Women, Income and<strong>Health</strong> in Manitoba742. WINNIPEG WOMEN’S HEALTHCLINIC MODEL OF CAREPHILOSOPHYThe Women’s <strong>Health</strong> Clinic Model of Careis based on the following philosophy andprinciples.1. All women deserve fundamentalrespect and have the right to makeinformed decisions about their healthcare. In particular, it is recognized that:a) all women bring valuable anddiverse experiences as careproviders of family and friends,as workers, and as consumers ofhealth services. Their ideas andinsights should be encouragedand valued in developing healthservices appropriate to theirneeds; andb) women from equity communities,including Aboriginal women,immigrant women, visible andlanguage minority women, womenwith disabilities, and lesbians,bring unique experiences andinsights to an understanding ofhealth and illness. Oftenmarginalized in the planning ofhealth service delivery, theirinvolvement and participation isessential for the developmentof quality, culturallyappropriate services.2. <strong>Health</strong> status improves when a personhas a greater sense of control overtheir life situation. Women’s <strong>Health</strong>Clinic is committed to facilitating theempowerment of women, individuallyand collectively, in all its programsand services.3. A person’s health must be understoodholistically, with an appreciation for theinterrelationship of physical, social,emotional and spiritual aspects.APPROACHThe Women’s <strong>Health</strong> Clinic approach todelivery of services is based on theprinciples and philosophy outlined above.Key elements of woman-sensitive,“best practices” include:Priority PopulationsIn keeping with its population healthapproach, Women’s <strong>Health</strong> Clinicprograms and services strive toserve the needs of:(a) women who are mostvulnerable to poor health dueto factors such as poverty; and(b) women who are more likely toexperience barriers in accessingappropriate health servicesdue to their ethnic origin, race,social class, language, sexualorientation or disability.Women-Centred ServicesThe woman, in the context of hercommunity, is the centre ofWomen’s <strong>Health</strong> Clinic serviceplanning and delivery. Sufficienttime is taken with each woman togain an understanding of how herunique background and life situationimpacts upon her health.Interventions and educationalstrategies are flexible and variedand may involve linkages beyondthe formal health care system.These services may be offered bythe Clinic directly or through referralto other service providers oragencies, such as justice, education,housing or employment.Develop a Partnership Betweenthe Woman and Care ProviderPrograms and services are based onthe assumption that the womanbrings a valuable perspective of herlife situation and her body. She mustfeel empowered to make informeddecisions about her health and healthcare. Accordingly, staff andvolunteers de-emphasize
Women, Income and<strong>Health</strong> in Manitoba75differences between womanand care provider, and seek todevelop a partnership with her inaddressing her health issues.Most AppropriateCaregiver and ServicesEvery effort is made to ensure thatwomen receive the most appropriateservice, provided by the mostappropriate service provider, in themost appropriate location. Womenmay access services through avariety of avenues and routes ofentry as appropriate to their particularsituation and needs. Services andapproach offered may includeinformation, education, supportthrough groups or individualcounselling, medical treatments,health screening, advocacy,community action, as well aslinkages with the secondary, tertiary,rehabilitation and long term care orother sectors. Services sensitivelyaddress a wide range of issues(such as sexuality, childhood sexualabuse, violence) which have not beenadequately addressed by health careproviders in the past and try to ensurethat appropriate care is provided.Team ApproachWomen’s <strong>Health</strong> Clinic staff are madeup of an interdisciplinary team