School of Global Health, University of Copenhagen, Copenhagen, Denmark.
Glob Health Promot. 2012 Jun;19(2):58-62. doi: 10.1177/1757975912441230.
Health promotion for Australian Aboriginal and Torres Strait Islander communities and their people has generally had limited efficacy and poor sustainability. It has largely failed to recognise and appreciate the importance of local cultures and continues to have minimal emphasis on capacity building, community empowerment and local ownership. Culturally Appropriate Health Promotion is a framework of principles developed in 2008 with the World Health Organization and the Global Alliance for Health Promotion. It serves as a guide for community-focused health promotion practice to be built on and shaped by the respect for understanding and utilisation of local knowledge and culture. Culturally Appropriate Health Promotion is not about targeting, intervening or responding. Rather, it encourages health programme planners and policymakers to have a greater understanding, respect, a sense of empowerment and collaboration with communities, and their sociocultural environment to improve health. This commentary aims to examine and apply the eight principles of Culturally Appropriate Health Promotion to the Australian Aboriginal and Torres Strait Islander context. It proposes a widespread adoption of the framework for a more respectful, collaborative, locally suitable and therefore appropriate approach to Australian Aboriginal and Torres Strait Islander health promotion.
促进澳大利亚原住民和托雷斯海峡岛民及其人民的健康通常效果有限且可持续性差。它在很大程度上没有认识到和重视当地文化的重要性，并且仍然很少强调能力建设、社区赋权和地方所有权。文化适宜性健康促进是 2008 年世界卫生组织和全球健康促进联盟制定的一套原则框架。它是一个以社区为中心的健康促进实践的指南，以尊重、理解和利用当地知识和文化为基础，并以此为指导。文化适宜性健康促进不是针对、干预或回应。相反，它鼓励卫生方案规划者和决策者更好地理解、尊重、赋予社区权力，并与社区及其社会文化环境合作，以改善健康。本评论旨在审查和应用文化适宜性健康促进的八项原则，将其应用于澳大利亚原住民和托雷斯海峡岛民的情况。建议广泛采用该框架，以更尊重、更协作、更适合当地的方式来促进澳大利亚原住民和托雷斯海峡岛民的健康。
