Fiji’s Ministry of Health recently concluded a three-day transformation summit, which was instrumental in finalizing a strategic plan for the years 2026 to 2031. This plan, shaped by extensive data and contributions from various stakeholders, aims to address longstanding gaps in the healthcare system, especially concerning workforce and budget utilization, despite a boost in funding over the past 16 years.
During the summit, over 200 participants, including representatives from educational institutions, NGOs, donor partners like the Asian Development Bank (ADB) and the World Bank, as well as governments from India and China, came together to contribute to the inclusive development of the plan. Dr. Atonio Lalabalavu, Fiji’s Minister for Health and Medical Services, emphasized the importance of this collaborative approach, stating it not only ensures ownership across all levels but will also help navigate budget constraints effectively.
The final strategic plan will be presented for Cabinet approval, marking a significant step towards its official adoption. Dr. Lalabalavu acknowledged the critical challenges the healthcare workforce faces, particularly the attrition of staff both locally and abroad, which hampers program execution. He pointed out that factors such as inadequate housing and unreliable utilities have been significant retention barriers, while international opportunities providing better pay and conditions remain unmatched locally.
In light of these challenges, the plan includes initiatives to enhance workplace environments to foster staff retention, with support from NGOs and development partners to fill any gaps in capacity. Additionally, efforts will be made to improve communication regarding the strategic plan, ensuring that health centers and nursing stations are adequately informed and engaged, countering previous evaluations that indicated a lack of awareness beyond top leadership.
Furthermore, the Ministry has launched a Priority Improvement Plan (PIP) aimed at upgrading hospital infrastructure to enhance operational capability while a long-term master plan is being developed. Supported by the Australian High Commission, this initiative targets urgent enhancements at major hospitals such as CWM and St Giles, focusing on critical areas like roofing, sanitation, and fire safety.
The immediate implementation of these infrastructure upgrades seeks to preserve operational standards and prevent service disruptions during the development of the broader master plan. Dr. Lalabalavu highlighted the inclusive nature of the master plan, designed with stakeholder participation to ensure continuity through potential political changes.
He expressed hope that any future government will recognize the importance of the strategic plan and build upon it, regardless of leadership changes. With ongoing support from ADB and DFAT, the master plan aims to frame hospital modernization as a long-term investment essential for enhancing the quality of health services in Fiji, offering a promising outlook for the country’s healthcare future.