Chapter Overview and Statement of Objectives
Indigenous communities are those with historical claims to native lands, practices, and customs that have sustained them for millennia. In many parts of the world, they continue to draw on age-old wisdom and practices to sustain their health in the modern, and, now, digital age. Yet, their cultural assets for health and wellbeing are less well recognized by mainstream culture, and often, their approaches to health and wellbeing are regarded as complementary or alternative to mainstream modern medicine. In this chapter, we review regional and international definitions of indigenous communities and trace the history of research and practice in indigenous health in Africa, Australia, and North America. We follow this up by discussing the main themes in sustaining the health of indigenous communities, informed by their assets and potentialities, applying human rights-based approaches. Next, we consider the cultural, professional, and legal issues that influence health and wellbeing among indigenous communities, and related disciplines for understanding and promoting indigenous health systems. Finally, we review the critical research and practice issues for sustainable community health among indigenous communities in a globalized, digital age world.
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References
African Commission on Human and Peoples’ Rights (ACHPR) and International Work Group for Indigenous Affairs (IWGIA). (2007, September). Report of the African Commission’s working group on indigenous populations/communities: Research and information visit to the Republic of Congo. https://www.achpr.org/public/Document/file/English/achpr38_misrep_specmec_indpop_congo_2005_eng.pdf
Anderson, I., Robson, B., Connolly, M., et al. (2016). Indigenous and tribal peoples’ health (The Lancet–Lowitja Institute Global Collaboration): A population study. The Lancet, 388(10040), 131–157. https://doi.org/10.1016/S0140-6736(16)00345-7
Australian Bureau of Statistics. (2010). Measures of Australia’s progress. ABS cat. No. 1370.0. Australian Government.
Australian Bureau of Statistics. (2012, October). The health and welfare of Australia’s Aboriginal and Torres Strait Islander peoples. ABS cat. No. 4704.0. Australian Government.
Australian Department of Health and Ageing. (2013). National Aboriginal and Torres Strait Islander suicide prevention strategy. https://www1.health.gov.au/internet/main/publishing.nsf/Content/1CE7187EC4965005CA25802800127B49/$File/Indigenous%20Strategy.pdf
Australian Government Department of Families, Community Services and Indigenous Affairs. (2006). Aboriginal and Torres Strait Islander views on research in their communities. Occasional Paper No. 16. https://www.dss.gov.au/sites/default/files/documents/05_2012/op16.pdf
Australian Health Ministers’ Advisory Council. (2015). Aboriginal and Torres Strait Islander health performance framework 2014 report. Australian Health Ministers’ Advisory Council.
Australian National Mental Health Commission. (2013). The mental health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples, families and communities [Supplementary paper]. https://www.mentalhealthcommission.gov.au/getmedia/f014d128-ab8a-4a40-b3d2-9a4668a8fd93/Mental-Health-Report-Card-on-Aboriginal-and-Torres-Strait-Islander
Axelsson, P., Kukutai, T., & Kippen, R. (2016a). Indigenous wellbeing and colonisation: Editorial. Journal of Northern Studies, 10(2), 7–18.
Axelsson, P., Kukutai, T., & Kippen, R. (2016b). The field of Indigenous health and the role of colonisation and history. Journal of Population Research, 33, 1–7. https://doi.org/10.1007/s12546-016-9163-2
Bainbridge, R., Tsey, K., McCalman, J., Kinchin, I., Saunders, V., Lui, F. W., … Lawson, K. (2015). No one’s discussing the elephant in the room: Contemplating questions of research impact and benefit in Aboriginal and Torres Strait Islander Australian health research. BMC Public Health, 15(696). https://doi.org/10.1186/s12889-015-2052-3
Boulton-Lewis, G., Pillay, H., & Wilss, L. (2001, July 16–18). Conceptions of health held by Aboriginal, Torres Strait Islander, and Papua New Guinea health science students. A paper presented at the Higher Education Close Up Conference 2, Lancaster University, UK. http://www.leeds.ac.uk/educol/documents/00001739.htm
Brown, M. O. (2018). The health disparities in Africa: Impact of colonial institutions on Indigenous mortality from the 20th century (Unpublished Master’s thesis). School of Economics and Management, Lund University, Sweden.
