7. IHSs should be held accountable for ensuring that all practitioner/client interactions are based on an autonomy-supporting partnership, consistent with the principle of empowerment.
This requires that all service providers, enrollment processes, and services offered are sensitive to and respectful of different cultures, religions, language groups, and persons with disabilities. In support of this position, the onus should be on IHSs to provide, where appropriate, interpreters, and information materials in multiple languages (e.g. health education information, enrollment contracts).