Many of the recommendations below support multiple values. For example,
recommendations for empowering IHS’ communities and clients often involve increasing
public participation, while reducing social inequities often requires facilitating an
intersectoral approach to address the impact of the broader determinants of health. For
the sake of clarity, the following recommendation have been grouped according to the
value that they primarily support. Each grouping is not intended to stand independent of
the other recommendations, however. It is as an integrated framework that these
recommendations will most effectively strengthen the health promoting mandate of IHSs.