Recognizing the right of self-determination of Indigenous Peoples is essential to improving the state of community-based primary healthcare of First Nations in Canada. Understanding communities’ priorities and local health agendas is critical for primary healthcare transformation. We used a community-based participatory research approach to engage our partners: Nanaandawewiwgamig, the First Nations Health and Social Secretariat of Manitoba, and eight First Nation communities. Community-based research assistants conducted 183 in-depth interviews in their respective First Nations. Key themes that emerged from these interviews include primary prevention focused on health and social determinants; an integrated healthcare system providing access to both Western and First Nations traditional health knowledge; infrastructure improvement; youth engagement; healthcare leadership; investing in community-based human resources; and promoting culturally respectful, responsive, geographically sensitive, and outcomes-oriented care. Policy approaches could implement some local priorities with direct impact on healthcare, while other social determinants will create indirect, albeit critical, conditions for health and healthcare changes over time.

中文翻译：

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我们的人民，我们的健康：在曼尼托巴原住民社区设想更好的初级保健

承认土著人民的自决权对于改善加拿大第一民族的社区初级保健状况至关重要。了解社区的优先事项和当地卫生议程对于初级卫生保健转型至关重要。我们使用基于社区的参与式研究方法来吸引我们的合作伙伴：Nanaandawewiwgamig、曼尼托巴省第一民族健康和社会秘书处以及八个第一民族社区。社区研究助理在各自的原住民进行了 183 次深度访谈。这些访谈中出现的关键主题包括以健康和社会决定因素为重点的初级预防；提供西方和原住民传统健康知识的综合医疗保健系统；基础设施改善；青年参与；医疗保健领导；投资以社区为基础的人力资源；促进文化尊重、响应迅速、地理敏感和以结果为导向的护理。政策方法可以实施一些对医疗保健有直接影响的地方优先事项，而其他社会决定因素将随着时间的推移为健康和医疗保健的变化创造间接的、尽管很关键的条件。