Building community involvement in cross-cultural Indigenous health programs

Samantha Hurst · Philip R. Nader

37 citations0/0 files storedInternational Journal for Quality in Health Care

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Indigenous Health, Education, and Rights Indigenous Cultures and History Cultural Competency in Health Care

Abstract

OBJECTIVE: To gain preliminary knowledge about issues identified by Native health investigators who would encourage greater community involvement in Indigenous health programs and research in Canada, Pacific Rim, and the United States. DESIGN: A pilot/feasibility study, August 2001-April 2002. SETTING: Indigenous health agencies and institutions in New Zealand, Australia, Canada, and the United States. PARTICIPANTS: Thirty-six health professionals from rural and urban health centers participated, which resulted in 10 group and four individual interviews. Subjects included program managers, clinical physicians, and health researchers. Approximately 58% of the subjects self-identified as Indigenous. RESULTS: Three overarching themes emerged from the interview data: (i) integration of cultural values of family and community into health provision; (ii) emphasis on health education and prevention programs for Indigenous youth; and (iii) indigenous recognition and self-determination in health delivery and research. CONCLUSIONS: To improve and promote community involvement in primary health programs and services for Indigenous people involves a long-term social and political commitment to health protection on a national and an international level, as well as the understanding that research methodologies and health interventions must explicitly involve culturally appropriate values and behaviors that are implemented by Indigenous people.

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References

1968The Discovery of Grounded Theory: Strategies for Qualitative Research.20248 Decolonizing Methodologies: Research and Indigenous Peoples 1981Snowball Sampling: Problems and Techniques of Chain Referral Sampling 2003Techniques to Identify Themes 2001Decolonizing Methodologies: Research and Indigenous People 2004Understanding health and illness: research at the interface between science and indigenous knowledge 2004Indigenous disparities in disease-specific mortality, a cross-country comparison: New Zealand, Australia, Canada, and the United States.2001Dirty questions: Indigenous health and 'Western research’

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