To invoke the primacy of culture in health education activities is not
only to challenge approaches to health education that overlook or dow
nplay this domain, but to also deepen and extend the possibilities of
progressive approaches that focus on culture. Border pedagogy, which s
eeks to establish a countervoice to Eurocentrism and patriarchy, enhan
ces and magnifies the possibilities that were opened up when critical
pedagogy invoked the engagement of students in the production of knowl
edge. This process of engaging the teacher/interventionists and the st
udents/audiences in the production of meaning, value, pleasure, and kn
owledge should be central to the mission of health education. It is on
ly through such dialogue where varied cultural expressions are affirme
d and centralized that the production of cultural identity can be legi
timating and empowering relative to health promotion.