Qanuilirpitaa 2017 - Understanding the determinants of health and well-being to support the implementation of population health promotion programmes, interventions, and services in Nunavik.
Despite the recognition that connections to families, communities, and the land are fundamental to Inuit health, only a handful of studies have been conducted to empirically examine, using population health data, the importance of social, cultural and economic, and environmental conditions of communities (hereafter referred to as the socio-environmental determinants of health – SEDH) as protective factors for health. To develop a rigorous body of culturally relevant scientific evidence on which health organizations can base their services and programs, this type of inquiry is required. This is the objective of the Community Component of the 2017 Qanuilirpitaa? Nunavik Health Survey (Q2017). This project is embedded in Q2017, and especially within the objectives of the Community Component of understanding and characterizing health and the SEDH based in Nunavimmiut’s worldviews and lived experiences (Phase 1) and to translate and apply this knowledge to support community mobilization (Phase 2). The overall goal of this project is to identify the socio-environmental determinants empirically associated with health outcomes in Nunavik, and to generate knowledge to support community-based and regional public health interventions, services and programming. Mixed-methods will be used to: characterize the SEDH in Nunavik, their variation between communities and coasts, and their association with psychosocial and physical health outcomes; identify challenges, facilitators, and best practices in implementing and delivering community-based health and social programs and services in Nunavik; and get insights on youth well-being and its determinants. Community mobilization will translate concrete knowledge of community health and well-being generated from this project, and from Phase 1 of the Community Component, into community actions oriented at consolidating existing strengths to address the needs of the communities. We will assess the processes and activities that facilitate or hinder knowledge transfer and appropriation for community mobilization in Nunavik. The execution of this project is built on a strong partnership between academic researchers, the Nunavik Regional Board of health and Social Services, and the Institut national de santé publique du Québec.