Category: Anti-racism work

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Anti-racism work Equity

How do we DOula Advocacy?

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What is Advocacy?

“Advocacy” can describe any efforts or actions to change a policy, system, or institution that is in some way harmful to individuals or communities. It can also describe efforts to affect outcomes that are aligned with the needs or interests of particular individuals, groups, or society.

Current examples of advocacy include the efforts of Indigenous communities to expose the atrocities at residential schools and seek truth and reconciliation from the Canadian government.

In the context of perinatal healthcare, advocacy is usually focused on updating practices and policies that are not evidence-based, changing the scope, compensation, or other labour conditions of a health profession or occupation, or health equity and patient rights issues.

In the context of doula practice, advocacy can operate on three levels: self-advocacy, systemic advocacy, and individual advocacy (Gray & Jackson, 2002, Centre for Excellence in Disabilities).

Advocacy is not without controversy. The line between advocacy and activism is unclear and for many, this has a negative association with confrontation, aggression, and violence (Gray & Jackson, 2002).

For doulas, this controversy has some unique dimensions. One such dimension is that the field is growing, changing, and still seeking legitimization and security within the healthcare system. Another is that the philosophy of doula practice is largely focused on patient empowerment, making the role of systemic and individual advocacy unclear and subjective among doulas.

A 2020 paper by S.S. Yam based on interviews with doulas identified three types of tactics that doulas use to advocate for their clients during labour and delivery. She calls these “soft-advocacy” techniques because they differ from what we usually think of as advocacy. Staff and instructors at Doula Canada agreed they used these strategies and had lots of guidance to offer on exactly how to use them. Their guidance was used to develop the advocacy framework.

The three tactics identified by Yam are 1) creating deliberative space, 2) cultural and knowledge brokering, and 3) physical touch and spatial maneuvers.

Creating deliberative space refers to strategies that give the client more time to ask questions and make decisions. One example of how doulas do this is by noticing that care that deviates from their preferences is about to happen and bringing it to the client’s attention, prompting them to ask about the intervention that is about to happen.

Cultural and knowledge brokering refers to the tactics doulas use to make sure the client understands medical jargon or cultural norms. This could involve paying close attention to the information provided by the medical team, observing how well this is understood by the client, and repeating the information in language that the client uses and understands.

Physical touch and spatial maneuvering refer to the ways we use our bodies and physical contact with the client to advocate for their needs. Examples include using our bodies to conceal the client from view, modelling consent by asking permission each time we touch the client and using our presence to back up the client during interactions.

All of this is to say that doulas are indispensable in helping pregnant persons navigate the daunting, confusing, and sometimes violating process of giving birth. They are especially valuable for birthers who are already predisposed to face disadvantages in our medical system due to racism and sexism.  Although doulas are poised to mend critical disparities in maternal health, they alone cannot fix inequities in the health system. Standing up for the rights of pregnant persons must go beyond the delivery room and extend into other spheres of advocacy related to disproportionate access to housing, lack of nutritious food, deficient public transportation systems, and inadequate sexual education.  Advocacy needs to happen with all levels of policy makers, hospital administration and the general public.

Doula Canada has taken our Advocacy Framework and turned it into an accessible tool for birth workers to practice the skills of advocacy for themselves and their clients. It’s downloadable below.

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][mk_padding_divider][/vc_column][/vc_row][vc_row][vc_column][vc_btn title=”Find the Advocacy Toolkit here ” color=”turquoise” link=”url:https%3A%2F%2Fstefanie-techops.wisdmlabs.net%2Fwp-content%2Fuploads%2F2023%2F03%2Fdtc-advocacy-toolkit-2023-1.pdf|target:_blank”][/vc_column][/vc_row]

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Anti-racism work birth Canada community connection decolonization Equity Health Care intersectionality pregnancy Trauma understanding bias

Why Black Futures Begin with Birth

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Why Black Futures Begin with Birth

Written by Keira Grant  – DTC EDI Lead for Racialized Communities

February is widely known as Black History Month. This term has rubbed me the wrong way since I was a kid, but it took me a while to put my finger on why. The reference to “history” is full of loaded assumptions that are highly convenient to colorblind multiculturalism. It suggests that racism toward Black people is something that happened a long time ago, maybe in a faraway place. Then slavery ended and then there was Black excellence.

Of course, there have always been excellent Black people, but that’s not really how the story goes. The beliefs that made slavery possible for centuries are part of the fabric of society. Even when we are excellent by eurocentric, capitalistic standards, it could still go the way it went for Tyre Nichols.

