Case Synopsis

The case focuses on developing an Indigenous-specific intercultural competency training module and outlines the steps needed to achieve this, with particular emphasis on the importance of conducting a stakeholder analysis and developing a stakeholder engagement plan. The protagonist of the case, Nia Singh, heads up the Intercultural Education Program at the Southwestern Ontario Intercultural Education Centre. After working at the organization as an intercultural education specialist for several years, Nia is looking to expand her project portfolio by redesigning the Intercultural Education Program’s pre-existing Indigenous intercultural competency training module. Nia determines the objective of the new training module will be to educate health care workers about the importance of intercultural competency within health care organizations. Specifically, the module will focus on Indigenous populations and will aim to improve the quality of care they receive so their long-term health outcomes ultimately improve. Nia works with her colleague, Steven Miller, to complete a stakeholder analysis and engagement plan, and they use four different steps to accomplish this: 1) brainstorming all possible stakeholders who have a vested interest in the training module; 2) prioritizing and categorizing each stakeholder as a core stakeholder, involved stakeholder, supportive stakeholder, or peripheral stakeholder; 3) determining the level of engagement required for each stakeholder; and 4) determining which engagement strategies to use for each stakeholder. After completing the stakeholder analysis and engagement plan, Nia and Steven arrange to interview the key stakeholders in order to gather additional opinions, ideas, and perspectives related to developing the training module. These stakeholders include health care workers, Indigenous community members, and other relevant informants. Once the interview process is complete, Nia and Steven develop a pilot version of the training module that is ready to be implemented on a small scale. However, Nia and Steven know they still have their work cut out for them in terms of identifying an effective implementation strategy.

This case is intended to be a skills practice case with the primary objective of having students learn about conducting a stakeholder analysis and then learn about stakeholder engagement. By examining this case and completing the learning team activity, students will be able to understand the importance of stakeholder analysis and stakeholder engagement as they relate to developing an Indigenous-specific intercultural competency training module. Once students have acquired this knowledge, they will be able to apply stakeholder analyses and engagement strategies to developing a variety of public health programs. However, given that the training module focuses on Indigenous populations, the case will focus on concepts related to health equity and the barriers faced by Indigenous people when they access health care services. A secondary learning objective is for students to acquire knowledge pertaining to intercultural competency, particularly in terms of its significance within the field of public health and how it can be used as a strategy for reducing health disparities for other marginalized populations.

Case Objectives

1. List and explain the steps required to complete a stakeholder analysis and engagement plan.
2. Apply knowledge garnered from conducting a stakeholder analysis to develop public health interventions.
3. Define intercultural competency and explain its importance in developing public health programs.
4. Discuss the importance of establishing Indigenous partnerships when non-Indigenous people and/or organizations are developing programs.

Case Study Questions

1. What is intercultural competency and what is the benefit of using an intercultural competency approach rather than a cultural competency framework?
2. When developing an intercultural competency training module, who are the key stakeholders that should be included throughout the development process?
3. Why did you choose these stakeholders and why do you think they will be invested in the project? What knowledge/experiences/resources do you think they will provide that will be beneficial in developing the module?
4. What level of engagement do you think each stakeholder requires? Describe the potential engagement strategies (i.e., minimal engagement to extensive engagement).
5. Why do you think it is important to complete a stakeholder analysis when developing public health interventions/programs?


Health equity, marginalized populations, intercultural competency, health care worker education, stakeholder analysis and engagement



Recommended Citation

Dafel, A., Speechley, M., Mohan, N., Alcock, D (2022). A Stakeholder Analysis: Developing an Indigenous-Specific Intercultural Competency Training Module (Part A). in: Darnell, R. & Sibbald, S. L. [eds] Western Public Health Casebook 2021. London, ON: Public Health Casebook Publishing.