Indigenous approaches to health economics evaluation in pregnancy and healthy child development programs: A critical exploration of Indigenous rights and self-determination

Program Type (Grant): Graduate Studentship Award
Applicant Name: Young, Elliott
Competition Cycle: 2025-04
Start Date: 2025-09-01
End Date: 2027-08-31
Supervisor Name: Montesanti, Stephanie
Institutional Sponsor: Public Health, School of
Supervisor Faculty / Department: Public Health, School of
WCHRI Funder: RAHF/SCHF
External Funder: SSHRC
Total WCHRI Funding Commitment: $46,000.00

Canada's health care system is not always fair, especially for Indigenous people. This unfairness comes from colonialism, which still affects people today. Many Indigenous people are treated badly or ignored in health care, and some are scared to go to the doctor, especially those who went to Residential Schools. In 2008, the government apologized for Residential Schools and later created the Truth and Reconciliation Commission (TRC). In 2015, the TRC gave Canada a list of things to do to make things better for Indigenous people. Some of these were about health care. One way decisions are made in health care is through health economics. This means looking at how much something costs and what the benefits are. These tools help decide what treatments or programs get funding. But right now, these tools don't really include Indigenous ways of knowing or the needs of Indigenous communities. To make real change, we need to create health economics tools that include Indigenous voices. Indigenous people, especially women and children, face big health challenges like higher rates of sickness and less access to care. The TRC says we need to close this gap. By making health tools that include Indigenous knowledge and involve Indigenous leaders, we can help communities take control of their own health decisions and make the system more fair.