{"id":1205,"date":"2026-03-23T20:11:32","date_gmt":"2026-03-23T20:11:32","guid":{"rendered":"https:\/\/observatoire.sdesj.org\/?page_id=1205"},"modified":"2026-05-01T19:48:05","modified_gmt":"2026-05-01T19:48:05","slug":"health-ss","status":"publish","type":"page","link":"https:\/\/observatoire.sdesj.org\/en\/health-ss\/","title":{"rendered":"Health and Social Services"},"content":{"rendered":"
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tHealth and Social Services Theme\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t
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Towards more accessible, equitable and humane health and social services\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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People from Black communities in Canada and Quebec face significant challenges in the health and social services sector. These realities reflect structural inequalities and systemic discrimination, particularly in access to care, the quality of support, and health outcomes.<\/p>

These issues are not limited to individual journeys. They are part of broader mechanisms related to representation, biases, accessibility of services, trust in institutions, and the capacity of systems to adequately respond to lived needs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tUnderstanding the issues<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tExplore the levers for action<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tObservation\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tWhy this topic is essential\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Health and social services directly influence well-being, prevention, safety, quality of life and the ability of people to obtain support tailored to their needs.<\/p>

When certain communities encounter more barriers in accessing care, in their relationship with institutions, or in the recognition of their realities, inequalities can worsen and produce lasting effects.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\tPromote more equitable access to care, services and support resources.\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\tStrengthening the quality of the relationship with institutions and professionals.\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\tReduce treatment gaps and improve long-term health outcomes.\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Major challenges<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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The realities that hinder fully equitable healthcare and support pathways<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Black people continue to face barriers that affect access to care, quality of support, institutional trust, and sustainable improvement in health.<\/p><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tBarriers to access to healthcare\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tSome Black people face greater barriers to accessing timely care, clear information, appropriate support, or ongoing services.\n\n\n\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tExperiences of discrimination and bias\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tImplicit biases or negative experiences in the care pathway can impair the quality of care and affect trust in the system.\n\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tUnequal health outcomes\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tStructural inequalities can contribute to gaps in prevention, diagnosis, monitoring and health outcomes.\n\n\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tInadequate institutional response\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tSocial and health services do not always sufficiently take into account the cultural, social and systemic realities experienced by Black communities.\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Structural perspective\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Health inequalities rooted in structural mechanisms\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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The challenges observed in the health and social services sector cannot be explained solely by individual behaviors or isolated situations. They are part of broader dynamics related to access to resources, the social determinants of health, representation, systemic biases, and the very organization of services.<\/p>

Reducing these gaps requires concrete responses regarding accessibility, listening, training, quality of pathways, prevention, data collection and adaptation of practices.<\/p>

This recognition promotes a more just society, richer symbolically and more representative of the real diversity of experiences that make it up.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tKey points to remember\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tA more equitable approach to health is not just about offering the same services to everyone, but about creating real conditions for access, trust and quality of care.\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Areas of intervention\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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Concrete levers to advance equity in health and social services\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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To advance equity in health and social services, several levers must be activated in a complementary manner, based on access, quality, prevention, listening and trust.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tImproved access to care and services\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tReduce the barriers that limit rapid, continuous and understandable access to health and support resources.\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tTraining and transformation of practices\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tStrengthen skills in fairness, bias, listening and adapting services.\n\n\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tApproaches centered on lived needs\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tBetter consideration of social, cultural and systemic realities in care and support pathways.\n\n\n\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tHealth prevention and promotion\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tDevelop more targeted actions in the areas of prevention, information and well-being.\n\n\n\n\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tRepresentation and institutional trust\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tPromote better representation and more credible relationships between institutions, professionals and communities.\n\n\n\n\n\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tParticipation of the people concerned\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tInvolve Black communities in defining priorities, improving services, and evaluating programs.\n\n\n\n\n\n\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Expected effects\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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What a fairer system can transform\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Coherent action on access, quality of pathways, prevention and adaptation of practices can produce lasting effects on well-being, confidence and health outcomes.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tBetter adapted care pathways\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tPeople who are better supported, better informed and better assisted in their endeavors.\n\n\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tIncreased confidence\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tStronger relationships with institutions and a better quality of service experience.\n\n\n\n\n\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tSustainable well-being\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tConditions that are more favorable to prevention, treatment and improved health outcomes.\n\n\n\n\n\n\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Discover our research work<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Explore our publications, studies and reports to better understand the realities of Black communities in Quebec.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tSee our publications<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tBack to the Observatory<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Th\u00e9matique Sant\u00e9 et Services sociaux Vers une sant\u00e9 et des services sociaux plus accessibles, plus \u00e9quitables et plus humains Les personnes issues des communaut\u00e9s noires au Canada et au Qu\u00e9bec rencontrent des d\u00e9fis significatifs dans le secteur de la sant\u00e9 et des services sociaux. Ces r\u00e9alit\u00e9s refl\u00e8tent des in\u00e9galit\u00e9s structurelles et des discriminations syst\u00e9miques qui […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1205","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/observatoire.sdesj.org\/en\/wp-json\/wp\/v2\/pages\/1205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/observatoire.sdesj.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/observatoire.sdesj.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/observatoire.sdesj.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/observatoire.sdesj.org\/en\/wp-json\/wp\/v2\/comments?post=1205"}],"version-history":[{"count":37,"href":"https:\/\/observatoire.sdesj.org\/en\/wp-json\/wp\/v2\/pages\/1205\/revisions"}],"predecessor-version":[{"id":2448,"href":"https:\/\/observatoire.sdesj.org\/en\/wp-json\/wp\/v2\/pages\/1205\/revisions\/2448"}],"wp:attachment":[{"href":"https:\/\/observatoire.sdesj.org\/en\/wp-json\/wp\/v2\/media?parent=1205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}