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2. Women's Perspectives - Christian Aboriginal Infrastructure ...

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In Volume 3, Chapter 3, we proposed a significant shift in the locus of control of personal<br />

and community services, away from centralized, bureaucratic regulation and toward<br />

<strong>Aboriginal</strong> community control. We also endorsed the development of distinct institutions<br />

mandated by <strong>Aboriginal</strong> governments and accountable to <strong>Aboriginal</strong> people. We<br />

proposed that the new directions for <strong>Aboriginal</strong> health and healing systems be based on<br />

four guidelines for action:<br />

• equity of health and social welfare outcomes;<br />

• holism in the diagnosis of problems, their treatment and prevention;<br />

• <strong>Aboriginal</strong> authority over health systems and, where feasible, community control over<br />

services; and<br />

• diversity in the design of systems and services.<br />

We also proposed four practical strategies for the reconstruction of health and healing<br />

systems in <strong>Aboriginal</strong> nations and communities, strategies that are preconditions for the<br />

health and social well-being of <strong>Aboriginal</strong> people no matter which governments are in<br />

charge:<br />

• the development of a system of <strong>Aboriginal</strong> healing centres and healing lodges under<br />

<strong>Aboriginal</strong> control as the principle units of holistic and culture-based health and wellness<br />

services;<br />

• the development of <strong>Aboriginal</strong> human resources adequate to the new system, its values<br />

and assumptions;<br />

• the full and active support of mainstream health and social service authorities and<br />

providers in meeting the health and healing goals of <strong>Aboriginal</strong> people; and<br />

• the implementation of an infrastructure development program to address the most<br />

immediate health threats in <strong>Aboriginal</strong> communities, including the provision of clean<br />

water, basic sanitation facilities and safe housing.<br />

The participation of <strong>Aboriginal</strong> women in these initiatives should be viewed by<br />

<strong>Aboriginal</strong> governments as not only desirable but imperative. As we have shown, women<br />

are providing leadership in many community-based projects, and they are often in the<br />

front line of service provision. The importance that <strong>Aboriginal</strong> women attach to healing<br />

cannot be overstated, and their role in achieving wellness needs to be acknowledged and<br />

incorporated in all aspects of the design, development and implementation of health and<br />

social services.<br />

Recommendation<br />

The Commission recommends that<br />

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