The Ministry of Health has announced a phased implementation of a needle and syringe program in Fiji, addressing the rising concern of HIV infections linked to drug use. During his budget response in Parliament, Health Minister Dr. Atonio Lalabalavu emphasized that this initiative aligns with international best practices and is a critical component of a broader $10 million strategy aimed at combating HIV in the nation.
Dr. Lalabalavu pointed out a troubling trend: approximately 7,000 individuals in Fiji are currently living with HIV, with many new infections arising from shared use of contaminated needles. To combat this issue, the new program will not only provide access to clean needles but will also include expanded testing sites, counselling, education campaigns, and targeted outreach efforts in high-risk areas.
This plan follows similar efforts reported in previous articles, where the ministry discussed measures to reduce HIV transmission among intravenous drug users as part of the Fiji National HIV Surge Strategy 2024-2027. The strategy aims to reduce stigma, provide comprehensive care, and ensure evidence-based responses are prioritized.
Building on lessons from successful international models, the initiative underscores the importance of addressing drug use comprehensively—not simply as a public health concern, but also within the context of social support and reducing stigma associated with drug addiction.
The hopeful aspect of this development lies in the potential for these programs to foster a constructive dialogue that might lead to a significant decrease in HIV transmissions. By combining harm reduction strategies and community involvement, the Ministry of Health is taking proactive steps toward a healthier future for Fiji.

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