scholarly journals Understanding the Science of Indigenous Health System: Key to Sustainable Collaborations

2020 ◽  
Author(s):  
Mbulaheni S. Nemutandani ◽  
SJH Hendrick ◽  
FM Mulaudzi
Keyword(s):  
Health System ◽  
Indigenous Health

Addressing the knowledge gap of Indigenous public health: reflections from an Indigenous public health graduate

2020 ◽  
Vol 49 (2) ◽  
pp. 110-118
Author(s):  
Natasha Lee
Keyword(s):  
Public Health ◽  
Transformative Learning ◽  
Health System ◽  
Health Professionals ◽  
Indigenous Health ◽  
Core Competencies ◽  
Public Health Practice ◽  
Practical Training ◽  
Public Health Training ◽  
Problem Solvers

AbstractThe current agenda in public health training in higher education works to produce well-trained public health professionals. Operating within a western pedagogical framework it aims to build a cohort of critical and analytical thinkers, skilful problem solvers and extraordinary communicators across key disciplines in health. Many graduates possess interdisciplinary specialities, skills and knowledge transferable within health and other sectors. Core competencies in the curricula, which notably does not currently include Indigenous health, are considered the foundational platform of theory and practical understandings of public health and the health system. Despite a framework that aims to produce health professionals capable of improving the health of the population as a whole; the lack of engagement with an Indigenous health criticality maintains a longstanding Australian public health tradition of failure when it comes to addressing the health disparities experienced by Indigenous people. As a recent Indigenous public health graduate with practical training and experience working in the public health system, I consider possibilities for decolonising the curricula through an Indigenist approach to health, including theories of transformative learning which could strengthen public health practice and in turn facilitate the changes necessary to improving Indigenous health outcomes.

scholarly journals Proverbial Knee of Western Medicine Choking Indigenous Health System in Africa: We Cannot Breathe

2021 ◽  
Vol 3 (1) ◽  
pp. 61
Author(s):  
Mbulaheni S. Nemutandani ◽  
Wezile Chitha ◽  
Stephen J.H. Hendricks ◽  
Mavis F. Mulaudzi ◽  
◽  
...  
Keyword(s):  
Health System ◽  
Western Medicine ◽  
Indigenous Health

scholarly journals SISTEMA DE SAÚDE INDIGENISTA E FORMAS DE CONTROLE SOCIAL NO POVO INDÍGENA TENETEHARA GUAJAJARA

2019 ◽  
Vol 5 (16) ◽  
pp. 10599
Author(s):  
Diego Rodrigo Pereira
Keyword(s):  
Social Control ◽  
Health System ◽  
Indigenous People ◽  
Indigenous Health ◽  
The State ◽  
National Politics ◽  
Biomedical Knowledge ◽  
Health Politics ◽  
El Sistema ◽  
Methodological Procedures

