Perceptions of the Important Characteristics of the “Aboriginal Health in Aboriginal Hands” Allied Health Service Program

Abstract

Introduction:

It is well established that there is a significant health gap between Indigenous and non-Indigenous Australians, with access to health care being a contributing factor. Aboriginal Health in Aboriginal Hands (AHAH) is an allied health service based at an Indigenous community center. Its objectives are to provide allied health services that are not commonly accessed by members of the Indigenous community. The aims of this study were to investigate stakeholders’ perceptions of the service and alignment with the principles of delivering allied health services to Indigenous communities.

Methods:

Participants were recruited from two distinct groups: (1) Those who had developed, administered, and provided the services (n = 4); and (2) recipients of the services (n = 8). Perceptions of AHAH were collected via individual “yarnings,” which involved answering broad questions regarding the service. Data were analyzed using thematic inductive analysis.

Results:

Both groups perceived that the “cultural appropriateness” of the setting was essential for its success. This included: its location at an Indigenous community center; the central roles of Indigenous people within the service; being affordable; being welcoming; and being accessible. Another positive attribute was that it provided the opportunity for community members to attain related training and qualifications in areas such as “sports therapy.” Both groups perceived that the service could be expanded in terms of more weekly sessions and the inclusion of other allied health services. Staff were aware that while allied health students on placement at the center had undergone some “cultural awareness training,” more was needed.

Discussion:

Overall, the AHAH service was perceived to align with the five dimensions of accessibility, approachability, acceptability, availability, and affordability, and was being delivered in accordance with the principles of engaging with Aboriginal communities (lore, love, look, listen, learn, lead, and land), which were key attributes contributing to its popularity and success.