The violence that brutally ended the life of Tyre and so many others like him flows through all social institutions, not just policing. In countries such as the United States and the United Kingdom where race-based health data is collected, these data show that Black birthers are anywhere from 3 to 4 times more likely to die in childbirth than their white counterparts. Our babies are also at a significantly increased risk of death. This holds true, independent of education and socioeconomic status. The birth stories of celebrities like Beyoncé Knowles, Serena Williams, and Tatiana Ali, (whose story we’ll be discussing at March’s Equity Watch Party), bring these statistics to life.

At this time, many players in the Canadian healthcare system are calling for the collection of disaggregated race-based data. In the US, the collection of these data, and the resultant evidence of disparities has led to increased funding for programs that improve Black maternal health, including a proliferation of programs for accessing a Black doula. It has also supported requirements that health professionals receive training in implicit bias.

It’s been widely reported in the news that Tyre Nichols called out for his mom during the brutal attack that ended his life. Every Black person who dies as a result of structural violence is someone’s baby. When systemic disrespect and harm toward Black birthers and babies is normalized, rationalized, and justified it is the start of a pattern that impacts Black people across the lifespan. Emerging research is actually demonstrating that racial stress accelerates the aging process of Black women.

Creating a circle of love and support around Black birthers and their babies that is honest about what we are up against, and that celebrates our lives and well-being can have a profound impact on how someone’s life starts. It can affect how their life continues by showing them and their families that it is possible to create spaces where Black people are affirmed and nourished.

We talk about equity, diversity, and inclusion in this work all the time. During February, we have additional opportunities for our members to learn and engage in dialog about anti-Black racism and racial health equity in perinatal care. We are using the language Black Futures Month, “a visionary, forward-looking spin on celebrations of Blackness in February”.

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Anti-racism work birth Health Care intersectionality Labour Doula LGBTQ2S+ Postpartum Doula Trauma Uncategorised understanding bias vulnerabiliity

Advocacy at Doula Canada

[vc_row][vc_column][vc_column_text css=”.vc_custom_1669384798061{margin-bottom: 0px !important;}”]Doulas support birthers, babies, and family members during an intimate and emotionally charged experience that often involves many medical twists and turns along the way. For many doula clients, pregnancy and childbirth are among the most complicated experiences with our healthcare system they will have ever had to navigate. We know that birthers need to feel in control of what happens to their bodies and to be making informed choices about their care to create a positive experience and avoid trauma. 

Doulas can change a person’s healthcare experience for the better by supporting their bodily autonomy and informed decision-making. Additionally, we are well placed to notice systemic issues that impact our clients again and again, and to use our knowledge to encourage and support changes.

Learning to engage in this type of advocacy within the scope of the doula’s role, so that our efforts are helpful, is an important aspect of our learning and professional development. To support our students and alumni, Doula Canada has developed an advocacy framework that defines advocacy in the context of doula practice and describes approaches to individual advocacy that are aligned with respect for client autonomy. 

Our framework identifies three categories of advocacy that doulas engage in: systemic advocacy, self-advocacy promotion, and individual advocacy. 

Systemic advocacy is any effort to change, remove, or add a policy or process that affects the lives of birthers, families, babies, or doulas. Examples include lobbying your elected federal representative to change the birth evacuation policy or amplifying social media campaigns that raise awareness regarding perinatal mental illness.

While we don’t usually think of it as such, our work with clients to support them to know the evidence regarding their perinatal circumstances, and ask the right questions of their healthcare providers is a form of advocacy. We encourage them to use their voice and make their conversations more effective because they are armed with information.

Sometimes, especially in the birth room, it might be necessary to advocate for the client in more direct ways. It is important that this individual advocacy does not manifest as speaking for or over the client, or in a manner that could worsen their care or medical situation.

A 2020 paper by S.S. Yam based on interviews with doulas identified three types of tactics that doulas use to advocate for their clients during labour and delivery. She calls these “soft-advocacy” techniques because they differ from what we usually think of as advocacy. Staff and instructors at Doula Canada agreed they used these strategies and had lots of guidance to offer on exactly how to use them. Their guidance was used to develop the advocacy framework. 

The three tactics identified by Yam are 1) creating deliberative space, 2) cultural and knowledge brokering, and 3) physical touch and spatial maneuvers. 

Creating deliberative space refers to strategies that give the client more time to ask questions and make decisions. One example of how doulas do this is by noticing that care that deviates from their preferences is about to happen and bringing it to the client’s attention, prompting them to ask about the intervention that is about to happen.

Cultural and knowledge brokering refer to the tactics doulas use to make sure the client understands medical jargon or cultural norms. This could involve paying close attention to the information provided by the medical team, observing how well this is understood by the client, and repeating the information in language that the client uses and understands.