INDIGENOUS HEALTH SYSTEM AND FORMS OF SOCIAL CONTROL IN THE INDIGENOUS PEOPLE TENETEHARA GUAJAJARASISTEMA DE SALUD INDIGENISTA Y FORMAS DE CONTROL SOCIAL EN EL PUEBLO INDÍGENA TENETEHARA GUAJAJARAEste artigo analisa o sistema de saúde indigenista e as formas de controle social no âmbito dos serviços de saúde oferecidos pelo Estado ao povo indígena Tenetehara Guajajara. Trata-se de um estudo qualitativo, que utilizou como procedimentos metodológicos as pesquisas bibliográfica e documental, e a coleta de dados em aldeias indígenas e instâncias de saúde indigenista, no Maranhão. Os resultados da pesquisa mostraram que a equipe multidisciplinar de saúde indígena não recebe capacitação específica para o atendimento médico oferecido aos Tenetehara Guajajara. A articulação entre os conhecimentos biomédicos e os saberes tradicionais dos povos indígenas não ocorre, como recomenda a política indigenista de saúde. No que se refere ao controle social das ações de saúde indigenista desenvolvidas pelo Estado, os Tenetehara Guajajara participam dos conselhos local e distrital, e organizam estratégias extraoficiais. Concluiu-se que, embora sejam registrados avanços no âmbito das ações de saúde indigenista desenvolvidas no Maranhão, algumas delas desconsideram as características étnicas dos Tenetehara Guajajara e diretrizes estabelecidas pela Política Nacional de Atenção à Saúde dos Povos Indígenas.Palavras-chave: Tenetehara Guajajara; Saúde Indigenista; Controle Social.ABSTRACTThis article analyzes the indigenous health system and the forms of social control within the scope of health services offered by the State to the Tenetehara Guajajara indigenous people. It is a qualitative study that used as methodological procedures bibliographical and documentary research, and the collection of data in indigenous villages and instances of indigenist health in Maranhão. The research results showed that the multidisciplinary indigenous health team does not receive specific training for the medical care offered to the Tenetehara Guajajara. The articulation between the biomedical knowledge and the traditional knowledge of indigenous people does not occur, as the Indian health politics recommends. Regarding the social control of the indigenist health actions developed by the State, the Tenetehara Guajajara participates in the local and district councils, and organize extra-official strategies. It was concluded that, although advances are registered in the scope of indigenist health actions developed in Maranhão, some of them disregard the ethnic characteristics of the Tenetehara Guajajara and guidelines established by the National Politics of Attention to the Health of the Indigenous People. Keywords: Tenetehara Guajajara; Indigenist Health; Social Control.RESUMENEste artículo analiza el sistema de salud indigenista y las formas de control social en el ámbito de los servicios de salud oferecidos por el Estado al pueblo indígena Tenetehara Guajajara. Se trata de un estudio cualitativo, que utilizó como procedimientos metodológicos las investigaciones bibliográfica y documental, y la recolección de datos en aldeas indígenas e instancias de salud indigenista, en Maranhão. Los resultados de la investigación mostraron que el equipo multidisciplinario de salud indígena no recibe capacitación específica para la atención médica ofrecida a los Tenetehara Guajajara. La articulación entre los conocimientos biomédicos y los saberes tradicionales de los pueblos indígenas no ocurre, como recomienda la política indigenista de salud. En lo que se refiere al control social de las acciones de salud indigenista desarrolladas por el Estado, los Tenetehara Guajajara participan de los consejos locales y distritales, y organizan estrategias extraoficiales. Se concluyó que, aunque se registran avances en el ámbito de las acciones de salud indigenista desarrolladas en Maranhão, algunas de ellas desconsideran las características étnicas de los Tenetehara Guajajara y directrices establecidas por la Política Nacional de Atención a la Salud de los Pueblos Indígenas.Palabras clave: Tenetehara Guajajara; Salud Indigenista; Control Social.

scholarly journals The national Indigenous health performance measurement system

2008 ◽  
Vol 32 (4) ◽  
pp. 626 ◽  
Author(s):  
Ian P Anderson ◽  
Marcia Anderson ◽  
Janet Smylie
Keyword(s):  
Health System ◽  
Performance Measurement ◽  
Measurement System ◽  
Indigenous Health ◽  
Performance Measurement System ◽  
Health Strategy ◽  
Key Informant ◽  
Strategic Goals ◽  
Government Websites ◽  
And Performance

This article reviews the development of the national Indigenous performance measurement system over the last decade. Data were collected from the published and unpublished literature and review of government websites, facilitated by key informant interviews which provided information about the policy context. A number of innovations have occurred over the last decade, including the development of a conceptual framework to underpin a system-wide approach to performance measurement that is aligned with nationally agreed strategic goals. The development of mechanisms to oversee Indigenous health strategy and health data development create formal mechanisms that potentially link data development and performance measurement priorities. Innovation in the development of processes to support health system performance improvement is evident, but this needs to be prioritised, particularly with respect to those components of the health system that are not Indigenous-specific.

