Community Sector Research Articles

Development of a Health Impact Assessment Implementation Model: Enhancing Intersectoral Approaches in Tackling Health Inequalities- A Mixed Methods Study Protocol

Public health research presents compelling evidence that health is socially determined. To address structural inequalities and inequities in health, public policies require intersectoral development and implementation. Health Impact Assessment (HIA) is an established approach for analysing potentially detrimental health impacts of policies, programmes, and projects, as well as potentially positive impacts and opportunities. National public health policy, Healthy Ireland (2013–2025), endorses an intersectoral whole-of-system approach to ensure that health is a central part of all relevant policy areas. HIA is endorsed in this policy as one way to drive this agenda. Synergising with this policy commitment for HIA, the all-island Institute of Public Health Ireland produced revised HIA guidance in 2021. Two HIAs will be carried out as part of this project, including one at a local policy level, addressing the Cork City Development Plan (2022–2028), and the second HIA at a national policy level, addressing the Irish Government’s Climate Action Plan (2024). The updated HIA guidance will be used in the conduct of these HIAs. This research project involves a co-creation of a Health Impact Assessment Implementation Model by employing an action research approach with implementation science frameworks to the conduct of the two HIAs. Therefore, the process of doing the HIAs will form the basis for the research study. In order to enhance meaningful community involvement in HIA in Ireland, the project will co-create a Community Engagement Toolkit for HIA. This Model will strengthen researcher, policy actor, practitioner, community, and voluntary sector capacity to collaboratively develop and implement intersectoral and equitable policy responses to major population health issues.

Participation, agreement and reduced acrimony through family mediation: Benefits for the ambivalent client in a mandatory setting

AbstractIn Australia, it is mandatory for separating couples to attempt Family Dispute Resolution (FDR/mediation) before taking a parenting matter to court. In this context some clients may attend FDR solely as a means of accessing court processes. This article examines key outcomes across a large sample of FDR clients in a community sector organization. Participation, rates of agreement, levels of satisfaction, and levels of acrimony are assessed for the sample as a whole and for a subgroup of those indicating their intention to proceed to court. Strong rates of participation, agreement, and satisfaction are reported for the full sample, and significant reductions in acrimony are evident among those who reached agreement in FDR. We find that those who indicate ambivalence to negotiating parenting matters in FDR nevertheless derive benefit from participation in terms of reduced acrimony, satisfaction with the process, and reaching some level of agreement.

ANALISA FAKTOR INDIVIDU TERHADAP PENYEBAB KEMISKINAN EKSTRIM DI KABUPATEN TANGERANG

This research was conducted with the main aim of examining individual factors that contribute to extreme poverty in the Tangerang Regency, especially in 12 villages located across four district regions: Pakuhaji District, Rajeg District, Solear District, and Sindang Jaya District. By gaining a deeper understanding of the factors driving extreme poverty, it's hoped that poverty alleviation efforts in this area can be more effective and targeted. The research utilized a qualitative descriptive method as the primary approach. Findings indicate that individual factors, particularly in education and employment aspects, significantly contribute to extreme poverty in this region. Analysis reveals that the majority of the population in these 12 villages have low educational attainment, with most having only completed primary or lower secondary education. Additionally, livelihoods are predominantly in the agricultural sector, manual labor, odd jobs, and other informal occupations, showcasing limited job options available. Possible steps to address this include raising awareness about the importance of education through community and private sector participation, enhancing the knowledge and skills of the workforce, improving educational infrastructure, providing job training and internships within local companies, creating new labor-intensive job opportunities, boosting economic infrastructure, and improving access to financing while providing support for community-driven initiatives

Addressing ethical issues in outdoor health practice: a scoping review

The Australian Outdoor Health (OH) sector provides diverse practices that support an interconnected human and ecological approach to health and wellbeing. There is an urgent need for the OH sector to develop a comprehensive ethical practice framework, to enable professional recognition and other initiatives to progress. This would bring the sector in line with similar health and wellbeing occupations including social work, psychology, and counselling that have established professional recognition. A key feature of professional recognition is the acceptance of a Code of Ethics or Ethical Framework to guide practice and enhance standing in the field. This scoping review of the literature is undertaken to aid in developing an OH ethical practice framework. Findings suggest the framework should incorporate two overarching themes of beneficence and nonmaleficence, and contain six guiding principles: diversity, equity, advocacy, justice, accountability, and competence. We discuss these findings, situate them within broader OH community and health sector discourses, and make recommendations for establishing an Australian ethical practice framework to assist the move towards professional recognition and drive ethical OH practice.

