Australia is facing criticism for allegedly depleting the pool of skilled health workers from Pacific Island nations, thereby exacerbating the existing challenges within their fragile healthcare systems. A recent report by the Centre for Future Work at The Australia Institute and Public Services International reveals that trained professionals from countries such as Fiji, Papua New Guinea, Samoa, the Solomon Islands, and Vanuatu are leaving vital frontline roles to pursue better-paying but lower-skilled positions in Australia under the Pacific Australia Labour Mobility (PALM) scheme.
This outflow has severely impacted health services in these nations, with some operating at a mere “30–40 percent capacity or below.” The report highlights that once these Pacific workers arrive in Australia, they often face deskilling, poor compensation, and exploitation, largely due to their vulnerable visa status.
In the Solomon Islands, where a population of approximately 720,000 is spread across 900 islands, the challenge of delivering quality healthcare is already daunting. Increased dependence on the private sector is creating significant inequalities as public health systems struggle to cope, prompting many to seek care from costly private providers.
The factors driving this migration include low wages, escalating living costs, and overwhelming workloads. Workers report that training deficiencies, inadequate equipment, and a lack of doctors compel nurses to undertake more advanced responsibilities without adequate support. Unions have indicated that this “brain drain” is intensifying, as seasoned professionals leave the field while younger staff are deprived of the mentorship necessary for their development. Compounding the issue, existing labor laws intended to provide benefits and allowances for workers have seen inadequate enforcement.
A participant from a recent workshop expressed disillusionment with the treatment of workers in Australia and New Zealand, stating, “Employers in Australia and New Zealand say ‘workers are like our families’. This is not true.” In response to these pressing concerns, the Solomon Islands Council of Trade Unions (SICTU) is urging the government to take immediate measures to safeguard the welfare of citizens employed under the PALM scheme. These discussions are further informed by a United Nations report outlining the serious challenges faced by temporary migrant workers in Australia.
The report underscores the lack of oversight regarding private recruitment agencies, which often leave workers vulnerable to deceitful promises and unfavorable conditions, particularly impacting those with limited English proficiency.
Although remittances contributed 5.4 percent to the Solomon Islands’ GDP in 2023 and have improved living standards for many households, the report warns that labor mobility might widen income disparities and exacerbate shortages of qualified professionals at home.
Participants at recent workshops have called for enhanced regional cooperation to avert workforce crises, including the establishment of more scholarships for health workers, mutual recognition of qualifications, and capacity-building secondment schemes. They also advocate for a more significant role for unions in labor mobility initiatives to ensure workers’ rights and transparency.
Without immediate and comprehensive reforms, unions caution that labor mobility could worsen inequality and further strain the already fragile health infrastructure in the Solomon Islands, highlighting the urgency for collaborative action to support health workforce sustainability in the region.

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