A new health initiative in the Pacific is set to enhance sexual and reproductive health for women, adolescents, and youth in Fiji, Tonga, and Vanuatu. Launched in Suva by the United Nations Population Fund (UNFPA) Pacific in collaboration with the Government of New Zealand, this three-year project aims to broaden access to vital reproductive services and fortify health systems across these nations.
Bidisha Pillai, the UNFPA Pacific Director, emphasized the urgency of the project, especially in light of concerning statistics regarding maternal health in the region. The maternal mortality ratio in Fiji has alarmingly increased from 24 to 86 deaths per 100,000 live births within a short span. Tonga has reported seven maternal deaths in 2023 alone, equating to a staggering maternal mortality ratio of over 183 per 100,000 live births. These figures highlight severe gaps in healthcare, exacerbated by challenges such as staff shortages, weak infrastructure, and obstacles in reaching remote areas.
Pillai pointed out the significant need for improved access to sexual and reproductive health services, as two out of three women who experience intimate partner violence require assistance. However, less than 4% of health facilities are equipped to provide gender-based violence (GBV) services, and fewer than 6% offer youth-friendly care. Addressing these disparities is crucial for reducing both adolescent and unintended pregnancies.
As part of this initiative, a comprehensive HIV response will be implemented, focusing on point-of-care testing, pre-exposure prophylaxis, and needle and syringe distribution programs. The goal is to empower women, adolescents, and youth by delivering accessible and effective tools for managing their sexual health. The UNFPA plans to collaborate closely with governments, health providers, and community stakeholders to design services catering to the specific needs of these demographics.
The initiative aligns with previous commitments made by the Fijian government to advance reproductive health and family planning services, particularly amidst rising teenage pregnancy rates and increased incidences of HIV. There is optimism that by prioritizing healthcare access and empowering young people, healthier and more resilient communities can be fostered across the Pacific region.
This endeavor reflects a robust response to urgent public health challenges and expresses hope for a better future regarding women’s, adolescents’, and young people’s health in Fiji, Tonga, and Vanuatu. Through this concerted effort, the collaboration among international organizations, local governments, and community bodies signals a promising step towards enhancing health outcomes and promoting well-being in the region.