Our Health Counts

Our Health Counts London

Project Summary

Our Health Counts is a community-based research project that gathers missing health information about urban Indigenous people in order to improve and expand upon existing health and social services. The survey was first developed in 2009 as a partnership between Well Living House at St. Michael’s Hospital (Toronto) and De Dwa Da Dehs Nye>s Aboriginal Health Centre (Hamilton). As a result of the project’s success, urban Aboriginal agencies across Ontario have partnered with Well Living House to complete similar surveys, including in Toronto, Ottawa and Thunder Bay. In London, SOAHAC partnered with Well Living House and surveyed over 750 Indigenous people living, working, or accessing health and/or social services in London, Ontario.

The Our Health Counts study design provides an opportunity to address broad gaps in urban Indigenous health assessment across health domains and lifecycle stages. The results will contribute to improving the health of urban Indigenous individuals, families and communities, ensuring a comprehensive health assessment that balances wellness and illness measures and looks across physical, mental, emotional and spiritual health domains. This broad approach to the research is necessary in order to achieve Indigenous community relevance and scientific excellence.

Community Priorities

A key objective of Our Health Counts is to facilitate the application and dissemination of comprehensive urban Indigenous health information into ongoing community health policies, services, and evaluations using an integrated knowledge translation approach. Each data set is presented alongside relevant community priorities signaled by the findings, and thus, key policy implications for improving urban Indigenous health within London.

Using the Data

Creative Commons License
Our Health Counts London by Southwest Ontario Aboriginal Health Access Centre is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Individuals and organizations may download and view the PDF versions of the data sets; however, we request to be informed of your intent to use the data. Requests for further detailed information, including direct study references, can be made in writing and sent to: [email protected]

Our Health Counts London Findings

Project Overview & Methods

Adult Demographics Findings & Community Priorities

Adult Demographics Findings (PDF)

Based on adult demographic data, we call upon City of London, provincial and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Reinforce that health care services be inclusive of entire families and across the lifespan
  • Reduce poverty as the primary barrier to accessing services

Child Demographics Findings & Community Priorities

Child Demographics (PDF)

Based on the child demographic data, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Improve access to services
  • Eliminate the barriers that poverty may present

Housing and Mobility Findings & Community Priorities

Housing and Mobility Findings (PDF)

Based on the data related to housing and mobility, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Increase partnerships with area housing programs to support safer housing options
  • Advocate for Indigenous Cultural Safety training for those agencies to ensure culturally supportive service
  • Recognize that housing is a key determinant of health and well-being, continue to advocate on a systems level for increased safe, affordable housing

Nutrition and Food Security Findings & Community Priorities

Nutrition and Food Security Findings (PDF)

Based on data related to nutrition and food security, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Make traditional foods more accessible to Indigenous people living in urban areas
  • Continue support to ensure food security and that it be of high nutrition quality
  • Promote systems and programs to reclaim traditional food gathering practices

Adult Health Findings & Community Priorities

Adult Health Findings (PDF)

Based on the adult general health data, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Promote early detection through consistent cancer care screening
  • Develop culturally appropriate health promotion materials to inform clients of the importance of preventative health measures

Child Health Findings & Community Priorities

Child Health Findings (PDF)

Based on the child general health data, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Include normal child development information and screening to clients
  • Develop culturally appropriate health promotion materials detailing the importance of immunizations

Adult Chronic Conditions Findings & Community Priorities

Adult Chronic Conditions (PDF)

Based on the data related to chronic conditions in adults, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Increase services for diabetic patients ensuring that clinical practice guidelines are followed regarding vision screening, testing A1C and urine, and foot assessments
  • Undertake research to explore why 1/3 of diabetic patients are not accessing services
  • Renew efforts to meet the needs of 1/3 of diabetic patients who do not use any services

Child Chronic Conditions Findings & Community Priorities

Child Chronic Conditions Findings (PDF)

Based on the data related to chronic conditions in children, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Focus health promotion efforts on children and youth
  • Investigate the disproportionate rate of learning disability and speech/language difficulties reported for Indigenous children

Oral Health Findings & Community Priorities

Oral Health Findings (PDF)

Based on the data related to oral health, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Continue to advocate for and support accessible, free dental services

Ability, Pain, and Prescription Medication Findings & Community Priorities

Ability Pain and Prescription Medication Findings (PDF)

Based on the data related to ability, pain, and prescription medication, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Undertake a review of current service delivery models to ensure they are meeting patients’ needs which may be impaired due to poor vision, cognitive delay, or a physical or mental condition
  • Provide free physiotherapy service for alternative pain management

