Data_Sheet_1_“We're on the ground, we know what needs to be done”: Exploring the role of Aboriginal Health Workers in primary health care.DOCX

• Main Authors: Ragavi Jeyakumar, Bindu Patel, Julieann Coombes, Ty Madden, Rohina Joshi
• Format: Dataset
• Language: unknown
• Published: 2023
• Subjects: Mental Health Nursing; Midwifery; Nursing not elsewhere classified; Aboriginal and Torres Strait Islander Health; Aged Health Care; Care for Disabled; Community Child Health; Environmental and Occupational Health and Safety; Epidemiology; Family Care; Health and Community Services; Health Care Administration; Health Counselling; Health Information Systems (incl. Surveillance); Health Promotion; Preventive Medicine; Primary Health Care; Public Health and Health Services not elsewhere classified; Nanotoxicology; Health and Safety; Medicine; Nursing and Health Curriculum and Pedagogy; Aboriginal Health Worker; community health worker; workforce; sustainability; First Nations
• Online Access: https://doi.org/10.3389/fpubh.2022.1010301.s001; https://figshare.com/articles/dataset/Data_Sheet_1_We_re_on_the_ground_we_know_what_needs_to_be_done_Exploring_the_role_of_Aboriginal_Health_Workers_in_primary_health_care_DOCX/21921012

Background Aboriginal Health Workers (AHWs) are core providers of primary health care (PHC) for First Nations peoples in Australia. However, the national AHW workforce is aging and in short supply. There is a poor understanding of the factors contributing to this attrition from the perspectives of AHWs themselves. This study aimed to systematically explore the current functioning and sustainability of AHWs in NSW PHC by amplifying AHW voices. Materials and methods This study was co-designed with three Aboriginal health services in NSW. It included a literature review exploring the role of AHWs in NSW, and yarns with AHWs and their supervisors at participating services. Yarning is an Indigenous approach to knowledge generation centered upon storytelling. The yarns were guided by the USAID-developed Community Health Worker Assessment and Improvement Matrix. Yarn transcripts were analyzed using cyclical thematic analysis to identify key facilitators and challenges for AHW practice. Results The yarns highlighted five categories of change that are required to ensure AHW sustainability: community connection, recognition, value, support, and an inclusive health system. The yarns revealed that there are both service- and system-level factors influencing each of these categories of change. Conclusions The lived experiences of AHWs in NSW emphasize five key categories of change that are required to ensure workforce sustainability. It is evident that a system-wide paradigm shift to better include holistic approaches to health is necessary to truly ensure sustainability. Co-designing similar studies with ACCHOs across NSW can help inform this change.