Action priorities to facilitate planning of the transition to adulthood of young people with profound intellectual disability

Objectives It is essential for parents and professionals to be engaged in identifying and developing solutions that facilitate the transition to adulthood of young people with profound intellectual disability. However, most of them are dissatisfied in various ways with the current services available. To date, there is a paucity of literature guiding the development of solutions to meet the needs of young people with profound intellectual disability, their parents and their professionals. This study aimed to understand actions priorities to facilitate transition planning for young people with profound intellectual disability according to parents and professionals. Methods Parents and professionals from the education, health and community sectors participated in a three-stage prioritization process. Results The multistage methodological process for obtaining the viewpoints of parents and professionals involved in the planning of the transition to adulthood appear to be a relevant and realistic method. Both parents and professionals prioritized solutions in the informational and material support categories. They identified the creation of a transition guide and support for the development of meaningful activities for individuals with profound intellectual disability as the most feasible and important solutions. Both also highlighted the need to increase the number of places in day activity centres and to have a one-stop-shop for both information and guidance from a single actor during transition process. Conclusions Parents and professionals had similar action priorities, which pointed to the most interesting ways forward to develop in future studies of the transition to adulthood of young people with profound intellectual disability.

COVID-19 and Christian Faith-Based Organizations in Great Britain: A Research and Resource Review of Organizational, Financial and Human Contributions and Impacts in the Context of a Wider “Christian Ecology”

The COVID-19 pandemic presented what, on both global and national levels, has arguably so far been the most extensive health, economic and social challenge of the 21st century. Responding to this challenge, it soon became clear that, while having a vital role in the contextual provision of necessary services, public authorities also needed to engage with organizations in the voluntary, community sector, including Faith-Based Organizations (FBOs). This article presents and discusses and analyzes a digest of research and resource evidence from the beginning of 2020–to the end of 2023 concerning the organizational, financial and human contributions of and impacts of the COVID-19 pandemic on, in particular, Christian FBOs in Great Britain. It goes on to analyze these contributions and impacts within the analytical framework of what it calls a wider “Christian ecology” as the context within which such FBOs live, to which they contribute, and, as argued by this review, apart from which they cannot be properly understood. Finally, in exploring some of the lessons to be learned from the evidence and analysis presented, the article identifies and considers some key opportunities and issues that arise at the interface between the work of (especially, but not only, Christian) FBOs and the structures and processes of the governmental powers-that-be.

How can asset-based approaches reduce inequalities? Exploring processes of change in England and Spain.

Initiatives to promote health and reduce inequalities in place-based communities have increasingly adopted asset-based approaches (ABAs). However, the processes through which such initiatives might reduce inequalities are not well understood, and evidence of their impact on health is still limited. This study aimed to understand how ABAs can impact practices, relationships and the redistribution of resources to reduce health inequalities in and betweenless advantaged neighbourhoods. Qualitative research was conducted in two settings (England and Spain) where similar asset-based initiatives, aimed at training community members to become health promoters, were being implemented. Data were collected using theory of change workshops, 120 hours of observations and semi-structured interviews with 44 stakeholders (trained community members, voluntary and community sector organizations' workers and health professionals). A thematic analysis informed by systems thinking was carried out. Three main processes of change were identified: first, 'enabling asset-based thinking' defined as supporting people to adopt a view that values their own resources and people's skills and expertise. Second, 'developing asset-based capacities', described as developing personal skills, knowledge, self-confidence and relationships underpinned by asset-based thinking. Finally, 'changing decision-making and wider health determinants through ABAs' referred to achieving changes in neighbourhoods through mobilizing the asset-based capacities developed. These processes were associated with changes at an individual level, with potential to contribute to reducing inequalities through supporting individual empowerment and social capital. However, contextual factors were found key to enable or hinder changes in the neighbourhoods and acted as barriers to processes of collective empowerment, thus limiting ABAs' impact on health inequalities.

