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EvalByte: Documenting the Development of the New Canadians Health Centre

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<strong>EvalByte</strong><br />

<strong>Documenting</strong> <strong>the</strong> <strong>Development</strong> <strong>of</strong> <strong>the</strong> <strong>New</strong><br />

<strong>Canadians</strong> <strong>Health</strong> <strong>Centre</strong><br />

Written by Cristian Neves, Augustine Botwe, and Anja Dzunic (ECN Research Assistants)<br />

What is <strong>the</strong> context <strong>of</strong> <strong>the</strong> project?<br />

Refugees have unique and complex health needs, but current<br />

health services are not meeting <strong>the</strong>ir needs. In <strong>the</strong> transition to<br />

life in Canada, inequalities, language barriers, and loss <strong>of</strong> social<br />

networks pr<strong>of</strong>oundly impact refugees’ quality <strong>of</strong> life. Until 2021,<br />

Edmonton was <strong>the</strong> only major city in Canada without a health<br />

centre for refugees. Without access to a holistic model <strong>of</strong> health<br />

care, refugees’ well-being can decline and negatively impact<br />

<strong>the</strong>ir quality <strong>of</strong> life and integration into <strong>the</strong> community. In<br />

response, <strong>the</strong> <strong>New</strong> <strong>Canadians</strong> <strong>Health</strong> <strong>Centre</strong> (NCHC) was<br />

established in August 2021.<br />

The NCHC developed a partnership with <strong>the</strong> ECN to<br />

collaboratively design and implement a principle<br />

based evaluation <strong>of</strong> <strong>the</strong> health<br />

centre. This project is part <strong>of</strong><br />

<strong>the</strong> year one evaluation <strong>of</strong> <strong>the</strong><br />

NCHC. It aims at capturing <strong>the</strong><br />

collaborative process <strong>of</strong><br />

developing and implementing<br />

<strong>the</strong> NCHC and its core<br />

principles which are rooted in<br />

promoting social justice, equity,<br />

and inclusion.<br />

Key points<br />

THE NCHC IS RESPONDING<br />

TO UNMET NEEDS OF<br />

REFUGEE COMMUNITIES IN<br />

EDMONTON<br />

THE PROJECT AIMS AT<br />

DOCUMENTING THE HEALTH<br />

CENTRE'S DEVELOPMENT<br />

AND IMPLEMENTATION<br />

STUDY PARTICIPANTS WERE<br />

INTERVIEWED ABOUT THE<br />

PAST, PRESENT, AND<br />

FUTURE OF THE NCHC<br />

FINDINGS WILL INFORM<br />

PRACTICES OF THE NCHC<br />

AND HONOUR THE WORK OF<br />

COMMUNITY MEMBERS<br />

July 2022


What is <strong>the</strong> NCHC?<br />

The <strong>New</strong> <strong>Canadians</strong> <strong>Health</strong> <strong>Centre</strong> is a culturally<br />

responsive and respectful heath care initiative for<br />

refugees. It follows a community-driven approach<br />

to health care, with <strong>the</strong> involvement <strong>of</strong> a lived<br />

experience advisory committee informing and<br />

shaping <strong>the</strong> practices <strong>of</strong> <strong>the</strong> health centre. A<br />

decade <strong>of</strong> advocacy by community organizations<br />

such as <strong>the</strong> Refugee <strong>Health</strong> Coalition, Catholic<br />

Social Services, <strong>the</strong> Edmonton Mennonite <strong>Centre</strong><br />

for <strong>New</strong>comers, and <strong>the</strong> Multicultural <strong>Health</strong><br />

Brokers Cooperative, with support from<br />

researchers and students from <strong>the</strong> University <strong>of</strong><br />

Alberta, secured funding to address <strong>the</strong> unmet<br />

health needs <strong>of</strong> newcomers and provide a safe<br />

space to create community.<br />

What is <strong>the</strong> project working<br />

on?<br />

We are currently documenting how <strong>the</strong> NCHC was<br />

developed to take care <strong>of</strong> <strong>the</strong> health and well-being<br />

<strong>of</strong> refugees in Edmonton. The study is also<br />

soliciting <strong>the</strong> views <strong>of</strong> participants on current and<br />

future practices at <strong>the</strong> health centre, and <strong>the</strong><br />

resources required to sustain its implementation.<br />

Seven individuals were interviewed who were ei<strong>the</strong>r<br />

instrumental in <strong>the</strong> development <strong>of</strong> <strong>the</strong> health<br />

centre, ei<strong>the</strong>r in research, advocacy, funding or<br />

partnerships, or are currently involved at <strong>the</strong><br />

operational level <strong>of</strong> <strong>the</strong> health centre.<br />

The interviews are currently being transcribed<br />

and will be <strong>the</strong>matically analyzed using NVivo 12,<br />

a qualitative data analysis s<strong>of</strong>tware. The findings<br />

from this study will be shared in a report with all<br />

relevant stakeholders (NCHC staff, partners, and<br />

community members).<br />

Why is <strong>the</strong> project<br />

meaningful?<br />

<strong>Documenting</strong> <strong>the</strong> NCHC's journey is important for<br />

learning about its’ health initiatives development<br />

and honouring <strong>the</strong> work and dedication <strong>of</strong> many<br />

passionate community members towards a<br />

culturally responsive health system.<br />

The findings <strong>of</strong> this project will inform <strong>the</strong> health<br />

centre's management <strong>of</strong> its operations, and<br />

provide feedback and recommendations to <strong>the</strong><br />

management and board. They will support<br />

advocacy initiatives for <strong>the</strong> NCHC and contribute<br />

to <strong>the</strong> promotion <strong>of</strong> community-based health<br />

programs designed for refugee populations.<br />

Resources<br />

U <strong>of</strong> A Folio: The NCHC aims to help refugees<br />

thrive<br />

Refugee <strong>Health</strong> Coalition: Community<br />

Engagement Report<br />

Reference<br />

NCHC Evaluation Working Group. (February 14, 2022). NCHC Evaluation Framework Slides (living document) [Unpublished presentation].<br />

Acknowledgment<br />

We acknowledge <strong>the</strong> partnership and continuous support provided by <strong>the</strong> <strong>New</strong> <strong>Canadians</strong> <strong>Health</strong> <strong>Centre</strong>, <strong>the</strong> NCHC Evaluation and<br />

Research Committee, <strong>the</strong> primary investigator <strong>of</strong> this project, Tehseen Ladha, and co-investigator Rebecca Gokiert.<br />

July 2022

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