Artigos de revistas: "Indigenous health"

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Tayal, U. "Indigenous health". BMJ 327, n.º 7412 (23 de agosto de 2003): 456—a—456. http://dx.doi.org/10.1136/bmj.327.7412.456-a.

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Schwalfenberg, G. K. "Indigenous health". Canadian Medical Association Journal 182, n.º 6 (5 de abril de 2010): 592. http://dx.doi.org/10.1503/cmaj.110-2042.

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Good, Michael F., e Katja Fischer. "Indigenous Health". Microbiology Australia 30, n.º 5 (2009): 168. http://dx.doi.org/10.1071/ma09168.

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This issue of Microbiology Australia is devoted to Microbes that cause disease particularly in our Indigenous populations. We have for example the worldwide highest rates of Rheumatic Fever and Heart Disease in Aboriginal and Torres Strait Islander people. These follow streptococcal infections mostly as a result of skin damage through primary infections with pathogens such as parasitic scabies mites.

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Clark, Stephanie, e Oda Riska. "Indigenous health". Lancet 367, n.º 9524 (maio de 2006): 1716. http://dx.doi.org/10.1016/s0140-6736(06)68750-3.

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Williams, Kienan, Melissa L. Potestio e Val Austen-Wiebe. "Indigenous Health". Canadian Medical Association Journal 191, Suppl (4 de dezembro de 2019): S44—S46. http://dx.doi.org/10.1503/cmaj.190585.

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Isaacs, David. "Indigenous adolescent health". Journal of Paediatrics and Child Health 54, n.º 9 (setembro de 2018): 1051. http://dx.doi.org/10.1111/jpc.14172.

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Rowley, K., e I. Anderson. "Urban indigenous health". Internal Medicine Journal 37, n.º 1 (12 de dezembro de 2006): 4–5. http://dx.doi.org/10.1111/j.1445-5994.2006.01233.x.

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Cunningham, C. "Health research and indigenous health". BMJ 327, n.º 7412 (23 de agosto de 2003): 445–47. http://dx.doi.org/10.1136/bmj.327.7412.445.

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Carroll, Stephanie Russo, Michele Suina, Mary Beth Jäger, Jessica Black, Stephen Cornell, Angela A. Gonzales, Miriam Jorgensen, Nancy Lynn Palmanteer-Holder, Jennifer S. De La Rosa e Nicolette I. Teufel-Shone. "Reclaiming Indigenous Health in the US: Moving beyond the Social Determinants of Health". International Journal of Environmental Research and Public Health 19, n.º 12 (18 de junho de 2022): 7495. http://dx.doi.org/10.3390/ijerph19127495.

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The lack of literature on Indigenous conceptions of health and the social determinants of health (SDH) for US Indigenous communities limits available information for Indigenous nations as they set policy and allocate resources to improve the health of their citizens. In 2015, eight scholars from tribal communities and mainstream educational institutions convened to examine: the limitations of applying the World Health Organization’s (WHO) SDH framework in Indigenous communities; Indigenizing the WHO SDH framework; and Indigenous conceptions of a healthy community. Participants critiqued the assumptions within the WHO SDH framework that did not cohere with Indigenous knowledges and epistemologies and created a schematic for conceptualizing health and categorizing its determinants. As Indigenous nations pursue a policy role in health and seek to improve the health and wellness of their nations’ citizens, definitions of Indigenous health and well-being should be community-driven and Indigenous-nation based. Policies and practices for Indigenous nations and Indigenous communities should reflect and arise from sovereignty and a comprehensive understanding of the nations and communities’ conceptions of health and its determinants beyond the SDH.

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McKinstry, Sheri. "Indigenous oral health inequity: An Indigenous provider perspective". Canadian Journal of Public Health 108, n.º 3 (maio de 2017): e221-e223. http://dx.doi.org/10.17269/cjph.108.6243.

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Morrissey, Michael J. "Poverty and Indigenous health". Health Sociology Review 12, n.º 1 (setembro de 2003): 17–30. http://dx.doi.org/10.5172/hesr.12.1.17.

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Mehl-Madrona, L., e B. Mainguy. "Indigenous mental health therapies". European Psychiatry 64, S1 (abril de 2021): S321. http://dx.doi.org/10.1192/j.eurpsy.2021.862.

