Exploring the role of cultural support workers in the New Zealand healthcare setting


  • Maree Goh University of Auckland




cultural support, healthcare, communication


INTRODUCTION: The introduction of the community health worker (CHW), or cultural support worker (CSW) as they are more commonly known in Aotearoa New Zealand, is being increasingly seen as an effective strategy to engage with migrant communities and improve health outcomes. With specific cultural knowledge and understanding, CSWs act as a bridge between their ethnic community and healthcare services to improve cross-cultural interactions in the healthcare setting. As Aotearoa New Zealand becomes increasingly ethnically and linguistically diverse, the use of CSWs will become an integral part of the delivery of healthcare services. However, very little is currently known about the needs of these workers – the challenges of the role; their needs for appropriate training, support and supervision; and, how these can be met.

METHOD: Semi-structured interviews were conducted with five CSWs employed in healthcare settings across the Auckland region. Interviews explored the experiences of CSWs, current training opportunities, availability of support and supervision, and future directions. Data were collected and a process of thematic analysis was used to identify key themes.

FINDINGS: Key issues identified from the study included the importance of cultural understanding in establishing rapport between health provider and health service users; the lack of a standardised and recognised role description; no specific training programme; and, limited professional development opportunities.

CONCLUSION: This study identified significant challenges for the CSW role but also describes a workforce committed to developing the role and optimistic about their ability to make a positive difference within the healthcare setting.

Author Biography

Maree Goh, University of Auckland

Social Worker

Mercy Hospice Auckland


Alvillar, M., Quinlan, J., Rush, C., & Dudley, D. (2011). Recommendations for developing and sustaining community health workers. Journal of Health Care for the Poor and Underserved, 22(3), 745–750. doi:https://doi.org/10.1353/hpu.2011.0073

Chen, M. (2015). Superdiversity stocktake: Implications for business, government and New Zealand. Wellington, New Zealand: Superdiversity Centre for Law, Policy and Business.

Crawley, L. M., Marshall, P. A., Lo, B., & Koenig, B. (2002). Strategies for culturally effective end-of-life care. Annals of Internal Medicine, 36(9), 673–679. doi:10.7326/0003-4819-136-9-200205070-00010

Dohan, D., & Schrag, D. (2005). Using navigators to improve care of underserved patients-current practices and approaches. Cancer, 104(4), 848–855.doi:10.1002/cncr.21214

Henderson, S., & Kendall, E. (2011). “Community navigators”: Making a difference by promoting health in culturally and linguistically diverse (CALD) communities in Logan, Queensland. Australian Journal of Primary Health, 17(4), 347–354. doi: 10.1071/PY11053

Kagawa-Singer, M., & Blackhall, L. (2001). Negotiating cross-cultural issues at the end of life: “You got to go where he lives”. JAMA (Journal American Medical Association), 286(23), 2993–3001. doi:10.1001/jama.286.23.2993

Lawrence, J., & Kearns, R. (2005). Exploring the “fit” between people and providers: Refugee health needs and health care services in Mt Roskill, Auckland, New Zealand. Health & Social Care in the Community, 13(5), 451–461. doi:10.1111/j.1365-2524.2005.00572.x

Lim, S., & Mortensen, A. (2013). Board best practice principles: CALD cultural competency standards and framework. Auckland, NZ: Waitemata District Health Board.

Love, M. B., Gardner, K., & Legion, V. (1997). Community health workers: Who they are and what they do. Health Education and Behavior, 24(4), 510–522.

Mortensen, A., Latimer, S., & Yusuf, I. (2014). Cultural case workers in child disability services: An evidence-based model of cultural responsiveness for refugee families. Kotuitui: New Zealand Journal of Social Services Online. http://dx.doi.org/10.1080/1177083X.2014.911752

Nemcek, M., & Sabatier, R. (2003). State of evaluation: Community health workers. Public Health Nursing, 20(4), 260–270. doi:10.1046/j.1525-1446.2003.20403.x

Nguyen, T. N., & Kagawa-Singer, M. (2008). Overcoming barriers to cancer care through health navigation programs. Seminars in Oncology Nursing, 24(4), 270–278. doi.org/10.1016/j.soncn.2008.08.007

O’Brien, M., Squires, A., Bixby, R., & Larson, S. (2009). Role development of community health workers: An examination of selection and training processes in the intervention literature. American Journal of Preventive Medicine, 37(6S1), S262–S269. doi.org/10.1016/j.amepre.2009.08.011

Perez, M., Findley, S. Mejia, M., & Martinez, J. (2006). The impact of community health worker training and programs in NYC. Journal of Health Care for the Poor and Underserved, 17(1), 26–43.

Rosenthal, E., Wiggins, N., Ingram, M., Mayfield-Johnson, S., & De Zapien, J. (2011). Community health workers then and now: An overview of national studies aimed at defining the field. The Journal of Ambulatory Care Management, 34(3), 247–259. doi: 10.1097/JAC.0b013e31821c64d7

Sherwen, L., Schwolsky-Fitch, E., Rodriquez, R., Horta, G., & Lopez, I., (2007). The community health worker cultural mentoring project: Preparing professional students for team work with health workers from urban communities. Journal of Allied Health, 36,


Walker, Dr R. (2014). Asian & MELAA (Middle Eastern, Latin American and African) 2013 census demographic and health profile. Auckland, NZ: Auckland Region District Health Boards.

Wells, K., Battaglia, T., Dudley, D., Garcia, R., Greene, A., Calhoun, E., … & The Patient Navigation Research Program (2008). Patient navigation: State of the art or is it science? Cancer, 113(8), 1999–2010.

doi: 10.1002/cncr.23815

Witmer, A. Seifer, S. D., Finocchio, L., Leslie, J., & O’Neil, E. (1995). Community health workers: Integral members of the health care work force. American Journal of Public Health, 85(8), 1055–1058.




How to Cite

Goh, M. (2018). Exploring the role of cultural support workers in the New Zealand healthcare setting. Aotearoa New Zealand Social Work, 30(2), 68–74. https://doi.org/10.11157/anzswj-vol30iss2id453



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