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首页> 外文期刊>BMC Pregnancy and Childbirth >Supporting aboriginal knowledge and practice in health care: lessons from a qualitative evaluation of the strong women, strong babies, strong culture program
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Supporting aboriginal knowledge and practice in health care: lessons from a qualitative evaluation of the strong women, strong babies, strong culture program

机译：支持卫生保健方面的原住民知识和实践：对坚强的女性，坚强的婴儿，坚强的文化计划进行定性评估的经验教训

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The Strong Women, Strong Babies, Strong Culture Program (the Program) evolved from a recognition of the value of Aboriginal knowledge and practice in promoting maternal and child health (MCH) in remote communities of the Northern Territory (NT) of Australia. Commencing in 1993 it continues to operate today. In 2008, the NT Department of Health commissioned an evaluation to identify enabling factors and barriers to successful implementation of the Program, and to identify potential pathways for future development. In this paper we focus on the evaluation findings related specifically to the role of Aborignal cultural knowledge and practice within the Program. A qualitative evaluation utilised purposive sampling to maximise diversity in program history and Aboriginal culture. Semi-structured, in-depth interviews with 76 participants were recorded in their preferred language with a registered Interpreter when required. Thematic analysis of data was verified or modified through further discussions with participants and members of the evaluation team. Although the importance of Aboriginal knowledge and practice as a fundamental component of the Program is widely acknowledged, there has been considerable variation across time and location in the extent to which these cultural dimensions have been included in practice. Factors contributing to this variation are complex and relate to a number of broad themes including: location of control over Program activities; recognition and respect for Aboriginal knowledge and practice as a legitimate component of health care; working in partnership; communication within and beyond the Program; access to transport and working space; and governance and organisational support. We suggest that inclusion of Aboriginal knowledge and practice as a fundamental component of the Program is key to its survival over more than twenty years despite serious challenges. Respect for the legitimacy of Aboriginal knowledge and practice within health care, a high level of community participation and control supported through effective governance and sufficient organisational commitment as well as competence in intercultural collaborative practice of health staff are critical requirements for realising the potential for cultural knowledge and practice to improve Aboriginal health outcomes.
机译：坚强的妇女，坚强的婴儿，坚强的文化计划（该计划）源于对土著知识和实践在澳大利亚北领地（NT）偏远社区促进母婴健康（MCH）的价值的认识。从1993年开始，它一直持续到今天。 2008年，北领地卫生部委托进行一项评估，以确定成功实施该计划的有利因素和障碍，并确定未来发展的潜在途径。在本文中，我们专注于评估结果，这些评估结果与该计划中阿博尼亚文化知识和实践的作用特别相关。定性评估利用目标抽样来最大程度地提高计划历史和原住民文化的多样性。在需要时，使用注册语言解释器以偏爱的语言记录了对76名参与者的半结构化，深度访谈。通过与参与者和评估小组成员的进一步讨论，验证或修改了数据的主题分析。尽管土著知识和实践作为该计划的基本组成部分的重要性已得到广泛认可，但在实践中将这些文化层面纳入的程度，随时间和地点的变化很大。导致这种变化的因素很复杂，并且涉及许多广泛的主题，包括：对计划活动的控制位置;承认和尊重作为卫生保健合法组成部分的土著知识和做法;合伙工作;计划内外的沟通;进入运输和工作空间;以及治理和组织支持。我们建议，尽管面临严峻挑战，将土著知识和实践作为该计划的基本组成部分是其生存二十多年的关键。尊重卫生保健中土著知识和做法的合法性，通过有效治理和足够的组织承诺以及在卫生人员跨文化协作实践中的能力来支持社区的高度参与和控制，这对于实现文化知识的潜力至关重要和实践，以改善原住民健康状况。

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