scholarly journals The Practice of Power by Regional Managers in the Implementation of an Indigenous Peoples Health Policy in the Philippines

2020 ◽  
Author(s):  
Ryan C. Guinaran ◽  
Erlinda B. Alupias ◽  
Lucy Gilson
Keyword(s):  
Health Policy ◽  
Policy Implementation ◽  
Health System ◽  
Indigenous Peoples ◽  
Indigenous Health ◽  
Organizational Factors ◽  
The Philippines ◽  
Discretionary Power ◽  
Program Managers ◽  
Health Managers

Background: Indigenous peoples are among the most marginalized groups in society. In the Philippines, a new policy aimed at ensuring equity and culture-sensitivity of health services for this population was introduced. The study aimed to determine how subnational health managers exercised power and with what consequences for how implementation unfolded. Power is manifested in the perception, decision and action of health system actors. The study also delved into the sources of power that health managers drew on and their reasons for exercising power. Methods: The study was a qualitative case study employing in-depth semi-structured interviews with 26 health managers from the case region and analysis of 15 relevant documents. Data from both sources were thematically analyzed following the framework method. In the analysis and interpretation of data on power, VeneKlasen and Miller’s categorization of the sources and expressions of power and Gilson, Schneider and Orgill’s categorization of the sources and reasons for exercising power were utilized. Results: Key managers in the case region perceived the implementation of the new Indigenous health policy as limited and weakly integrated into health operations. The forms of power exercised by actors in key administrative interfaces were greatly influenced by organizational context and perceived weak leadership and their practices of power hindered policy implementation. However, some positive experiences showed that personal commitment and motivation rooted in one’s indigeneity enabled program managers to mobilize their discretionary power to support policy implementation. Conclusion: The way power is exercised by policy actors at key interfaces influences the implementation and uptake of the Indigenous policy by the health system. Middle managers are strategic actors in translating central directions to operational action down to frontlines. Indigenous program managers are most likely to support an Indigenous health policy but personal and organizational factors can also override this inclination.

Transforming First Nations’ health governance in British Columbia

2016 ◽  
Vol 21 (4) ◽  
pp. 229-244 ◽  
Author(s):  
John O’Neil ◽  
Joe Gallagher ◽  
Lloy Wylie ◽  
Brittany Bingham ◽  
Josee Lavoie ◽  
...  
Keyword(s):  
British Columbia ◽  
Health System ◽  
First Nations ◽  
Indigenous Health ◽  
Service Planning ◽  
Cultural Safety ◽  
Health Governance ◽  
Content Type ◽  
Governance Process ◽  
First Nations People

Purpose The purpose of this paper is to present a study of the transformation of First Nations’ health governance, describing the development of partnerships between First Nations and provincial and federal governments for co-creating solutions to address First Nations’ health inequities in British Columbia (BC). The paper frames this transformation in the context of a Canada-wide reconciliation initiative stimulated by the Truth and Reconciliation Commission. Design/methodology/approach This qualitative case study was a joint initiative between Simon Fraser University and the BC First Nations Health Authority (FNHA), involving interviews with senior leaders within the BC health system, FNHA and First Nations communities. In addition, a policy roundtable was held in February 2015 which gathered 60 participants for further dialogue on the process. Findings Key themes included: partnership and relationships, governance and reciprocal accountability, First Nations perspectives on health and wellness, and quality and cultural safety. Findings indicate that significant transformational changes have happened in the relationship between First Nations and the mainstream health system. The creation of the FNHA has led to more representation for First Nations people at all levels of governance and health service planning, which will ultimately lead to more culturally safe health services that incorporate a First Nations perspective of wellness. Social implications The transformation of First Nations health governance in BC can serve as an example in other indigenous health settings both within Canada and internationally. Originality/value This paper describes a transformative health governance process in First Nations communities that is an historical first in Canada.

scholarly journals Perceptions and experiences of allopathic health practitioners on collaboration with traditional health practitioners in post-apartheid South Africa

