DC2437 - Indigenous Science & Content Oral Abstract Presentations: Examining the Model of Care and Impact of the Indigenous Diabetes Health Circle on Indigenous Communities: A Case Study Using Ethnographic Approach

Blinded Abstract: Diabetes disproportionately affects Indigenous communities in Canada, with higher prevalence rates and severe complications. Historical trauma, socio-economic disparities, and inappropriate healthcare practices compound these challenges.
This case study examines the model of care of the Indigenous Diabetes Health Circle (IDHC) and its impact on Indigenous communities in Ontario.
After obtaining internal ethical approval, a researcher immersed themselves within the IDHC for six months, observing frontline worker-client interactions, and videos and documenting the organization's culturally safe practices, utilizing ethnographic methods. Additionally, formal and informal interviews were conducted with IDHC staff, community Elders, and clients, focusing on the program's model of care and effectiveness.
Findings reveal that, through continuous community engagement, IDHC adopts a wholistic approach by integrating traditional healing practices into its service delivery. Cultural ceremonies and traditional wellness practices are seamlessly woven into the program. The Indigenous-led organization offers a comprehensive array of culturally tailored services, encompassing diabetes and nutrition education, foot and eye screening and care, and traditional wellness services. These services are disseminated through outreach events, ongoing clinics, and virtual webinars, facilitated by Indigenous and non-Indigenous culturally sensitive trained foot care nurses or chiropodists. Sample data spanning six years reveals the extensive reach and impact of the IDHC, with 16,096 clients served, 1,808 referrals made to health service providers, and 855 Indigenous health teaching sessions conducted.
The study concludes that IDHC's approach effectively reduces health disparities and empowers Indigenous communities. The IDHC model of care could serve as a blueprint for addressing Indigenous health inequities.