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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care

Models of Community Health in Action

This collection explores the power and potential of community health care to strengthen health systems and improve population health and wellbeing. Papers in the collection will highlight a variety of models, programs, policies and approaches to community health and examine their past, current and possible future contributions.

Collection in progress

Collection Editors
Virginia Lewis (La Trobe University)
Fran Baum (University of Adelaide)
Connie Musolino (University of Adelaide)

Last Updated: 14 Apr 2025

PY24223Leading the way: the contribution of Aboriginal community controlled health organisations to community health in Australia

Tamara Mackean, Toby Freeman 0000-0002-2787-8580, Connie Musolino, Denise Fry, Colin MacDougall, Virginia Lewis 0000-0001-7802-625X and Fran Baum

The Aboriginal community controlled health organisation sector in Australia emerged from social movements for Aboriginal self-determination before the Declaration of the Alma Ata, developing a model of community health that was community led, provided holistic care and took action on social determinants of health. Our findings from interviews with community health actors since the 1970s documented these strengths, and how they influenced generalist community health. The sector remains a strong example of community health relevant to all Australians.

This article belongs to the collection: Models of Community Health in Action.

Health promotion as an upstream approach can relieve pressure on the healthcare system, reduce disease prevalence and health inequities all while being cost-effective. Community Health Centres (CHCs) in Ontario, Canada have been delivering health promotion programming as part of their model of comprehensive primary health care to communities for decades. However, greater investments in health promotion are needed if we want to support and sustain our healthcare systems.

This article belongs to the collection: Models of Community Health in Action.

PY24194Community health in Victoria: a history of challenges, adaptations and potential

Virginia Lewis 0000-0001-7802-625X, Jennifer Macmillan, T. McBride and David Legge

A community health program was introduced in Australia 50 years ago, but Victoria is the only state that still maintains such a program. Through interviews with people involved in the sector over this time, the review of key documents and personal experience, we consider how the aspirations and commitment of the early pioneers have survived (and struggled to survive) political and social pressures over time. Additionally, we discuss ways to ensure a robust community health sector going forward.

This article belongs to the collection: Models of Community Health in Action.

We evaluated the pivotal role of Cultural Health Stations in advancing social development and health care within Indigenous communities. Data analysis clearly shows that the stations employ a diverse range of cultural care models tailored to the specific needs of local elders across various rural tribal and urban contexts. The culturally safe practices from the services demonstrated by the cultural health stations preserve cultural heritage, bridge the gap between tribal and urban life, and restore pride and continuity of cultural traditions.

This article belongs to the collection: Models of Community Health in Action.