Reproductive and Sexual Health Findings & Community Priorities

Reproductive and Sexual Health Findings (PDF)

Based on the data related to reproductive and sexual health, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Open an Indigenous Birth Centre in London
  • Provide culturally appropriate health promotion about birth control, breastfeeding/chestfeeding and prenatal care

Access to Health Care Findings & Community Priorities

Adult Access to Health Care Findings (PDF)

Child Access to Health Care Findings (PDF)

Based on data related to access to health care across the lifespan, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Address barriers that urban Indigenous people face in accessing services, including financial, and transportation barriers
  • Develop and implement services to improve access to Indigenous ceremonies and traditional medicines
  • Create dedicated spaces in hospitals and clinics for traditional cultural practices and ceremonies
  • Provide funding for anti-racism and cultural safety training, and opportunities for continuing education across health services

Parenting and Child Protection Agency (CPA) Involvement Findings & Community Priorities

Parenting and CPA Involvement Findings (PDF)

Based on the data related to parenting and CPA involvement, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Provide funding for culturally safe programs and resources that enable Indigenous communities and organizations to support children and families
  • Find opportunities and ways to celebrate Indigenous parents and family life
  • Strengthen resources dedicated to Indigenous child protection agencies that better understand the importance of family integrity for Indigenous child and family welfare
  • Develop resources for Indigenous people to address the impact of CPA intervention/Reduce negative impacts of CPA involvement

Residential School Findings & Community Priorities

Residential School Findings (PDF)

Based on the findings related to residential school, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Provide trauma-informed practice at all levels of service delivery
  • Provide education and subsequent support around around intergenerational trauma and the related impacts on families and health

Missing Persons Findings & Community Priorities

Missing Persons Findings (PDF)

Based on the findings related to missing persons, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Reduce Indigenous peoples’ rates of victimization, missing persons, and homicide

Criminal Justice Findings & Community Priorities

Criminal Justice Findings (PDF)

Based on the data related to criminal justice, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Increase client centred, trauma informed knowledge and practice in correctional settings
  • Provide safety assessments for staff and clients in correctional environment

Violence and Abuse Findings & Community Priorities

Violence and Abuse Findings (PDF)

Based on the findings related to violence and abuse, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Provide adequate resources for families experiencing violence in London
  • Provide culturally appropriate, resilience based health promotion programming for people experiencing household violence

Discrimination Findings & Community Priorities

Discrimination Findings (PDF)

Based on the data related to discrimination, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Ensure Indigenous Cultural Safety is of paramount importance in all service delivery
  • Implement mandatory Indigenous Cultural Safety training at all levels within organizations that Indigenous people access health care from
  • Ensure that service provision areas are warm and inviting to invoke feelings of safety
  • Increase two spirit and LGBTQ+ education opportunities

Mental Health Findings & Community Priorities

Mental Health Findings (PDF)

Based on the findings related to mental health, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Ensure adequate (culturally safe, trauma-informed) mental health and suicide prevention services are available to Indigenous peoples
  • Build on resilience and coping with continued cultural and ceremonial support
  • Support the continuation of traditional healing services partnered with mental health services

Substance Use Findings & Community Priorities

Substance Use Findings (PDF)

Based on the findings related to substance use, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Develop culturally appropriate, trauma informed health promotion services that intersect with traditional Indigenous healing to offer new coping mechanisms
  • Continue to develop and ensure harm reduction services are accessible within the City of London, including safe consumption sites

Adult-Culture and Identity Findings & Community Priorities

Adult-Culture and Identity Findings (PDF)

Based on the findings related to culture and identity for adults, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Improve advertising and access to Traditional Healing Services
  • Eliminate barriers of awareness, travel, and timeliness to ceremonies
  • Promote culture and connection to the Land as a source of positive identity and resilience

Child-Culture and Identity Findings & Community Priorities

Child-Culture and Identity Findings (PDF)

Based on data related to housing and mobility, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Ensure Traditional Healing services are inclusive of children and youth

Community Resource Needs Findings & Community Priorities

Community Resource Needs Findings (PDF)

Based on the findings related to community resources, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Increase programming in areas identified as lacking resources
  • Build stronger partnerships with N’Amerind Friendship Centre and At^Lohsa Native Family Healing Inc.

School Experience and Performance Findings & Community Priorities

School Experiences and Performance (PDF)

Based on the data related to school experience, we call upon City of London, provincial, and federal policy makers to work in partnership with urban Indigenous peoples and organizations to:

  • Provide adequate resources for Indigenous children in London
  • Include culturally appropriate health promotion programming in Early Years programs