It is imperative that access to primary health care services is equitable as health care practitioners are often the first responders to women who experience violence. This is of particular importance for First Nations women who disproportionately experience interpersonal and structural violence when compared to non-First Nations women, as well as the ongoing impact of colonization, racism, and intergenerational trauma. To understand how primary health care services can provide equitable and effective care for First Nations women, we explored how trauma and violence informed care is integrated in primary health care settings through the lens of an equity-oriented framework. A systematic search of electronic databases included Medline (via Ovid), Scopus, Informit, and PubMed and grey literature. Six studies were included in the review and we undertook a narrative synthesis using the equity-oriented framework to draw together the intersection of trauma and violence informed care with culturally safe and contextually tailored care. This review demonstrates how equity-oriented primary health care settings respond to the complex and multiple forms of violence and intergenerational trauma experienced by First Nations women and thus mitigate shame and stigma to encourage disclosure and help seeking. Key attributes include responding to women’s individual contexts by centering family, engaging elders, encouraging community ownership, which is driven by a culturally competent workforce that builds trust, reduces retraumatization, and respects confidentiality. This review highlights the importance of strengthening and supporting the workforce, as well as embedding cultural safety within intersectoral partnerships and ensuring adequate resourcing and sustainability of initiatives.

必须公平地获得初级卫生保健服务，因为卫生保健从业人员通常是遭受暴力的妇女的第一反应者。与非原住民妇女相比，这对于遭受人际和结构性暴力的原住民妇女以及殖民化、种族主义和代际创伤的持续影响尤为重要。为了了解初级卫生保健服务如何为原住民妇女提供公平有效的护理，我们探讨了如何通过面向公平的框架将创伤和暴力知情护理整合到初级卫生保健环境中。对电子数据库的系统搜索包括 Medline（通过 Ovid）、Scopus、Informit 和 PubMed 以及灰色文献。审查中纳入了六项研究，我们使用以公平为导向的框架进行了叙述性综合，将创伤和暴力知情护理与文化安全和情境定制护理的交叉点结合在一起。这篇综述展示了以公平为导向的初级卫生保健机构如何应对第一民族妇女所经历的复杂和多种形式的暴力和代际创伤，从而减轻羞耻感和耻辱感，从而鼓励披露和寻求帮助。关键属性包括通过以家庭为中心、让长者参与、鼓励社区所有权来应对女性的个人情况，这是由具有文化能力的劳动力推动的，这些劳动力可以建立信任、减少再创伤并尊重保密性。本次审查强调了加强和支持劳动力的重要性，