process, three common themes were identified. Firstly, the deeply engrained colonial practices within health and social services and the barriers individuals experienced pre-pandemic having been exacerbated throughout the COVID-19 pandemic. Secondly, neoliberal narratives and polices were the primary contributors to the harms linked to substance use rather than the personal drug use behaviours of individuals. Lastly, successful service delivery existed throughout the pandemic and was identified by participants as having been wholistic in nature and grounded within Indigenous knowledges. These organizations continued to offer support to IPLH in a meaningful way while adhering to public health orders. As a result, recommendations for social work practitioners, policy makers, advocates, and healthcare professionals are provided on how to enhance service delivery for IPLH who use substances.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,019 | 0,009 |
| Communication savante | 0,005 | 0,001 |
| Science ouverte | 0,002 | 0,010 |
| Intégrité de la recherche | 0,001 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».