|
|
|
|
|
|
||
|
|
||||
|
|
||||
|
||||
Native American youth suffer disproportionately from a range of adverse health conditions. Empowering youth leaders to work on community-based solutions has proved effective in reducing tobacco use and gun violence and is now emerging as a promising approach to improving fitness and health. This article, based on direct observation and interviews with key informants, examines the implementation of a Robert Wood Johnson Foundation–funded project that gave tribal youth councils minigrants to design and run diverse projects that encourage physical activity in their communities. The article highlights the institutional challenges that confront health-promotion strategies for disadvantaged populations. Unless they take proper account of organizational, political, environmental, and cultural forces, funders' interventions have limited chances for success and sustainability.
Grim, C. W. 2005. Testimony on the Status of Indian Health before the Committee on Indian Affairs, United States Senate. 109th Cong., 1st sess., April 13.
Henson, E., and J. B. Taylor. 2004. Native America at the New Millennium. Harvard University, John F. Kennedy School of Government.
Indian Health Service. 2001. Trends in Indian Health, 1998–1999. Washington, DC: U.S. Government Printing Office.
National Indian Health Board. n.d. Fiscal Year 2005 AI/AN National Budget Perspective. Washington, DC: National Indian Health Board.
Putnam, R. 2000. Bowling Alone: The Collapse and Revival of American Community. New York: Simon and Schuster.
Support Services International. 1997. Profile of the State of Indian Children and Youth: Final Report. Silver Spring, MD: Support Services International.
U.S. Commission on Civil Rights. 2004. Broken Promises: Evaluating the Native American Health Care System. Washington, DC: U.S. Commission on Civil Rights.
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
