Non-Communicable Diseases (NCDs) represent a significant financial burden for Fiji, costing the nation approximately $600 million annually in both direct and indirect costs, such as lost productivity due to health issues. According to the World Bank’s Fiji Health Sector Review 2024, the country is on a concerning trajectory where health expenditure could reach 7% of its Gross Domestic Product (GDP) by 2050. Additionally, per capita health spending could increase by as much as 250%.
The report points out that poor health outcomes prevent Fijians from achieving their full productivity. Cardiovascular diseases, diabetes, and cancers are identified as the primary contributors to this health crisis. Alarmingly, the burden of NCDs rose significantly from 64.1% of Fiji’s total disease burden in 1990 to 77.1% in 2019. Notably, nearly 64% of NCD-related deaths occur among working-age individuals.
While Fijians currently benefit from relatively low out-of-pocket health expenses, which is a noteworthy achievement, the report warns that without decisive action to combat the rising NCD crisis, future public spending on health needs could outpace available resources. This could force households to forgo necessary medical care, leading to greater inequality in healthcare access.
The report further emphasizes that Fiji’s healthcare system requires restructuring to better prevent and manage its disease burden. Transitioning from a predominantly reactive service model to an effective primary healthcare system is essential for meaningful improvements.
The report will be officially launched at the Grand Pacific Hotel in Suva.
In summary, this report raises critical alarms about the rising prevalence of NCDs in Fiji and the impact on both individual health and the economy. However, there is hope that with focused efforts to revamp the healthcare system and increase prevention measures, Fiji can turn the tide against this public health crisis. It serves as a call to action for stakeholders to invest in health and wellness to secure a healthier future for all Fijians.
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