Research | Forskning - peer review

Parents’ perspectives on the role of kin in child-rearing: a qualitative study on Greenland’s universal parenting programme MANU

Nurturing care and protection from parents and community in the early years of life are fundamental for a child's development. The article aims to explore what relations parents see as meaningful in their child's upbringing and how these are shaped, and how these perspectives are reflected in MANU.… Nurturing care and protection from parents and community in the early years of life are fundamental for a child's development. The article aims to explore what relations parents see as meaningful in their child's upbringing and how these are shaped, and how these perspectives are reflected in MANU. MANU is a universal parenting programme in Greenland. Ten of 40 interviews with parents were selected for the analysis of this article's objective. Five grandparents were interviewed. Grandparents are the child's closest extended family members and provide support to parents. Parents placed between one to 19 extended family members in their child's network. Eating and being in nature together, along with familial and intergenerational connectedness, were deemed valuable and important aspects in child-rearing. Parents? own experiences in childhood can influence and complicate how parents place their new family within the extended family. The MANU materials address aspects in the role of kin that parents and grandparents described in interviews. The format and delivery of MANU aims to be universal and mostly addresses Western epistemologies, but both Western and Inuit epistemologies coexists in Greenland. This article creates a window into the existing context parents navigate in. It is important that initiatives are built within this context to ensure they are relevant to families. Atuaruk

Communication | Formidling

Center for folkesundhed i Grønland har brugt Sharing Circles som metode ved to forskellige projekter, i henholdsvis 2019 og 2020. Ved det første projekt ”Brugernes oplevelse af det Grønlandske sundhedsvæsen” indgik fokusgruppeinterviews oprindeligt i det kvalitative undersøgelsesdesign. Men da under… Center for folkesundhed i Grønland har brugt Sharing Circles som metode ved to forskellige projekter, i henholdsvis 2019 og 2020. Ved det første projekt ”Brugernes oplevelse af det Grønlandske sundhedsvæsen” indgik fokusgruppeinterviews oprindeligt i det kvalitative undersøgelsesdesign. Men da undersøgelsen om brugeres oplevelser af sundhedsvæsenet Olesen et al. (2020) havde fokus på folks oplevelser og perspektiver, både gode og dårlige, forekom det vigtigt at skabe en kulturelt tryg og sproglig inkluderende situation for deltagerne, samt have forståelse for en kulturelt forankret opfattelse af sundhed. Formålet med denne håndbog er at beskrive hvordan vi i de nævnte forskningsprojekter har anvendt Sharing Circles som metode i håb om at kunne inspirere andre til at anvende metoden i fremtidige forskningsprojekter i Grønland. Derudover beskrives erfaringer og observationer fra de to undersøgelser. Denne håndbog vil forhåbentlig kunne inspirere, vejlede og understøtte studerende og forskere i deres arbejde med sundhedsfaglige- og sociale aspekter i dialog med den grønlandske befolkning. Atuaruk

Communication | Formidling

Innuttaasut Peqqissusiannik Ilisimatusarfiup 2019-imi aamma 2020-mi suliniutini assigiinngitsuni marlunni Sharing Circles (kingorna Immersoqatigiiffiusumik isummersoqatigiinnermik taagorneqartoq) periutsitut atorpaa. Suliniummi siullermi ”Kalaallit Nunaanni peqqinnissaqarfik atuisut isaannit isigalu… Innuttaasut Peqqissusiannik Ilisimatusarfiup 2019-imi aamma 2020-mi suliniutini assigiinngitsuni marlunni Sharing Circles (kingorna Immersoqatigiiffiusumik isummersoqatigiinnermik taagorneqartoq) periutsitut atorpaa. Suliniummi siullermi ”Kalaallit Nunaanni peqqinnissaqarfik atuisut isaannit isigalugu”-mi misissuiffigineqartunik itisiliilluni apersuineq misissuinerup ilusaanut ilaaqqaarpoq. Peqqinnissaqarfimmilli atuisut misilittagaannik misissuinermi, Olesen et al., (2020), inuit misilittagaat, ajunngitsut pitsaanngitsullu, aamma isiginninnerat qitiutinneqarmata pingaarutilittut isigineqarpoq kulturikkut oqaatsitigullu toqqissisimanartumik akuutitsiffiusumillu tunngaveqarnissaq, kiisalu kulturikkut aallaavilimmik peqqinnermik paasinninnermik paasinninnissaq. Najoqqutassiornermi matumani siunertarineqartoq tassaavoq ilisimatusaatigalugu misissuinerni taaneqartuni Immersoqatigiiffiusumik isummersoqatigiinneq periutsitut qanoq atorsimaneripput nassuiassallugu, Kalaallit Nunaanni siunissami ilisimatuussutsikkut misissuinernut periutsip atorneqarnissaanik isumassarsisitsisimassalluta neriuutigalugu. Tamatuma saniatigut misissuinerni taakkunani marlunni misilittakkat takusallu nassuiarneqarput. Neriuppugut najoqqutaq una ilinniartut aamma ilisimatusartut inuiaqatigiit kalaallit oqaloqatigalugit peqqissutsikkut- aamma inooqataanikkut tunngasuni suliaqarnerminni isumassarsiffigalugulu, ilitsersuutigalugulu iluaqutigisinnaassagaat. Atuaruk

Research | Forskning - peer review

Parents’ perspectives on preparing for parenthood: a qualitative study on Greenland’s universal parenting programme MANU 0–1 year