Bulhan, H. A. (2015). Stages of colonialism in Africa: From occupation of land to occupation of being. Journal of Social and Political Psychology, 3(1), 239–256. https://doi.org/10.5964/jspp.v3i1.143
Chandler, M. J., & Lalonde, C. (1998). Cultural continuity as a hedge against suicide in Canada’s first nations. Transcultural Psychiatry, 35, 191–219. https://doi.org/10.1177/136346159803500202
Coates, K. S. (2004). A global history of indigenous peoples: Struggle and survival. Houndmills/Basingstoke/Hampshire, UK/New York, NY: Palgrave Macmillan.
Crombie, I. K., Irvine, L., Elliott, L., & Wallace, H. (2005). Closing the health inequalities gap: An international perspective. WHO Regional Office for Europe. http://www.euro.who.int/__data/assets/pdf_file/0005/124529/E87934.pdf
Dell’Osso, B., Glick, I., Baldwin, D., & Altamura, A. (2013). Can long-term outcomes be improved by shortening the duration of untreated illness in psychiatric disorders? A conceptual framework. Psychpathology, 46, 14–21.
Donatuto, J., Campbell, L., & Gregory, R. (2016). Developing responsive indicators of indigenous community health. International Journal of Environmental Research and Public Health, 13(9), 899. https://doi.org/10.3390/ijerph13090899
Dudgeon, P., Bray, A., & Walker, R. (2020). Self-determination and strengths-based Aboriginal and Torres Strait Islander suicide prevention: An emerging evidence-based approach. In A. Page & W. Stritzke (Eds.), Alternatives to suicide: Beyond risk and toward a life worth living (pp. 237–256). Academic Press. https://doi.org/10.1016/B978-0-12-814297-4.00012-1
Dudgeon, P., & Walker, R. (2015). Decolonising Australian psychology: Discourses, strategies, and practice. Journal of Social and Political Psychology, 3(1), 276–297. https://doi.org/10.5964/jspp.v3i1.126
Durie, M. H. (1985). A Maori perspective of health. Social Science & Medicine, 20(5), 483–486. https://doi.org/10.1016/0277-9536(85)90363-6
Elder, J. P., Ayala, G. X., Parra-Medina, D., & Talavera, G. A. (2009). Health communication in the Latino community: Issues and approaches. Annual Review of Public Health, 30(1), 227–251. https://doi.org/10.1146/annurev.publhealth.031308.100300
Fijal, D., & Beagan, B. L. (2019). Indigenous perspectives on health: Integration with a Canadian model of practice. Canadian Journal of Occupational Therapy, 86(3), 220–231. https://doi.org/10.1177/0008417419832284
Gallagher, J. (2019). Indigenous approaches to health and wellness leadership: A BC first nations perspective. Healthcare Management Forum, 32(1), 5–10. https://doi.org/10.1177/0840470418788090
Garvey, D. (2008). Review of the social and emotional wellbeing of Indigenous Australian peoples – Considerations, challenges and opportunities. http://www.healthinfonet.ecu.edu.au/sewb_review
Ghana Health Service. (2002). Community-based health planning and services (CHPS) initiative. https://www.ghanahealthservice.org/downloads/ServicestoClients.pdf
Gray, M. A., & Oprescu, F. I. (2016). Role of non-Indigenous researchers in Indigenous health research in Australia: A review of the literature. Australian Health Review, 40, 459–465. https://doi.org/10.1071/AH15103
Gruen, R. L., Weeramanthri, T. S., & Bailie, R. S. (2002). Outreach and improved access to specialist services for indigenous people in remote Australia: The requirements for sustainability. Journal of Epidemiology and Community Health, 56, 517–521.
