204042 Finding the center: Decolonizing tribal health decision-making in an Indigenous community

Tuesday, November 10, 2009: 8:45 AM

Gail Dana-Sacco, PhD, MPH, CHES , Wabanaki Center, University of Maine, Orono, ME
In a small tribal community, on the border of the United States and Canada, where the Indigenous language is still spoken, a critical ethnographic approach was applied to investigate how tribal health decision-making systems function, and how they might be improved. This study aims to discover how tribal perspectives can be applied to reclaim health decision-making processes, while operating under a tribal governmental structure with limited resources, largely supported by grants and contracts with state and federal governments.

Tribal members having knowledge of tribal health and decision-making participated. Tribally defined concepts of health and decision-making can be applied to restore collective tribal responsibility for acting to improve community health, thus working to decolonize tribal systems, and embody tribal self-determination.

Learning Objectives:
1. List three characteristics of tribal health decision-making as described in this study. 2. Discuss how indigenous health and decision-making concepts can be applied to improve contemporary tribal health decision-making.

Keywords: Decision-Making, Native and Indigenous Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Completion of dissertation research and all requirements for PhD in Health & Social Policy at Johns Hopkins University
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.