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Trust is important to the institutions that make societies successful. Globally, Indigenous peoples are actively building institutions for self‐governance, but there remains little empirical work on trust in this context. To address this gap, we use a mixed methods approach to explore three levels of trust among individual members from three related, but politically distinct First Nations (Indigenous peoples) in British Columbia, Canada. British Columbia offers a unique and dynamic context to explore trust and its relationship with the diverse institutional choices among First Nations. Survey results show that trust is low among respondents and individual variables predictive of trust in mainstream contexts, like education and employment, are not determinative. However, interpersonal trust and political trust were highest in the First Nation most active in institution building, and who linked this with a cultural revitalization narrative. Interviews suggested a bidirectional relationship between individual and collective drivers of trust in this context. 相似文献
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The World Health Organization (WHO) introduced the concept of stewardship to clarify the practical components of governance in the health sector. For the WHO, stewardship concentrated on how government actors take responsibility for the health system and the wellbeing of the population, fulfill health system functions, assure equity, and coordinate interaction with government and society. This article overviews the contents of this special issue, which offers examples of how health stewards in a variety of countries have addressed issues of health security, primary care expansion, family planning, and quality of care. The contributors' articles draw lessons for policy, programs, and management useful for practitioners and scholars. Our overview identifies several themes emerging from the articles: the foundational role of legal frameworks for effective stewardship, the importance of institutional arrangements as enablers, the influence of regional and global entities on national stewardship, the connection between credible decision‐making structures and stewardship, and pathways to sustainable financing and domestic resource mobilization. The discussion concludes with highlighting several gaps in knowledge and practice related to health stewardship. 相似文献