摘要
This paper focuses on health promotion and community development programmes conducted within Pacific nation locations. A literature review was carried out that identified differences in understanding of the practice of health promotion and community development in Pacific Island communities when compared with the rest of the developed world： Snakes and ladders is a metaphor for process and progress of such programmes whereby health and community gains are made only to collapse and fall back, close to or at, the starting point Reasons for this are discussed, particularly through comparison with health promotion and community development programmes in other non-Pacific countries, and with success factors identified in such programmes. This link between methodological approaches of international funding agencies and the success or otherwise of programmes, is identified. Suggestions are made as to approaches to be used when working within Pacific lsland nations. These approaches involve empowerment of the local community to lead, manage, and evaluate the effectiveness of these health promotion and community development programmes.