“We have to change our mindsets”: a qualitative study of barriers and facilitators in research collaboration across integrated care system organisations

The introduction of Integrated Care Systems (ICS) in England aimed to increase joint planning and delivery of health and social care, and other services, to better meet the needs of local communities. There is an associated duty to undertake collaborative research across ICS partners to inform this new integrated approach, which might be challenging given that organisations span health, local authority, voluntary and community sector, and research. This study aimed to explore the appetite for collaborative Research and Innovation (R&I) across ICSs, potential barriers and solutions. This qualitative study involved semi-structured interviews with 24 stakeholders who held senior positions within organisations across two ICS areas (Staffordshire and Stoke-on-Trent; Shropshire, Telford and Wrekin). Interview transcripts were analysed using inductive and deductive analysis, first mapping to the Theoretical Domains Framework (TDF), then considering key influences on organisational behaviour in terms of Capability, Opportunity and Motivation from the COM-B Behaviour Change Wheel. There were fundamental limitations on organisational opportunities for collaborative R&I: a historical culture of competition (rather than collaboration), a lack of research culture and prioritisation, compounded by a challenging adverse economic environment. However, organisations were motivated to undertake collaborative R&I. They recognised the potential benefits (e.g., skill-sharing, staff development, attracting large studies and funding), the need for collaborative research that mirrors integrated care, and subsequent benefits for care recipients. Related barriers included negative experiences of collaboration, fear of failing and low confidence. Capability varied across organisations in terms of research skills and confidence, which reflected the range of partners (from local authorities to NHS Trusts, primary care, and academic institutions). These findings indicate a need to shift from a culture of competition to collaboration, and to help organisations across ICS to prioritise research, and share resources and skills to mitigate the limiting effects of a constrained economic environment. This could be further explored using a systems change approach, to develop the collaborative research efforts alongside the overarching move towards integrated care.

Atmospheric impacts and regulation framework of shipping emissions: achievements, challenges and frontiers

Currently, over 80% of the international trade volume is carried by sea. Marked by persistent growth, evident atmospheric impacts, intricate mitigation challenges, international shipping has been recognized as one of the most “hard-to-abate” sectors gathering increasing attention from both academic community and governmental sectors in recent years. Against the backdrop of the ambitious climate and clean air objectives, the quantitative shipping emission characterization, impact assessment and policy effectiveness research are not only fundamental to understand the status quo and ramifications of shipping emissions but also beneficial for future emission regulations. Here, we summarized the achievements in shipping emission modelling and impact research in the past two decades, and identified the challenges lying in the transition pathway towards a clean and carbon-neutral shipping. To address the pressing demand for this, we proposed an innovative framework which aims to facilitate emission abatement. Finally, promising directions for future work were delineated, including the indirect effects of shipping emitted aerosols on the climate, the emissions and impacts of novel contaminants, synergies and conflicts among different emission reduction measures, projections on future shipping emission inventories, Arctic shipping emissions, etc.

