Developing a Cultural Protocol for Evaluation

2017 ◽  
Vol 17 (2) ◽  
pp. 11-19 ◽  
Author(s):  
Alison Rogers ◽  
Madeleine Bower ◽  
Cathy Malla ◽  
Sharon Manhire ◽  
Deborah Rhodes

Evaluation is understood to be important for ensuring programs and organisations are effective and relevant. Evaluation findings, however, can be potentially inappropriate or not useful if those who have an in-depth understanding of the context are not involved in guidance, direction or implementation. The Fred Hollows Foundation's Indigenous Australia Program (IAP), with more than half of its employees identifying as Aboriginal and/or Torres Strait Islander, has developed a cultural protocol for evaluation to strengthen the quality of its program evaluations, whether they are carried out by internal staff or external evaluators. The development of the protocol was initiated after an evaluation capacity building appraisal identified the potential benefits of increased external support to undertake evaluation activities, and the requirement for this external support to be undertaken in a culturally appropriate manner. The protocol was developed by combining IAP's experience and knowledge with contemporary evaluation and research approaches, particularly those developed for use in cross-cultural settings, with the aim of producing a meaningful and locally relevant resource. The protocol aims to assist staff and external evaluators to ensure that evaluation activities are undertaken with the appropriate respect for, and participation of, Aboriginal and Torres Strait Islander individuals and communities. Consistent with IAP principles, those involved in the process of developing the protocols sought to ensure that engagement between staff, evaluators and evaluation participants occurs in culturally-appropriate ways. IAP believes that the protocol will contribute to stronger evaluation practices, deeper understanding and thus, more useful outcomes. This article describes the process of engaging IAP staff with contextual evidence and the literature around cultural protocols to create a meaningful tool that is useful in our particular context. The process of development described will be useful for: organisations undertaking initiatives that source external evaluators; internal evaluators engaging with external expertise; or evaluators linking with organisations working in a cross-cultural setting.

2021 ◽  
pp. 104973232110288
Author(s):  
Maria Karidakis

The aim of this study is to investigate ways in which interpreting practice in health care settings can be further developed to better facilitate communication with Aboriginal and Torres Strait Islander patients. Data used include 15 hours of transcribed audio recording from semi-structured interviews with interpreters and Aboriginal Liaison Officers who discuss their perceived experiences of interpreting in medical settings. They offer insights into how language is used to resolve communication differences that may confound the interpreting process and in doing so identify roles interpreters assume and discourse patterns that emerge in interpreting practice. As evidenced through the findings, provisions need to be made for cultural differences. Interpreters report they have to “unpack” medical terminology and explain such terminology and related concepts in tangible terms to ensure patient understanding. Other strategies include talking about taboo topics using culturally appropriate terms, avoiding certain question–answer routines, and being aware of nonverbal aspects of communication.


2020 ◽  
Vol 14 (3) ◽  
pp. 155798832093612 ◽  
Author(s):  
James A. Smith ◽  
Anthony Merlino ◽  
Ben Christie ◽  
Mick Adams ◽  
Jason Bonson ◽  
...  

Health literacy is generally conceptualized as skills related to successfully navigating health – ultimately linked to well-being and improved health outcomes. Culture, gender and age are considered to be influential determinants of health literacy. The nexus between these determinants, and their collective relationship with health literacy, remains understudied, especially with respect to Indigenous people globally. This article presents findings from a recent study that examined the intersections between masculinities, culture, age and health literacy among young Aboriginal and Torres Strait Islander males, aged 14–25 years in the Northern Territory, Australia. A mixed-methods approach was utilized to engage young Aboriginal and Torres Strait Islander males. The qualitative components included Yarning Sessions and Photovoice using Facebook, which are used in this article. Thematic Analysis and Framework Analysis were used to group and analyse the data. Ethics approval was granted by Charles Darwin University Human Research Ethics Committee (H18043). This cohort constructs a complex interface comprising Western and Aboriginal cultural paradigms, through which they navigate health. Alternative Indigenous masculinities, which embrace and resist hegemonic masculine norms simultaneously shaped this interface. External support structures – including family, friends and community engagement programs – were critical in fostering health literacy abilities among this cohort. Young Aboriginal and Torres Strait Islander males possess health literacy abilities that enable them to support the well-being of themselves and others. Health policymakers, researchers and practitioners can help strengthen and expand existing support structures for this population by listening more attentively to their unique perspectives.