Physical touch and spatial maneuvering refers to the ways we use our bodies and physical contact with the client to advocate for their needs. Examples include using our bodies to conceal the client from view, modeling consent by asking permission each time we touch the client, and using our presence to back up the client during interactions. 

The complete framework is linked below. It offers more detail on the three types of advocacy and the soft-advocacy strategies. It illustrates these concepts using case studies based on staff and instructor experiences. 

In 2023, Doula Canada will continue its work to support advocacy among its members by developing an advocacy toolkit from the framework and launching an advocacy working group for students and alumni. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][mk_button corner_style=”rounded” size=”large” url=”https://stefanie-techops.wisdmlabs.net/wp-content/uploads/2022/11/advocacy-framework-paper.pdf” align=”center”]Click here to view the full Advocacy Framework document[/mk_button][/vc_column][/vc_row]

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Anti-racism work Canada collaboration community connection decolonization Equity indigenous doula MMIWG Uncategorised understanding bias

Doula Canada’s TRC Action Plan Draft

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Aaniin! Boozhoo!

As most of you know, the 30th of September each year is National Day of Truth and Reconciliation or Orange Shirt Day. The day is used every year to commemorate survivors of residential schools, as well as push for change in the form of allyship and reconciliation between settlers and Indigenous Peoples. But- reconciliation doesn’t begin and end on September 30th. It is something that is a continuous process, every day, for people inhabiting Turtle Island.

This month, Doula Canada is releasing our Truth and Reconciliation Action Plan Draft for students and alumni to check out! Based on the Truth and Reconciliation Commission of Canada’s 94 Calls to Action, our reconciliation plan for 2023 reflects the goals outlined in the recommendations by the commission. You can see the action plan here below.

What does this mean? It means that these four recommendations are what we are working toward in 2023. As we continue our journeys as a vocational school, we will continue to evaluate how we can incorporate more of these goals into our curriculum, programming, and overall community at Doula Canada.

It doesn’t end here. We want to hear from you! An anonymous feedback form for both Indigenous and Non-Indigenous members is available using This Link. (https://docs.google.com/forms/d/e/1FAIpQLSczDwoD1ZmkYI501_8Xv8JaeOkhkEEsQq_rM4K_AywfuUu8Jg/viewform?usp=sf_link)

There will also be a two-hour Indigenous-specific focus group in November led by Inclusion and Engagement Lead for Indigenous Peoples, Kayt Ward. Honorariums will be provided to participants. Please stay tuned for dates and times or email Kayt at kayt@doulatraining.ca if you’re interested in participating.

 

September 30th- How are you reflecting? Staff at Doula Canada will be participating in various learning experiences throughout the day, and we recommend students do the same. Don’t know where to start? Follow our social media to register for events we will be promoting by external organizations, come to one of the following events, or try a journal prompt.

  • Indigenous members pop up Bannock and Tea circle. Topic: Peer Support and Grief. September 30th, from 6-7 pm EST on Zoom.
  • “We Were Children” Film Night and Settler Learning Circle. September 30th from 7-8 pm EST on Zoom.

Journal Prompts:

What can we do as educators and birth workers to decolonize and deconstruct power systems in Canada? How can we dismantle oppression, and create a safe and equitable space for all?

What is my relationship with the land I reside on. Whose land am I standing on?

How can I participate in decolonization and the Landback movement?

How does settler-colonialism impact my life?

Chi Miigwetch,
Kayt Ward, Inclusion and Engagement Lead for Indigenous Peoples[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”461820″ img_size=”full” alignment=”center”][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”461821″ img_size=”full” alignment=”center”][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”461822″ img_size=”full” alignment=”center”][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”461823″ img_size=”full” alignment=”center”][/vc_column][/vc_row]

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Anti-racism work birth Business Canada Childbirth Educator collaboration community connection Equity fear intersectionality Postpartum Doula pregnancy reducing stigma research shame Trauma understanding bias vulnerabiliity

Recognizing Asian Heritage Month and Jewish Heritage Month

[vc_row][vc_column][vc_column_text css=”.vc_custom_1653215730289{margin-bottom: 0px !important;}”]May is Asian Heritage Month and Jewish Heritage Month. It’s a great opportunity to reflect on what we mean by “heritage” regarding the history of these two communities in “multicultural” Canada, and what this means for creating cultural safety in birth work.

I’ve lived in the GTA my whole life. Here, a “heritage festival” typically amounts to a street party with food, live music and dance, and other culture-specific entertainment. I am actually a great lover of a good street fair. The food and performances are usually lit. I have also learned a lot about Jewish and Asian history and culture at events like the Ashkenaz Music Festival and Taste of Asia. I also understand that many communities are not fortunate enough to have this level of exposure to culture and diversity. But these cultural displays are not only far from telling the whole story of the “heritage” of Asian and Jewish people in Canada, but they also contribute to “false peace” – the illusion that multiculturalism is working out, that we are all getting along, and that we are all equal.

