Bibliographic record
Abstract
This discussion paper builds on a project undertaken by the Métis Centre of the National Aboriginal Health Organization (NAHO) in British Columbia entitled Healthy Messages that showed Métis often connect physical health with broader determinants such as income, housing, spirituality, and community.Maternalchild health is seen as connected to both the health of the family and the community.The objective of this discussion paper is to develop a foundation for future research in this area.The goal was to examine existing literature regarding Métis maternal and child health, as well as to analyze interviews of Métis from across Canada.The literature review revealed significant gaps with regard to Métis-specific information on maternal and child health.Most of the research focused on Aboriginal women's maternal health generally, or on First Nations and Inuit women's maternal health specifically.Though there is a lack of Métis-specific information, some of the themes that emerged from the transcribed interviews supported findings in the literature.For example, the literature revealed that traditional practices remain important to First Nations and Inuit women, and the interviews revealed that traditional practices and knowledge are important to Métis women as well.However, there is a gap between the knowledge holders and the younger generation with regards to this knowledge.The literature also revealed the need for culturally relevant and competent care for Aboriginal mothers and their babies.Similarly, the interviews revealed that Aboriginal services do not adequately address Métis needs and, more often than not, focus more on First Nations needs and priorities.The interviews also revealed a great diversity among Métis, which reinforces the need for Métisspecific approaches as opposed to current pan-Aboriginal approaches to maternal and child health.In addition, the literature review revealed that midwifery is an important aspect to the health of Aboriginal mothers and their children.Likewise, the interviews also revealed the importance of midwifery among Métis and the need to explore Métis birthing centers that could provide this practice in a culturally competent and holistic manner.Other themes emerged from the interviews including the importance of Métis identity, pride and language.Many Métis interviewed spoke about the significance of identity, pride and language to the health of Métis families.Many Métis mothers spoke about the need to reclaim their identities during pregnancy, and Elders spoke about the centrality of traditions, ceremonies and language to the health of Métis families.The rich information shared by Métis people across Canada provides an excellent starting point for both further research and strategic planning in this area.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.031 | 0.054 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.003 |
| Science and technology studies | 0.012 | 0.003 |
| Scholarly communication | 0.007 | 0.005 |
| Open science | 0.002 | 0.006 |
| Research integrity | 0.009 | 0.009 |
| Insufficient payload (model declined to judge) | 0.027 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".