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Using community-led development to build health communication about rheumatic heart disease in Aboriginal children: a

Alice G Mitchell1, Joseph Diddo2, Alistair Djalolba James2

  • 1Menzies School of Health Research, Charles Darwin University, Northern Territory.

Australian and New Zealand Journal of Public Health
|May 10, 2021
PubMed

Insights

Aboriginal teachers developed culturally relevant lessons on rheumatic heart disease (RHD) for children in their home languages. This community-led approach improved understanding and attitudes towards RHD prevention and treatment.

Area of Science:

  • Public Health
  • Indigenous Health
  • Health Communication

Background:

  • High prevalence of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) in Aboriginal children in northern Australia.
  • Low family understanding of ARF and RHD negatively impacts children's health and prevention efforts.
  • Need for improved health communication strategies tailored to Indigenous communities.

Purpose of the Study:

  • To develop and evaluate a community-led health communication strategy for RHD prevention among Aboriginal children.
  • To empower Aboriginal teachers to deliver RHD education in local languages.
  • To leverage community data and Indigenous Knowledge for health interventions.

Main Methods:

  • Aboriginal teachers created RHD educational lessons in four Aboriginal languages.
  • Lessons were developed using principles of community-led development and local Indigenous Knowledge.
  • Community-level RHD data access catalyzed the creation of culturally coherent teaching resources.

Main Results:

  • Evaluation highlighted the importance of collective work, Indigenous Knowledge, and metaphors.
  • Children demonstrated improved responses and attitudes towards skin infections and RHD treatment.
  • Language teachers utilized social networks for information dissemination, leading to interagency collaboration for RHD prevention.

Conclusions:

  • Effective health communication for RHD must incorporate Indigenous Knowledge, language, and culture.
  • Collaborative leadership and respect for Indigenous data sovereignty are crucial for addressing high RHD rates.
  • Community-led initiatives are vital for improving health outcomes in Indigenous populations.
Abstract

Keywords:
Indigenous Knowledgescommunity-led developmentdevelopmental evaluationhealth communicationrheumatic heart disease

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