Objectives

Pacific Australia Labour Mobility (PALM) scheme workers (hereafter referred to as PALM participants) are integral to Australia's economic landscape, contributing predominantly to agriculture and meatworks sectors. Many PALM participants come from regions with high burdens of blood-borne viruses (BBVs) such as hepatitis B virus (HBV), yet there is a lack of understanding of their Australian health experiences. This study explores the lived experiences of PALM participants, focusing on healthcare interactions and challenges faced in addressing health issues, particularly HBV and other BBVs.

Methods

Eighteen semi-structured interviews with agricultural PALM participants from four Pacific Island countries were conducted and analysed thematically through an equity lens.

Results

A complex interplay of factors impacting health and healthcare system navigation was described, revealing challenges beyond HBV and other BBVs. Three overlapping themes are explored: (i) access issues, (ii) awareness and understanding; and (iii) 'battling the system'.

Conclusion

PALM participants have significant unmet healthcare needs, with public health and economic implications. Greater political will is required to prioritise equitable healthcare for this population. SO WHAT?: This study highlights required changes to inform effective policies and interventions that promote health equity and improve health outcomes for PALM participants from Pacific Island countries and Timor Leste, particularly in relation to HBV and other BBVs.