Horowitz, S. (2012). American Indian health: Integrating traditional native healing practices and western medicine. Alternative and Complementary Therapies, 18(1), 24–30. https://doi.org/10.1089/act.2012.18103
Horrill, T., McMillan, D. E., Schultz, A. S. H., & Thompson, G. (2018). Understanding access to healthcare among Indigenous peoples: A comparative analysis of biomedical and postcolonial perspectives. Nursing Inquiry, 25(3), e12237. https://doi.org/10.1111/nin.12237
Indian Country Today. (2020, May). Indian health service selects five projects for joint venture health care facilities. https://indiancountrytoday.com/the-press-pool/indian-health-service-selects-five-projects-for-joint-venture-health-care-facilities-xgDiDaYq30Ks1PiF38Ihew
Indian Health Service. (n.d.). Programs. https://www.ihs.gov/dfpc/programs/#jvcp
Kemner, J. (2014). Fourth world activism in the first world: The rise and consolidation of European solidarity with Indigenous peoples. Journal of Modern European History, 12(2), 262–279. https://doi.org/10.17104/1611-8944_2014_2_262
Kipuri, N., & Sørensen, C. (2008). Poverty, pastoralism and policy in Ngorongoro: Lessons learned from the Ereto I Ngorongoro Pastoralist Project with implications for pastoral development and the policy debate. https://pubs.iied.org/pdfs/12548IIED.pdf
Kolahdooz, F., Nader, F., Yi, K. J., & Sharma, S. (2015). Understanding the social determinants of health among Indigenous Canadians: Priorities for health promotion policies and actions. Global Health Action, 8. https://doi.org/10.3402/gha.v8.27968
Kweku, M., Amu, H., Awolu, A., Adjuik, M., Ayanore, M. A., Manu, E., et al. (2020). Community-based health planning and services plus programme in Ghana: A qualitative study with stakeholders in two systems learning districts on improving the implementation of primary health care. PLoS One, 15(1), e0226808. https://doi.org/10.1371/journal.pone.0226808
Laycock, A., Walker, D., Harrison, N., & Brands, J. (2011). Researching Indigenous health: A practical guide for researchers. The Lowitja Institute. Carlton South, Australia.
Maher, P. (1999). A review of ‘traditional’ Aboriginal health beliefs. Australian Journal of Rural Health, 7, 229–236. https://doi.org/10.1046/j.1440-1584.1999.00264.x
Maina, W. K., Kim, A. A., Rutherford, G. W., et al. (2014). Kenya AIDS indicator surveys 2007 and 2012: Implications for public health policies for HIV prevention and treatment. Journal of Acquired Immune Deficiency Syndromes, 66(Suppl 1), S130–S137. https://doi.org/10.1097/QAI.0000000000000123
Marrone, S. (2007). Understanding barriers to health care: A review of disparities in health care services among indigenous populations. International Journal of Circumpolar Health, 66(3), 188–198. https://doi.org/10.3402/ijch.v66i3.18254
McDonald, E., Cunningham, T., & Slavin, N. (2015). Evaluating a handwashing with soap program in Australian remote Aboriginal communities: A pre and post intervention study design. BMC Public Health, 15(1188). https://doi.org/10.1186/s12889-015-2503-x
Mensah, F. A. (2005, March 25–27). Beyond medicine: Spiritual basis of illnesses and healing in Africa. A paper presented at the African conference on the theme “African Health and Illness”, The University of Texas at Austin, USA.
Mpofu, E. (2006). Majority world health care traditions intersect indigenous and complementary and alternative medicine. International Journal of Disability, Development and Education, 53(4), 375–379.
Mpofu, E., Chronister, J., Johnson, E., & Denham, G. (2012). Aspects of culture influencing rehabilitation and persons with disabilities. In P. Kennedy (Ed.), The Oxford Handbook of rehabilitation psychology (pp. 543–553). Oxford, UK: Oxford University Press.
Mpofu, E., Peltzer, K., & Bojuwoye, O. (2011). Indigenous healing practices in sub-Saharan Africa. In E. Mpofu (Ed.), Counseling people of African ancestry (pp. 3–21). Cambridge, UK/New York, NY: Cambridge University Press.
