'It's got to be another approach' : an Aboriginal health worker perspective on cardiovascular risk screening and education

Background: Aboriginal Australians have a higher burden from cardiovascular disease. This study provides a new perspective from Aboriginal Health Workers (AHWs) working in the area of heart health in the Aboriginal community of western Sydney. Methods Eight AHWs and Aboriginal nurses were interviewed and thematic analysis undertaken. Analysis was refined in group and individual discussions with participants in a participatory approach. Results AHW assessment was reported to differ from the biomedical model. AHWs were seen to play an important part in cardiovascular risk assessment and education due to their access and credibility to clients. Discussion: AHWs are well placed and keen to be a part of the team that assesses cardiovascular risk. However, lack of recognition of the AHWs' skills and lack of access to formal training are current barriers to enhancing their role in the heart health team.