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IntroductionCultural differences exist among indigenous and mainstream peoples about the nature of mind and how one achieves mental health.ObjectivesWe aimed to determine what is important and different for indigenous communities from non-indigenous communities.MethodsWe assembled a focus group of 109 indigenous and non-indigenous mental health counselors who worked in indigenous communities to meet weekly for 90 minutes via an internet platform (Zoom) for 810weeks with asynchronous communication between meetings.ResultsThe metaphor of the Four Directions, represented with different colors, attributes, and animals, was important in indigenous communities. Participants emphasized the idea of relational, non-local mind which places identity in the relationships between people rather than an individual body. Illnesses were seen as conscious beings who visit people and bring teachings. The healing, participants said, comes from reaching within the suffering and the pain to find the answer from within which makes meaning from an illness. People are expected to make offerings and sacrifices to the spirit of the illness to move toward wellness. These sacrifices can include lifestyle changes that the person might otherwise not make. Using substances without the proper protocols and prayers was likened to sorcery or witchcraft which can become a powerful incentive to stop disrespecting these substances and to find meaning in setting them aside with the help of a supportive community.ConclusionsWhat participants saw as important for indigenous populations was different from what is usual for non-indigenous mental health services. Participants stressed the importance of non-indigenous providers understanding this and not dismissing these ideas.

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Wesley-Esquimaux, Cynthia, e Steven Koptie. "Editorial – Indigenous Mental Health." Journal of Concurrent Disorders 1, n.º 3 (8 de setembro de 2019): 2–4. http://dx.doi.org/10.54127/uxeb5809.

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Reading, Jeffrey, Charlotte Loppie e John O’Neil. "Indigenous health systems governance". International Journal of Health Governance 21, n.º 4 (5 de dezembro de 2016): 222–28. http://dx.doi.org/10.1108/ijhg-08-2016-0044.

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Purpose Almost 20 years after the Royal Commission on Aboriginal Peoples, indigenous peoples living in Canada continue to pursue their legitimate aspirations for greater control over factors affecting their lives. The purpose of this paper is to summarize two major policies (the Royal Commission on Aboriginal Peoples and the Truth and Reconciliation Commission (TRC)) that aimed to create equity for indigenous peoples’. Design/methodology/approach Commentary and rapid communication to inform and clarify evolving high-priority policy and governance issues related to indigenous peoples’ of Canada. Findings A need exists to create a platform for implementing the TRC actions to protect and promote education, language and culture, justice, youth programming, and professional training and development. Research limitations/implications Innovative intervention research needs to develop solutions to multi-generational disparities in health and well-being for indigenous peoples of Canada and globally. Practical implications Failure to implement longstanding changes to improve indigenous health and well-being will result if a growing burden of premature morbidity and mortality among indigenous population of Peoples’ of Canada, the fastest growing population group with the most challenging health status in Canada. Social implications Indigenous peoples continue to experience profound health vulnerability leading to high health risks, growing health disparities and unequal access to health care services. Originality/value Connecting policy over two decades, for implementation to proceed, sharing of knowledge is essential to formulate innovative approaches, to engage research and build capacity to implement policy actions related to closing educational gaps, to developing culturally appropriate curricula acknowledging and protecting Aboriginal languages, as well as skills-based training in intercultural competency, conflict resolution and respect for human dignity and human rights equality in settings of anti-racism and free of all forms of prejudice and discrimination.

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Rissel, Chris, Lisa Jackson Pulver e Marilyn Wise. "Editorial – Advancing Indigenous health". Health Promotion Journal of Australia 15, n.º 3 (2004): 179–80. http://dx.doi.org/10.1071/he04179.

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Valeggia, Claudia R., e J. Josh Snodgrass. "Health of Indigenous Peoples". Annual Review of Anthropology 44, n.º 1 (21 de outubro de 2015): 117–35. http://dx.doi.org/10.1146/annurev-anthro-102214-013831.

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Heath Jeffery, Rachael C. "Indigenous eye health measures". Clinical & Experimental Ophthalmology 48, n.º 1 (3 de outubro de 2019): 136–37. http://dx.doi.org/10.1111/ceo.13637.

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Loff, Bebe, e Stephen Cordner. "Indigenous Australian health survey". Lancet 353, n.º 9152 (fevereiro de 1999): 568. http://dx.doi.org/10.1016/s0140-6736(05)75634-8.

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Nowak, Victoria. "Indigenous health in Australia". BMJ 331, Suppl S5 (1 de novembro de 2005): 0511432. http://dx.doi.org/10.1136/sbmj.0511432.