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Simon M. Nemutandani ◽  
Stephen J. Hendricks ◽  
Mavis F. Mulaudzi
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Systems ◽  
Quality Of Health Care ◽  
Indigenous Health ◽  
Traditional Healers ◽  
Traditional Health ◽  
Traditional Health Practitioners ◽  
Health Practitioners

Background: The indigenous health system was perceived to be a threat to the allopathic health system. It was associated with ‘witchcraft’, and actively discouraged, and repressed through prohibition laws. The introduction of the Traditional Health Practitioners Act No 22 of 2007 brought hope that those centuries of disrespect for traditional health systems would change. The study examined the perceptions and experiences of allopathic health practitioners on collaboration with traditional health practitioners in post-apartheid South Africa.Methods: Qualitative descriptive research methodology was used to collect data from allopathic health practitioners employed by Limpopo’s Department of Health. In-depth focus group discussions and meetings were conducted between January and August 2014. Perceptions and experiences of working with traditional health practitioners were explored. Ethical clearance was obtained from the University of Pretoria and approval from the Department’s Research Committee.Results: Dominant views were that the two health systems were not compatible with respect to the science involved and the source of knowledge. Overall, quality of health care will be compromised if traditional health practitioners are allowed to work in public health facilities.Conclusion: Allopathic health practitioners do not appear ready to work with traditional health practitioners, citing challenges of quality of health care, differences regarding concept of sciences and source of knowledge; and lack of policy on collaboration. Lack of exposure to traditional medicine seems to impede opportunities to accept and work with traditional healers. Exposure and training at undergraduate level regarding the traditional health system is recommended. Policy guidelines on collaborations are urgently required.

scholarly journals Developing Strategies for Integrating Indigenous Health and Modern Health Systems for Improved Adolescent Sexual Health Outcomes in Umguza and Mberengwa Districts in Zimbabwe

2021 ◽  
Vol 14 ◽  
pp. 117863292110360
Author(s):  
Wilfred Njabulo Nunu ◽  
Lufuno Makhado ◽  
Jabu Tsakani Mabunda ◽  
Rachel Tsakani Lebese
Keyword(s):  
Sexual Health ◽  
Health Outcomes ◽  
Health System ◽  
Health Systems ◽  
Low Income ◽  
Information Dissemination ◽  
Indigenous Health ◽  
Second Phase ◽  
Health Issues ◽  
Adolescent Sexual Health

Background: Strategies to improve sexual health outcomes have evolved over the years due to technology’s evolution to ensure that they are relevant. Challenges have been noticed in different systems that run parallel, particularly in Low-Income Countries where the majority utilise Indigenous Health Systems. Optimisation of resources and minimisation of conflicts could be realised through integrated health systems in the management of adolescents’ sexual health issues. This study sought to develop strategies to facilitate Indigenous Health System and Modern Health System integration to improve the management of Adolescent Sexual Health issues, leveraging results from 3 papers. Methods: A multi-stage approach was utilised, with Phase 1 focussing on a preliminary assessment through merging findings from the 4 papers. The Strengths, Weaknesses, Opportunities, and Threats analyses were then used, followed by the Basic Logic Model to identify critical aspects that needed to be considered in building the strategies. The second phase used the Build, Overcome, Eliminate and Minimise framework to build the strategies. Results: A total of 5 strategies were proposed to facilitate this integration, and these included revival of committees that were inclusive of all stakeholders; allocating Indigenous Health System space in clinics to work in; establishing adolescent-friendly clinics; intensifying information dissemination on sexual health-related issues, and developing clear Terms of Reference and procedures to govern this integration and ensure it is a success. Conclusions: Implementing these strategies could facilitate this integration and ensure that programs are planned and implemented in a complementary manner, thereby reducing conflicts between the 2 systems and ensuring collaborative efforts towards shared goals that would transform to better Sexual Health Outcomes for adolescents.

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