ofhealth care providers who workcollaboratively and includeprofessional, paraprofessionaland volunteer staff.EmpowermentPrograms and services are designedto enhance the understanding, selfcare,self-help and self-advocacyabilities of the woman. This isachieved by:1. providing a wide range ofaccessible information andeducation services with a keyrole being played by the Clinic’sResource Centre, as well assupport and training servicesbased on adult educationprinciples;2. facilitating the development ofunderstanding and skills throughsocial action groups aroundissues of concern to womensuch as breast implants, newreproductive and genetic technologiesor birthing options; and3. structuring the Clinic to includea system of participatorymanagement and involvementof community members inagency decision-makingand evaluation processes.Use of Peer VolunteersPeer volunteers play a key role inpromoting the empowerment ofclients through modelling self-helpskills, demystifying medicalinformation, and bringingcommunity perspectives to thedesign and delivery of services.T<strong>here</strong>fore, Women’s <strong>Health</strong> Clinicprovides training to women ofvarious backgrounds in order toenable them to develop informal andformal helping and leadership skillsin the provision of health information.Community InvolvementWomen’s <strong>Health</strong> Clinic works inpartnership with variouscommunities concerned aboutthe health of women, building onthe strengths and interests of itspartners, including volunteers,clients, service providers or othermembers of the community.Evaluation andCost-EffectivenessWomen’s <strong>Health</strong> Clinic recognizesthe importance of ongoing reviewand evaluation of the approaches
- Page 1 and 2:
WOMEN, INCOME ANDHEALTH IN MANITOBA
- Page 3 and 4:
TABLE OF CONTENTSPageA. EXECUTIVE S
- Page 5 and 6:
EXECUTIVE SUMMARYTHE LINK between p
- Page 7 and 8:
Women, Income andHealth in Manitoba
- Page 9 and 10:
B. INTRODUCTIONMuch work has been d
- Page 11 and 12:
Consistent with the majority of soc
- Page 13 and 14:
Health and Well-Being of Children i
- Page 15 and 16:
Women, Income andHealth in Manitoba
- Page 17 and 18:
members of different visible minori
- Page 19 and 20:
Women, Income andHealth in Manitoba
- Page 21 and 22:
3. How has the connection between i
- Page 23 and 24: E. INCOME AND THE HEALTH OF WOMEN -
- Page 25 and 26: Women, Income andHealth in Manitoba
- Page 27 and 28: majority of British households,rega
- Page 29 and 30: Women, Income andHealth in Manitoba
- Page 31 and 32: The following chart, based on a cha
- Page 33 and 34: marsh potatoes, berries, etc. As a
- Page 35 and 36: opportunities for women may beone o
- Page 37 and 38: 2. Manitoba Data - Income and Healt
- Page 39 and 40: CHART 3HEALTH CARE EXPENDITURES ON
- Page 41 and 42: 3. What Does This Mean?As in other
- Page 43 and 44: procedures. It is noteworthy that t
- Page 45 and 46: 2. The Commonwealth Secretariat -Mo
- Page 47 and 48: Women, Income andHealth in Manitoba
- Page 49 and 50: H. MAKING PUBLIC POLICY HEALTHIER F
- Page 51 and 52: against women and its consequences
- Page 53 and 54: 3.3 CHILD TAX BENEFITThe Government
- Page 55 and 56: Household Basic Rent Rent Including
- Page 57 and 58: If RHAs are open to suchcollaborati
- Page 59 and 60: APPENDIX 1:SUGGESTIONS FOR FUTURE R
- Page 61 and 62: Women, Income andHealth in Manitoba
- Page 63 and 64: APPENDIX 3:HEALTH SERVICE UTILIZATI
- Page 65 and 66: APPENDIX 4:INTERVIEWS WITH ABORIGIN
- Page 67 and 68: Women, Income andHealth in Manitoba
- Page 69 and 70: Women, Income andHealth in Manitoba
- Page 71 and 72: Women, Income andHealth in Manitoba
- Page 73: ELEMENT #11GENDER SENSITIVE TRAININ
- Page 77 and 78: ENDNOTES1. Sarlo, Christopher, “P
- Page 79 and 80: ENDNOTES (continued)45. Arber, Sara
- Page 81 and 82: ENDNOTES (continued)88. Mustard, Ca
- Page 83 and 84: REFERENCES (continued)Clarke, H.F.
- Page 85 and 86: REFERENCES (continued)Macintyre, Sa
- Page 87 and 88: REFERENCES (continued)Vancouver/Ric