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 communityempowerment have emerged as key strategies for reducing healthdisparities and promoting public health. As with other strategiesand best practices, these concepts have been brought to indigenous(American Indian and Alaska Native) communities primarily bymainstream researchers and practitioners.
Mainstream models and their resultant programs, however, oftenhave limited application in meeting the needs and realitiesof indigenous populations. Tribes are increasingly taking controlof their local health care services. It is time for indigenouspeople not only to develop tribal programs but also to defineand integrate the underlying theoretical and cultural frameworksfor public health application.
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