In truth, there is anti-Asian racism and anti-Semitism at the core of Canada’s heritage. Those of us who remember “Heritage Minutes” from the 1980s and 90s may know about the lethal exploitation of Chinese migrant workers that occurred in the 19th century to support the construction of the trans-Canada railroad. There are many other examples, including the head tax, and internment camps during WWII. 

Anti-Semitism is equally a part of the fabric of Canada’s history. Wide-spread belief in a Jewish conspiracy to achieve global economic domination that originated in Europe and spread to North America made Jewish Canadians an easy scapegoat during the great depression. Additionally, to limit the economic advancement of Jewish immigrants in the early 20th century, Canadian universities implemented quotas that restricted the number of Jewish applicants who could be admitted to the school.

It’s easy to hear these stories and think “this has nothing to do with me”, “this is ancient history”, “I didn’t do these things”, and “let’s focus on the positive and how far we’ve come”. While these sentiments are understandable, the reality is that the present arises from the past. These uglier parts of our heritage are directly related to more recent attacks on synagogues and the hate crimes experienced by Asian Canadians during the pandemic. 

Moreover, this heritage underpins the modern assumptions that manifest more subtly as microaggressions that affect the day-to-day navigation of society and impact the long-term mental and physical health of equity-seeking people. Some of these stereotypes may seem harmless or even positive. But in reality, they fuel the construction of whiteness as the social norm, put people in boxes, and create false impressions regarding people’s realities.

As birth workers, we can create cultural safety regarding the beautiful and the traumatic aspects of each client’s heritage. We can create space for them to share whether they have any cultural or religious traditions that they would like to honour. And we can also be mindful of things like how common stereotypes about Asian women may influence provider perceptions of client autonomy. Or how the intergenerational trauma of Holocaust survivors may impact pain management. There are a number of ways that our identities can impact our pregnancy and parenting journey. Shining a light on the good, the bad, and the ugly of our heritage sets us up to ask the right questions and facilitate the needed conversations with all of our clients.[/vc_column_text][/vc_column][/vc_row]

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Anti-racism work birth Business Childbirth Educator Equity Health Care Labour Doula LGBTQ2S+ research understanding bias Virtual Webinar

Why Is Evidence-Based Research a Vital Skill for Birthworkers?

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Why Is Evidence-Based Research a Vital Skill for Birthworkers?