The Implementation of One Village One Product (OVOP) Program in Sambas Regency

This paper examines the local government's implementation of village development policy at the borderlands, aiming to address the research gap by explaining the implementation of public policy through a case study of the One Village One Product (OVOP) program in Sambas Regency, Indonesia, which shares a border with Sarawak, Malaysia. We provide academic contributions to the field of public policy at the intersection of village development and border studies by explaining the local experience of implementing public policy. Additionally, the study provides practical recommendations for stakeholders in both public and private sectors to enhance OVOP programs following the best practices learned from other countries. The study, conducted from August to October 2023, employed qualitative research methods through observation and 15 interviews with government officials, the regency and village levels, and the local figures. Relevant documents were also collected and analyzed. The study found that two models of policy implementation applied in the research setting. In most villages, the OVOP program implemented the dominant top-down models due to the independent work of regency government officials and inadequate collaboration. The bureaucracy only provides short-term assistance and empowerment while hindering the aspirations of the private and community sectors to participate. At the same time, a hybrid model is exercised in one village where local stakeholders, the village government, and private and community sectors collaborate based on their sense of belonging toward “home” with less intervention from the regency government. The study recommends enhancing regular on-site or online communication and active collaboration between all stakeholders in the regency and the village level to improve OVOP program implementation in Sambas Regency.

The legitimacy of local government in the Australian federation

AbstractAustralian local government does not enjoy the status of its counterparts in comparable democracies and has long sought acknowledgment in the federal constitution. As these campaigns have consistently failed, this study considers how, and in which forms, local government obtains its own political legitimacy within a governance system centered on the citizen–state relationship, in addition to evaluating the relationships between the different forms of legitimacy. We find that positive perceptions of local government effectiveness are associated with higher levels of support for constitutional change, but that local governments need to pay more attention to systems of accountability and oversight, how building and planning issues are handled, and how they communicate with residents. Generally, and unsurprisingly, local government is appreciated more by those who rely on their services yet who are not always the loudest voices in public debates. Constitutional legitimacy is more likely when other sources of legitimacy are enhanced.Related ArticlesTran, Carolyn‐Thi Thanh Dung, and Brian Dollery. 2022. “Administrative Intensity and Financial Sustainability: An Empirical Analysis of the Victorian Local Government System.” Politics & Policy 50(3): 540–61. https://doi.org/10.1111/polp.12466.Van Acker, Elizabeth. 2009. “Service Delivery of Relationship Support Programs in Australia: Implications for the ‘Community Sector.’” Politics & Policy 37(6): 1307–29. https://doi.org/10.1111/j.1747‐1346.2009.00221.x.Wallis, Joe Tor Brodtkorb, Brian Dollery, and Muiris MacCarthaigh. 2017. “Commissions and Local Government Reform: Expressed Leadership Identities of Commissioners in Inquiries Proposing Municipal Mergers in Northern Ireland and New South Wales.” Politics & Policy 45(2): 285–308. https://doi.org/10.1111/polp.12199.

Iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia: a multilevel complex data analysis of 2019 Ethiopian mini demographic and health survey data.

Iron and folic acid deficiency is a worldwide public health concern, particularly in low and middle-income countries. In Ethiopia, adherence to iron and folic acid supplements is still very low. Despite the fact that a number of studies on IFA supplementation have been conducted in Ethiopia, they do not indicate a nationwide problem and do not use advanced models to demonstrate clustering effects. The purpose of this study was to assess the level of non-adherence to iron folic acid supplementation and predictors among pregnant women in Ethiopia. To assess iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia using data from the 2019 Mini-Ethiopian demographic health survey. The Mini Ethiopian Demographic and Health Survey 2019 data were obtained from the official database website of the Demographic and Health Survey program (http://dhsprogram.com). The analysis included a sample of 2,356 weighted study participants. A multivariable multilevel mixed-effects logistic regression model was used Variables with p-values less than 5%) was reported as statistically significant variables in the multivariable analysis. The proportion of mothers who did not adhere to iron and folic acid supplements was 81.03% (95 %CI, 79.39, and 82.56). Birth interval less than 2 years [AOR: 2.03; 95% CI: 1.12, 3.66], women ever born less than six children [AOR: 1.99; 95% CI: 1.09, 3.64], starting ANC visit during first trimester [AOR: 2.74; 95 %CI: 1.03, 7.30], region [AOR = 0.24; 95% CI: 0.10], and having a high no ANC visit in the community [AOR = 1.77; 95% CI: 1.08, 2.88] were statistically significant factors. There was Intra-Custer Correlation (ICC = 17.72%), indicating that 17.72% variability in non-adherence levels was due to clusters. In Ethiopia, nearly four out of every five pregnant women did not receive iron folic acid supplementation for the recommended periods. Birth intervals, number of children, timing of ANC visits, region, and community level no ANC service were significant factors for non-adherence IFAS. As a result, the community, govern metal and non-governmental sectors enacting on health should focus on reducing non-adherence through tailored interventions on factors that influence it.