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Brown, Ron. "Australian Indigenous mental health". Australian and New Zealand Journal of Mental Health Nursing 10, n.º 1 (março de 2001): 33–41. http://dx.doi.org/10.1046/j.1440-0979.2001.00189.x.

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Cunningham, C. "Health of indigenous peoples". BMJ 340, apr19 1 (19 de abril de 2010): c1840. http://dx.doi.org/10.1136/bmj.c1840.

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Merati, Nickoo, Jonathan Salsberg, Joey Saganash, Joshua Iserhoff, Kaitlynn Hester Moses e Susan Law. "Cree Youth Engagement in Health Planning". International Journal of Indigenous Health 15, n.º 1 (5 de novembro de 2020): 73–89. http://dx.doi.org/10.32799/ijih.v15i1.33985.

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Indigenous communities experience a greater burden of ill health than all other communities in Canada. Across the (Indigenous Region), all nine (Name) communities experience similar health challenges. In 2014, the (REGIONAL_BOARD) supported an initiative to stimulate local community prioritization for health change. While many challenges identified were specific to youth (10-29 years of age), youth’s perspectives in these reports to date have been limited. We sought to understand how (Indigenous) youth perceived youth health and their engagement in health and health planning across (Region). As part of a (REGIONAL_BOARD-University) partnership, this qualitative descriptive study adopted a community-based participatory research approach. Ten (Indigenous) youth participated in two focus groups, and five (Indigenous) youth coordinators participated in key informant interviews. Thematic analysis was conducted and inductive codes were grouped into themes. (Indigenous) participants characterized youth engagement into the following levels: participation in community and recreational activities; membership in youth councils at the local and regional levels; and, in decision-making as planners of health-related initiatives. (Indigenous) youth recommended greater use of social media, youth assemblies, and youth planners to strengthen their engagement and youth health in the region. Our findings revealed an interconnectedness between youth health and youth engagement; (Indigenous) youth described how they need to be engaged to be healthy, and need to be healthy to be engaged. (Indigenous) participants contributed novel and practical insights to engage Indigenous youth in health planning across Canada.

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de M Pontes, Ana Lucia, e Ricardo Ventura Santos. "Health reform and Indigenous health policy in Brazil: contexts, actors and discourses". Health Policy and Planning 35, Supplement_1 (1 de novembro de 2020): i107—i114. http://dx.doi.org/10.1093/heapol/czaa098.

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Abstract Given the challenges related to reducing socio-economic and health inequalities, building specific health system approaches for Indigenous peoples is critical. In Brazil, following constitutional reforms that led to the universalization of health care in the late 1980s, a specific health subsystem was created for Indigenous peoples in 1999. In this paper, we use a historical perspective to contextualize the creation of the Indigenous Health Subsystem in Brazil. This study is based on data from interviews with Indigenous and non-Indigenous subjects and document-based analysis. In the 1980s, during the post-dictatorship period in Brazil, the emergence of Indigenous movements in the country and the support for pro-Indigenous organizations helped establish a political agenda that emphasized a broad range of issues, including the right to a specific health policy. Indigenous leaders established alliances with participants of the Brazilian health reform movement, which resulted in broad debates about the specificities of Indigenous peoples, and the need for a specific health subsystem. We highlight three main points in our analysis: (1) the centrality of a holistic health perspective; (2) the emphasis on social participation; (3) the need for the reorganization of health care. These points proved to be convergent with the development of the Brazilian health reform and were expressed in documents of the Indigenist Missionary Council (CIMI) and the Union of Indigenous Nations (UNI). They were also consolidated in the final report of the First National Conference on the Protection of Indigenous Health in 1986, becoming the cornerstone of the national Indigenous health policy declared in 1999. Our analysis reveals that Indigenous people and pro-Indigenous groups were key players in the development of the Indigenous Health Subsystem in Brazil.

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Macdonald, John J., Greg Millan e Mick Adams. "Men's health: Indigenous and non‐Indigenous men getting together". Medical Journal of Australia 185, n.º 8 (outubro de 2006): 416–17. http://dx.doi.org/10.5694/j.1326-5377.2006.tb00635.x.

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Booth, Alison L., e Nick Carroll. "Economic status and the Indigenous/non-Indigenous health gap". Economics Letters 99, n.º 3 (junho de 2008): 604–6. http://dx.doi.org/10.1016/j.econlet.2007.10.005.

