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AJPH First Look, published online ahead of print Jan 31, 2006
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April 2006, Vol 96, No. 4 | American Journal of Public Health 596-599
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2004.053801

COMMENTARY

Building True Capacity: Indigenous Models for Indigenous Communities

Michelle Chino, PhD and Lemyra DeBruyn, PhD

Michelle Chino is with the Center for Health Disparities Research, School of Public Health, University of Nevada, Las Vegas. Lemyra DeBruyn is with the Native Diabetes Wellness Program, Division of Diabetes Translation, Centers for Disease Control and Prevention, Albuquerque, NM.

Correspondence: Requests for reprints should be sent to Michelle Chino, PhD, UNLV School of Public Health, 4505 Maryland Pkwy, Box 453030, Las Vegas, NV 89154-3030 (e-mail: michelle.chino{at}ccmail.nevada.edu).

Within the past 2 decades, community capacity building and community empowerment have emerged as key strategies for reducing health disparities and promoting public health. As with other strategies and best practices, these concepts have been brought to indigenous (American Indian and Alaska Native) communities primarily by mainstream researchers and practitioners.

Mainstream models and their resultant programs, however, often have limited application in meeting the needs and realities of indigenous populations. Tribes are increasingly taking control of their local health care services. It is time for indigenous people not only to develop tribal programs but also to define and integrate the underlying theoretical and cultural frameworks for public health application.




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