Enhancing health literacy can empower individuals and communities to take control over their health as well as improve safety and quality in healthcare. However, Indigenous health studies have repeatedly suggested that conceptualisations of health literacy are confined to Western knowledge, paradigms, and practices. The exploratory qualitative research design selected for this study used an inductive content analysis approach and systematic iterative analysis. Publicly available health literacy-related policy and practice documents originating from Australia, Canada, and New Zealand were analysed to explore the extent to which and the ways in which Indigenous knowledges are recognised, acknowledged, and promoted. Findings suggest that active promotion of Indigenous-specific health knowledges and approaches is limited and guidance to support recognition of such knowledges in practice is rare. Given that health services play a pivotal role in enhancing health literacy, policies and guidelines need to ensure that health services appropriately address and increase awareness of the diverse strengths and needs of Indigenous Peoples. The provision of constructive support, resources, and training opportunities is essential for Indigenous knowledges to be recognised and promoted within health services. Ensuring that Indigenous communities have the opportunity to autonomously conceptualise health literacy policy and practice is critical to decolonising health care.

中文翻译：

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在澳大利亚，加拿大和新西兰的与健康扫盲相关的政策和实践文件中承认和促进土著知识，范例和实践

增强健康素养可以使个人和社区有权控制自己的健康，并提高医疗保健的安全性和质量。但是，土著健康研究反复表明，健康素养的概念仅限于西方知识，范式和实践。本研究选择的探索性定性研究设计采用归纳性内容分析方法和系统的迭代分析。对源自澳大利亚，加拿大和新西兰的可公开获得的与健康素养相关的政策和实践文件进行了分析，以探索承认，认可和推广土著知识的程度和方式。研究结果表明，积极推广土著特有的健康知识和方法是有限的，在实践中很少有支持识别此类知识的指导。鉴于卫生服务在提高卫生素养方面起着关键作用，因此政策和指导方针需要确保卫生服务适当地处理和提高对土著人民多样化力量和需求的认识。提供建设性的支持，资源和培训机会对于在卫生服务中认可和促进土著知识至关重要。确保土著社区有机会自主概念化健康素养政策和实践，这对于非殖民化卫生保健至关重要。鉴于卫生服务在提高卫生素养方面起着关键作用，因此政策和指导方针需要确保卫生服务适当地处理和提高对土著人民多样化力量和需求的认识。提供建设性的支持，资源和培训机会对于在卫生服务中认可和促进土著知识至关重要。确保土著社区有机会自主概念化健康素养政策和实践，这对于非殖民化卫生保健至关重要。鉴于卫生服务在提高卫生素养方面起着关键作用，因此政策和指导方针需要确保卫生服务适当地处理和提高对土著人民多样化力量和需求的认识。提供建设性的支持，资源和培训机会对于在卫生服务中认可和促进土著知识至关重要。确保土著社区有机会自主概念化健康素养政策和实践，这对于非殖民化卫生保健至关重要。培训机会对于在卫生服务中认可和促进土著知识至关重要。确保土著社区有机会自主概念化健康素养政策和实践，这对于非殖民化卫生保健至关重要。培训机会对于在卫生服务中认可和促进土著知识至关重要。确保土著社区有机会自主概念化健康素养政策和实践，这对于非殖民化卫生保健至关重要。