Abstract：
OBJECTIVE:Aboriginal leaders concerned about high rates of Fetal Alcohol Spectrum Disorder (FASD) in the Fitzroy Valley, remote north-western Australia, introduced restrictions on access to take-away full-strength alcohol. Following this, Aboriginal leaders engaged strategic partners in a broader strategy to address FASD in the region. The aim of this study was to develop and implement a community-led, researcher-supported, FASD strategy. METHODS:A review of literature focusing on community-led FASD strategies identified key components that informed the Marulu FASD strategy. These included strategy ownership, leadership, and governance by participating communities, and a research framework. RESULTS:Community meetings and workshops led to the development of The Marulu FASD Strategy (2008). Feasibility and community consent to conduct a FASD prevalence study (the Lililwan Project) was confirmed, and implementation was progressed (2010-2013). Concurrent FASD prevention activities were conducted. In 2012, the Marulu FASD Unit was established within a local Aboriginal organisation to sustain and coordinate ongoing strategy activities. CONCLUSIONS:Community control of public health initiatives can be achieved when Aboriginal communities prioritise issues of significant concern, and engage strategic partners to overcome them. Implications for public health: The Marulu Strategy forms a template for action to address FASD and other public health issues in Aboriginal communities in Australia and internationally.
journal_name
Aust N Z J Public Healthjournal_title
Australian and New Zealand journal of public healthauthors
Fitzpatrick JP,Oscar J,Carter M,Elliott EJ,Latimer J,Wright E,Boulton Jdoi
10.1111/1753-6405.12689subject
Has Abstractpub_date
2017-10-01 00:00:00pages
467-473issue
5eissn
1326-0200issn
1753-6405journal_volume
41pub_type
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更新日期：2011-06-01 00:00:00
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更新日期：2005-06-01 00:00:00
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更新日期：2000-06-01 00:00:00
