COVID-19: a mixed-methods study in a local health district

This study explored Aboriginal and Torres Strait Islander peoples’ experiences receiving Aboriginal cultural support from a public health unit in Hunter New England Local Health District in New South Wales. Using an Indigenist research approach, an online survey was conducted as well as yarning with Aboriginal and Torres Strait Islander people who had received cultural support while in isolation during the COVID-19 pandemic. Non-Aboriginal parents and carers of Aboriginal children were also eligible. Of 3,819 eligible individuals, 70 surveys were received with 55 valid responses after excluding 15. Using purposive sampling, 60 individuals were invited to participate in a yarn. Fifty-five participants completed the online survey and reported that the Aboriginal cultural support model they received was helpful and supportive. Yarns revealed valuable insights and lessons learnt for future pandemics. Three themes emerged: 1) cultural and community obligation, 2) culturally centred COVID-19 support and 3) accessing trusted COVID-19 information. This study highlighted the importance of Aboriginal-led pandemic responses. Embedding Aboriginal cultural support into public health responses enables tailored communication, strengthens relationships with Aboriginal communities and reinforces Aboriginal leadership.