Strengths and limitations of a tool for monitoring and evaluating First Peoples' health promotion from an ecological perspective

Kevin Rowley, J Doyle, L Johnston, Rachel Reilly, Leisa Mccarthy, M Marika, T Riley, P Atkinson, B Firebrace, J Calleja, Margaret Cargo

    Research output: Contribution to journalArticlepeer-review

    16 Downloads (Pure)


    Background: An ecological approach to health and health promotion targets individuals and the environmental determinants of their health as a means of more effectively influencing health outcomes. The approach has potential value as a means to more accurately capture the holistic nature of Australian First Peoples' health programs and the way in which they seek to influence environmental, including social, determinants of health.

    Methods: We report several case studies of applying an ecological approach to health program evaluation using a tool developed for application to mainstream public health programs in North America - Richard's ecological coding procedure.

    Results: We find the ecological approach in general, and the Richard procedure specifically, to have potential for broader use as an approach to reporting and evaluation of health promotion programs. However, our experience applying this tool in academic and community-based program evaluation contexts, conducted in collaboration with First Peoples of Australia, suggests that it would benefit from cultural adaptations that would bring the ecological coding procedure in greater alignment with the worldviews of First Peoples and better identify the aims and strategies of local health promotion programs.

    Conclusions: Establishing the cultural validity of the ecological coding procedure is necessary to adequately capture the underlying program activities of community-based health promotion programs designed to benefit First Peoples, and its collaborative implementation with First Peoples supports a human rights approach to health program evaluation.

    Original languageEnglish
    Article number1215
    Pages (from-to)1-9
    Number of pages9
    JournalBMC Public Health
    Publication statusPublished - 8 Dec 2015


    Dive into the research topics of 'Strengths and limitations of a tool for monitoring and evaluating First Peoples' health promotion from an ecological perspective'. Together they form a unique fingerprint.

    Cite this