[/vc_column_text][vc_separator color=”white”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1645285895328{margin-bottom: 0px !important;}”]The term “evidence-based” gets used a lot more than it gets explained. “Evidence-Based medicine” is a movement within health care practice that started about 30 years ago. It is a shift in approach to relying on the best available research data to support clinical decision making regarding testing, diagnosis and treatment. It differs from the previous practice in medicine and other health professions where teaching was largely apprenticeship-based, and physicians relied on their personal clinical experience to determine patient care plans (Masic et. al., 2008).[/vc_column_text][vc_column_text css=”.vc_custom_1645285507272{margin-bottom: 0px !important;}”]Relying upon scientific evidence to make decisions has the potential to improve patient outcomes because decisions are made based on clinical data that clearly show what happened most of the time when certain choices were made or methods used. It all sounds logical and straightforward, but evidence-based care is actually more challenging to implement than it sounds and it is not without controversy. In reality, evidence-based care happens very inconsistently (Lehane et. al., 2019).[/vc_column_text][vc_column_text css=”.vc_custom_1645286010844{margin-bottom: 0px !important;}”]This is where doulas have the potential to help. There is no organized system whereby new research makes it into the hands of healthcare professionals. There can be quite a lag between new, credible research being published and health care professionals updating their practice to align with it (Lehane et. al. 2019, Soliday and Smith, 2017). It takes physicians an average of 17 years to change their practice in accordance with new research. [/vc_column_text][vc_column_text css=”.vc_custom_1645285541602{margin-bottom: 0px !important;}”]Additionally, while unintentional, an evidence-based approach can be in contradiction with a patient-centred, individualized approach to care. The standard 15 minute medical appointment does not make it feasible to conduct research for each individual. This means that even providers who are staying apprised of new research developments may provide “one-size fits all” care due to resource constraints.[/vc_column_text][vc_column_text css=”.vc_custom_1645285557316{margin-bottom: 0px !important;}”]Institutional policies and legislations are often even slower to change with new evidence. For example, while evidence has been available for quite some time that routine antibiotic eye ointment for newborns is unnecessary, this is still a hospital requirement in many jurisdictions. If providers feel pressured by institutional policy, these interventions are often framed as requirements. From the provider’s perspective that is true, however the patient always has the right to refuse treatment. Often, legislation and institutional policies only change when concerned patients and healthcare providers call for change (Soliday and Smith, 2017).[/vc_column_text][vc_column_text css=”.vc_custom_1645285573376{margin-bottom: 0px !important;}”]Doulas who are skilled at evidence-based research can support clients to gather and interpret credible scientific information that is specific to their unique needs and circumstances. Clients equipped with this information are well-positioned to self-advocate by speaking a language the provider understands (Soliday and Smith, 2017). I know from lived experience as a Queer, Black woman that being an informed and educated healthcare consumer makes for much more empowering healthcare experiences.[/vc_column_text][vc_separator color=”white”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1645286312153{margin-bottom: 0px !important;}”]On February 24 at 6 PM EST, I am hosting a webinar on conducting evidence-based research in birthwork. The webinar will focus on preparing a strong literature review for perinatal informational support. A literature review refers to the process of compiling and synthesizing all of the current and relevant scientific information that is available on a topic. Analysis involves assessing the quality of each source and summarizing the complete body of literature. [/vc_column_text][vc_column_text css=”.vc_custom_1645285639985{margin-bottom: 0px !important;}”]During this session, we will discuss what exactly is “evidence”. We’ll go over the different types of health research evidence that exists, as well as how to determine which sources are credible, and how different sources can vary in quality. Participants will also learn about the different types of bias that can crop up in how we search for and analyze information, as well as how to spot and reduce bias in their own research.[/vc_column_text][vc_column_text css=”.vc_custom_1645285655944{margin-bottom: 0px !important;}”]Using real scenarios provided by DTC members and webinar attendees, we’ll walk through how to turn a client concern into an unbiased research question and find a solid answer that supports your client to make informed decisions and have confident discussions with their healthcare team. [/vc_column_text][vc_column_text css=”.vc_custom_1645285674079{margin-bottom: 0px !important;}”]My approach to research draws from a mix of my graduate education in health services research, professional experiences in policy and healthcare research and my lived experiences as a Queer, racialized healthcare user. I am very excited to share knowledge and grow with those who can attend![/vc_column_text][vc_btn title=”Register here for our RESEARCH SKILLS FOR BIRTH WORKERS Webinar” color=”mulled-wine” align=”center” link=”url:https%3A%2F%2Fstefanie-techops.wisdmlabs.net%2Ftraining%2Fresearch-skills-for-birth-workers-webinar%2F|||”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1645285701619{margin-bottom: 0px !important;}”]Citations

Lehane, E., Leahy-Warren, P., O’Riordan, C., Savage, E., Drennan, J., O’Tuathaigh, C., O’Connor, M., Corrigan, M., Burke, F., Hayes, M., Lynch, H., Sahm, L., Heffernan, E., O’Keeffe, E., Blake, C., Horgan, F., & Hegarty, J. (2019). Evidence-based practice education for healthcare professions: An expert view. BMJ Evidence-Based Medicine, 24(3), 103–108. https://doi.org/10.1136/bmjebm-2018-111019

Masic, I., Miokovic, M., & Muhamedagic, B. (2008). Evidence Based Medicine – New Approaches and Challenges. Acta Informatica Medica, 16(4), 219–225. https://doi.org/10.5455/aim.2008.16.219-225

Soliday, E., & Smith, S. R. (2017). Teaching University Students About Evidence-Based Perinatal Care: Effects on Learning and Future Care Preferences. The Journal of Perinatal Education, 26(3), 144–153. https://doi.org/10.1891/1058-1243.26.3.144[/vc_column_text][/vc_column][/vc_row]

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Anti-racism work Canada community connection decolonization Equity indigenous doula intersectionality MMIWG national indigenous peoples day Trauma understanding bias

National Day for Truth and Reconciliation

[vc_row][vc_column][vc_column_text css=”.vc_custom_1632997516706{margin-bottom: 0px !important;}”]September 30th is now National Day for Truth and Reconciliation. So what does this mean? How does it relate to doula care and birth work?

The National Day for Truth and Reconciliation comes after decades of emotional labour and advocacy from Indigenous communities, as well as a year of grieving Indigenous children and investigating the tragedies of the residential school system. Not only did Indigenous families experience the horrors of this system, but many others as well, such as the epidemic of Missing and Murdered Indigenous Women and Girls (MMIWG), the 60’s scoop, and current extraction of environmental resources.

This is not history. This is happening now. Something needs to change.