Background: The transition to parenthood has received increasing attention in research, partly due to evidence pointing out the crucial developmental period of a child’s first thousand days. Parenting programmes aim to prepare and support families in their transition and distress. For a programme to… Background: The transition to parenthood has received increasing attention in research, partly due to evidence pointing out the crucial developmental period of a child’s first thousand days. Parenting programmes aim to prepare and support families in their transition and distress. For a programme to be implemented successfully it is important to consider parents’ needs and resources. Bringing parents’ perspectives and experiences to the forefront of the implementation of the Greenlandic parenting programme MANU 0–1 Year (MANU) is important for determining if the programme can meet its aim of contributing to thriving families. This study aims to investigate how parents’ notions and experiences of parenthood are reflected and challenged in MANU. Method: Data were collected in three of Greenland’s five municipalities. Qualitative interviews were held with 38 mothers and 12 fathers either individually or as couples: a total of 40 interviews. Additionally, a Sharing Circle with three fathers was held. Interviews were in Greenlandic or Danish. A thematic, inductive analysis was applied. Results: In their transition to parenthood, participants experienced a reprioritisation of their life and changes in their network. It is important to parents that their child experiences security and care, and participants describe this in contrast to their own childhood. Community is the most important value in child‑rearing. Conversations and advice from family members and friends are mentioned as a means to prepare for birth and parenthood. Additionally, conversations with midwives and MANU sessions were also used for preparation. Parents appreciated learning from and listening to other parents in MANU sessions. However, accessing MANU depends on the individual parent’s interest and ability to attend sessions. Conclusions: Parents’ notions and experiences of parenthood are addressed in the programme, but the use of MANU depends on the parents’ attendance and how it is organised and locally offered. The study suggests that MANU has the possibility to create a space for parents to reflect and prepare. However, for MANU to be universal as intended and to reach both mother and father the facilitation of sessions could be revisited. Atuaruk

Research | Forskning - peer review

Since 1993, regular population health surveys in Greenland have supported and monitored the public health strategy of Greenland and have monitored cardiometabolic and lung diseases. The most recent of these surveys included 2539 persons aged 15+ from 20 communities spread over the whole country. The… Since 1993, regular population health surveys in Greenland have supported and monitored the public health strategy of Greenland and have monitored cardiometabolic and lung diseases. The most recent of these surveys included 2539 persons aged 15+ from 20 communities spread over the whole country. The survey instruments included personal interviews, self-administered questionnaires, blood sampling, anthropometric measurements, blood pressure, ECG, oral glucose test, pulmonary function, hand grip strength and chair stand test. Blood samples were analysed for glucose, glycated haemoglobin (HbA1c), insulin, incretin hormones, cholesterol, kidney function, fatty acids in erythrocyte membranes and mercury, urine for albumin-creatinine ratio, and aliquots were stored at −80°C for future use. Data were furthermore collected for studies of the gut microbiome and diabetes complications. Survey participants were followed up with register data. The potential of the study is to contribute to the continued monitoring of risk factors and health conditions as part of Greenland’s public health strategy and to study the epidemiology of cardiometabolic diseases and other chronic diseases and behavioural risk factors. The next population health survey is planned for 2024. The emphasis of the article is on the methods of the study and results will be presented in other publications. Atuaruk

Research | Forskning

Brugernes oplevelse af det grønlandske sundhedsvæsen: En pilotundersøgelse

Center for Folkesundhed i Grønland har i sommeren 2019 gennemført en kvalitativ pilotundersøgelse, der har undersøgt borgernes oplevelse af det grønlandske sundhedsvæsen. Formålet med undersøgelsen har været at give et indblik i, hvordan adgangen til sundhedsvæsenet opleves af borgerne, og hvad der… Center for Folkesundhed i Grønland har i sommeren 2019 gennemført en kvalitativ pilotundersøgelse, der har undersøgt borgernes oplevelse af det grønlandske sundhedsvæsen. Formålet med undersøgelsen har været at give et indblik i, hvordan adgangen til sundhedsvæsenet opleves af borgerne, og hvad der er vigtigt for borgerne, når de møder sundhedsvæsenet som brugere. Dermed giver undersøgelsen os et vigtigt grundlag for at arbejde videre med udviklingen af et langsigtet og nationalt design for øget brugerinddragelse og brugerevaluering i det grønlandske sundhedsvæsen - et grundlag, der tager udgangspunkt i borgernes egne perspektiver, og som er kulturel relevant. Atuaruk

Research | Forskning - peer review

Befolkningsundersøgelsen i Grønland 2018. Levevilkår, livsstil og helbred - Oversigt over indikatorer for folkesundheden

Befolkningsundersøgelsen i 2018 er den seneste i en række af fem landsdækkende sundhedsundersøgelser, der er gennemført siden 1993. Befolkningsundersøgelsen i 2018 omfatter 19 af de 38 indikatorer for folkesundheden i Grønland relateret til de indsatsområder som er beskrevet i folkesundhedsprogramme… Befolkningsundersøgelsen i 2018 er den seneste i en række af fem landsdækkende sundhedsundersøgelser, der er gennemført siden 1993. Befolkningsundersøgelsen i 2018 omfatter 19 af de 38 indikatorer for folkesundheden i Grønland relateret til de indsatsområder som er beskrevet i folkesundhedsprogrammet Inuuneritta II. Disse dækker over befolkningens brug af alkohol og hash, rygevaner, kostmønstre og fysisk aktivitet samt en række forhold i opvæksten med betydning for helbredet langt ind i voksenlivet. Undersøgelsen handler i høj grad også om mental sundhed og trivsel, og der er som noget nyt et særligt fokus på unge og ældre. Atuaruk