Trauma informed mental health support; qualitative evaluation findings from one voluntary and community sector programme for women experiencing DVA

In the context of on-going high rates of domestic abuse in England, the voluntary and community sector increasingly provides specialist domestic violence and abuse (DVA) services to support women in local community settings. This article discusses a qualitative evaluation of one programme, working to support females with mental health needs. A locally based support programme worked with women in one city in England over a two-year period; 34 service users, and eight professionals contributed to interviews and focus groups in support of the evaluation. Our framework analysis identified key themes using survivor voice in respect of the importance of trauma-informed support, adding to the evidence base about effective recovery work in the voluntary and community sector. The defining features of trauma-informed support, safety, trust, choice, collaboration and empowerment were evident in the service model, which led to positive outcomes for survivors who engaged with the programme. The model of provision discussed here is transferrable beyond the voluntary and community sector. Learning from the programme suggests that DVA services can focus on the mental health needs of survivors, using trauma-informed support to enhance recovery.

Supporting People Seeking Asylum in the Australian Community: A Service Provider Perspective

Deterrence of asylum seekers, including via restrictive refugee determination processes, is increasingly common in many countries. In Australia, people who sought asylum by sea between 13 August 2012 and 1 January 2014 (the ‘legacy caseload’), have been subject to increasing restrictions on their social and economic rights. As a result, these people rely on support from non-government organisations, whilst they progress through Australia’s refugee determination process. This research explored service providers’ role in mediating the impacts of asylum policy on the legacy caseload. Findings from 20 in-depth, semi-structured interviews, conducted between December 2018 and February 2020, highlight how service providers in both statutory and community sectors in Victoria challenge and subvert deterrence policies, even as the policy environment constrains their ability to support people seeking asylum. To redress these constraints, increased availability of social supports for people seeking asylum, continuing and additional funding for non-government organisations, and increased support for workers across sectors are recommended by this study. Service providers play a crucial role in enabling the effective engagement of people seeking asylum with the refugee determination process. These findings serve as a further warning from countries seeking to emulate the ‘Australian model’ of harm.

INTEGRATION OF ENGINEERING AND POLITICS IN WATER MANAGEMENT: A HOLISTIC APPROACH TO ENHANCING PUBLIC

This article explores the evolving concept of water governance across various nations, serving as a reference for effective and sustainable water management. Aligned with Sustainable Development Goal (SDG) No. 6, which focuses on Clean Water and Sanitation, Indonesia faces unique challenges due to its dual climate patterns of rainy and dry seasons. These climatic variations necessitate sound water resource management to address water shortages during droughts, prevent drought-related disasters and mitigate flood risks during the rainy season. Utilizing a literature review methodology, this research aims to comprehend the development of knowledge in the water governance concept, incorporating both technical and political dimensions in policy formulation. The findings underscore the significance of collaboration, cooperation, and participation among the government, community, and private sector in implementing effective water governance. Embracing the governance paradigm, the key takeaway is the need for collective efforts to establish robust water resource management, thereby ensuring the success of the clean water and sanitation program nationwide by 2030. However, it is crucial to acknowledge that not all variants of water governance models can be universally applied, considering the diverse institutional contexts and political cultures across different regions in Indonesia. Despite these challenges, this research underscores the importance of a holistic approach that integrates both technical and political aspects in water management policies, providing a foundation for achieving sustainable water access and sanitation goals.

Lessons from a research partnership in southwest England to understand community palliative care needs in rural, coastal and low-income communities.

