title: From knowing our needs to enacting change: findings from community consultations with indigenous communities in Bangladesh.
abstract: BACKGROUND
  Indigenous peoples are among the most marginalized peoples in the world due to issues relating to well-being, political representation, and economic production. The research consortium Goals and Governance for Global Health (Go4Health) conducted a community consultation process among marginalized groups across the global South aimed at including their voices in the global discourse around health in the post-2015 development agenda. This paper presents findings from the consultations carried out among indigenous communities in Bangladesh.
  
  
  METHODS
  For this qualitative study, our research team consulted the Tripura and Mro communities in Bandarban district living in the isolated Chittagong Hill Tracts region. Community members, leaders, and key informants working in health service delivery were interviewed. Data was analyzed using thematic analysis.
  
  
  RESULTS
  Our findings show that remoteness shapes the daily lives of the communities, and their lack of access to natural resources and basic services prevents them from following health promotion messages. The communities feel that their needs are impossible to secure in a politically indifferent and sometimes hostile environment.
  
  
  CONCLUSIONS
  Communities are keen to participate and work with duty bearers in creating the conditions that will lead to their improved quality of life. Clear policies that recognize the status of indigenous peoples are necessary in the Bangladeshi context to allow for the development of services and infrastructure.
authors.affiliation: James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh. sameera.hussain@uq.edu.au.|School of Population Health, University of Queensland, Brisbane, Australia. sameera.hussain@uq.edu.au.
authors.forename: Sameera
authors.initials: S
authors.lastname: Hussain
authors.affiliation: Department of Global Public Health and Primary Care, Center for International Health, University of Bergen, Bergen, Norway. ana.lorena.ruano@cih.uib.com.|Centro de Estudios para la Equidad y Gobernanza en los Sistemas de Salud, Guatemala, Guatemala. ana.lorena.ruano@cih.uib.com.
authors.forename: Ana Lorena
authors.initials: AL
authors.lastname: Ruano
authors.affiliation: BRAC, Dhaka, Bangladesh. atiya.r@brac.net.
authors.forename: Atiya
authors.initials: A
authors.lastname: Rahman
authors.affiliation: James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh. sabina@bracu.ac.bd.
authors.forename: Sabina Faiz
authors.initials: SF
authors.lastname: Rashid
authors.affiliation: School of Population Health, University of Queensland, Brisbane, Australia. p.hill@sph.uq.edu.au.
authors.forename: Peter S
authors.initials: PS
authors.lastname: Hill
mesh_terms: D001459:Bangladesh; D018672:Community Health Planning / Q000379:methods* / Q000592:standards; D054624:Health Status Disparities; D006801:Humans; D009936:Organizational Innovation; D044382:Population Groups; D036301:Qualitative Research; D011788:Quality of Life; D012017:Referral and Consultation