Murphy, M. (2014). Self-determination and indigenous health: Is there a connection? https://www.e-ir.info/2014/05/26/self-determination-and-indigenous-health-is-there-a-connection/
Murray, C. J., Kulkarni, S., & Ezzati, M. (2005). Eight Americas: New perspectives on U.S. health disparities. American Journal of Preventive Medicine, 29(5 Suppl 1), 4–10. https://doi.org/10.1016/j.amepre.2005.07.031
NEJM Catalyst. (2017). Social determinants of health (SDOH). https://catalyst.nejm.org/doi/full/10.1056/CAT.17.0312
New Zealand Ministry of Health. (2017). Māori health models – Te Whare Tapa Whā. https://www.health.govt.nz/our-work/populations/maori-health/maori-health-models/maori-health-models-te-whare-tapa-wha
Nyonator, F. K., Awoonor-Williams, J. K., Phillips, J. F., Jones, T. C., & Miller, R. A. (2005). The Ghana community-based health planning and services initiative for scaling up service delivery innovation. Health Policy and Planning, 20(1), 25–34. https://doi.org/10.1093/heapol/czi003
Obomsawin, R. (2007). Traditional medicine for Canada’s first peoples. Indigenous Sites. https://lfs-indigenous.sites.olt.ubc.ca/files/2014/07/RayObomsawin.traditional.medicine-1.pdf
Office of the Governor of the Chickasaw Nation. (2013, October). State of Chickasaw nation great and getting better. Chickasaw.net. https://chickasaw.net/News/Press-Releases/Release/State-of-Chickasaw-Nation-Great-and-Getting-Better-1463.aspx
Office of the Governor of the Chickasaw Nation. (2016, July). Chickasaw nation breaks ground on Apila Center. Chickasaw.net. https://www.chickasaw.net/News/Press-Releases/Release/Chickasaw-Nation-breaks-ground-on-Apila-Center-2065.aspx
Oppong, S. (2011). Health & safety: Theory and practice in the oil and gas sector. Saarbrücken, Germany: VDM Publishing House Ltd..
Oppong, S. (2014). Psychology, economic policy design, and implementation: Contributing to the understanding of economic policy failures in Africa. Journal of Social and Political Psychology, 2(1), 183–196. https://doi.org/10.5964/jspp.v2i1.306
Oppong, S. (2019). Overcoming obstacles to a truly global psychological theory, research and praxis in Africa. Journal of Psychology in Africa, 29(4), 292–300. https://doi.org/10.1080/14330237.2019.1647497
Oppong, S. (2020). When something dehumanizes, it is violent but when it elevates, it is not violent. Theory & Psychology, 30(3), 468–472. https://doi.org/10.1177/0959354320920942
Pattoni, L. (2012). Strengths-based approaches for working with individuals. Insight 16. https://www.iriss.org.uk/resources/insights/strengths-based-approaches-working-individuals
Pelcastre-Villafuerte, B., Ruiz, M., Meneses, S., Amaya, C., Márquez, M., Taboada, A., & Careaga, K. (2014). Community-based health care for indigenous women in Mexico: A qualitative evaluation. International Journal for Equity in Health, 13(2). https://doi.org/10.1186/1475-9276-13-2
Pelican, M., & Maruyama, J. (2015). The indigenous rights movement in Africa: Perspectives from Botswana and Cameroon. African Study Monographs, 36(1), 49–74.
Phillips, D. R., Hyma, B., & Ramesh, A. (1992). A comparison of the use of traditional and modern medicine in primary health centres in Tamil Nadu. GeoJournal, 26, 21–30. https://doi.org/10.1007/BF00159434
Pihama, L., & Lee-Morgan, J. (2019). Colonization, education, and Indigenous peoples. In E. McKinley & L. Smith (Eds.), Handbook of Indigenous Education. Springer. https://doi.org/10.1007/978-981-10-3899-0_67
Reading, C. L., & Wien, F. (2009). Health inequalities and social determinants of Aboriginal Peoples’ health. https://www.nccah-ccnsa.ca/docs/social%20determinates/NCCAH-Loppie-Wien_Report.pdf
Shah, B., Gunraj, N., & Hux, J. E. (2003). Markers of access to and quality of primary care for aboriginal people in Ontario, Canada. American Journal of Public Health, 93, 798–802.
Struthers, R., Eschiti, V. S., & Patchell, B. (2004). Traditional indigenous healing: Part I. Complementary Therapies in Nursing & Midwifery, 10(3), 141–149.