Why are we asking members to reflect today? Besides being citizens on Indigenous lands, birth and postpartum workers interact directly with Indigenous families, and play an integral role in mitigating systemic oppression and intergenerational trauma.

For example:

  • Providing culturally sensitive care and awareness when working with Indigenous families
  • Providing trauma-informed care for those impacted by violence and adult child survivors of the child protection system
  • Creating space for cultural birthing practices
  • Advocating against racialized medical violence

Getting comfortable with truth and reconciliation requires a lot of discomfort. This is okay. It is only when we face our shortcomings head on that we can progress toward change. We welcome you to reflect on some questions today.

Reflection Questions for Doulas:

  • How have I benefited from capitalism, colonialism, and extraction of resources?
  • How have I upheld colonial norms that can potentially cause harm?
  • What did I learn growing up about the history of Canada and Indigenous Peoples?

When we can acknowledge we are a product of wider system indoctrinations like white supremacy, colonialism, etc. we can separate our character from the issues at hand. Good people can do harm. Good people are capable of racism, classism, and perpetuating colonial norms. Shame restricts us from moving forward.

In an effort to show this to you, here is mine. As an Indigenous person, I am still capable of perpetrating colonial harm.

  1. I benefited from colonial post-secondary institutions and obtaining a western education
  2. I have upheld colonial norms in the social work field as a mandated reporter
  3. I learned in elementary school that Canada obtained the land fairly and through agreement with Indigenous Peoples. Since then, I have done a degree in Indigenous Studies and learned about the tragedies of colonialism.

Don’t know where to start? Dr. Lynne Davis of Trent University and her class “Transforming Settler Relations” have compiled a database of Canadian initiatives that support allyship, education, and decolonization. Find an initiative here: https://transformingrelations.wordpress.com/

You can take action today by signing up for our trauma series this fall. The workshop “Intergenerational Trauma: The Doula Connection” on October 28 from 7-8:30pm EST will focus primarily on working with Indigenous families impacted by trauma and systemic oppression. All proceeds will go to The Indigenous Foundation.

To any Indigenous and non-Indigenous doulas who have questions, need support, or would like to chat about truth and reconciliation, please contact Kayt at kayt@doulatraining.ca

Miigwetch,
Kayt Ward (She/Her)
Indigenous Inclusion and Engagement Lead, BSW[/vc_column_text][/vc_column][/vc_row]

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Anti-racism work Business Equity intersectionality LGBTQ2S+ Members understanding bias

Applying an Equity, Diversity, and Inclusion Lens to our Curricula

[vc_row][vc_column][vc_column_text css=”.vc_custom_1626172064269{margin-bottom: 0px !important;}”]In Fall 2020, Doula Canada circulated a survey that was looking to hear specifically from members self-identified as belonging to equity-seeking groups such as, but not limited to, Indigenous, Black, racialized, immigrants or newcomers, LGBTQ2S+, and/or disabled peoples. We really wanted to hear directly from members about their experiences, learn from them, and listen for ways that they felt that we could do better. Something that came up repeatedly was the gaps in our curriculum materials that resulted in members feeling excluded – things like gendered language, white dominant images, only heteronormative references, limited or inappropriate cultural references, and more. We were feeling this too and it was powerful to hear it echoed back at us!

We certainly see that, historically, the primary narrative in education and training in the perinatal field (especially in Canada) centers and reflects persons and experiences characterized in the following ways: white (including white/light skin tones and hair that tends towards long, blonde/brown and straight/wavy), in a heterosexual and racially homogenous couple, able-bodied, thin, 30-something, with pregnancy intentional and resulting from sexual intercourse between a cisgender woman and man. This narrative has been applied to both doula clients and doulas themselves. It is seen in images, language, resources and references, and focus of discussions. This narrative leaves so many valued people and groups OUT.

In late 2020, we took deeper action to change this narrative in our own house by initiating the development of a robust Curriculum Checklist that is built around an intentional integration of an equity, diversity, and inclusion (EDI) lens in curriculum materials (oral and written). Yes, a checklist sounds like it could be ugh when it comes to EDI work  – like a token action that gets people off the hook from doing any deeper, transformational work. We thought about that! Our Curriculum Checklist is for internal and external course developers and instructors who work with Doula Canada. It pushes them to reflect on how people who differ from the primary narrative are excluded and ignored, or, are mentioned and described in ways that present them as out of the ordinary. The Checklist means that dominant biases get reduced or removed from our curriculum through an intentional and guided change in language, images, references, and resources. The Checklist is also part of our Equity, Diversity and Inclusion (EDI) Action Plan (that we will officially launch soon). 

