Reviewing Health Service and Program Evaluations in Indigenous Contexts: A Systematic Review

Raglan Maddox*, Genevieve Blais, Angela Mashford-Pringle, Renée Monchalin, Michelle Firestone, Carolyn Ziegler, Melody Morton Ninomiya, Janet Smylie

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)


This study systematically reviewed evidence regarding health program and service evaluations in Indigenous contexts. Following the PRISMA guidelines and combining terms for ‘Indigenous populations’ and ‘health programs and services’. Eight principles emerged: Principle 1: Adopting Indigenous led or co-led approaches is vital to balance power relationships by prioritizing self-determination, Principle 2: Evaluation team should include local Indigenous community members, Principle 3: Indigenous community knowledge and practice should be foundational, Principle 4: Evaluations must be responsive and flexible to meet the needs of the local community, Principle 5: Evaluations should respect and adhere to local Indigenous protocols, culture, wisdom and language, Principle 6: Evaluations should emphasize reciprocity, shared learnings and capacity building, Principle 7: It is important to build strong relationships and trust between and within researcher teams, evaluators and communities, and Principle 8: The evaluation team must acknowledge community capacity and resources by investing in time and relationships.

Original languageEnglish
Pages (from-to)332-353
Number of pages22
JournalAmerican Journal of Evaluation
Issue number3
Publication statusPublished - Sept 2021
Externally publishedYes


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