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吳鄭善明, 吳鄭善明. "原風優先！部落自顧！原住民族部落文化健康站". 臺灣社區工作與社區研究學刊 12, n.º 3 (outubro de 2022): 203–36. http://dx.doi.org/10.53106/222372402022101203005.

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本文以原住民族文化為主體，探討「原住民族部落文化健康站」發展、內涵、本質、專管中心培力。並建構出照顧服務模式、照顧服務推動難題（1.行政績效面向共三項、2.專業服務面向共五項）。最後，在未來推動方向提供建議（專業教育訓練形式改變等四項）。再次揭露「原風優先」、「部落自顧」之「原住民族部落文化健康站」照顧服務對原住民族長者在地老化重要性。  This study focuses on the indigenous culture and explores the development, content, nature, and project management training of the ’’center for indigenous tribal culture and health.’’ This study constructs a care-service model and reveals the difficulties of promoting a care service, including three administrative issues and four issues related to professional services. Finally, it provides suggestions for future development, including suggestions for resolving the issues related to changes in the professional educational training. The study highlights how the care services provided by the ’’center for indigenous tribal culture and health,’’ with an emphasis on ’’indigenous culture first’’ and ’’tribal self-care,’’ are important for aging indigenous seniors in the community.

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Chino, Michelle, Ian Ring, Lisa Jackson Pulver, John Waldon e Malcolm King. "Improving health data for indigenous populations: The international group for indigenous health measurement". Statistical Journal of the IAOS 35, n.º 1 (19 de março de 2019): 15–21. http://dx.doi.org/10.3233/sji-180479.

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Mashford-Pringle, Angela, e Suzanne L. Stewart. "Akiikaa (it is the land): exploring land-based experiences with university students in Ontario". Global Health Promotion 26, n.º 3_suppl (abril de 2019): 64–72. http://dx.doi.org/10.1177/1757975919828722.

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Indigenous learning traditionally comes from the land. Akiikaa (‘it is the land’ in Algonkian) is designed to assist graduate students in thinking beyond the classroom and understanding the elements of life as known by Indigenous people to live a healthy life. Akiikaa will provide graduate students (both Indigenous and non-Indigenous) with opportunities to learn about Indigenous ways of knowing. They will learn from an instructor, Elders and their peers about how the land is an instrumental part of all aspects of Indigenous life including health and well-being. One of the goals of the Master of Public Health in Indigenous Health program (at the University of Toronto) and the land-based experiences is to shift the thinking away from humans being the dominating force on Mother Earth to equality amongst all aspects of life. Graduate students are introduced to ‘personhood’ rights for plants, animals, water, and air, which is a shift from the current World Health Organization’s view of public health that builds upon a population health approach but neglects the elements that surround humans as necessary for living a healthy life. It has been suggested that Indigenous land-based education acts as a method of decolonization through reclamation of Indigenous ideology and use of land. Land and land experience are highly prized by Indigenous people around the world as cultures and languages are based on the interaction of people with nature/land. This move to delivering the curriculum in the natural environment using Indigenous knowledges as its pedagogy is anticipated to change attitudes about Indigenous people and issues as well as improving the health and well-being of graduate students and, over time, Indigenous peoples’ health and well-being.

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Flávia Carvalho dos Santos Batista, Firmina Hermelinda Saldanha Albuquerque, Karla Maria Carneiro Rolim, Manoel Viana Xavier, Mirian Calíope Dantas Pinheiro, Henriqueta Ilda Verganista Martins Fernandes e Mirna Albuquerque Frota. "Health care of Brazilian indigenous peoples: Post-implementation of the National Indigenous Health Policy". World Journal of Advanced Research and Reviews 10, n.º 1 (30 de abril de 2021): 237–44. http://dx.doi.org/10.30574/wjarr.2021.10.1.0166.

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The objective was to describe, through key points of indigenous health care, what has changed after the implementation of the National Health Care Policy for Indigenous Peoples. For this, the research method chosen was the literature review with a qualitative approach of the results. The studies that composed the sample were retrieved from the SciELO and PubMed databases, from May to August 2018. The results point to the deficiency of training of professionals of the Multidisciplinary Team of Indigenous Health (EMSI) in the context of interethnic relations; the need to define the functions of Indigenous Health Agents (IHA) within EMSI; the good acceptance by indigenous peoples and EMSI regarding biomedical and traditional indigenous treatments, respectively; in addition to the food deficiency of the Indigenous Health Care Information System. That said, there should be trainings in the scope of interethnic action for EMSI and IHA with clear definition of each one’ roles within EMSI, especially the IHA.