We have just started to test out the Checklist in practice. We will watch the results and take action as required. We see it as a living document that will be continuously refined and improved. Right now, it largely focuses on sexual orientation, gender identity, race, and culture as areas where the dominant narrative is exclusionary. We have started adding more on intentional inclusion of Indigenous Peoples and disabled people.

Wondering what it looks like? Here are a few snippets![/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”377355″ img_size=”full”][/vc_column][/vc_row]

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Anti-racism work Canada community decolonization Equity indigenous doula Trauma Uncategorised

215.

[vc_row][vc_column][vc_column_text css=”.vc_custom_1622592235107{margin-bottom: 0px !important;}”]We acknowledge and honour the 215 children whose unmarked graves were found at Kamloops Indian Residential School last week. Their deaths, as well as their short lives as residential school victims, are acts of terrible violence.

These 215 children represent only a small fraction of those who have lost their language, culture, families, and lives to the residential school system in Canada and the residential school system is only one element of ongoing colonialism and cultural genocide in Canada.

As birth workers, and as Doula Canada, it is our responsibility to name and resist the ways in which colonialism and cultural genocide show up in our work: in the practice of birth alerts; in the overrepresentation of Indigenous children in child welfare systems; in the erasure, dismissal, and coopting of Indigenous birth practices; in the systemic oppression present in healthcare settings; in the ongoing violence perpetuated against Indigenous children and families; in intergenerational trauma that this has caused. As Doula Canada, we are holding ourselves accountable for how these show up in our curriculum, teaching, and engagement with members. This work is imperfect, ongoing, and necessary.

We send our love and rage to our Indigenous members, colleagues, friends, clients, and families. We are so very sorry for your children.

[/vc_column_text][vc_separator color=”white”][vc_column_text css=”.vc_custom_1622592102485{margin-bottom: 0px !important;}”]Resources:

Indian Residential School Survivors Society: https://www.irsss.ca/

Plain Talk Residential Schools Guide, Assembly of First Nations: https://education.afn.ca/afntoolkit/learning-module/residential-schools/

Tk’emlúps te Secwe̓pemc (Kamloops Indian Band) Office of the Chief May 27, 2021 Press Release: https://tkemlups.ca/wp-content/uploads/05-May-27-2021-TteS-MEDIA-RELEASE.pdf

Truth and Reconciliation Commission Findings and Calls to Action: http://www.trc.ca/about-us/trc-findings.html

Truth and Reconciliation Commission Missing Children Project: http://www.trc.ca/events-and-projects/missing-children-project.html

Canada’s Residential Schools: Missing Children and Unmarked Burials: The Final Report of the Truth and Reconciliation Commission of Canada, Volume 4 (available for purchase in English and French):

https://www.mqup.ca/canada—s-residential-schools–missing-children-and-unmarked-burials-products-9780773546578.php

https://www.mqup.ca/pensionnats-du-canada—enfants-disparus-et-lieux-de-s–pulture-non-marqu–s-products-9780773546677.php?page_id=118863&

CBC Docs: My auntie survived residential school. I need to gather her stories before she’s gone.:
https://www.youtube.com/watch?v=ToUVHjr1xK0

A national Indian Residential School Crisis Line has been set up to provide support for former students and those affected. People can access emotional and crisis referral services by calling the 24-hour national crisis line:

1-866-925-4419

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Categories
Anti-racism work decolonization Equity intersectionality Members understanding bias

Update: Equity, Diversity, & Inclusion Work at Doula Canada (2020-2021)

[vc_row][vc_column][vc_column_text css=”.vc_custom_1614781526791{margin-bottom: 0px !important;}”]Thank you for visiting!

In this message, we are outlining the equity, diversity, and inclusion work that Doula Canada, with the guidance of its two Inclusion and Engagement Leads, began in 2020 and will continue to develop, update, and amend as a part of our learning and engagement on these topics and their relation to birth work.  This message will also outline our response to recent feedback, and the actionable steps that we are currently working on.  This process will take time, and we are committed to the important conversations and changes in the days, weeks, and months to come.  

The following work was done prior to the current events that Doula Canada is experiencing and were in no way a reaction to these recent conversations:

 – The hiring of two Inclusion and Engagement Leads for Doula Canada
[Applications were accepted between November 2019 and June 2020]
 [Interviews:  April-June 2020, Positions began: June 2020]

