Improving the health of Aboriginal and Torres Strait Islander populati
ons is the greatest challenge facing public health in Australia today.
The gains in the health of the population overall have not been match
ed by gains among these communities. Much of the information about the
health of Aboriginal and Torres Strait Islander communities and peopl
e is negative, and little information is available about what Aborigin
al and Torres Strait Islander people themselves consider to be indicat
ors of healthy people and healthy communities. This paper identifies s
ome successful programs and highlights the need for community ownershi
p of decisions about goals, services and programs. By looking to ways
that Aboriginal people view their health (and its determinants), and t
o the examples of successful action to date, it is possible to begin t
o develop a vision of healthy Aboriginal communities in which the rela
tionship between body, land and spirit has been restored. The need, no
w, is to build the partnerships that will be necessary to turn the vis
ion into reality.