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O'Keefe, Victoria. "7.2 Indigenous Storytelling: Supporting Indigenous Children’s Mental Health and Wellness". Journal of the American Academy of Child & Adolescent Psychiatry 61, n.º 10 (outubro de 2022): S11—S12. http://dx.doi.org/10.1016/j.jaac.2022.07.050.

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Taylor, Hugh R., Jing Xie, Anna-Lena Arnold, Nicolas Goujon, Ross A. Dunn, Sarah Fox e Jill Keeffe. "Cataract in indigenous Australians: the National Indigenous Eye Health Survey". Clinical & Experimental Ophthalmology 38, n.º 8 (novembro de 2010): 790–95. http://dx.doi.org/10.1111/j.1442-9071.2010.02337.x.

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Lock, Mark J., David P. Thomas, Ian P. Anderson e Philippa Pattison. "Indigenous participation in an informal national Indigenous health policy network". Australian Health Review 35, n.º 3 (2011): 309. http://dx.doi.org/10.1071/ah09812.

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Objective. To determine and describe the features of Indigenous participation in an informal national Indigenous health policy network. Design. A questionnaire was administered during 2003–04. Through a snowball nomination process a total of 227 influential persons were identified. Of these, 173 received surveys of which 44 were returned, a return rate of 25%. Outcome measures. These data were analysed to detect the existence of network groups; measure the degree of group interconnectivity; and measure the characteristics of bonds between influential persons. Demographic information was used to characterise the network and its groups. Results. Indigenous people were integral to the network due to their high representation, their distribution throughout the 16 groups, and the interconnections between the groups. The network was demographically diverse and multiple relational variables were needed to characterise it. Indigenous and non-Indigenous people had strong ties in this network. Conclusion. Social network methods made visible an informal network where Indigenous and non-Indigenous people relate in a complex socio-political environment to influence national Indigenous health policy. What is known about the topic? The participation of Indigenous people is acknowledged as important in health, but there is criticism of the lack of real opportunities for Indigenous people to participate in national Indigenous health policy processes. What does this paper add? This research reveals the presence of an informal network of influential persons. It demonstrates a way to investigate the concept of participation through social network analytic techniques. It reveals that Indigenous people are fundamental to an informal network that influences national health policy processes. What are the implications for practitioners? Practitioners can become more aware of their place in informal networks of influence and of their capacity to exercise personal influence in national policy decisions based on advice drawn from their informal networks.

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Barnabe, Cheryl. "Towards attainment of Indigenous health through empowerment: resetting health systems, services and provider approaches". BMJ Global Health 6, n.º 2 (fevereiro de 2021): e004052. http://dx.doi.org/10.1136/bmjgh-2020-004052.

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Colonial policies and practices have introduced significant health challenges for Indigenous populations in commonwealth countries. Health systems and models of care were shaped for dominant society, and were not contextualised for Indigenous communities nor with provision of Indigenous cultural approaches to maintain health and wellness. Shifts to support Indigenous health outcomes have been challenged by debate on identifying which system and service components are to be included, implementation approaches, the lack of contextualised evaluation of implemented models to justify financial investments, but most importantly lack of effort in ensuring equity and participation by affected communities to uphold Indigenous rights to health. Prioritising the involvement, collaboration and empowerment of Indigenous communities and leadership are critical to successful transformation of healthcare in Indigenous communities. Locally determined priorities and solutions can be enacted to meet community and individual needs, and advance health attainment. In this paper, existing successful and sustainable models that demonstrate the empowerment of Indigenous peoples and communities in advocating for, designing, delivering and leading health and wellness supports are shared.

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McEldowney, Rose. "The Health of Indigenous Australians". Contemporary Nurse 22, n.º 2 (setembro de 2006): 339. http://dx.doi.org/10.5172/conu.2006.22.2.339.

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Ford, James D. "Indigenous Health and Climate Change". American Journal of Public Health 102, n.º 7 (julho de 2012): 1260–66. http://dx.doi.org/10.2105/ajph.2012.300752.

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Breault, Pascale, Jessie Nault, Michèle Audette, Sandro Échaquan e Jolianne Ottawa. "Reflections on Indigenous health care". Canadian Family Physician 67, n.º 8 (agosto de 2021): 567–68. http://dx.doi.org/10.46747/cfp.6708567.

