Community Co-Design of Regional Actions for Children’s Nutritional Health Combining Indigenous Knowledge and Systems Thinking

Show simple item record McKelvie-Sebileau, Pippa Rees, David Tipene-Leach, David D’Souza, Erica Swinburn, Boyd Gerritsen, Sarah 2022-06-16T22:28:43Z 2022-06-16T22:28:43Z 2022-04-19
dc.identifier.citation (2022). International Journal of Environmental Research and Public Health, 19(9), 4936-.
dc.identifier.issn 1661-7827
dc.description.abstract <jats:p>Children’s nutrition is highly influenced by community-level deprivation and socioeconomic inequalities and the health outcomes associated, such as childhood obesity, continue to widen. Systems Thinking using community-based system dynamics (CBSD) approaches can build community capacity, develop new knowledge and increase commitments to health improvement at the community level. We applied the formal structure and resources of a Group Model Building (GMB) approach, embedded within an Indigenous worldview to engage a high deprivation, high Indigenous population regional community in New Zealand to improve children’s nutrition. Three GMB workshops were held and the youth and adult participants created two systems map of the drivers and feedback loops of poor nutrition in the community. Māori Indigenous knowledge (mātauranga) and approaches (tikanga) were prioritized to ensure cultural safety of participants and to encourage identification of interventions that take into account social and cultural environmental factors. While the adult-constructed map focused more on the influence of societal factors such as cost of housing, financial literacy in communities, and social security, the youth-constructed map placed more emphasis on individual-environment factors such as the influence of marketing by the fast-food industry and mental wellbeing. Ten prioritized community-proposed interventions such as increasing cultural connections in schools, are presented with the feasibility and likely impact for change of each intervention rated by community leaders. The combination of community-based system dynamics methods of group model building and a mātauranga Māori worldview is a novel Indigenous systems approach that engages participants and highlights cultural and family issues in the systems maps, acknowledging the ongoing impact of historical colonization in our communities.</jats:p>
dc.language en
dc.publisher MDPI AG
dc.relation.ispartofseries International Journal of Environmental Research and Public Health
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.
dc.subject Nutrition
dc.subject Pediatric
dc.subject Prevention
dc.subject Behavioral and Social Science
dc.subject 2.3 Psychological, social and economic factors
dc.title Community Co-Design of Regional Actions for Children’s Nutritional Health Combining Indigenous Knowledge and Systems Thinking
dc.type Journal Article
dc.identifier.doi 10.3390/ijerph19094936
pubs.issue 9
pubs.begin-page 4936
pubs.volume 19 2022-05-04T23:52:24Z
dc.rights.holder Copyright: The author en
pubs.publication-status Published online
dc.rights.accessrights en
pubs.elements-id 897339 Medical and Health Sciences Population Health Social & Community Health
dc.identifier.eissn 1660-4601
pubs.record-created-at-source-date 2022-05-05 2022-04-19

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