Thresia, C. U. (2018). Health inequalities in South Asia at the launch of sustainable development goals: Exclusions in health in Kerala, India need political interventions. International Journal of Health Services, 48(1), 57–80. https://doi.org/10.1177/0020731417738222
Twumasi, P. A. (1975). Medical Systems in Ghana: A study in medical sociology. Accra, Ghana: Ghana Publishing Corporation.
Twumasi, P. A. (1981). Colonialism and international health: A study in social change in Ghana. Social Science & Medicine. Part B: Medical Anthropology, 15(2), 147–151. https://doi.org/10.1016/0160-7987(81)90037-5
United Nations. (2008). United nations declaration on the rights of indigenous peoples. https://www.un.org/esa/socdev/unpfii/documents/DRIPS_en.pdf
United Nations. (2016). State of the world’s indigenous peoples: Indigenous peoples’ access to health services. https://www.un.org/esa/socdev/unpfii/documents/2016/Docs-updates/SOWIP_Health.pdf
United Nations. (n.d). Indigenous peoples at the United Nations. https://www.un.org/development/desa/indigenouspeoples/about-us.html
Vos, T., Barker, B., Stanley, L., & Lopez, A. (2007). The burden of disease and injury in Aboriginal and Torres Strait Islander peoples 2003. University of Queensland.
Wachira, G. M., & Karjala, T. (2012). Advocacy for indigenous peoples’ rights in Africa: Dynamics, methods and mechanisms. In R. Laher & K. Sing’Oei (Eds.), Indigenous People in Africa: Contestations, empowerment and group rights (pp. 104–123). Pretoria, South Africa: Africa Institute of South Africa.
Waterworth, P., Pescud, M., Braham, R., Dimmock, J., & Rosenberg, M. (2015). Factors influencing the health behaviour of Indigenous Australians: Perspectives from support people. PLoS One, 10(11), e0142323. https://doi.org/10.1371/journal.pone.0142323
Webb, J. (2012). Indigenous people and the right to self-determination. Journal of Indigenous Policy, 13, 75–102.
Westerman, T. G. (2010). Engaging Australian Aboriginal youth in mental health services. Australian Psychologist, 45, 212–222.
White, P. (2015). The concept of diseases and health care in African traditional religion in Ghana. HTS Teologiese Studies/Theological Studies, 71(3), art. No. 2762. https://doi.org/10.4102/hts.v71i3.2762
Wilk, P., Cooke, M., Stranges, S., & Maltby, A. (2018). Reducing health disparities among indigenous populations: The role of collaborative approaches to improve public health systems. International Journal of Public Health, 63, 1–2. https://doi.org/10.1007/s00038-017-1028-8
Williams, K., Potestio, M. L., & Austen-Wiebe, V. (2019). Indigenous health: Applying truth and reconciliation in Alberta health services. Canadian Medical Association Journal, 191(Suppl 1), S44–S46. https://doi.org/10.1503/cmaj.190585
World Health Organization. (2007). Health inequities in the South-East Asia region. https://www.who.int/social_determinants/media/health_inequities_searo_122007.pdf
World Health Organization. (2010). Indigenous health – Australia, Canada, Aotearoa New Zealand and the United States – Laying claim to a future that embraces health for us all. World Health Report – Background Paper, No. 33. https://www.who.int/healthsystems/topics/financing/healthreport/IHNo33.pdf
World Health Organization. (2012). Health systems in Africa: Community perceptions and perspectives. https://www.afro.who.int/sites/default/files/2017-06/english%2D%2D-health_systems_in_africa%2D%2D-2012.pdf
Yawar, A. (2001). Spirituality in medicine: What is to be done? Journal of the Royal Society of Medicine, 94(10), 529–533. https://doi.org/10.1177/014107680109401013
Yuill, C., Crinson, I., & Duncan, E. (2011). Key concepts in health studies. London, UK: Sage.
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Oppong, S., Brune, K.R., Mpofu, E. (2020). Indigenous Community Health. In: Mpofu, E. (eds) Sustainable Community Health. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-59687-3_17
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