The South West Peninsula (Cornwall, Devon, Somerset) has the highest proportion of over 65s (24.2%) and is the only English rural population with greater economic deprivation than in urban areas. Coastal populations have the worst health outcomes in England. Despite innovation among communities to support those with health and care needs in later life, recruitment to palliative care research in the region is low and there has been no evaluation of public health palliative care interventions. A new South West Peninsula Palliative Care Research Partnership was funded for 15 months, bringing together four universities, the voluntary and community sector (including hospices) and local National Institute for Health and Care Research networks. The aim was to establish a sustainable multisectoral partnership that would identify community-based support needs for underserved rural and coastal populations by: • conducting a literature scoping review on interventions to enable community members to support the dying; • delivering a research capacity-building programme; • co-creating public and patient involvement capacity; • determining the resources and needs for communities to support dying well; • integrating findings to develop a framework of community-based support and identify future research questions; • establishing a sustainable research network infrastructure for the long-term design and delivery of palliative care research. We convened partners to identify research needs and co-designed activities to meet our objectives. These included a scoping review; a capacity-building programme of training, seminars and a journal club; forming a patient and public involvement group; a multistranded community engagement programme using different creative approaches; four focus groups with members of the public and one with community workers; and producing three 'storytelling' audio recordings. Findings were presented to the partnership at a regional workshop. The scoping review showed that community-engaged palliative care interventions can improve outcomes for individuals but provided little evidence about which approaches work for different communities. Five online seminars and a quarterly journal club to develop research capacity were regularly attended by 15 to 25 participants from across the partnership. While evaluating our engagement methods was beyond the partnership's scope, levels of participation suggested that creative methods of engagement show potential to help researchers and practitioners better understand the needs and priorities of underserved populations. Data showed that rural, coastal and low-income communities face challenges in accessing end-of-life care and support due to issues such as transport to and distance from services, erosion of neighbourhood networks, isolation from family and friends, 'patchiness' of palliative care services and a lack of care providers. Community organisations are well-placed to co-produce and facilitate methodologies for involving communities in palliative care research. Although activities took place in diverse areas, it was not possible within the available resources to cover the entire large geographical region, particularly the most isolated rural areas. Partnerships bringing together voluntary and community sector organisations, palliative care providers, health and social care providers, individuals with experience and academics have potential to design future research and public health interventions that better understand local context, involving and supporting communities to address their needs at end of life. This article presents independent research funded by the National Institute for Health and Care Research (NIHR) Public Health Research programme as award number NIHR135312.

Analysis of independent city concept in reclamation area PIK 1 & PIK 2 based on community, government, and private sector role

Reclamation is part of spatial planning to make coastal areas more useful, as well as to increase land resources from an environmental, social and economic point of view. The development of the PIK (Pantai Indak Kapuk) 1 and 2 reclamation areas is a concept of a sustainable Independent City. The role of the community, government and private sector plays an important role in developing the region. It is also necessary to pay attention to the environmental impact caused by reclamation activities. This study uses qualitative and quantitative methods with a descriptive analysis approach by collecting data from review articles, questionnaires and using maps via satellite imagery. Through the participation of the role of the community which is divided into the general public, fishing communities, and affected communities explaining the interrelationships where the general public's perception of the most supporting parameters for independent cities is infrastructure and land use, then fishing communities have an impact on fish catches, as well as affected communities experiencing rejection resulting in a change in livelihood. The government's role in regulatory planning as a regional spatial plan includes planning processes, infrastructure, public services and a sustainable environment. The role of the private sector can be seen from the planning and development process which chooses to build supporting infrastructure such as tourist centers, shops, public transportation and other facilities. CSR programs by private parties or developers are one of the efforts to contribute positively to the environment and surrounding communities. Correlation of independent cities with land use from planning, development and development processes that reflect the commitment and role of the community, government and private sector seen in 1995, 2014, 2023 The concept of balance and independence in independent cities emphasizes the importance of a holistic approach in urban planning and management. PIK 1 & 2 reclamation areas based on independent cities based on the role of the community, government and private sector in regional development are the key to achieving sustainable development.

