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.

本研究系统地审查了有关土著环境中健康计划和服务评估的证据。遵循 PRISMA 指南，并结合“土著人口”和“健康计划和服务”的术语。出现了八项原则： 原则 1：采用土著主导或共同主导的方法对于通过优先考虑自决权来平衡权力关系至关重要，原则 2：评估团队应包括当地土著社区成员，原则 3：土著社区知识和实践应是基础, 原则 4：评估必须具有响应性和灵活性，以满足当地社区的需求， 原则 5： 评估应尊重并遵守当地土著协议、文化、智慧和语言， 原则 6： 评估应强调互惠、共享学习和能力建造，