  • Creation and distribution of Equity & Inclusion Climate survey for all Doula Canada members who self-identified as members of equity-seeking groups, including but not limited to, members who identify as Indigenous, Black, racialized, a person of colour, LGBTQ2S+, disabled, and/or living in poverty. The survey was sent to full Doula Canada membership.
    [Survey sent: September 4th, 2020] 
  • Analysis of survey answers (Oct/Nov 2020) and meeting with full Doula Canada staff to review and discuss next steps for support and learning
    [Survey reviewed with staff:  November 24th, 2020] 
  • Drafting Doula Canada Equity & Inclusion Action Plan.  The overall goal of this plan is to embed equity, diversity, and inclusion, over the next few years, in all aspects of our work, from our organizational policies and practices to our daily work as staff and instructors.It emphasizes action, accountability, and meaningful engagement.
    [Draft started: November 11, 2020
    [Estimated completion: July 1 2021 ]
    For further information or discussion please contact monika@doulatraining.ca and anna@doulatraining.ca 
  • The initial draft of EDI Curriculum Checklist.  This checklist is an internal document that has been developed to support integrating an equity, diversity, and inclusion lens into curricula that is delivered on behalf of or in collaboration with Doula Canada. It will be utilized in all course audits and in the development of new materials.
    [ start date: November 11th, 2020]
    [Status: Sent for review/feedback from DTC team, including instructors, February 2021] 
  • An initial audit of labour doula, postpartum doula, menopause doula, fertility doula, triple stream, and dual stream curriculum for inclusive language, representative images, removal of incorrect or derogatory terms, and updating of statistics. 
    [Start date:  August 9th, 2020
    [End date: December 2020; now in the second audit with external advisors with July 1, 2021 expected completion date] 
  • Contacts made to set up training for instructors and staff in topics of anti-racism and anti-oppression training.  We are in communication with external facilitators to host training for all staff and instructors.
    [Communication date:  June 5th 2020, follow up in September 2020 and January 2021] 
  • Creation and addition of an introductory module about Anti-racism, Anti-Oppression, and Knowing Your Privilege in birth work.  This module was added to all primary Doula Canada programs by the end of December 2020.
    [Start date: September 21, 2020]
    [End date: December 2, 2020]

 

The following actions were taking between February 16th, 2021 and March 1st, 2021 in response to community and member feedback:

  • Communication via email to individual persons who felt harmed by the actions or  decisions of DTC staff or administration
    [Communication date:  February 16, 2021-February 19th, 2021] 
  • Hiring of consultants who work in equity, anti-racism, and anti-oppression capacities to discuss communication and how to move forward for the betterment of all persons
    [February 19th, 2021] 
  • A pause of all DTC social media accounts, to reflect and plan better engagement
    [February 19, 2021] 
  • Removal of instructional materials about rebozo teachings and other culturally specific practices from our learning materials.
    [February 22, 2021] 
  • Town Hall for persons who have access to DTC learning materials
    [February 24, 2021] 
  • Reallocation of anti-oppression, anti-racism, and privilege module to an earlier place in the online module system, based on feedback from the town hall.
    [February 25, 2021] 
  • Meetings with potential moderator/s for social media, who have anti-racism and anti-oppression experience.
    [February 19, 2021, ongoing until person is hired for role] 
  • Preparation of communication for stakeholders, members, and staff
    [Ongoing]

The following are deliverables that Doula Canada will continue working towards and will continue to reassess throughout 2021.  These plans may take time and will be done with respect and acknowledgment of our members voices and needs:

  • Hiring of instructors who are BIPOC, 2SLGBTQ, or members of other equity-seeking groups whose materials and instruction practices do not represent the white, heterocissexist history of modern birth work. 
  • Learning for our staff and administrators with qualified and compensated trainers on topics related to anti-racism, anti-oppression, and privilege. 
  • Review and implementation of the curriculum checklist 
  • Next steps in the development of the Equity and Inclusion Action Plan draft, including staff review and member engagement (via a small advisory committee and general membership survey), followed by implementation 
  • A restructuring of staff and management to ensure communication with our members is open, ongoing and thorough. 
  • The formation of a DTC customer counsel (member council) 
  • Regular feedback forms and town halls to hear concerns and feedback from registered members. 
  • Reassessment of our equity-seeking scholarship application  
  • Active recruitment of external course instructors who can offer instruction and/or materials on topics related to birth work and social justice, equity, anti-oppression, privilege, implicit bias and other topics of importance to members (as shared through ongoing feedback, communication, and engagement)

We thank you for your feedback and encourage you to continue reaching out via email or phone.  Persons who have chosen to take learning with DTC can also provide feedback via the anonymous Feedback Form under the 2021 MEMBER RESOURCES tab in their personal login.  Your feedback assists our staff in updating learning materials, creating new systems for engagement, and knowing what DTC needs to do to support its members.

Questions about the Equity, Diversity, and Inclusion work or recent events can be sent to info@doulatraining.ca.  Your message will be forwarded to the appropriate staff member. 

All communication is electronically kept on file with DTC (from 2016 onwards).

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