Implementation facilitators and barriers to the expansion of a peer-led overdose prevention program

In Canada, there has been a substantial increase of opioid overdoses in recent years. PROFAN, a peer-led overdose prevention initiative, was successfully implemented in Montreal, Quebec, for people who use drugs (PWUD), or those likely to witness overdoses. The worsening of the situation during the COVID-19 pandemic sparked the need to expand the program across the province. Individual interviews were conducted with 17 key informants from 12 health regions to identify implementation facilitators and barriers. A thematic analysis was conducted based on emerging themes. Four main facilitators were reported: 1) presence of an active peer network involved with harm reduction in the region, 2) collaboration among community and public health sectors, 3) stakeholders’ awareness of opioid situation, and 4) perceived appropriateness of training. Six main barriers also emerged: 1) geographical isolation, 2) existing offer of similar services, 3) difficulty reaching isolated PWUD, 4) stigmatization of PWUD, 5) unwillingness of stakeholders to address situation, and 6) lack of funding stability. The expansion achieved by the PROFAN program highlights the ability of a peer-driven community organization to lead an overdose prevention program when provided with funding and support from government health agencies and partnerships with other organizations such as addiction worker associations.

Eeyou/Eenou community voices on ‘doing’ Miyupimaatisiiun (wellness) planning: An occupational transactional perspective

ABSTRACT This article is the second of ‘twin’ papers centering community participation in Miyupimaatisiuun (wellness) planning within the Eeyou Istchee (Northern Québec James Bay Cree) context. We present and discuss the results of a community-based study that took place over the course of 4 years (2016-2020). Data were collected through 13 visits to four communities, 22 individual conversation-based interviews with local members of Miyupimaatisiiun (wellness) Committees (MC), 50 hours of community-based activity observations, informal brief interviews, and documents related to MC planning activities. Data analysis was grounded in an occupational transactional perspective encompassing local and regional contexts with which MC members coordinate their intentions and actions to plan for community miyupimaatisiiun. Our first manuscript (Lévesque et al., 2022) presented study results on the meaning of community participation in wellness planning. This second paper predominantly addresses the processes of ‘doing’ Miyupimaatisiiun Committee participation. Three themes are presented and discussed: Connecting local entities, Positioning the local Miyupimatisiiun Committee, and Wearing multiple hats. These results help describe and understand community participation as occupational transaction with the effects of colonization and with coloniality, that is, settler forms of knowledge and ways of doing, as participants bridge community sectors and collectivize local entity resources and efforts toward community miyupimaatisiiun. Ways forward for local Cree governance and regional entities hoping to better support community engagement and mobilization for wellness planning, are proposed. Though research results will be of interest to a broad audience, particular relevance to occupational science is emphasized, in terms of occupational transactionalism and coloniality.

Strong Born-A First of Its Kind National FASD Prevention Campaign in Australia Led by the National Aboriginal Community Controlled Health Organisation (NACCHO) in Collaboration with the Aboriginal Community Controlled Health Organisations (ACCHOs).

The Strong Born Campaign (2022-2025) was launched by the National Aboriginal Community Controlled Health Organisation (NACCHO) in 2023. Strong Born is the first of its kind national Aboriginal and Torres Strait Islander health promotion campaign to address Fetal Alcohol Spectrum Disorder (FASD) within Australia. Strong Born was developed to address a longstanding, significant gap in health promotion and sector knowledge on FASD, a lifelong disability that can result from alcohol use during pregnancy. Utilizing a strengths-based and culturally sound approach, NACCHO worked closely with the Aboriginal Community Controlled Health Organisations (ACCHOs) to develop the campaign through co-design, as described in this paper. Since its inception, the ACCHOs have continually invested in driving change towards improvements in Aboriginal health determinants and health promotion. The Strong Born Campaign developed culturally safe health promotion tool kits designed for the community and health sector staff and also offered communities the opportunity to apply for FASD Communications and Engagement Grants to engage in local campaign promotion. The tool kits have been disseminated to 92 ACCHOs across Australia. This paper describes the development of the Strong Born Campaign and activities following its launch in February 2023 from an Indigenous context within Australia, as described by NACCHO.