1999 ◽  
Vol 27 (2) ◽  
pp. 24-26 ◽  
Author(s):  
John Bradley ◽  
Frances Devlin-Glass ◽  
Elizabeth Mackinlay

A project is currently underway at http://arts.deakin.edu.au which is innovative on a number of fronts. It has multiple beginnings: in the proactive, as culture dissemination work of a number of Yanyuwa and Garrwa women, who proclaimed in the white man’s world that they were ‘bosses themselves’ (Gale 1983) and who in various ways have sought to bring their culture to the attention of the wider world. This has been accomplished through a prize-winning (Atom Australian Teachers of Media awards in 1991) film, Buwarrala Akarriya: Journey East (1989), of are-enacted ritual foot-walk in 1988 from Borroloola to Manankurra 90 kilometres away. They also made a another prize winning film called Ka-wayawayarna: The Aeroplane Dance (1993) which won the Royal Anthropological Society of London award for the best ethnographic film in 1995. Since 1997 senior Yanyuwa women have been involved on a regular basis in sharing their knowledge of Yanyuwa performance practice with tertiary students in a subject called Women’s Music and Dance in Indigenous Australia which is offered as a course in anthropology through the Aboriginal and Torres Strait Islander Studies Unit, they have also lectured in core anthropology subjects in the faculty of Social and Behavourial Sciences Department of Anthropology and Sociology at the University of Queensland. They have also engaged actively in work as language preservers and teachers at the Borroloola Community Education Centre (hereafter BCEC) and in the Tennant Creek Language Centre program called Papulu Apparr-Kari.


2020 ◽  
pp. 108-114 ◽  
Author(s):  
Jennifer Chynoweth ◽  
Meaghan M. McCambridge ◽  
Helen M. Zorbas ◽  
Jacinta K. Elston ◽  
Robert J.S. Thomas ◽  
...  

PURPOSE To improve cancer outcomes for Aboriginal and Torres Strait Islander people through the development and national endorsement of the first population-specific optimal care pathway (OCP) to guide the delivery of high-quality, culturally appropriate, and evidence-based cancer care. METHODS An iterative methodology was undertaken over a 2-year period, and more than 70 organizations and individuals from diverse cultural, geographic, and sectorial backgrounds provided input. Cancer Australia reviewed experiences of care and the evidence base and undertook national public consultation with the Indigenous health sector and community, health professionals, and professional colleges. Critical to the OCP development was the leadership of Aboriginal and Torres Strait Islander health experts and consumers. RESULTS The OCP received unanimous endorsement by all federal, state, and territory health ministers. Key elements of the OCP include attention to the cultural appropriateness of the health care environment; improvement in cross-cultural communication; relationship building with local community; optimization of health literacy; recognition of men’s and women’s business; and the need to use culturally appropriate resources. The OCP can be used as a tool for health services and health professionals to identify gaps in current cancer services and to inform quality improvement initiatives across all aspects of the care pathway. CONCLUSION The development of the OCP identified a number of areas that require prioritization. Ensuring culturally safe and accessible health services is essential to support early presentation and diagnosis. Multidisciplinary treatment planning and patient-centered care are required for all Aboriginal and Torres Strait Islander people, irrespective of location. Health planners and governments acknowledge the imperative for change and have expressed strong commitment to work with Indigenous Australians to improve the accessibility, cultural appropriateness, and quality of cancer care.


1999 ◽  
Vol 27 (2) ◽  
pp. 47-54 ◽  
Author(s):  
Dennis Foley

In the Coalition’s Aboriginal and Torres Strait Islander Affairs 1998 election policy statement, The Honourable John Herron, Senator for Queensland and Minister for Aboriginal and Torres Strait Islander Affairs, claimed that a second term Howard/Fischer government would continue to assist Indigenous Australia to move beyond welfare by continuing to target key areas that include education and economic development (Herron 1998:1).


2008 ◽  
Vol 37 (S1) ◽  
pp. 81-89 ◽  
Author(s):  
Bronwyn Fredericks

Abstract In the Health sector, Cross-Cultural Awareness Training has been seen as a way to improve knowledge and understanding of Aboriginal and Torres Strait Islander people to therefore improve service delivery and therapeutic care to Aboriginal and Torres Strait Islander people. Health personnel may have undertaken this type of training in their workplace or as part of their education in an undergraduate degree program. Other sectors additionally undertake Cross-Cultural Awareness Training for similar reasons and in similar educational settings. This paper includes the views of a selection of Aboriginal women and highlights the need to extend beyond knowledge gained through Cross-Cultural Awareness Training to Anti-Racism Training. Furthermore, that Anti-Racism Training and addressing white race privilege is required in order to address the inequities within the health system, the marginalisation and disempowerment of Aboriginal and Torres Strait Islander peoples.


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