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Armstrong, Ruth M., e Martin B. Van Der Weyden. "Indigenous health: partners in healing". Medical Journal of Australia 182, n.º 10 (16 de maio de 2005): 498–99. http://dx.doi.org/10.5694/j.1326-5377.2005.tb00010.x.

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Chenhall, Richard D. "Cultural issues in Indigenous health". Medical Journal of Australia 182, n.º 7 (28 de abril de 2004): 352. http://dx.doi.org/10.5694/j.1326-5377.2005.tb06722.x.

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Peachey, Louis G., Kristin E. McBain e Ruth M. Armstrong. "Indigenous health: burden or opportunity?" Medical Journal of Australia 184, n.º 10 (maio de 2006): 483–84. http://dx.doi.org/10.5694/j.1326-5377.2006.tb00337.x.

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Guest, Charles. "Indigenous health: reaching beyond rhetoric". Medical Journal of Australia 187, n.º 4 (agosto de 2007): 247. http://dx.doi.org/10.5694/j.1326-5377.2007.tb01215.x.

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Kowal, Emma E., e Yin C. Paradies. "Enduring dilemmas of Indigenous health". Medical Journal of Australia 192, n.º 10 (maio de 2010): 599–600. http://dx.doi.org/10.5694/j.1326-5377.2010.tb03647.x.

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O’Sullivan, Dominic. "Indigenous health and human rights". Australian Journal of Human Rights 18, n.º 2 (outubro de 2012): 1–20. http://dx.doi.org/10.1080/1323-238x.2012.11882104.

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Calma, Tom. "Indigenous health and human rights". Australian Journal of Human Rights 14, n.º 1 (dezembro de 2008): 21–39. http://dx.doi.org/10.1080/1323238x.2008.11910844.

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Hunter, Ernest M., Rose G. Ellis, Patricia S. Fagan e Donnaleen Campbell. "The health of indigenous peoples". Medical Journal of Australia 156, n.º 8 (abril de 1992): 575–77. http://dx.doi.org/10.5694/j.1326-5377.1992.tb121423.x.

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Durie, Mason H. "Indigenous health: New Zealand experience". Medical Journal of Australia 197, n.º 1 (julho de 2012): 10–11. http://dx.doi.org/10.5694/mja12.10719.

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Fairley, Christopher K., e Jane S. Hocking. "Sexual health in Indigenous communities". Medical Journal of Australia 197, n.º 11-12 (dezembro de 2012): 597–98. http://dx.doi.org/10.5694/mja12.11448.

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Jones, Rhys, Lynden Crowshoe, Papaarangi Reid, Betty Calam, Elana Curtis, Michael Green, Tania Huria et al. "Educating for Indigenous Health Equity". Academic Medicine 94, n.º 4 (abril de 2019): 512–19. http://dx.doi.org/10.1097/acm.0000000000002476.

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Leeder, Stephen R. "Commitment to improving Indigenous health". Australian and New Zealand Journal of Public Health 22, n.º 6 (outubro de 1998): 635–36. http://dx.doi.org/10.1111/j.1467-842x.1998.tb01457.x.

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Matthews, Richard. "Health ethics and Indigenous ethnocide". Bioethics 33, n.º 7 (20 de junho de 2019): 827–34. http://dx.doi.org/10.1111/bioe.12610.

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Walker, David, Marc Tennant e Stephanie D. Short. "Listening to indigenous health workers". Health Education Journal 70, n.º 4 (13 de novembro de 2011): 400–406. http://dx.doi.org/10.1177/0017896911428368.

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Objective: This research was undertaken to explore factors operating at the level of the clinic and the community which influence the development of the oral health role of Indigenous Health Workers. The research is a significant aspect of a wider study of the disconnect between the strong national policy support for the development of the oral health role of Indigenous Health Workers and the limited development of the role. Design: Semi-structured interviews were conducted with Indigenous Health Workers to explore their perceptions of the priority of the development of an oral health role and to identify facilitators and barriers to sustainable role development. Setting: The study was conducted in three remote Indigenous communities and two regional centres of the Cape York region in far north Australia. Method: Interviews were conducted with 21 Indigenous Health Workers through five group interviews and eight individual interviews. Results: The findings highlight the high priority given by Indigenous Health Workers to the development of their oral health role while also identifying significant barriers to the sustainable development of this role. Conclusion: The identification of barriers to role development operating at the level of the clinic and the community helps to explain the disconnect between policy and practice in the development of the oral health role of these community health personnel.

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