Fiji Faces Doctor Exodus: What’s Behind the Departure?

A total of 280 medical officers have left Fiji’s Ministry of Health during 2022 and 2023, leading to a shortage of senior specialist doctors. This year, 15 doctors have already resigned.

Dr. Basharat Munshi, the outgoing President of the Fiji Medical Association, disclosed these numbers during the organization’s 63rd annual conference at the Hilton Resort on Saturday. He expressed concern about the resignations, particularly highlighting that many of the departing doctors are experienced specialists.

Dr. Munshi noted that a significant number have transitioned to the private sector, and both 2022 and 2023 have seen a marked increase in this trend. He pointed out the high attrition rates of doctors who are leaving for opportunities abroad as well as those moving into private practice.

To better understand the situation, Dr. Munshi suggested that the Ministry of Health conduct a survey to explore the factors driving doctors to resign, both “push” and “pull” factors.

In response, Minister for Health Dr. Atonio Lalabalavu acknowledged the growing concern about the impact on healthcare delivery in primary health settings and major hospitals. He mentioned that while the number of resignations had decreased this year, addressing the core issues remains a challenge.

“The pull factors are difficult to compete with. It’s vital to improve working conditions, remuneration, and to genuinely listen to their concerns,” said Dr. Lalabalavu. He emphasized that while enhancing infrastructure is important, prioritizing human resources is crucial for delivering quality healthcare, making it essential to tackle both push and pull factors influencing doctor resignations.

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